Frequently Asked Questions
ABOUT OUR PAIN MANAGEMENT SOLUTIONS

We offer Prolotherapy, Platelet Rich Plasma (PRP), Stem Cell Therapy, Prolozone™, Neural Prolotherapy or PIT (Lyftogt Technique®) and Hydrodissection. Dr. Krasnick has on-site musculoskeletal ultrasound for both diagnostic purposes as well as performing ultrasound guided injections. In addition we offer Intravenous (IV) therapy including IV vitamin C, NAD+ and Myer’s Cocktail.

First, before any patient can be treated a correct diagnosis must be made! Dr. Krasnick will obtain a detailed history and perform a thorough physical examination, and frequently a musculoskeletal ultrasound will be done to understand where your chronic pain is coming from. If you have any imaging studies such as X-rays, MRI or CT Scans, please bring the actual images to the appointment for Dr. Krasnick to review himself.

In order to optimize any treatment done, the focus needs to be on the whole patient and not just the damaged tendon or joint. This means Dr. Krasnick will investigate, discuss and make recommendations about your health and wellness. Important factors in order to optimize outcomes include cellular health. This entails optimizing your nutrition and diet and ensures you are getting the proper macro and micronutrients. Simple changes in diet and addition of vitamins and supplements can go a long way to improving outcomes. Additionally, addressing lifestyle issues such as sleep, smoking, weight control and stress are vital to improved outcomes. Dr. Krasnick will also focus on functional movement, which includes strength and flexibility. We know the body, especially, the musculoskeletal system acts as a whole and therefore pre and post treatment exercise or physical therapy protocols will be recommended.

Lastly, we have learned that even though someone has a degenerated joint, or injured tendon or ligament, not all the pain comes from the injured structures that we can see or find on exam. The nerves that carry the pain signals to the injured areas are also affected. Treatment of the nerves is also important to optimize the healing of the underlying injured structure. This concept is not new and was described by Dr. Hilton in 1860 and is known as Hilton’s Law. Some patients therefore may need a combination of procedures to provide the ultimate healing process.

None of the regenerative treatments contain any drugs, steroids, narcotics or NSAIDs, are performed in the office and do not require surgery. Dr. Krasnick performs injections under ultrasound guidance, so he is highly accurate in injecting the treatment to the exact location needed. These treatments allow the body’s own natural healing powers to recover and restore to health.

Prolotherapy

Dextrose solution is injected into the problem area. This may require multiple injections. There can be a small amount of discomfort that may require pain medication such as Tylenol for one to two days. The length of time for the procedure can vary greatly depending on the area being injected and the number of injections given.
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Platelet Rich Plasma Therapy

For this procedure you will have blood drawn in the office, typically 60 cc of blood, which is then spun down and your platelets collected. The platelets are then injected into the area causing your pain. The procedure typically takes one hour. There can be a small amount of discomfort that may require pain medication such as Tylenol for one to two days.
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Stem Cell Therapy

Stem Cells are contained inside your bones. To obtain these special cells a bone marrow aspiration is performed. Typically, an area on the back of your hip is used. Dr. Krasnick will numb up the skin and area of your hip bone. A needle is inserted into the hip bone and stem cells are aspirated out. The procedure takes about 15 minutes to perform. These cells are then injected into the problem area causing pain. Pain medication such as Tylenol may be needed for one to two days for pain.
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Ozone Prolotherapy or Prolozone™

Instead of Dextrose, Ozone is injected into the problem area. There can be a small amount of discomfort that may require pain medication such as Tylenol for one to two days. The length of time for the procedure can vary greatly depending on the area being injected and the number of injections given.
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Neural Prolotherapy or Lyftogt Technique®

Neural Prolotherapy (NPT), commonly known today as Perineural Injection Therapy (PIT), follows the same principles of Prolotherapy but instead of injecting ligaments or tendons superficial nerves are being treated. There can be a small amount of discomfort that may require pain medication such as Tylenol for one to two days. The length of time for the procedure can vary greatly depending on the area being injected and the number of injections given.
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Nerve Hydrodissection

Nerve hydrodissection is a technique used when treating peripheral nerve entrapments. It involves using a solution (most commonly 5%dextrose or PRP in regenerative medicine) to separate the nerve from the surrounding tissue, fascia, or adjacent structures. The procedure is done under ultrasound guidance. The most common nerve treated is the median nerve for carpal tunnel syndrome. Typically there is very little discomfort during the procedure as local anesthesia is given.
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