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Writer's pictureTina Dang

Neural Prolotherapy: A Game-Changer for Chronic Pain Management

Chronic pain is something no one wants to deal with, yet many of us do. Whether it stems from a past injury, nerve damage, or just general wear and tear on the body, chronic pain can be debilitating. Neural Prolotherapy (NPT), also known as Perineural Injection Therapy (PIT), is a treatment offering new hope for those suffering from persistent pain, especially nerve-related discomfort that refuses to go away.


So, what exactly is Neural Prolotherapy, and how can it help you? Let's break it down in an easy-to-understand and enjoyable way!



What is Neural Prolotherapy?


Neural Prolotherapy is a treatment designed to relieve chronic pain, particularly nerve pain. The approach is both non-surgical and minimally invasive, making it an attractive option for individuals who want to avoid major procedures. Essentially, NPT works by injecting a 5% dextrose solution (a type of sugar) just beneath the skin, targeting superficial nerves that may be causing pain.

But why dextrose? Isn't that sugar? Yes! But don’t worry, it’s not about sweetening your nerves but helping them function better.


How Does Neural Prolotherapy Work?


Scientists are still studying the exact mechanisms of how NPT works, but they have a pretty solid idea. Here's the science (made simple):


  1. Pain Sensors and Nerves: Nerves in your body have tiny pain sensors known as TRPV1 receptors. These sensors can become activated when you injure yourself, leading to pain and inflammation. NPT works by calming these overactive pain sensors, allowing your nerves to relax and reducing your overall discomfort.


  2. Energy Boost for Your Nerves: Injured nerves often struggle to get the energy they need to function correctly. This can happen when the nerves are compressed or irritated, leading them to fire pain signals even when they shouldn’t. The dextrose in NPT provides glucose, an essential energy source for your nerves. By supplying this sugar directly, NPT helps the nerves regain their normal function and reduces unnecessary pain signals.


In simple terms, NPT helps to calm down overactive nerves, allowing your body to heal more efficiently. It’s like giving your nerves a little power-up, helping them work correctly again.


Who Can Benefit From Neural Prolotherapy?


Neural Prolotherapy is not a one-size-fits-all solution, but it has proven effective for a wide range of people, especially those who are looking for non-surgical, drug-free pain management options. Let’s look at some groups that might benefit from this treatment:


  1. Athletes and Sports Enthusiasts: If you're someone who loves to stay active but has been sidelined by an injury, NPT could be the key to speeding up your recovery. Whether it's a nagging ankle sprain or a more severe injury, NPT can help you get back in the game faster by reducing pain and encouraging healing.

  2. People with Chronic Pain: If you've been dealing with long-lasting pain in your knees, ankles, or feet, NPT offers an alternative to surgery. It targets the nerves responsible for your pain and helps bring relief, improving your mobility and overall quality of life.

  3. Individuals with Neuropathic Pain: Nerve pain, which often feels like burning, tingling, or shooting sensations, can be hard to treat. NPT offers a non-invasive way to alleviate this discomfort by addressing the nerves directly.

  4. Holistic Pain Management Enthusiasts: If you're someone who prefers a natural, non-drug approach to healing, NPT is right up your alley. It supports the body’s own healing processes without relying on medications or invasive surgeries.


Lower Limb Conditions Treated by Neural Prolotherapy


At Oran Park Podiatry, we often use Neural Prolotherapy to treat a variety of lower limb issues. These include:


  • Chronic Nerve Pain Syndromes If you've been suffering from long-term nerve pain in your legs such as tarsal tunnel syndrome, Baxter's nerve entrapment or Morton Neuroma, NPT may help soothe your nerves and ease the discomfort.

  • Tendinopathies: If you’ve tried other therapies without success for tendon problems like Achilles Tendinopathy or Plantar Fasciitis, NPT might offer relief by addressing the nerves contributing to your pain.

  • Neuropathies and Neuralgias: NPT can treat conditions like Morton’s Neuroma, nerve entrapment, and diabetic neuropathy in the feet by targeting the nerves causing pain.

  • Post-Surgery or Injury Pain: After surgery or injury, you may still experience lingering pain. NPT helps reduce that discomfort, speeding up your recovery process.


What Makes Neural Prolotherapy Different?


There are countless pain relief treatments out there, but NPT stands out because it specifically targets nerve-related pain. Unlike treatments that may only mask symptoms, NPT aims to address the root cause of your pain, offering more long-term relief. It's a more targeted, refined approach than many conventional pain management techniques.


Is the Treatment Process Painful?


Let’s be real—nobody likes injections. But good news: Neural Prolotherapy injections are not as daunting as they sound. These are micro-injections, which means they’re much smaller and less painful than traditional injections. Think of them as tiny pin-pricks just under the skin. The best part? Once the injections are done, the pain often disappears almost immediately. The aim is to have you walk out of the consultation room with no pain!


How Many Sessions Will I Need?


Every person is different, so the number of sessions can vary. However, most people start feeling better after 4-8 treatments. For some, occasional follow-up sessions may be needed to maintain pain relief.


Are There Any Side Effects?


One of the great things about Neural Prolotherapy is that side effects are rare and generally mild. You might experience temporary soreness or bruising at the injection site, but serious complications are extremely rare. In fact, allergic reactions haven’t been observed, and the risk of infection is estimated to be about one in 300,000 injections—very low! At Oran Park Podiatry, we adhere to the highest safety standards to minimize any risks.


How Successful Is Neural Prolotherapy?


The success rate of NPT is quite promising. Depending on the condition being treated and the individual circumstances, around 85% of people experience complete pain relief, with many more reporting significant improvement. Of course, the length of time you’ve been dealing with the pain can influence the outcome, but the results are usually very encouraging.


Final Thoughts


Neural Prolotherapy offers a safe, effective, and minimally invasive way to manage chronic pain, particularly when it involves the nerves. Whether you’re an athlete eager to get back on the field or someone who has been suffering from chronic pain for years, NPT might just be the solution you’ve been looking for. The treatment helps calm overactive nerves, encourages healing, and, most importantly, helps you get back to enjoying life.


At Oran Park Podiatry, we specialise in using Neural Prolotherapy to treat various lower limb conditions. If you’re struggling with pain and want a natural, non-invasive solution, why not explore whether NPT is right for you? Your feet—and nerves—will thank you!


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