Therapeutic Injections

Dr. Pehling, using his extensive training and experience, has provided thousands of patients with safe and effective injection therapy. The type of injection will depend upon the diagnosis.

  • Trigger Point Injections involve injecting a numbing solution into the tight knots in your muscles in order to break the knots up and increase blood supply to the dysfunctional area.  Dr. Pehling was trained by a student of Dr. Simons (Travell and Simons).
  • Intramuscular Stimulation involves the placement of multiple very fine needles into the muscles in order to increase blood flow and also to release the knots in the muscles.  This allows Dr. Pehling to go into multiple trigger points at the same time with very minimal injection pain (similar to acupuncture needles).
  • Trigeminal Nerve Injections are to given to reduce pain and to allow the nerve to re-stabilize. Sometimes they are needed to allow us to do joint mobilizations as well.Steroid Injections are given into the muscle tendons or joints to decrease pain and inflammation.
  • Prolotherapy Injections are given using strong sugar water into the tendon and ligaments in order to stimulant collagen repair.

Hyaluronic Acid Injections are given into the TMJ just like they are given into the knees.  Hyaluronic acid naturally occurs within the cartilage and joint fluid of the TMJ. When the joints suffer damage due to excessive load ort trauma the cartilage and synovial fluid are often first structures to be compromised. Research studies and Dr. Pehling’s clinical experience have shown that Hyaluronic Acid (HA) injections can help restore this damage and aid in joint lubrication and movement. Typically it requires a course of 3-4 injections spaced out over 6-8 weeks.

HA injections have been shown to :

  • Increase synovial fluid levels of hyaluronic acid improving it’s viscosity.
  • Decrease levels of prostaglandins, improving pain.
  • Increase the cartilage thickness on load bearing surfaces.