Anti-inflammatories mask pain. Rest helps for a while. Physiotherapy helps if there’s something to rebuild. But if a joint is unstable because a ligament or tendon has been stretched, torn, or weakened, symptoms may persist despite those approaches. The instability keeps triggering pain, the pain keeps triggering compensation, and the cycle doesn’t break on its own.
Prolotherapy and perineural injection therapy work differently. Precise injections of mild solutions are delivered directly to the site of damage — with the aim of encouraging a healing response or reducing nerve-related pain, depending on the procedure. Both are injection-based procedures used to address structural and neurological causes of pain, not just their symptoms.
A targeted injection of a mild solution is delivered directly to the weakened site — a torn ligament, a stretched tendon, or an unstable joint. The solution is intended to trigger a mild, controlled inflammatory response, which may signal your body to send fibroblasts and growth factors to the area. Over the following weeks, the aim is to encourage connective tissue repair, strengthen the structure, and improve joint stability.
Treatment is usually planned as a series. Most patients need multiple sessions over several weeks or months, depending on the severity of the injury and how long it’s been there. We review progress as we go, because improvement and how long it lasts vary by condition and from person to person.
Prolotherapy can also be used to treat varicose veins, spider veins, and other vascular abnormalities using a similar injection-based approach.
Perineural injection therapy uses a dilute dextrose solution delivered just under the skin, near irritated or sensitized nerves. The technique calms nerve inflammation that drives chronic pain, often providing rapid relief for conditions where the nerves themselves have become a primary source of pain.
It’s especially useful for chronic nerve pain, neuropathy, and conditions where pain has persisted long after the original injury healed.
Most patients arrive at our door with something unresolved. Sometimes it's been years, sometimes it's brand new. Whatever you're working with, we're here to help.
When you book with us, we'll talk through what's been going on, what you've tried, and what you're hoping for. From there, we'll build the right plan together — whether that's care I continue with you, or care coordinated with another practitioner on our team.
Injections involve some discomfort, but most patients describe it as manageable. Local numbing is used when appropriate. Some soreness at the injection site is normal for a day or two afterward — that’s the healing response starting.
Most patients need a series of treatments. Prolotherapy typically requires 3 to 6 sessions spaced a few weeks apart. Perineural injection therapy varies depending on the condition. Your practitioner will give you a realistic plan after assessing your situation.
The naturopathic consultation is covered by most extended health plans. Coverage for the procedures themselves varies by provider. We recommend checking your plan directly.
Cortisone reduces inflammation and can relieve pain, but it doesn’t repair the underlying damage, and repeated cortisone can weaken tissue over time. Prolotherapy is intended to stimulate a controlled inflammatory response, with the aim of supporting tissue repair and improving pain and function.
These therapies aren’t right for everyone. Patients on certain blood thinners, with active infections, or with specific autoimmune conditions may need alternative approaches. Your practitioner will assess suitability during consultation.
