Prolotherapy (Regenerative Injection) and Perineural Injection Treatment (PIT): Hope for Pain Sufferers and Summary, Research, and Training for Pain Sufferers and Physicians
For those who have suffered from chronic pain and found only temporary benefit from other treatments, Prolotherapy (injection to repair or regenerate ligament, tendon or cartilage) and Perineural Injection treatment (PIT) (injection to restore normal function in nerves which cause pain and degeneration) are options to directly treat common underlying causes of chronic pain. It is worth noting that the evidence-basis for dextrose prolotherapy, as determined appropriately by the number of areas with level B or higher evidence of efficacy in multiple treatment areas, is more than any other injection method used for pain. Physicians who do not agree are encouraged to become current in the medical literature in this area, beginning with the many meta-analyses that have been published. Many different specialty types use Prolotherapy and PIT (see the link below). A realistic estimate for the future is that Prolo/PIT will be considered part of the essential skill set for physicians who purport to treat chronic pain by the year 2030, particularly given the limited effectiveness of other approaches and the current opioid crisis.