Perineural Injection Therapy (neural prolotherapy) Services Offered in Buffalo, NY

perinueral injection

Neural Prolotherapy is a safe and effective treatment for chronic nerve pain resulting from injury or repetitive motion damage. Injured and inflamed nerves cause chronic pain that is not treatable by surgery or pharmaceutical drugs. Attempting to treat nerve damage with pharmaceutical drugs gives little relief at great risk. Neural Prolotherapy is sometimes referred to as Perineural Injection Treatment (PIT) or Perineural Subcutaneous injections (PSI). 

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perinueral injection


Treating neurological pain with neural prolotherapy begins with a diagnosis. Dr. Kaplan bases recommendations on your consultation and image studies. OWM Integrative Wellness takes ultrasound images of your nerves at our wellness center. The treatment consists of a series of tiny half-inch injections targeting painful affected nerves with a weak glucose solution. This sugar solution stimulates healing, reversing nerve damage and its symptoms.  

Perineural Injection Therapy (PIT) bathes the nerve and promotes healing and recovery of the myelin sheath as well as blocking nerve receptors that release inflammatory chemicals. It reduces nerve-induced inflammation and local tissue injury, making the affected area less sensitive and more resilient to stress and tension. 

Indications for neural prolotherapy:

  • Unprovoked and unremitting skin and muscle pain and inflammation 
  • Tenderness to touch and pressure  
  • Burning, cramping, and deep muscle aching 



Used for inflamed nerves of the arms and legs as well as superficial nerves of the neck and lower back. 


Used for direct trauma to the tissues of arms and legs as well as systemic inflammatory conditions which can cause diffuse swelling of the small nerves in the limbs.

What to know before you go

Direct trauma to the tissues of arms and legs as well as systemic inflammatory conditions can cause diffuse swelling of the small nerves in the limbs. These points of inflammation are called chronic constriction impact (CCI) points.

A simple mixture of diluted sugars is injected around these CCI points.

Pain relief is immediate after the first round of injections however you will require multiple treatments to achieve lasting relief. Relief may initially be as brief as a few hours or days. Your symptoms will return less frequently and less intensely after each treatment.


A mild neuro prolotherapy solution is well tolerated.

The injection technique utilizes ultrasound guidance. It promotes a healing response without the risk of injury or allergic reactions.

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