Dr. John Bartsch of Beacon Orthopaedics is one of few orthopedic specialists in the Greater Cincinnati region who is certified in neural prolotherapy from the Lyftogt Perineural Injection Treatment™ Program. This certification is highly specialized, which makes Dr. Bartsch the expert in the area for this treatment. Dr. Bartsch analyzes each individual patient to see which treatment option is best. Then, we will create an individualized treatment plan for the patient to best put you on your road to recovery.
What is Neural Prolotherapy?
Lyftogt Perineural Injection Treatment™ (also called Neurofascial Prolotherapy, as well as Neural Prolotherapy and Subcutaneous Prolotherapy) is a sometimes used side-by-side treatment with traditional dextrose based Prolotherapy. As these techniques work by different mechanisms they can diminish the pain of similar conditions, so they can be given together or separately. In Dextrose base Prolotherapy the ligament and tendon attachments are being treated, in Perineural Injection, the nerves are being treated.
Research into the healing effects of this type of Prolotherapy have primarily been done by a family physician from New Zealand named John Lyftogt, MD. On a physical examination, areas of chronic pain can be palpitated to find the “pain generator,” that is the exact spot of weakness and instability in the joint that is causing the pain. As most chronic pain is caused by joint instability from ligament laxity, this trigger point is found where the ligaments attach to the bone. Sometimes tender points are found. This is a term used to describe areas of pain located deep in the muscle or areas where small subcutaneous nerves are located. In these latter situations, Perineural Injection Therapy on these tender points could be indicated. An example of this is when a person has trauma to the medial or inner part of the knee. In such a situation, a sprain of the medial collateral ligament could have occurred and would be tender upon palpation. In this situation, Prolotherapy would be used to stimulate repair of the medial collateral ligament (and also the medial meniscus if indicated). But just as likely would be a stretching, shearing or tearing of the saphenous nerve, also located on the medial side of the knee. In this latter situation, the person would be recommended to perineural treatment to decrease neurogenic inflammation.
Schedule an introductory consultation with Dr. Bartsch to see if Neural Prolotherapy could be the right treatment option for you. It is our goal to help you return to the sports and activities you love as soon as possible.Book an Appointment