Neuropathy and Nerve Pain Treatment

Neuropathy and nerve pain is a complicated problem research has just begun to understand. Some causes include lack of nutrients (diabetic neuropathy), nerves rubbing against worn out joints, and previous trauma.

Nerves have receptors, which act like sensors to detect abnormalities in the body like too hot, or too cold. They can also detect when sugar levels are too low, too much pressure and too little oxygen. When the receptor detects something not normal it causes the nerve to fire off a signal we perceive as pain.

One of the prevailing theories on why people have chronic nerve pain is low nutrient levels and high acidity surround irritated nerves. The poor environment around the nerve fires off additional pain signals to the brain at a relatively constant rate. The longer the nerve is in this heightened irritated state the more difficult it becomes to return to normal. Some patients spend years in this highly irritated state having near constant pain.

Regenerative Nerve Therapy is designed to not only calm the nerve, but to improve the environment around the nerve, and by doing so allow the nerve to naturally return to its normal “non-firing” state.


Regenerative Nerve Therapy is used in our office to treat:

  • Neuropathy

Nerve generated pain in the:

  • Knee
  • Neck
  • Back
  • Shoulder/Hips
  • Feet/Hands
  • Arms/Legs


What is Regenerative Nerve Therapy?

Regenerative Nerve Therapy (RNT) is known by many different names including Neural Prolotherapy, and Perineural Injection Therapy (PIT). RNT begins by examination to determine which specific nerve(s) is generating pain. The doctor will then gently inject a Mannitol (sugar) solution along the path of the irritated nerve. Because nerves have branches extending to the skin the injections only need to be slightly below the surface, and done so with a tiny needle.

Once the nerve(s) has been calmed by the Mannitol solution we combine electrical stimulation, cold laser, and vibration to help restore normal function to the nerve.

This process is repeated every week approximately 5 to 8 times. A revaluation after the 4th treatment helps us determine how many additional visits an individual will need.

Frequently Asked Questions:

The needle used is very small and is well tolerated by most patients without any anesthesia. For very sensitive patients cold spray is used to help numb the skin.

Most walk out feeling improvement, but at the beginning this improvement does not last very long. With additional treatments the amount of improvement and longevity increases.

Treatment is best given every week or two. If you can’t make your appointment one week, seeing you the following week is just fine.

The material injected is very similar to the IV fluid solutions you find in hospitals. It does not interact with medications, and can be used on patients with other serious conditions. The infection rate has been found to be around 1 out of 300,000. No allergic reactions have been noted.

No, RNT is not covered by any insurance. Payment plans and arrangements have been put in place to help those on fixed incomes.