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Perineural Injection Therapy in the Management of Complex Regional Pain Syndrome: A Sweet Solution to Pain.

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Perineural injection therapy (PIT) is one of the latest advancements in regenerative medicine. It targets cutaneous nerves as a potential pain generator. First described by Dr. Paul Pybus and Dr.… Click to show full abstract

Perineural injection therapy (PIT) is one of the latest advancements in regenerative medicine. It targets cutaneous nerves as a potential pain generator. First described by Dr. Paul Pybus and Dr. Roger WyburnMason, PIT targets neurogenic inflammation in subcutaneous nerves that potentially generates pain [1,2]. PIT was further refined by Dr. John Lyftgoft using dextrose injection, which provided substantial pain control in a series of 300 Achilles tendinopathy [3]. However, this treatment approach remains largely unknown; thus we sought to document the effect of PIT in the management of complex regional pain syndrome (CRPS) and its outcome on pain and functional restoration.

Keywords: perineural injection; injection therapy; injection; management complex; pain; complex regional

Journal Title: Pain medicine
Year Published: 2017

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