Rehab and Pain Clinics of South Texas
1. Brownsville Clinic
425 E Alton Gloor Blvd
Brownsville, TX 78526
2. Edinburg Clinic
5401 South McColl
Edinburg TX, 78539
1. Musculoskeletal Ultrasound Injections and Diagnostic Ultrasound
2. Platelet Rich Plasma Injections
Please explore this website for more information.
In the pursuit of new ideas and forms of treatment, the clinic is now happy to offer our newest pain management approach: Neural Prolotherapy.
I recently attended a workshop and happy to come back and eager to incorporate this exciting and safe form of therapy.
Dr John Lyftogt has been in General Practice since 1978 and was the senior partner in Parklands Medical Centre, Christchurch until 2008. He has extensive postgraduate training and experience in sports medicine and musculoskeletal medicine.
He started practising prolotherapy after completing a prolotherapy course with Dr Margaret Taylor in Adelaide in 2003, and has been a full time prolotherapist at Active Health since 2004.
Dr Lyftogt’s early research focused on the treatment of Achilles tendon problems and he has now treated more then 300 Achilles tendons with a success rate of more than 90%. He has published two level 4 articles on Achilles tendons.
The technique developed for the treatment of Achilles tendons differs from classical prolotherapy in that the injections are given immediately under the skin while taking great care avoiding contact with the exquisitely sensitive tendon. This ‘neural prolotherapy’ protocol was successfully extended to the1treatment of tennis elbow, painful knees, shoulders, neck, hips, ankles, muscle injuries and low back. Results are consistent and two year follow up studies have shown success rates between 80-100%.
The treatment is also less invasive than classical prolotherapy. Because neural prolotherapy does not target tendons, ligaments or joints the question had to be asked what causes the sometimes dramatic decline in pain levels after even a few treatments. A working hypothesis was developed that glucose assists in the repair of connective tissue in the nerve trunks under the skin in a similar way as repairing connective tissue in ligaments and tendons with classical prolotherapy. These skin nerves are now known to be responsible for painful conditions generally identified as ‘neuralgias’ or ‘peripheral neuropathic pain’. They consist for up to 80% of connective tissue and are structurally quite similar to tendons and ligaments. There is now also compelling scientific evidence that the very small nerves innervating the nerve trunk, known as ‘nervi nervorum’ are responsible for inflammation of the connective tissue of the nerve trunk and surrounding tissues. Interestingly and surprisingly this fact has been known for over 125 years. It is also known that this ‘neurogenic inflammation’ differs from conventional inflammation in that it does not respond to anti-inflammatories or cortisone injections. This is one of the reasons why these commonly used drugs are proving to be ineffective in many painful conditions in addition to a growing awareness that their use is not without serious side effects.
It is clear from clinical observations on more than three thousand patients and large case series that neural prolotherapy effectively reverses ‘neurogenic inflammation’ and resolves neuralgia pain. This realisation opens the way for exploring other substances that may have the potential to reverse ‘neurogenic inflammation’ similar to glucose but without having to inject.