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Alternative to steroid injection

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Results of bovine cartilage studies from the University of Pittsburgh School of Medicine revealed the following:. The addition of lidocaine to methylprednisolone significantly increased the rate of chondrocyte cell death. This single piece of research published by French doctors in the journal Clinics in orthopedic surgery should be enough to convince anyone that cortisone makes healing with stem cells difficult.

Patients seeing doctors who insist on cortisone first, should research this treatment decision. It is the message over and over — When injected into joints, corticosteroids not only trigger cartilage cell death but also completely suppress healing by their innate mechanism of action, which is to suppress the immune system and block inflammation.

Despite the research, the first trip to the joint pain specialist is usually a recommendation to cortisone. Shortly after doctors started injecting cortisone and other steroids into knee joints in the s, researchers began noting severe problems of joint degeneration and so discouraged the use of cortisone injections. Today, despite the dangers, cortisone use remains widespread as a standard of care.

In research from doctors at the University of Toronto 18 wrote of the problem of injection infection. Intraarticular hip injections of corticosteroids and hyaluronic acid may be used to treat hip osteoarthritis. Although the sterile technique is recommended to avoid infiltration of the joint with microorganisms normally found on the surface of the skin there remains a risk of infection.

All injections can carry the risk of infection, this includes our injection techniques of Prolotherapy PRP Prolotherapy and stem cell Prolotherapy. Intraarticular hip injections of corticosteroids and hyaluronic acid may increase the risk of infection because of the immune system suppression characteristic of cortisone. Therefore, in the setting of total hip replacement, preoperative receipt of a hip injection may increase the risk of infection, leading to early revision arthroplasty.

While the researchers were unable to determine what agent was injected into the joint prior to surgery, they concluded that the most likely therapies were corticosteroids and hyaluronic acid, with or without a local anesthetic. As hyaluronic acid has no proven benefit for hip osteoarthritis, it is likely that most of the injections were of corticosteroids. Regardless of the solution injected, intraarticular injections expose the joint to the external environment and may allow seeding by microbes, particularly when an improper sterile technique is used.

Further research is warranted to determine whether the documented increased risk of infection following hip injection differs according to the solution used corticosteroids versus hyaluronic acid. At Caring Medical, our option is to fix the joint or spine by rebuilding and repairing damaged tissue with regenerative injections. The localized inflammation causes healing cells to arrive at the injured area and lay down new tissue, creating stronger ligaments and rebuilding soft tissue.

As the ligaments tighten and the soft tissues heal, the knee structures function normally rather than subluxing and moving out of place. When the knee functions normally, the pain and swelling go away. In the above scenario, the repair of the joint has shut down the inflammation. This is not so in the second scenario where medication and steroids are used to shut down inflammation. In this video, Danielle R. This chart demonstrates that cortisone injections, acting as an anti-inflammatory, decreases circulation and repair to damaged joints as its primary means to reduce pain.

Prolotherapy injections are shown to act in a different way, by repairing joint damage, Prolotherapy can reduce inflammation by repairing the damage causing the inflammation. When Prolotherapy is injected into the joint, it stimulates the production of leukocytes an immune cell that absorbs and gets rid of diseased tissue and macrophages. In a stem cell study stem cells are cells native in the body that help remodel damaged tissue Dr.

Ming Pei of West Virginia University publishing in the medical journal Biomaterials 19 suggests that while adult stem cells are a promising cell source for cartilage regeneration, they have a hard time in a harsh joint environment when hypoxia the lack of oxygen and inflammation have created a toxic soup for the stem cells to work in. As noted above healing cells, like your native stem cells, like a clean, safe work environment. Chronic inflammation slowly and steadily brings about a low oxygen environment in joints because the body feels that diseased tissue will die in a low oxygen environment.

Oxygen deprivation is designed to be a short-term drastic measure to healing a wound. But chronic inflammation means a slow strangulation of the joint. Sometimes we forget the cells of the body obtain their energy via aerobic metabolism. The primary substrates or substances that are needed for aerobic metabolism are oxygen and glucose. The body breathes to get oxygen and we eat to break down the food into sugar.

Even if a person just eats protein, ultimately the body finds a way to break down the protein into individual amino acids and eventually into glucose. Without glucose, the cells and the body cannot live. One important published paper on stem cell research from Purdue University confirmed the notion that dextrose, especially hypertonic extra dextrose is a significant factor in the ability of mesenchymal stem cells from bone marrow to proliferate.

What is in a Prolotherapy injection? Hypertonic dextrose The mesenchymal stem cell consumption of glucose increased proportionally with the glucose concentration in the medium. The more food the stem cells were given, the more they ate. The primary results note that the higher glucose and serum concentrations appear to produce higher stem cell populations over time. In summary, while cortisone shots weaken an injured area even further, Prolotherapy stimulates the body to repair it.

Prolotherapy stimulates blood flow to the area, protein synthesis, fibroblast proliferation, and ultimately collagen formation. The choice is simple: cortisone shots that lead to proliferative arthritis of joints or proliferative injections Prolotherapy that stimulate the repair of the injured tissue. We hope you found this article informative and it helped answer many of the questions you may have surrounding your joint problems and joints instability.

If you would like to get more information specific to your challenges please email us: Get help and information from our Caring Medical staff. Subscribe to our newsletter. Radiology , ; DOI: Medical reversals in family practice: a review.

Current Therapeutic Research. Intra-articular corticosteroid knee injection induces a reduction in meniscal thickness with no treatment effect on cartilage volume: a case—control study. Scientific reports. Efficacy and predictive factors of response to intra-articular corticosteroids in knee osteoarthritis.

Differential cytotoxicity of corticosteroids on human mesenchymal stem cells. Lidocaine potentiates the chondrotoxicity of methylprednisolone. The American journal of sports medicine. Stem cell therapy for the treatment of hip osteonecrosis: a year review of progress. Clinics in orthopedic surgery. Intra-articular corticosteroid injection in osteoarthritis of the knee and hip: factors predicting pain relief—a systematic review.

Semin Arthritis Rheum. Epub Jan The efficacy and duration of intra-articular corticosteroid injection for knee osteoarthritis: a systematic review of level I studies. J Am Acad Orthop Surg. Kuttapitiya A. Future directions for the management of pain in osteoarthritis. Int J Rheumatol. Apr ; 9 2 : — Clinical benefits and drawbacks of local corticosteroids injections in tendinopathies. Expert Opin Drug Saf. Epub Dec Tendon ruptures associated with corticosteroid therapy. Western Journal of Medicine.

A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. Intraarticular hip injection and early revision surgery following total hip arthroplasty: a retrospective cohort study. Arthritis Rheumatol. Stem Cell International. The American Journal of Sports Medicine.

Autologous blood injection and wrist immobilisation for chronic lateral epicondylitis. Adv Orthop. Epub Dec 4. J Clin Diagn Res. Epub Jul 1. Effectiveness of platelets rich plasma v e rsus corticosteroids in lateral epicondylitis. J Pak Med Assoc.

Pain and activity levels before and after platelet-rich plasma injection treatment of patellar tendinopathy: a prospective cohort study and the influence of previous treatments. Int Orthop. Platelet rich plasma versus corticosteroid injection for plantar fasciitis: A comparative study. Foot Edinb. When should I involve a Prolotherapist in my care? Call Us: Email Us. Email Us Subscribe.

Home » Prolotherapy News » Cortisone » Alternatives to cortisone shots. For many people, the options for pain relief right now are limited to cortisone and medications. Cortisone injections increase the risk of joint surgery. Cortisone injections increase the need for secondary surgery and possibly higher risk for post-surgical infections in the joint.

Corticosteroids can alter the healing environment of the joint by effecting damage on the native stem cells in cartilage. At about three months, the relief from the two types of injections is equal. By six months, the platelet rich plasma injection is much more effective in relieving pain than the steroid injection. At this time, patients with the steroid injection were back at their baseline level of pain.

The outpatient procedure lasts about 30 to 45 minutes. The procedure can be used to treat a chronic problem that has been already treated with other methods with no relief. The procedure first requires an evaluation through ultrasound to look at the treatment area, and recovery time is about two weeks. Physical therapy is usually recommended after the two-week recovery period.

Baylor College of Medicine. Baylor College of Medicine News Alternative to steroid injections can provide long-term pain relief.


A valuable tool for treating inflammation. This corticosteroid is a synthetic version of a natural hormone called cortisol. Cortisone is used to treat inflammatory conditions, including autoimmune diseases as well as joint swelling and pain. The synthetic derivative cortisone mimics the action of cortisol but tends to achieve a more powerful — as well as exposing the patient to potentially greater side effects. In a study by the Journal of Orthopedic Surgery and Research , 40 patients were treated for osteoarthritis.

Half of the group were treated utilizing cortisone injections, while the other half had PRP injections. Results were monitored throughout the treatment period, and up to one year after the final injection. Ultimately, no adverse reactions were noted in either group.

In the corticosteroids group, pain relief and improvement was observed up until week After week 15, the CS patients actually started regressing — with pain creeping up on them once again. Contrast this with the effects of the PRP group, who observed pain relief for up to 30 weeks following the final injection. Additionally, the PRP group vastly outperformed the Corticosteroids group in several metrics relating to flexibility and pain levels. This study proves the clinical efficacy of PRP and presents it as a superior option over corticosteroids for not only pain relief, but regeneration of the tissues and the restoration of activity levels.

Are you struggling with chronic pains? Have you tried corticosteroid injections with temporary or minimal results? Young, healthy adults are not likely to need to repeat the procedure, but older patients may need a booster down the line. Studies show that early on, steroid injections seem to provide more relief.

At about three months, the relief from the two types of injections is equal. By six months, the platelet rich plasma injection is much more effective in relieving pain than the steroid injection. At this time, patients with the steroid injection were back at their baseline level of pain. The outpatient procedure lasts about 30 to 45 minutes.

The procedure can be used to treat a chronic problem that has been already treated with other methods with no relief. The procedure first requires an evaluation through ultrasound to look at the treatment area, and recovery time is about two weeks. Physical therapy is usually recommended after the two-week recovery period.

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Chronic lumbar pain syndromes without neurological nerve and muscle deficits can be caused by many problems not just what shows up on an MRI scan looking for back pain. In many cases, a diseased intervertebral disc is found on radiological examination but the clinical relevance of these findings is not clear.

But there is a problem with inflammation. A transforaminal epidural injection the injection near the nerve root inflammation into the lumbar region can reduce inflammation and therefore improve temporary treatment outcome, but it does not repair damage and long-term clinical improvement is lacking. This agrees with the above research on the lack of long-term effectiveness.

In agreement with the previous study that epidural steroid injection does not repair damage and long-term clinical improvement is lacking, is a study 15 where doctors suggest that the only best use of epidural steroid injection is to provide pain relief until spinal surgery can be performed. What do they base this on? Transforaminal epidural steroid injection is a useful diagnostic, prognostic, and short-term therapeutic tool for lumbar radiculopathy.

Although transforaminal epidural steroid injection cannot alter the need for surgery in the long term, it is a reasonably safe procedure to provide short-term pain relief and as a preoperative assessment tool. As you see in medicine, research unto effective treatments for back pain can go on for decades and the problems of the past are still problems today. In November , researchers publishing in the Journal of Pain Research 16 examined the clinical effectiveness of the use of fluoroscopically guided therapeutic selective nerve root block as non-surgical symptom management of lumbar radiculopathy.

The conclusion, as many conclusions are. These injections can help some people. Here is exactly what the study said:. This makes it a very good second line of management after conservative treatment and a possible method to delay, and sometimes cease, the need for surgery. For many people, the goal is pain relief.

Whatever way this can be achieved is seen as a necessary outcome. But are you only masking a worsening situation? Here is a piece of research from doctors at the University of Arizona that makes a very good point that the only best use of epidural steroid injection is to provide pain relief until spinal surgery can be performed.

It was published in in the journal Clinical Biomechanics. The researchers looked at people with degenerative facet arthritis who were treated with medial or intermediate branch nerve block injection. Then they asked these people about their pain and measured these people with standardized scoring systems for a health condition, disability, objective motor performance measures gait, balance, and timed-up-and-go at pre-surgery , immediately after the injection , one-month , three-month , and month follow-ups.

This suggests that patients perceived pain reduction immediately after spinal injection; however, the pain relief was not reflected in a significant immediate improvement in motor performance. The epidural masked the back pain but did not improve the degenerative disease condition and can put the patient at risk for hurting themselves because they feel less pain and think their back is getting better.

This is not so. This is why some surgeons suggest epidurals should not be given at all, the patient should just go right to surgery. There are numerous research papers that suggest that the use of epidural steroid injection subjects patients to complications by withholding surgery, and that spinal surgeon should actively take back patients who could benefit more from surgery. So here the recommendation is to forget the epidural steroid injections altogether — go right for the surgery.

Nancy Epstein writing in the journal Surgical Neurology International : I was diagnosed with spinal stenosis. My S4 has moved forward on S5. This is causing pinching of the nerve and the narrowing of the space in my spine causing my stenosis. The epidural started wearing off and I started having shooting pain in my lower spine. If I stand too long or walk too far the pain gets significant. I was given Cymbalta an anti-depressant — anti-anxiety medication and it reduced my pain dramatically.

Unfortunately, I developed some of the common side effects, and now my doctor wants to go straight to spinal fusion surgery. A team of Stanford researchers describes a similar plight to the person above. In their study published in the Spine Journal 20 they described the common experience of patients over a five-year time frame since the initiation of their transforaminal epidural steroid injections.

Transforaminal epidural steroid injections are given at the foramen why they are called Transforaminal where the nerve roots exit the back of the spine. Fortunately, few reported current symptoms and a small minority required additional injections, surgery, or opioid pain medications.

Lumbar disc herniation is a disease that can be effectively treated in the short-term by transforaminal epidural steroid injections or surgery, but long-term recurrence rates are high regardless of treatment received. We started talking about delays in treatment. Researchers at Penn State University writing in the medical journal Clinical Spine Surgery sought out to determine what factors could or could not predict which patients would benefit most from caudal epidural steroid injections in managing chronic low back pain and radiculopathy.

The longer the patient waited for treatment, the less likely the caudal epidural steroid injections would work. In this patient study, these doctors compared conservative treatments in patients with lumbar intervertebral disc herniations who were successfully managed non-operatively v ersus patients who failed conservative therapies and elected to undergo surgery microdiscectomy. In other words, men, getting epidural steroid injections or using painkillers will eventually need surgery.

These two pain treatments do not stop progression to surgery. Lumbosacral epidural steroid injections have increased dramatically despite a narrowing of the clinical indications for use. One potential indication is to avoid or delay surgery, yet little information exists regarding surgery rates after epidural steroid injections.

We will often be contacted by people following a failed back surgery. Sometimes they have a long story, sometimes we can tell that they have a lot of pain and frustration because they only tell a short story. For example, I have lower back pain. I have lumbar fusion. The surgery was very successful for a few years. Now I have significant pain. I have had three epidurals and various drugs. I needed to do something. But now even these injections and pills do not help me.

Patients still get epidurals because they provide pain relief and as noted below, relief from disability challenges. Sounds good for the epidural against saline or anti-inflammatory. However, after six months, slightly more patients in the saline 40 percent and etanercept 38 percent groups had a positive outcome than those in the steroid group 29 percent. Here, a systematic literature search was conducted to examine studies comparing the effect of local anesthetic with or without steroids.

This meta-analysis confirms that epidural injections of local anesthetic with or without steroids have beneficial but similar effects in the treatment of patients with chronic low back and lower extremity pain. The average length of relief duration is This research supported a recently published work in the British Medical Journal that looked at the effectiveness of caudal epidural steroid or saline injections which are often used for chronic lumbar radiculopathy.

It was a multi-centered trial, blinded, randomized, and controlled. They found no statistical or clinical difference between the groups over time. However, this was no different from natural recovery without treatment. Many of you reading this article will look at this MRI image and recognize something familiar.

We discuss at length the problems of MRI interpretations and how these problems send people to surgery they do not need. In the next section, we will present evidence for a simple non-steroid injection treatment to deal with problems like this. Temporary pain relief is not what pain patients should be seeking. Permanent healing and pain relief should be the goal. The problem is that many pain relief treatments include steroids and anti-inflammatory agents that can make the injury even worse.

As the injury gets worse, a person is forced to look for stronger and more complex pain relief. In , doctors at the Hadassah Medical Center in Jerusalem began recruiting patients to test the long-term effects of epidural steroid injection versus Prolotherapy in patients with low back pain. This research is expected to be published in The reason comprehensive Prolotherapy is favored in our practice over epidurals is that Prolotherapy injections repair damaged tissue. In the above research, the pain is being caused by spinal tissue that needs repair, epidurals do not repair this tissue.

The longer the patient waits for treatment, the more damage occurs and the greater the likelihood of surgical intervention being necessary. Prolotherapy can help patients repair damage and avoid surgery. Prolotherapy creates inflammation to bring blood flow and healing factors to the injured tissue.

Any neck or back pain that is related to joint degeneration or ligament injury can be treated effectively with Prolotherapy. In , research from Prolotherapy doctors including Liza Maniquis-Smigel, MD; Kenneth Dean Reeves, MD; Howard Jeffrey Rosen, MD; John Lyftogt, MD; and David Rabago, MD; published in the journal Anesthesiology and Pain Medicine, found that among participants with chronic low back pain and either buttock or leg pain, 10 mL of dextrose injected in the caudal epidural space, compared with the injection of 10 mL of normal saline, resulted in substantial, consistent, and significant analgesia within 15 minutes that lasted at least 48 hours.

There is plenty of research to support the use of Prolotherapy for back pain especially lumbar pain , here are some of the research summaries. Citing our own published research in which we followed patients who had suffered from back pain on average of nearly five years, we examined not only the physical aspect of Prolotherapy but the mental aspect of treatment as well.

That is not pain management, that is a pain cure. We hope you found this article informative and it helped answer many of the questions you may have surrounding your back pain challenges. If you would like to get more information specific to your challenges please email us: Get help and information from our Caring Medical staff. Subscribe to our newsletter. Frequency of Epidural Steroid Injections. Pain Medicine. Safety of epidural steroids: a review. Anesthesia and Pain Medicine.

Current Physical Medicine and Rehabilitation Reports. Neurological complications associated with epidural steroid injections. Curr Pain Headache 1. Systemic effects of epidural steroid injections. Anaesthesiology intensive therapy. Changes in bone mineral density in postmenopausal women treated with epidural steroid injections for lower back pain. Pain Physician. Archives of Physical Medicine and Rehabilitation. Recent preoperative lumbar epidural steroid injection is an independent risk factor for incidental durotomy during lumbar discectomy.

Global spine journal. World Neurosurgery: X. Anesthesiology and Pain Medicine. Epidural corticosteroid injections for lumbosacral radicular pain. Cochrane Database of Systematic Reviews. Epidural steroid compared to placebo injection in sciatica: a systematic review and meta-analysis. European Spine Journal. Efficacy of epidural steroid injections for chronic lumbar pain syndromes without neurological deficits : A randomized, double blind study as part of a multimodal treatment concept.

Clinical value of transforaminal epidural steroid injection in lumbar radiculopathy. Hong Kong Med J. Journal of Pain Research. Paravertebral spinal injection for the treatment of patients with degenerative facet osteoarthropathy: Evidence of motor performance improvements based on objective assessments.

Clinical Biomechanics. Epidural injections in prevention of surgery for spinal pain: systematic review and meta-analysis of randomized controlled trials. Spine J. Unnecessary multiple epidural steroid injections delay surgery for massive lumbar disc: Case discussion and review. Surg Neurol Int. A minimum of 5-year follow-up after lumbar transforaminal epidural steroid injections in patients with lumbar radicular pain due to intervertebral disc herniation. The Spine Journal. Clinical spine surgery.

Global Spine Journal. Annals of internal medicine. Epidural injection with or without steroid in managing chronic low back and lower extremity pain: ameta-analysis of ten randomized controlled trials. International journal of clinical and experimental medicine. Effect of caudal epidural steroid or saline injection in chronic lumbar radiculopathy: multicentre, blinded, randomised controlled trial.

A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. Anesthesiology and pain medicine. Treatment of chronic low-back pain: a 1-year or greater follow-up. Dextrose Prolotherapy for unresolved low back pain: a retrospective case series study. Journal of Prolotherapy. When should I involve a Prolotherapist in my care? Call Us: Email Us.

Email Us Subscribe. If you have had a discussion with your doctor about the use of Epidural steroid injections, remember what they likely said about the realities of this treatment: Epidural steroid injections ease the pain temporarily by reducing the size of stressed nerve roots. There are however concerns over short-term gain versus long-term costs in the use of epidural steroid injection because of the well-documented side effects.

Epidurals are part of the common treatments for light not severe cases of lumbar radiculopathy which usually include NSAIDs non-steroidal anti-inflammatory drugs , physical therapy , or chiropractic treatment. Although many patients respond very well to these treatments, they are only temporary fixes that can help ease the pain and only relieve some symptoms of the condition.

In this article, we are going to look at three types of patients: 1. OR, 3. The challenge is finding a suitable alternative for spinal surgery. The second challenge is to find a suitable alternative to corticosteroid injections. Epidurals and physical therapy I have had four epidural injections over the last 36 months. Successful surgery turned into non-successful surgery, epidurals are not helping I had a lumbar laminectomy at two levels. I took the epidurals because the pain was so bad. Okay, epidurals may be bad for me, but I need options.

Understanding Epidurals sometimes referred to as epidural nerve blocks or epidural blocks. The injection can be given as: interlaminar epidural injections which delivers the injection over a wider area of the back , transforaminal epidural injections, more targeted to a specific nerve — some call this an epidural nerve block or epidural block injection , and caudal techniques delivery into the extreme lumbar spine.

Understanding side-effects — Epidural steroid injections CANNOT be repeated without concern regarding the duration of time between injections. Systemic effects on the hypothalamic-pituitary-adrenal HPA axis may last three weeks or longer.

These factors must be considered when determining if or when another Epidural steroid injection is indicated. Epidural steroid injection is a highly effective treatment that can be used to bridge the gap between physical therapy and surgery. Recently, it has been increasingly used clinically.

Other less common complications include psychiatric problems and ocular eye and vision ailments. However, the incidence of complications related to epidural steroids is not high, and most of them are not serious. These include: hyperglycemia, hypothalamic-pituitary-adrenal axis suppression, decreased bone mineral density, and others.

Concern: Spinal pain after the epidural shot It is clear that Epidural Steroid Injections are a cause of concern to patients and doctors. Therapy with glucocorticoids often results in bone loss and glucocorticoid-induced osteoporosis Other researchers, however, disagree. However, ESI therapy using a maximum cumulative triamcinolone dose of mg in one year would be a safe treatment method with no significant impact on Bone Mineral Density.

The epidural steroid injections were not associated with low bone mineral density or fracture. The effect of repeat Epidural steroid injections Here is a recent study. A side effect seen in surgery — Dural Tears In December , doctors at the University of Virginia and Johns Hopkins Hospital 9 writing in the Global Spine Journal noted that lumbar epidural steroid injection increases the risk of incidental durotomy. Repeated injections of either type offered no additional long-term benefit if injections in the first 6 weeks did not improve pain In patients with improved pain and function 6 weeks after the initial injection, these outcomes were maintained at 12 months.

However, the trajectories of pain and function outcomes after 3 weeks did not differ by injectate type. So for some people, the epidurals worked up to 12 months. But what about my leg pain? In other words, not that much help in the short-term, the benefits are small.

Epidural steroid injections can help. Epidural steroid injections were superior compared to epidural placebo at six weeks and three months for leg pain and at six weeks for functional status, though the minimally clinical important difference MCID was not met. Explanatory note: Simply the epidural steroid injections were superior, but not by much compared to a placebo. There was no difference in Epidural steroid injections and placebo for back pain, except for non-epidural placebo at three months.

Proportions of treatment success were not different. Epidural steroid injections reduced analgesic painkiller intake in some studies and complication rates are low. What the study says is that an MRI or scan is showing disc problems but it is unclear if that is causing any problems. These cells, along with a preparation of concentrated blood platelets, are injected the same day into the damaged disc, using precise advanced imaging guidance.

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All statements and opinions provided are for educational and informational purposes only. They are not currently covered by Medicare or Medicaid. Store Locations. At New Regeneration Orthopedics. Show Me How. Request an Info Packet. The board-certified, highly skilled physicians who are part of the Regenexx Network have a range of procedures developed to help reduce pain, improve function and avoid spine surgery and the damaging side effects of epidural steroid injections.

The origin of spine pain is often misidentified which can lead to inappropriate treatment and unnecessary surgery. Being the pioneers of the field of interventional orthobiologics, and more than a decade and a half of experience in using these advanced interventional orthobiologics procedures for spine pain, our highly skilled board-certified physicians are able to identify the most probable sources of pain and select the most appropriate non-surgical minimally invasive treatment options available.

This is not a complete list, so please contact us or complete the Regenexx Candidate Form if you have questions about whether you or your condition can be treated with these non-surgical procedures. Patient Outcome Data. Data updated March 01, How Regenexx Procedures Work. Bone Marrow Concentrate. Bone Marrow Concentrate Procedure Details. Blood Platelet Treatments. Platelet Procedure Details. Treating Bulging and Herniated Discs.

Platelet Lysate vs. Steroids Infographic. Better than Steroid Epidurals. Advanced Treatments for Degenerative Discs. Each of these critical areas above may benefit from different types of procedures. Degenerative Disc Procedure Infographic. Torn and Painful Discs Explained. Patients with this type of disc damage and pain may benefit from a Regenexx bone marrow concentrate injection procedure. Call for more info or to make an appointment. Find a location or contact us by email.

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