Dr. Nelson & US Cryotherapy are partnering in a 30-day mental health challenge beginning on February 15th. Most people don't realize how pain can negatively affect a person's mood & how depression can negatively affect how a person recovers from pain.
What is the connection between pain and depression?
Scientists have published a large number of studies that have proven how our moods and pain (especially back pain) are intimately related. These studies found:
- Depression Increases risks for low back pain: Studies show that depression is a major risk factor that significantly increases the likelihood of experiencing both an acute back injury and chronic low back pain. Linton S. A review of psychological risk factors in back and neck pain. Spine. 2000;25:1148-1156..
- Depression increases incidence of low back pain: Statistics also show that people with depression are four times more likely to have low back pain and two-thirds of people seeking treatment for low back pain also suffer from depression. Sullivan MJ, Reesor K, Mikail S, Fisher R. The treatment of depression in chronic low back pain: Review and recommendations. Pain. 1992;52:249. Sinel MS, Deardorff WW, Goldstein TB. In: Win the Battle Against Back Pain: An Integrated Mind-Body Approach. New York: Bantam-Doubleday-Dell. 1996.
- Depression increases severity of low back pain: The severity of a person’s depression has a linear relationship to the intensity of their low back pain. Currie SR, and Wang J. Chronic back pain and major depression in the general Canadian population. Pain. 2004;107:54-60.
- Depression increases low back pain disability: It was also found that the combination of chronic back pain and depression was associated with greater disability than either depression or chronic back pain alone.
- Combination treatment works best: Treating patients for depression and low back pain simultaneously is critical. Chronic pain interferes with the clinical improvement of depression and combined treatment yields better outcomes than either interventions alone. Pampallona S, Bollini P, et al. Combined pharmacotherapy and psychological treatment for depression: A systematic review. Archives of General Psychiatry. 2004;61:714-719
- Depression blocks recovery from surgery: Low back patients with depression had more complications and worse surgical outcomes than those without depression. Block A, Gatchel RJ, Deardorff WW, Guyer R. In: The Psychology of Spine Surgery. Washington, DC: American Psychological Association Press. 2003.
What is Regenerative Orthopedics and how it can help resolve chronic pain?
Regenerative orthopedics is a little known, non-surgical treatment option with a long and safe history of success to treat back and joint injuries. Many people with chronic pain are suffering needlessly should consider regenerative orthopedic treatments so they can live their lives with less pain and more enjoyment.
Regenerative orthopedics utilizes a series of injections that directs the body to repair the injured ligament and tendon attachments that are causing the pain. After the ligaments and tendons are repaired, they stabilize the spine and the joints reducing further degeneration by holding the injured joint in proper alignment. The concept is similar to preventing uneven wear on your car tires by making sure they are balanced and aligned.
What are the Different Levels of Regenerative Orthopedic Injections?
Prolotherapy – This safe and effective technique was developed over 80 years ago and works by a placing a series of precise injections into damaged ligaments, tendons, muscles to induce a proliferation of new healthy tissue.
PRP – Platelet Rich Plasma. The injections used PRP treatments are accurately placed in the same location as standard prolotherapy, but the effects are approximately 3 times stronger.
Stem Cell Derived Exosomes - Exosomes are the highly concentrated growth factors and peptides produced in stem cells that are injected into the damaged tissues and inside the knee, shoulder, and hip joints to repair soft tissue and restore degenerated cartilage surfaces (bone on bone). This is the most powerful treatment utilized in advanced cases or for those that prefer fewer treatments to receive the benefits of regenerative injections.
What injuries can be treated with Regenerative Orthopedics and Prolotherapy?
Prolotherapy is designed to treat back injuries, injured joints, connective tissue, ligaments, and tendons. These pain relief injections have been successful with hundreds of patients in our office for whiplash, low back pain, degenerative joint disease (bone on bone), torn rotator cuff injuries (shoulder), ACL and meniscus injuries (knee), hip pain, sciatica, tennis elbow, golfers’ elbow, carpal tunnel, TMJ, and even plantar fasciitis.
How does Cryotherapy improve the results of Regenerative Orthopedic and Prolotherapy Injections?
Our office recommends a series of Whole-Body Cryotherapy prior to beginning Regenerative Orthopedic injections to detoxify the body, decrease inflammation, and increase the number and vitality of the patients stem cells. During a series of regenerative injections, cryotherapy should be continued. The benefits of regenerative injections are increased by the synergistic effects of cryotherapy. These benefits include:
Cryotherapy causes a cold shock response.
When the surface skin temperature drops during the Cryotherapy session, a signal is sent to the central nervous system.
The signal causes a chain reaction that releases a massive amount of endorphins, growth factors, and recruits stem cells to circulate through the body looking for areas to repair and regenerate.
This process also causes a systemic reaction to clear toxic waste and compromised tissue in the area of the injury and brings oxygen rich blood to the injury and sequesters stem cells to initiate and perform cellular regeneration.
How should I Prepare for Prolotherapy Injections?
In order to decide if this treatment method is ideal for you during your initial consultation, we need diagnostic images, so we know exactly what we are dealing with. This may include X-rays and MRI scans. Our office also provides diagnostic ultrasound for evaluating the extent of the soft tissue injury and ultrasound guided injections to ensure the injections are accurately and safely performed.
It is important that you eat before you come in for your treatment. We strongly recommend that you consume a reasonable portion of protein and drink enough water prior to your appointment. You should stop taking aspirin, ibuprofen, corticosteroids and MAOIs in the 48 hours leading up to your treatment. If you feel any pain or discomfort, you may take acetaminophen.
We recommend that our regenerative orthopedic patients receive cryotherapy sessions beginning at least one to two weeks prior to their first regenerative treatment and maintain their cryotherapy sessions to augment and potentiate the effects of the Prolotherapy, PRP, or exosome treatments.
What should I Expect During Prolotherapy Treatment?
Dr. Nelson will take your history, review your x-rays, CT’s and/or MRI’s and perform a physical exam and orthopedic tests to assess the structures at the root of your pain. After discussing the options Dr. Nelson will recommend as series of standard prolotherapy, Platelet Rich Plasma (PRP), or stem cell derived exosome injections.
Our office specializes in making your regenerative injections as stress free as possible. We offer conscious sedation and ethylchloride spray followed by local anesthesia to make our injections relatively pain free.
What should I Expect After Prolotherapy Treatment?
The injected area will be tender for a few days following the injection. The proliferative effects and soft tissue repair is initiated by this precise and targeted local inflammation. We recommend receiving a cryotherapy session on the day after your injection and ongoing cryotherapy sessions three times per week to optimize your body’s natural healing response.
Most conditions require multiple sessions with a few weeks between the injections. The number of sessions will range from as few as 1 to 2 to as many as 6 or more depending on the extent of the tissue damage and the ability of the patient to respond to the treatments.
Who is a Good Candidate for Prolotherapy treatments?
If you experience any acute or chronic joint or back pain, you are most likely a great candidate for prolotherapy. The ideal candidate for prolotherapy has joint instability, reduced range of motion, weakness, and muscle spasms.
Prolotherapy is especially helpful for injured ligaments or tendons such as torn rotator cuff, ACL, MCL, or meniscal tears, ankle sprains, whiplash, low back or hip pain, sciatica, TMJ, plantar fasciitis, osteoarthritis of knee, hip back, bursitis, baker’s cyst, and disc degeneration. Other indicators of an excellent candidate for regenerative injections include pain that benefits from massage, acupuncture, or chiropractic adjustments but the benefits are only temporary.
Who Is a Poor Candidate for Regenerative Therapy?
People on prednisone or immunosuppressive medications may not respond well to Prolotherapy. Also, patients with uncontrolled diabetes, smokers, or immune compromised patients may not respond.
Why Dr. Nelson?
Dr. Nelson has been providing safe and effective Prolotherapy treatments for over 24 years. He continually receives advanced continuing medical education (CME) every year to incorporate the latest advancements in regenerative injection treatments. Last year Dr. Nelson treated over 1000 patients using Prolotherapy, PRP, and stem cell derived exosomes. When considering your options, it is important to choose someone with experience necessary to get results.
At Explore Health in Scottsdale, AZ, our mission is to provide affordable care to patients so they can optimize their quality of life. For many, this means helping them avoid elective orthopedic surgery utilizing prolotherapy or just helping them to become pain free after suffering from acute or chronic injuries. To discover everything you need to know about prolotherapy and whether it can help you return to playing golf, tennis, running, hiking, or your favorite exercise, don't wait call today!
Schedule Your Initial Consultation Today
Are you sick and tired of stiff, achy joints that just don’t move as well as they used to? If you are, pain relief injections with prolotherapy may be just what you need to get back to enjoying your active lifestyle.
To discover if these injections are right for you, please contact Dr. Nelson today at Explore Health in Scottsdale, AZ to schedule your initial consultation. Whether you would prefer a consultation over the phone, via video chat or in person, we can accommodate your preference.
Mention US Cryotherapy for a complimentary consult from February 15th to March 15th, 2021 to discuss which regenerative therapy is right for you. [$295.00 value]