Injection Nomenclature

Injection Nomenclature


There are a variety of techniques used in the field of injection therapy and related therapies.  Each technique is focused on providing a different therapeutic effect.  Proper nomenclature is necessary and desirable for a number of reasons...

   1. It promotes clear communication in the scientific literature to evaluate efficacy of a particular technique.
 
   2. It facilitates better understanding by the public and those receiving progress notes of treatment given.
 
   3. It allows for development of reimbursement guidelines based on the work involved in each procedure.
 
   4. It may help prevent improper bundling of techniques performed at one visit.
 
The terms listed below are provided with descriptions for maximum clarity and accuracy.  Corresponding acronyms are given which are easy to remember.  This chart provides an easy reference for the distinctions between different injection therapies.
 
 

Name / Acronym

Target

Substance Used

Proposed Primary Mechanism

Prolotherapy

(a.k.a. "Regenerative Injection Therapy" or RIT)

Ligament

Tendon

Joint

Myo-Fascia

Dextrose

Na Morrhuate

P2G

Pumice

Ozone

other

Regeneration of tissue

Bioregenerative Injection (BRI)

Myo-Fascia

Ligament

Tendon

Joint

Whole blood Platelets

Stem Cells

Regeneration of tissue

Perineural Subcutaneous Injection (PSI)

Subcutaneous

sensory nerves

(i.e. nerves in the superficial fascia/fat)

Dextrose

Mannitol

Other

Reduction of neurogenic inflammation

Perineural Deep Injection  (PDI)

Nerves deep to the superficial fascia/fat

Dextrose

Mannitol

Other

 

Reduction of neurogenic inflammation

 

 

 

Percutaneous neuroplasty (PCNP)

 

Entrapped nerves deep to the superficial fascia/fat

Dextrose

Mannitol

Normal Saline

Steroid

other

 

Mechanical hydrodissection around nerve (ultrasound guided procedure)

Perineural Deep Iinjection in Caudal Space (PDI Caudal)

Sacral Hiatus

Dextrose

Mannitol

other

 

Reduction in neurogenic inflammation

 

Epidural Steroid

Caudal

Intra-laminar

Intra-foraminal

Corticosteroid

Reduction in prostaglandin based inflammation

Mesotherapy

Mesoderm

Homeopathic

Substance or Tincture

Unknown

Neural Therapy

Scars

Interference fields

Sympathetic

ganglia

Procaine

Neurogenic, via normalizing autonomic neuron signaling

Acupuncture

Acupuncture points

Tender points

Osteopuncture points

Acupuncture needle

Neurogenic, via activation of autonomic NS pathways

Trigger Point Injections (TPI)

 

Muscle Trigger

points

Lidocaine

Dextrose

Dry Needling

other

Neurogenic, via mechanical disruption of abnormal neuromuscular junction

Apitherapy

Acupuncture points

Tender points

Bee Venom

Live or Apitoxin

Neurogenic via modulation of CNS adrenergic pathways

Perineural Topical Application (PTA)

Subcutanous and cutaneous nerves

Dextrose gel

Capsaicin ointment

Xylocaine gel

other

Reduction in neurogenic inflammation

K. Dean Reeves, M.D. is a physician and medical researcher in the area of pain caused by arthritis, chronic sprains and chronic strains. His private practice is located in the greater Kansas City area of Roeland Park, Kansas.  He collaborates in research with other locations across the country and internationally, and is licensed in the states of Kansas and Missouri.

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Copyright 2011-2014
Dr. K. Dean Reeves

No part of this site should be understood to be personal medical advice or instruction in how to perform injection therapy. A decision on treatment requires a good history and full examination and a knowledge of your treatment goals. Treatment decisions should be made in consultation with your personal healthcare professional and/or prolotherapist.