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Regenerative Pain Medicine seeks to cure the cause of chronic musculoskeletal pain by reversing damage to and degeneration of connective tissue caused by traumatic injury, repetitive motion injury, or the aging process. By injecting natural substances or growth factors from one’s own tissues directly into the problem areas, we attempt to regenerate normal tissue, eliminate dysfunction and pain, and restore health.

Damaged and degenerated ligaments, tendons, muscles, and joint surfaces cause pain and dysfunction. Damaged and degenerated connective tissues have decreased blood flow, entrapped nerve ending, and accumulation of metabolic waste. The goal of Regenerative Pain Medicine is to restore health to these compromised tissues. Restoration of health to these tissues decreases or can eliminate pain and normalize function.


In the healthy human system, we are capable of healing following an injury. Damage to musculoskeletal structures triggers a critically important inflammatory pathway followed by a healing cascade. Anti-inflammatory drugs such as ibuprofen suppress this healing cascade. The majority of healing occurs in the first eight weeks after an injury. During this time the body produces growth factors and recruits stem cells in order to stimulate growth of new tissue. After this time, if healing is not complete there is a localized decrease blood flow, entrapment of nerve endings, and accumulation of metabolic waste. In essence, these tissues turn from normal connective tissue into scar tissue. As a direct result, nerve receptors in these tissues chronically fire pain signals. Sub-optimal healing leads to structures that do not have sufficient tensile strength (lax ligaments or joint capsules). Stretched ligaments are no longer able to stabilize their corresponding joint. This leads to muscle spasm in an attempt to stabi
lize joints and arthritis. Arthritis, similarly, is degeneration of joint surface tissue secondary to macro or micro trauma.

Most chronic musculoskeletal pain conditions are due to degenerative processes, not inflammatory processes. Most back and neck pain is due to damaged, degenerated tissues, not herniated discs even if herniated discs are present.

Conventional treatment of musculoskeletal pain conditions involves palliative drug therapies until the condition becomes bad enough to warrant surgery. Arthroscopic surgery for arthritis has been definitively proven to not be effective long-term. Statistics for disc surgery for back/neck pain are dismal.

Alternative modalities such as chiropractic, massage, and acupuncture frequently can sometimes be curative for mild to moderate conditions, but often only provide short term relief for advanced cases.

Patients who are not good candidates for surgery and for whom alternative medicine has not been effective are often experience the best outcomes with Regenerative Pain Medicine.

At Encinitas Prolotherapy, our principle interventions are prolotherapy, platelet rich plasma and stem cells. We use the principles of Naturopathic Medicine and Functional Medicine to maximize healing. The goal of Regenerative Medicine is to support the body’s innate healing abilities to cure the cause of pain.

Address: 965 2nd St, Encinitas CA 92024

Phone: 760–604–2324

Fax: 760–692–6373


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