Exploring Perineural Injection Therapy For Back Pain

By Michael Hayes


Back pain can often be some of the most debilitating pain in the world. Before strict regulations were placed on opioids and other narcotics, primary care providers would often prescribe medication to ease pain. As a response to these regulations, most primary care providers placed clients on pain management while others began providing different forms of pain relieving injections. Perineural Injection Therapy is one of the newest forms of these injection based treatments.

PIT has been proved safe and effective for individuals whom can not undergo joint replacement surgeries, stem cell injections or other prescription medications. As a primary treatment for inflamed and injured nerves, response with regards to use in pain management has mostly been positive. For, lower back pain is most often associated with injuries from surgery, trauma, occupational hazards, overuse of joints and muscles and injuries related to sports.

As any sensation which is perceived by the brain is transmitted to the central nervous system, minor and major pain are both reactive to PIT. When a nerve or nerves are stimulated by pain, individual nerve cells create an electrical current which travels to the spinal cord and eventually, the brain. A good representation of this experience is to imagine a door, when a nerve cell is activated, the door opens and lets molecules such as potassium, sodium, calcium and others in and out of the cell.

Once the brain receives the message, the nerve cells move from one location to another. As a result, an electrical current stimulates a nerve in the area. Whereas, if the nerve is injured, the process is interrupted and like with doors which need to be oiled, joints and muscles can often become tight, causing discomfort and pain.

Biologically, the substances in the nerves and joints causing such pain are known as Nerve Growth Factors or NGFs. If a nerve is injured, it still continues to send a message to the brain even though there may be no pain at the time. In doing so, the nerve creates a sensation known as a short circuit, much like an open electrical wire when exposed to water.

The nerve growth factors which cause pain also have the ability to prevent healing of other tissue, muscles, tendons and ligaments. Most often referred to as neurogenic inflammation, the conditions can often effect far more than the central nervous system. For, while pain causes the inflammation in the nerve, the substance in the joints and muscles are often the instigators of pain.

Nerve cells have the potential to become injured or inflamed in a number of ways. In one case, when traveling through the pelvic bone. In fact, this is often one of the main reasons for back pain. For, when the cluneal nerves near the rear of the pelvic area, just above the muscles at the waistline are injured or inflammed, individuals can often experience extreme pain in the lower back and lumbar region.

While PIT has been tested for use in pain management in different areas of the body, the back remains the most common. When providing treatment for back pain, a health care provider injects dextrose into the nearest trigger point which activates the cell. Once the cell is awakened, the cell receptor opens the cell, thus allowing restoration of the cell while alleviating and ultimately, eliminating pain.




About the Author: