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Perineural Therapy

The discomfort associated with acute or chronic nerve pain can be debilitating, but safe and natural treatments like perineural injection therapy (PIT) offer relief.

What is perineural injection therapy?

Perineural injection therapy is a natural treatment designed to ease chronic pain associated with damaged tissues. When administered properly, it can deliver profound healing effects and long-lasting relief from pain and inflammation so you can resume the activities you love without discomfort.

Perineural injection therapy targets the nerves causing your pain and inflammation with a sugar-based solution.

How does perineural injection therapy work?

Perineural injections contain dextrose and sterile water. This safe solution treats the small nerves underneath the surface of your skin that aren’t visible on MRIs or X-rays. When these nerves become inflamed, they can be a significant source of pain.

When branches of nerves become inflamed, they begin misfiring and send pain messages to your brain even if the nerves aren’t stimulated. When an injection is administered, it disrupts the nerve’s misfiring. This disruption reduces and eventually eliminates your pain.

In addition to easing chronic discomfort caused by superficial peripheral nerves, this also allows the deeper structures beneath the nerves to begin their healing process so your injury can genuinely resolve itself.

What conditions does perineural injection therapy treat?

Perineural injection therapy can be utilized for several types of nerve pain. Causes of nerve pain include:

  • Sports injuries
  • Arthritis
  • Trauma
  • Surgery
  • Overuse

Perineural injection therapy is especially effective at treating nerve pain in men and women who aren’t good candidates for other regenerative treatments like platelet-rich plasma or stem cell therapy.

What can I expect during my perineural therapy appointment?

Perineural injections are quick and effective 85% of the time. A series of injections are administered along the course of the nerve through the use of a small needle. This may resemble a mild, pinprick sensation.

To achieve optimal results,  consistent treatments are recommended to help eliminate pain, restore normal function, and find long-term relief. The number of injections may vary from person to person (based on condition, level of pain, etc.)

Schedule with Two Rivers’ Perineural Therapy Specialist:

Dr. Carrie Norris, ND 

(Regenerative and Aesthetic Medicine Specialist)

FAQs: Regenerative Injection Therapy / Prolotherapy / PRP

Prolotherapy injections contain substances and formulations are tailored for each patient including local anesthetic agents to help with the pain of the injection. Typical formulas can contain dextrose (sugar water), saline, lidocaine, B12 or Platelet Rich Plasma (PRP).
Injections can be uncomfortable, however anesthetic like lidocaine is used to decrease pain levels. Pain can vary by regions of injection but is often quite manageable for most individuals and often passes quickly after treatment. The focus of training for Dr. Norris is safe and effec-tive injections that includes attention to reducing pain with skilled injections. Following injec-tions, Tylenol can be used to manage any pain. Anti-inflammatory medications, such as aspirin and ibuprofen, will suppress the proper healing response and are not recommended following Prolotherapy injections.

The number of treatments that will be needed depends on the type of condition, severity and overall health of the individual to support an optimal healing response.

Prolotherapy: Typically 3-6 sessions of Prolotherpy and average are needed. Some conditions can respond with 1-2 sessions.

Platelet Rich Plasma (PRP): The average number of treatments are 2-4 treatments. We find that one PRP treatment is equal to roughly 3 prolotherapy treatments. Treatment outcomes are dependent on the health of the individuals platelets. Each patient will have a different level of health resulting in varying outcomes between patients.

  • Acute joint injuries
  • Chronic joint pain
  • Chronic headaches
  • Arthritis
  • Knee pain
  • Torn meniscus
  • Wrist and hand pain
  • Low back pain
  • Sacroiliac joint pain (acute or chronic)
  • Degenerative Joint and Disc Disease (DJD)
  • Rotator Cuff Injuries
  • Labral Tears (shoulder and hip)
  • Sprained ankles
  • Tennis/Golfer’s Elbow
  • Unstable Joints
  • Fibromyalgia
  • Severely herniated disks
  • Chronic myofascial pain syndromes
  • Central spinal stenosis
  • Complete rotator cuff tears
  • Frank surgical conditions
  • Pain from cancer
  • Pain from autoimmune disease

When ligaments and tendons are stretched they cause pain. Regenerative Injection Therapies, including Prolotherapy and PRP, helps to reduce ligament laxity and repair cartilage, collagen and regenerate the joint to reduce ligament laxity and reduce pain.
Simply put, these therapies help to regenerate the tissues.

Cortisone is temporary and damaging to the tissues. Cortisone short term reduces inflammation but long term it disintegrate or breaks down the joint tissues. Many of you out there have failed to get long term relief from cortisone injections and know the damaging effects of these injections.

Prolotherapy and PRP depend on the body’s ability to heal to heal the injured tissues. The injections act as the source of stimulation for the healing process to occur. If someone’s health is overburdened with inflammation, hormone imbalances, chronic disease or nutritional deficiencies the body will not be able to respond to the injections as well.

We highly encourage that patients optimize their health prior to seeking Regenerative Injection Therapies (RIT). If you are needing help starting this journey into better health, Dr. Norris can help navigate you to an appropriate physician to address your health concerns.

Insurance plans do not typically cover prolotherapy treatments. Costs vary depending on area of treatment and type of treatment. Individual treatment regimens are chosen for the individual patient. The number and type of treatments will vary according to individual needs.

Typically price ranges for Regenerative Injection Therapy:

Prolotherapy: $250-300/joint, $450 for bilateral joints

Platelet Rich Plasma (PRP): $600-800/joint

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Regenerative Orthopedics, and Aesthetic Medicine

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Dr. Carrie Norris ND, MSCP

Naturopathic Doctor

Dr. Carrie Norris is a licensed primary care physician and specializes in the treatment of chronic pain, joint conditions and menopause care. She received her doctorate in naturopathic medicine from the National University of Natural Medicine (NUNM) with honors in medical research in Portland, Oregon. She is specially trained and certified in regenerative medicine treatment approaches, including prolotherapy, Platelet Rich Plasma (PRP) and perineural injections. She has received additional training and certification in the care of midlife women through the Menopause Society.

She grew up in the Umpqua Valley working on her family’s blueberry farm and admiring her father’s career as an emergency room and urgent care physician. She has followed in his footsteps as a leader in her own field, helping patients through the menopause transition and become pain-free through prolotherapy and other soft tissue injection therapies for joint pain. She is able to help people who are trying to prevent surgery, or who have run the course of conventional approaches without resolution of their symptoms. She and her husband are raising their two fabulous boys on the farm and teaching them to be healthy, kind, and hard working.

Medical Practice Interests

  • Primary Care and Family Medicine
  • Regenerative Joint Injections – Prolotherapy, Platelet Rich Plasma (PRP)
  • Midlife Menopause Care – Hormone Therapy

Formal Training and Education

  • General Practice Naturopathic Residency – National College of Natural Medicine, Portland, Oregon
  • Doctorate in Naturopathic Medicine – National College of Natural Medicine, Portland, Oregon
  • Bachelor’s of Science, Microbiology – Linfield College, McMinnville Oregon

Licensure

  • Licensed Naturopathic Doctor in the State of Oregon

Professional Affiliations

  • American Association of Naturopathic Physicians (AANP)
  • Oregon Association of Naturopathic Physicians (OANP)
  • The Menopause Society
  • Naturopathic Orthopedic Medicine Academy (NOMA)
  • Endocrinology Association of Naturopathic Medicine (EndoANP)