Peripheral Joints Treatment.

Etiology of Pain (Sources of Pain)

1. Joint Cartilage destruction - Synovial fluid deficiency

2. Muscles attached to the joint - moving joint. Muscle dysfunction can lead to joint dysfunction and pain. (Example: Quadriceps femoris attached to Patella)

 

3. Muscle tendons and ligaments, joint capsule - strengthening the joint. Weakness these strictures can lead to joint instability.

 

4. Nerves dysfunction - sensory nerves dysfunction can create and maintain neurogenic inflammation thru Dorsal Root Reflex.

 

Treatment approaches:

1. Viscosupplementation: intra joint injections of Hyalgan, Sinovisc, Orthovisc, and so forth.

2. To restore muscle function: location of Motor points (points where nerve is entering in the muscle and regulates the muscle function) using nerve locator follow by needling and infiltration with local anesthetic. Local anesthetic can stabilize and reset nerve function.

 

3. Muscle tendons and ligaments, joint capsule - Prolotherapy (proven by number of studies treatment include injections to strengthen the ligaments and tendons)

 

4. Nerve treatment includes - location of nerve using nerve locator and ultrasound follow by needling and infiltration with local anesthetic. Local anesthetic can stabilize and reset the nerve function. Pulse radiofrequency treatment can restore normal nerve function. One treatment usually effective for about one year.

 

Successful treatment is only possible in all of these approaches are used.