Understanding Pain Injections: Steroids and Prolo Treatments

Jiyeon Moon emphasizes steroid injections' effectiveness in reducing inflammation and managing chronic pain, despite potential side effects.

### Understanding Pain Injections: Prolo and Steroid Treatments
* 👩 ‍⚕️ Dr. Jiyeon Moon, a professor at Seoul National University Hospital, introduces the first series of the "**All About Pain Injections**" series, focusing on **Prolo and steroid injections** for **chronic pain management**.
* 💉 Many hospitals offer various injection treatments for chronic pain, with **Prolo injections being essential** alongside steroid injections, which are **widely used**.
* 🩺 In this session, Dr. Moon aims to clarify the roles and mechanisms of Prolo and steroid injections, explaining why **local anesthetics are necessary** during these procedures.
* 📅 The next installment will cover newer injection methods like **DNA and salmon injections** and explore the **regenerative effects of knee cartilage injections**.
* 🧠 Dr. Moon emphasizes the importance of **holistic care**, including **blood sugar control** and **proper posture**, to prevent **exacerbation of pain conditions**.
* 🔥 While steroids are effective in reducing inflammation, they are often misunderstood as "**bone injections**," and their potential side effects, including **osteoporosis**, must be carefully managed.
* ⚖ The doctor stresses that steroids, discovered in the 1950s, play a crucial role in pain treatment by **reducing inflammation**, which is the root cause of pain, but they must be used judiciously to **avoid adverse effects**.
* 💬 Ultimately, the series aims to **educate patients on the complexities of pain management**, including the balance between **effective treatment** and the **risks associated with injections**.

### Understanding Prolotherapy and Local Anesthetic Treatments for Pain Management
* 🦴 Prolotherapy is commonly used for regenerating tendons and ligaments, particularly in areas like the **shoulder and knee**, where injuries such as **rotary muscle ruptures** occur.
* 💉 This treatment intentionally **induces inflammation to promote healing**, but it is difficult to apply for cartilage ruptures due to their **depth** and lack of **extensive research on regeneration**.
* 🏃 Local anesthetics, such as Lidocaine and Bupivacaine, are often used alongside these treatments to **manage pain**, temporarily **blocking nerve signals** to reduce discomfort during procedures.
* 🧪 While local anesthetics last about two hours, their effects can extend longer by **breaking the cycle of chronic pain** and allowing for **natural healing to occur**.
* 🔬 Prolotherapy involves multiple injections, typically using **high-concentration glucose** to stimulate growth factors and promote tissue healing, which may require **several sessions for optimal results**.
* 📅 It is crucial to avoid anti-inflammatory medications during the Prolotherapy process to ensure its effectiveness, as these can **counteract the treatment's intended inflammatory response**.
* 💡 Understanding the effects and timing of various injections, including DNA and cartilage injections, is essential for **effective pain management and recovery strategies**.
* 🗣 The discussion around these treatments highlights the **importance of patient education** and the need for **personalized approaches** based on individual conditions and responses to therapy.

### Understanding Pain Injections: Prolo and Steroid Treatments Explained
* 💉 As a professor in the Department of Anesthesiology and Pain Medicine, I aim to clarify the roles of **Prolo and steroid injections** for chronic pain patients in this first installment of the **All About Pain Injections** series.
* Many hospitals offer various injection treatments for chronic pain, with **Prolo injections being essential**, alongside steroid injections, which are **commonly administered**.
* 📊 In this session, I will define what Prolo and steroid injections are, their purposes, and the **importance of local anesthetics** during the injection process.
* 💡 Next month, I will discuss newer injection techniques such as **DNA and salmon injections**, and address questions regarding the **regenerative effects of knee cartilage injections**.
* 🔥 Steroid injections are particularly effective for **reducing inflammation**, a primary cause of pain, and they play a crucial role in **pain management**, especially for conditions like **arthritis and spinal nerve issues**.
* ⚠ However, steroids can have side effects, including potential **osteoporosis and blood sugar elevation**, emphasizing the need for **careful dosage and monitoring**, especially in diabetic patients.
* 📅 While steroid effects typically last **3 to 6 months**, their use must be balanced with the risks of **side effects**, and the total amount administered should be **meticulously tracked**.
* 🤔 Lastly, while Prolo injections aim to **induce inflammation for healing**, they should not be combined with steroids due to **conflicting effects**, highlighting the **complexity of pain management strategies**.

### Understanding Prolotherapy and Local Anesthetics in Pain Management
* 💉 Prolotherapy is commonly used for regeneration in tendons and ligaments, particularly in areas like the **shoulder and knee**, where injuries such as **rotary muscle ruptures** are prevalent.
* 🦵 While cartilage regeneration through prolotherapy is less understood, it can effectively target **ligaments and tendons**, including those in the **elbow and sacroiliac joints**.
* 💊 The injection process intentionally causes **inflammation to promote healing**, contrasting with DNA injections that aim for **regeneration without inflammation**, leading to **less pain during recovery**.
* 🧪 Local anesthetics like lidocaine are used to **temporarily numb pain** but can lead to side effects such as **temporary paralysis** if injected too close to nerves, highlighting the **importance of precise administration**.
* ⏳ Although lidocaine's effects last about **two hours**, its ability to **disrupt the pain cycle** can extend its benefits, allowing time for **natural healing** and **reducing inflammation**.
* 📅 Prolotherapy requires multiple sessions to be effective, with a focus on **high-concentration glucose injections** that stimulate **growth factors** and promote **tissue strengthening** over several weeks.
* ⚠ Patients are advised to avoid anti-inflammatory medications during prolotherapy to ensure the treatment's effectiveness, as the process is designed to **induce inflammation for healing**.
* 🔍 For chronic conditions, such as knee issues that lead to fluid accumulation, further evaluation may be necessary, including imaging, to determine the **extent of cartilage damage** and the need for **potential surgical interventions**.

통증주사의 모든것 1부. 프롤로 주사와 스테로이드 주사, 뭐가 다른가요? / 서울대병원 마취통증의학과 문지연

비온뒤는 국내최초 의학전문기자인 홍혜걸 박사가 분야별 최고의 의사들과 함께 “의학이 즐겁다”를 모토로 2012년 시작한 지식나눔 의학채널입니다. 

광고 및 협찬 제안
hong.aftertherain@gmail.com

출연 및 콘텐츠 제작 문의
contact@aftertherain.kr

유튜브 컨설팅 문의
biz@aftertherain.kr

기부
하나은행 180-910015-34604


의학채널 비온뒤

Understanding Pain Injections: Prolo and Steroid Injections

Prolo injections and steroid injections are common treatments for chronic pain, with Prolo injections playing a crucial role in pain management.

Steroid injections are effective in reducing inflammation, which is the primary cause of pain and degenerative changes in tissues.

The speaker emphasizes the importance of prevention, supportive care, and a holistic approach to pain management, including education, exercise, and medication.

Prolo injections and steroid injections are essential treatments for chronic pain, with Prolo injections playing a crucial role in pain management.

Steroid injections are effective in reducing inflammation, which is the root cause of pain and degenerative changes in tissues.

The lecture series will also cover other popular injections and the importance of holistic approaches to pain management, including education, support, and movement.

The Role of Steroids in Pain and Inflammation Management

Steroids play a crucial role in reducing inflammation and managing pain, particularly in the elderly through bone injections.

While they are effective in alleviating inflammation and preventing further damage, long-term use can trigger osteoporosis and other side effects.

The effects of steroid injections are generally temporary, lasting from 3 to 6 months, and their use should be carefully monitored and adjusted by a specialized doctor.

The Role of Steroids in Managing Inflammation and Pain

Steroids are crucial in reducing inflammation caused by degenerative reactions, but their use in bone injections for the elderly is often misunderstood.

While steroid injections provide temporary relief from inflammation, they can also trigger osteoporosis and have other side effects.

The effectiveness of steroids varies from person to person, with most showing results for about 3 to 6 months, and their use should be carefully monitored by a specialized doctor.

Steroid injections are used for various treatments, but tracking the total dosage can be challenging.

Common side effects of steroids include facial flushing and increased blood sugar levels, which can be particularly problematic for diabetic patients.

While steroid injections can be effective, they also carry the risk of weakening cartilage and bones, making professional evaluation and careful dosage crucial to minimize side effects.

Steroid injections are used for various treatments, but tracking the exact dosage can be challenging.

Common side effects include facial flushing and increased blood sugar levels, which can be problematic for diabetic patients.

While steroids can be effective in reducing inflammation and pain, they also carry the risk of weakening cartilage and bones, making careful monitoring and dose adjustment crucial.

Steroid injections have a stigma but their occasional use doesn't immediately cause osteoporosis.

Prolonged external steroid supply can lead to adrenal dysfunction and various side effects, including acne and irregular menstrual bleeding.

While steroids can help reduce inflammation and pain, they also carry risks such as infection spread and bone weakening, making careful consideration of their use crucial.

Steroid injections have a stigma due to their potential side effects, which can include osteoporosis, high blood pressure, and adrenal dysfunction.

The constant external supply of steroids can lead to the body's glands reducing their natural production, causing further dysfunction.

While steroids can be effective in reducing inflammation and pain, they also carry risks, such as weakened ligaments, skin changes, and the potential to worsen infections.

The Role of Prolo and DNA Injections in Pain Treatment

Prolo therapy causes intentional inflammation to aid in healing, while DNA injections offer rapid regeneration without the painful period.

Local anesthetics are used to temporarily reduce pain and lower nerve excitability, promoting blood circulation and muscle relaxation.

The effect of local anesthetics, though short-lasting, can have a longer-term impact by breaking the cycle of chronic pain and promoting natural healing.

The Role of Prolo and DNA Injections in Regenerative Medicine

Prolo therapy causes intentional inflammation to aid in healing ligaments and tendons.

DNA injections, on the other hand, focus on regeneration without causing inflammation, making them popular for their quick and less painful healing effects.

Local anesthetics are used in pain treatment to temporarily block pain and reduce inflammation, but their effects can vary, leading to temporary numbness or paralysis in some patients.

The Challenges and Considerations of Pain Injection Treatments

Pain injection treatments can be complicated by the drug's proximity to nerves, leading to potential paralysis if not administered carefully.

The effectiveness of the injection can vary based on factors such as the patient's condition and the timing of steroid use.

While steroid injections can provide relief for a few months, they may also lead to a decrease in exercise ability and slow muscle recovery, necessitating a careful approach to rehabilitation.

The Challenges of Local Anesthetic Injections

Local anesthetic injections can be risky if administered too close to nerves, leading to high concentrations and potential paralysis.

The effectiveness of the injection can vary, with factors like the patient's sensitivity and the spread of the medication playing a crucial role.

Steroid injections for pain management should be spaced out, and their effects can last for 3 to 6 months, potentially alleviating the need for surgical treatment.

The Role and Controversy of Steroids and Prolotherapy

Steroids can lead to muscle atrophy, reduced exercise capacity, and slowed muscle recovery, with a recovery period of about two weeks.

Prolotherapy, a controversial treatment, requires multiple sessions and induces artificial inflammation to promote tissue healing and regeneration.

The use of high-concentration glucose in Prolotherapy aims to stimulate growth factors and collagen production, but the treatment's effectiveness is debated due to low-impact factor studies.

The Use of Steroids and Prolotherapy in Muscle Recovery

Steroids can trigger muscle atrophy, reduce exercise capacity, and slow down muscle recovery, with a recovery period of about two weeks.

Prolotherapy, a treatment for ligament and tendon regeneration, requires multiple sessions and induces artificial inflammation for tissue healing.

The use of high-concentration glucose in Prolotherapy aims to stimulate growth factors and collagen production, promoting tissue strengthening and healing.

Prolotherapy involves injecting glucose into areas like ligaments and tendons, with the goal of inducing inflammation and strengthening tissue.

The treatment is typically repeated every 1 to 2 weeks, with at least five sessions recommended for effectiveness.

Managing knee joint issues may require water drainage and further evaluation through MRI, while collagen and cartilage injections are also options for knee treatment.

Prolotherapy involves injecting glucose to stimulate tissue healing, with the most effective areas being ligaments and tendons in the shoulders and knees.

The treatment requires multiple sessions, with a focus on causing intentional inflammation for tissue strengthening.

If knee joints are filled with water, it may indicate excessive inflammation and tissue destruction, potentially leading to the need for further evaluation or artificial joints.