All posts by Dr. Jason Porter

Dr. Porter is a graduate of the Southwest College of Naturopathic Medicine in Arizona, and a member of the American Association of Naturopathic Physicians (AANP), the Arizona Naturopathic Medical Association (AzNMA), the Naturopathic Association of Therapeutic Injection (NATI), and the American College for the Advancement of Medicine (ACAM) where he is certified in chelation therapy. Dr. Porter is also a supervising physician at Southwest College of Naturopathic Medicine where he teaches Naturopathic Medical Students methods for treatment of chronic pain conditions and disease prevention for longevity and improvement in quality of life.

PRP and Prolotherapy for Herniated Discs

By  Dr. Jason Porter - at  September 7, 2013    

Herniated discs can cause sudden, severe and unrelenting pain syndromes. Patients often present to Emergency Rooms, Chiropractic, Primary Care, and even Orthopedic offices seeking relief from constant burning radiating pain. Treatment is often delayed as patients go through the process of gathering information about their condition including MRI’s, and X-rays. Even then a conservative approach is undertaken through physical therapy to treat and reverse the herniation(s). If this proves unsuccessful, then a variety of injections may be recommended and even surgery considered.

A herniated disc can be the result or cause of instability in joints due to injured tendons. These injured or unstable ligaments and tendons lead to referred pain patterns. Pain begins to reduce with the injection of Prolotherapy and PRP to rebuild weak ligaments and tendons. Prolotherapy and PRP consist of injections that cause proliferation of connective tissue. The proliferation leads to increased density and strength and improvement in joint stability.

Relief can come sooner with the frequent and immediate application of acupuncture. Acupuncture has proven to be a very effective treatment for reduction of the radiating, and stabbing pain that often accompanies herniated discs. Acupuncture works by clearing meridians or channels to allow improved circulation and support to the body’s innate ability to heal. Although acupuncture is new to western medicine, it has been a mainstay in eastern medicine for over 3,000 years. Acupuncture treatment is non-invasive and can begin immediately without interference with physical therapy or other medically prescribed prescriptions. In addition, Acupuncture can help you return to normal and pain free functioning faster than doing just physical therapy alone.

In addition, very specific physical therapy protocols for disc treatment are implemented. The simultaneous treatment with PRP, Acupuncture, and physical therapy produces the quickest and surest way for permanent relief.

PRPand Prolotherapy for Migraines and Headaches

By  Dr. Jason Porter - at  September 5, 2013    

MIGRAINES and HEADACHES

Many patients suffer from ongoing headaches or migraines. The most common type of headache is a tension headache. Tension headaches arise from the muscles in the upper back and neck. Trigger points or knots develop or persist causing a shortening of muscles which attach at the base of the skull. These tight muscles radiate pain either over the top of the head across the forehead or around the temples toward and across the forehead. This type of headache is relieved with trigger point injections to the posterior attachments of the neck muscles at the base of the skull. Acupuncture also helps to relax the muscles and reduce trigger point influence.

Migraines on the other hand are more complex. In having helped many patients eliminate migraines we have discovered that most migraines have multiple triggers. One trigger is tension headaches. Any history of head or neck trauma can damage tendons and predisposing toward more complex migraines. We have also found many different aggravators for migraines over the years. For example IgG food allergies, dehydration, exposure to solvents, cleaners and perfumes, and candida overgrowth. Clues are gathered during an intake to the other potential triggers. Once these are discovered, eliminated, or treated, migraines can become nonexistent. Treatment would include injections for trigger points in the posterior neck and upper back and elimination of other triggers.

PRP and Prolotherapy for Shoulder, Elbow, and Wrist Pain

By  Dr. Jason Porter - at  September 3, 2013    

The shoulder joint is the most mobile and thus most at risk joint for injury. It is attached or held on the body mostly by muscles including the pectoralis, deltoid, rhomboids, latissmus dorsi, infraspinatus, supraspintus, subscapularis, and a few others. Often shoulder pain develops immediately following reaching out or up after a fall or to grab something above the head. Treatment involves examining every attachment of the shoulder for strains that then easily treated with PRP and Prolotherapy injections. Often trigger points have developed that cause severe referred pain patterns. These have to be identified and treated also using trigger point injection, acupuncture and stretching.

Elbow and wrist pain develop as a result of overuse injuries mostly, cutting hair, painting, lifting weights, playing tennis etc. They are treated successfully using PRP and Prolotherapy to regenerate and rebuild the tendon attachments.

PRP and Prolotherapy for Neck Pain

By  Dr. Jason Porter - at  September 1, 2013    

Chronic neck pain has a great history with improvement from four therapies, PRP/Prolotherapy, acupuncture, massage, and stretching. A significant number of patients with chronic neck pain have in their history an injury, such as whiplash from sports, auto accidents, falls, etc. Often just a few of the tendons, of the multitude of the tendons and muscles in the neck, are damaged due to those injuries. Symptoms may not show up until years later and can include besides neck pain, headaches, and migraines. Small injections at the sights of injury provide considerable relief with each visit. Patients with chronic neck pain, headaches, and even migraines notice benefits within 1-3 injections on average. The addition of acupuncture, massage, and stretching also help to improve the function and activity of the muscles leading to reduced pain.

PRP and Prolotherapy for Ankle, Foot, and Plantar Fascial pain

By  Dr. Jason Porter - at  August 30, 2013    

The major weight bearing joints of the body, in descending order are the sacroiliac joint, hip joint, knee, and ankle. The ankle carries the brunt or weight of the whole body. With a history of any ankle strains or sprains, regular activity involving running, or lack of adequate arch support, ankle pain, plantar fasciitis, or foot pain can develop. PRP and Prolotherapy injected in and around the supporting ligaments of the ankle strengthen, tighten, and support the ankle reducing pain and improving activity. Acupuncture is also recommended along with an improvement in shoe wear for better arch support. Stretches specific to the type and history of the injury have also been shown to help recover from pain, and reduce the recurrence once healing has occurred.

PRP and Prolotherapy for Knee Pain

By  Dr. Jason Porter - at  August 29, 2013    

The knee is an excellent example of how different forces act to cause pain. The bones of the knee include the femur and the tibia. They approximate one another and are attached on the inside by ligaments called the anterior and inferior cruciate ligaments. They stabilize the knee from moving too far forward or backward. Along the medial and lateral aspects of the knee and crossing the joint from top to bottom are the collateral ligaments. These help the femur and tibia from moving too much to the inside or outside. Over the ligaments a connective tissue capsule surrounds the knee joint. Another layer called the menisci, inside the knee, serve as a non-liquid cushion keeping the bones from rubbing on one another. In addition, our body creates and maintains fluid as found inside the joint.

Pain then arises when one of the following occur. First a tear in one or both of the cruciate ligaments, or menisci, strain or sprain of the lateral or medial collaterals, loss of fluid within the capsule joint, and development of trigger points as a result of unstable joints. Even when pain is difficult to isolate, joint and muscular pain are intimately connected by the joints they serve and thus are nearly always associated with one another.

The best treatment for the knee appears to be the injection of PRP into and around the joint capsule. It appears, maybe to the lack of humidity and probably general weight bearing activity, that the fluid within the capsule of the knee can diminish over time. At this point the menisci will begin to make contact, increasing inflammation and irritation, resulting in chronic knee pain and weakness.

The addition of PRP into the capsule regenerates the joint cartilage and fluid, returning the knee to a non-painful state. That means a patient can walk, ruin, and even jump without pain.

Of course the application of acupuncture also helps the knee and is considered the standard of care for our office whenever we do a PRP injection.

PRP and Prolotherapy treatment of Hip Pain

By  Dr. Jason Porter - at  August 27, 2013    

The hip and pain associated with the hip are directly related with the sacroiliac joint. This is because the gluteus and performs muscles that attach to the hip originate at portions of and near the sacroiliac junction. Some hip pain can be associated with the iliotibial band and hip flexors on the lateral and anterior of the body. The most common patients treated at our offices are athletes including runners, cyclers, and yogis. PRP, Prolotherapy and acupuncture perform well in helping reduce pain and return a patient to normal function.

PRP treatment for Low back Pain

By  Dr. Jason Porter - at  August 25, 2013    

The most common cause of low back pain is dysfunction in the sacroiliac joint just located on both sides of the sacrum where the ilia attach. This is the seat of the lumbar vertebrae or low back. This location may be the densest connective tissue layer in the body. Consider what it does, as it attaches or connects the upper torso to the lower limbs. This joint is a weight bearing joint that is sensitive to weight bearing activities and falls on the tailbone or buttocks. Activities that can flare or aggravate this joint include walking, running, weights, jumping, and even pregnancy. Pregnancy can aggravate this joint obviously by the addition of 25-60 additional pounds gained during pregnancy, but also by the hormones that are produced to cause ligament laxity widening the birth canal. The lack of activity can also lead to dysfunction of this joint, due to weak muscles that attach near to this joint and function to help stabilize and support this transition point for forces applied above and below the sacrum.

Consider the ligaments of the sacroiliac joint and their potential to become weak, frayed, strained and it is easy to recognize that Platelet Rich Plasma and Prolotherapy can strengthen the sacroiliac joint returning it to full function. Physical manipulation and chiropractic care also can have a positive influence on this joint, but if it fails to hold the joint permanent or semi-permanently, PRP is absolutely needed.

We have found consistently, with those with acute and chronic low back pain, that the muscles that are near or stabilize the sacroiliac joint can develop trigger points that cause referred pain patterns resembling low back pain. For example, the gluteus medius, gluteus maximus, and piriformis muscles tighten in parts of the specific muscles to shorten and help stabilize the sacroiliac joint. These tight areas or contracted proteins are called trigger points, and will refer pain in a location away from their current location, making it difficult to diagnose pain without a trigger point focused exam.

Trigger points respond very well to acupuncture. In our clinic we apply both PRP and Prolotherapy along with acupuncture to stabilize the joint and reduce the trigger points. Often, the addition of specific stretches done daily or regular massage can also help the muscles remove or reduce trigger point activity. The injection of lidocaine into trigger points leads to major strides in releasing tight and inflexible muscles. The combination of these therapies leads to an elimination of low back pain.

At our offices we treat low back pain with prolotherapy, physical therapy, trigger point injections, and acupuncture at no additional expense. The treatments combined offer a synergistic healing influence unlike any other therapy available through other pain clinics.

to normal function.

How well known is PRP and Prolotherapy?

By  Dr. Jason Porter - at  August 23, 2013    

Prolotherapy has been in use for over 50 years and PRP in use for 20 years. Recent headlines have featured the amazing results of professional athletes’ experiences with PRP Therapy. Pro football players Hines Ward and Troy Polamalu of the Pittsburgh Steelers received PRP Therapy after injuries that should have sidelined them for months, but they returned to play in a matter of weeks, winning the Super Bowl. Los Angeles Dodgers pitcher Takashi Saito received PRP Therapy for an elbow condition and returned to play in just a few months, versus up to 14 months that recovery from surgery would have taken. Unprecedented results have also been reported for other professional soccer, baseball, and football players. Although PRP Therapy is relatively new to the field of orthopedics, it has been used for more than 20 years in dentistry, and has been used to promote healing, following jaw reconstruction, and for patients with cancer. Many thousands of patients have been treated with Prolotherapy successfully over the last 50 years in countries all around the world. PRP has been utilized for the last 20 years and has been proven to be an effective regenerative force.

When should I have surgery over PRP and Prolotherapy?

By  Dr. Jason Porter - at  August 21, 2013    

The main benefit of PRP and Prolotherapy is that they provide pain relief and healing while eliminating the need for surgery or a prolonged recovery. The benefits of proliferative injection therapy includes lower risks, lower costs than surgery, and can be used on patients, that are not candidates for surgery.
PRP and Prolotherapy are a low-risk minimally invasive procedure. The concentrated platelet rich plasma (PRP) or Prolotherapy solutions injected into and around the point of injury immediately start and magnify the body’s natural healing process. Recovery with PRP and Prolotherapy is much faster than with surgery. PRP and Prolotherapy should be utilized when a patient is not an absolute candidate for surgery, when pain is associated with normal wear and tear of living, and when it affects any joint particularly those joints that are weight bearing such as the feet, knees, hips, and low back, and neck. In essence have surgery when it is absolutely necessary, for everything else try PRP and Prolotherapy first.