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Brief Description of Procedures:
Trigger Point Injections (TPI):
Trigger points are focal, hyperirritable spots located in a taut band of skeletal muscle. The spots are painful on
compression and can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena. Injections of various non-steroidal solutions can release these chronic taut muscle bands and trigger-points to allow relaxation of regional myofascial tissues. Dr. Barré uses a combination of dilute Lidocaine and Serapin (an extract of the pitcher plant), as well certain homeopathics such as Traumeel. Some sensitive patients benefit from simple B12 plus Saline.
Dry Needling is a skilled intervention that uses a fine acupuncture needle to treat myofascial trigger points. By combining trigger point injections with dry needling, it is possible to “deactivate” the regional trigger points and release taut myofascial bands, stimulate regional blood flow and thus restore balanced, healthy myofascial tissues.
Joint, tendon, ligament and other joint-structure injections:
Chronic myofascial banding along with habituated patterns of painful guarding and splinting often lead to stress, friction and painful strain on regional joint structures. Injections of Lidocaine and the homeopathic medicine, Zeel, can relieve inflammation and pain in irritated joints. In some cases, dilute steroid may be indicated to “calm” severe inflammation. Hyaluronic acid injections into the knee promote cartilage restoration and repair. These injections are particularly effective when combined with trigger point therapy.
The ancient art of acupuncture has been used in Asia for centuries to treat many conditions, including relieving pain. It's now being used in the United States and other Western countries to ease lower back pain, shingles and other nerve pain, hand and knee pain, headache, fibromyalgia, and menstrual pain. Traditional Chinese acupuncture involves the insertion of extremely fine needles into the skin at specific “acupoints”. Pain relief is achieved through several mechanisms, not all of which are fully understood, though it is well established that acupuncture causes the release of endorphins, the body’s natural painkilling chemicals, and stimulates the release of serotonin (5-HT), a neurotransmitter involved with mood.
Electrical stimulation of acupuncture needles can be used to further enhance the acupuncture effects and to stimulate muscle healing, and facilitate strengthening. A low frequency current through the inserted needles causes the muscle to contract. Changes in the current setting will allow for a more forceful or gentle muscle contraction. Along with increasing muscle strength, this contraction of the muscle promotes blood flow to the target area, assisting in healing.
Hot packs / Heat Therapy:
Following injection and dry needling therapy, hot packs therapy for 10 minutes provides further muscle relaxation and minimization of post-procedural pain and inflammation.
Dr. Barré is Board Certified in Physical Medicine & Rehabilitation, and Addiction Medicine. She treats musculoskeletal pain including neck and back pain, headaches, shoulder, knee, hip and other joint pains with safe, non-steroidal, minimally invasive treatments including Trigger Point Injections, Joint Structure Injections, Dry Needling, and Acupuncture. In conjunction with these treatments, Dr. Barré counsels each patient in developing deliberate plans for better movement, eating and diet, and relaxation techniques, which are proven to help guide patients into having more functional, sustainable, and enjoyable lifestyle patterns.
As an experienced and trusted specialist in treating addiction, she also assists patients in tapering and eliminating opioids and benzodiazepines from their lives. She has been using medication-assisted therapy (with Suboxone and Buprenorphine) for 8+ years and is highly experienced in this type of treatment.
Lisha Barré MD, LLC