Why TENS Unit For Hip Pain May Not Be Your Best Treatment Option

While transcutaneous electrical nerve stimulation (TENS) units are commonly used for pain management, they may not be the most effective treatment option for hip pain. When it comes to hip pain, the underlying causes are often complex and diverse, including issues with the joint, muscles, tendons, or nerves. 

Hip pain may require a more comprehensive approach that addresses muscle imbalances, joint instability, or structural abnormalities, which TENS units alone cannot address. For more effective and targeted relief from hip pain, Neuragenex has the solution. 

But first, let’s get into why TENS units are not nearly as effective at relieving hip pain as some might hope.

What Is A TENS Unit And How Does It Work?

A TENS unit is a small electronic device used for pain management. It consists of a battery-powered control unit connected to electrodes that are placed on the skin near the site of pain. TENS units are commonly used to alleviate various types of acute and chronic pain, including muscle and joint pain.

The principle behind TENS therapy is to deliver low-voltage electrical currents to the body, specifically targeting the nerves responsible for transmitting pain signals. The unit produces gentle electrical impulses that are transmitted through the electrodes to the underlying tissues. These impulses can stimulate the nerves in the area, providing a tingling or buzzing sensation.

The electrical currents emitted by a TENS unit have adjustable parameters such as frequency, intensity, and duration. These settings can be modified based on the individual’s needs and comfort level. The low voltage used in TENS units is typically in the range of 5-100 milliamperes (mA), which is significantly lower than the voltages used in other medical applications.

When the electrical impulses are delivered to the skin, they can potentially interfere with the transmission of pain signals to the brain. The stimulation from the TENS unit is thought to activate the body’s natural pain-relieving mechanisms, such as the release of endorphins, which are the body’s natural painkillers. 

By disrupting or overriding pain signals, TENS therapy aims to provide quick and temporary pain relief as well as promote a sense of well-being.

Why TENS May Not Be Effective Enough For Hip Pain

While TENS units are commonly used for pain management, they may not be the most effective treatment option for hip pain. Hip pain often involves complex underlying causes that require a more comprehensive approach. TENS units primarily target surface-level pain and may not reach deep enough to address the root cause of hip pain. 

Additionally, hip pain may require a multifaceted treatment plan that addresses muscle imbalances, joint instability, or structural abnormalities. TENS units, which deliver low-voltage electrical currents, may not provide the targeted relief needed for hip pain.

Let’s get into more detail on TENS lack of efficacy below:

Works Only By Delivering Small Electrical Shocks To The Skin

TENS units may not effectively penetrate deep enough to reach the source of hip pain due to their low voltage. The electrical impulses generated by TENS units are typically of low intensity, typically in the run at 400 pulses per second. While these currents can provide surface-level stimulation and potentially block pain signals transmitted by superficial nerves, they may not effectively reach the deeper tissues or structures within the hip joint that could be contributing to the pain. Hip pain often originates from deeper structures such as the joint capsule, ligaments, tendons, or deep muscles. These areas may require more targeted and higher-intensity electrical stimulation than what a TENS unit can provide.

May Have Limited Effectiveness For Certain Types Of Hip Pain

TENS units may not be as effective for chronic or degenerative pain conditions. While these devices can provide temporary pain relief for acute or short-term pain, their efficacy in managing chronic or degenerative pain may be limited. Additionally, chronic pain conditions often require a multidisciplinary approach that combines various treatment modalities, such as physical therapy and lifestyle modifications. TENS units alone may not address the multifaceted nature of chronic pain or provide the comprehensive management needed for sustained relief.

May Cause Side Effects 

TENS unit treatments, while generally considered safe, can sometimes be associated with certain side effects. Here are some common side effects that may occur during or after TENS unit sessions:

Skin Irritation

Prolonged or repeated use of TENS electrodes can sometimes cause skin irritation or redness at the site of application. This can be due to the adhesive properties of the electrodes or the electrical stimulation itself. Proper electrode placement, ensuring clean and dry skin, and using hypoallergenic electrodes can help minimize the risk of skin irritation.

Muscle Twitching 

TENS therapy involves stimulating nerves and muscles with electrical impulses. In some cases, muscle twitching or involuntary muscle contractions may occur during the treatment. This is typically temporary and subsides once the TENS unit is turned off. Adjusting the intensity or frequency settings on the device may help reduce muscle twitching if it becomes bothersome.

Tingling Sensation

The electrical stimulation produced by TENS units often creates a tingling or buzzing sensation at the site of application. While this sensation is generally well-tolerated, it can sometimes be uncomfortable for some individuals. Modifying the intensity or frequency of the TENS unit can help adjust the tingling sensation to a more comfortable level.

TENS Units May Cause More Harm Than Good  

While TENS units are generally safe for most individuals, there are certain groups of people who should not use them or exercise caution when doing so due to potential risks to their health. Here are some examples:

People With Implanted Medical Devices

Individuals with implanted medical devices, such as pacemakers, defibrillators, or neurostimulators, should avoid using TENS units without consulting their healthcare provider. The electrical impulses from TENS units can potentially interfere with the functioning of these devices, leading to malfunction or inadequate therapy.

Pregnant Women

The safety of TENS therapy during pregnancy is not well-established, and its effects on the developing fetus are not fully understood. Therefore, it is generally advised that pregnant women avoid using TENS units, especially in the abdominal or pelvic regions, unless specifically recommended by their healthcare provider.

Individuals with Epilepsy or Seizure Disorders

TENS therapy involves electrical stimulation, which can potentially trigger seizures in individuals with epilepsy or seizure disorders. Therefore, it is essential for individuals with such conditions to avoid using TENS units without the guidance and approval of their healthcare provider.

People with Sensory Impairments or Skin Sensitivities

Individuals with reduced or altered sensation in the areas where TENS electrodes are applied may not be able to properly perceive the intensity of the electrical stimulation. This can lead to inadvertent overstimulation or skin damage. Similarly, individuals with skin sensitivities or open wounds should exercise caution when using TENS units to avoid skin irritation or worsening of their condition.

Individuals With Undiagnosed Pain

TENS units should not be used as a substitute for medical evaluation and diagnosis. If the cause of pain is unknown or not properly diagnosed, using TENS units without understanding the underlying condition can potentially mask symptoms or delay appropriate medical intervention.

It is crucial to consult with a healthcare professional before using a TENS unit, especially if you fall into one of the high-risk categories mentioned above. However, it is a good rule of thumb to presume that TENS units could be doing more harm than good, which is discussed in more detail here.

Alternative Treatments That May Be More Effective

While TENS units have their limitations for treating hip pain, there are alternative treatment methods that have shown effectiveness in managing hip pain. These methods offer a more comprehensive approach to address the underlying causes of hip pain. Some treatment options that may be considered include:

Physical Therapy

Physical therapy is often recommended for hip pain as it focuses on strengthening the muscles around the hip joint, improving flexibility, and correcting imbalances. A physical therapist can design a personalized exercise program that targets specific areas contributing to hip pain, helping to alleviate symptoms and improve overall hip function.


Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics can help reduce pain and inflammation associated with hip pain. These medications are available over-the-counter or by prescription, depending on the severity of the pain and individual needs. It’s important to consult with a healthcare professional for appropriate medication recommendations and to ensure proper usage.


Corticosteroid injections or hyaluronic acid injections may be considered for individuals with hip pain that do not respond to conservative treatments. These injections can provide temporary pain relief and reduce inflammation in the hip joint. However, it is important to note that their effects are typically temporary, and repeated injections may have diminishing returns.

Assistive Devices

The use of assistive devices such as canes, crutches, or walkers can help offload the weight from the hip joint, reduce pain, and provide support during activities. These devices can help improve mobility and reduce the strain on the hip joint, particularly in cases of hip osteoarthritis or post-surgical rehabilitation.

Surgical Intervention

In cases where conservative treatments fail to provide adequate relief, surgical intervention may be considered. Surgical options range from minimally invasive procedures, such as arthroscopy, to more extensive procedures like joint replacement surgery. The type of surgery will depend on the underlying cause and severity of the hip pain.

These treatments for hip pain are slightly more effective and may even be safer but they cannot offer the same solutions provided by Neuragenex.

How Neuragenex Deals With Hip Pain

Neuragenex uses the Neurofunctional Pain Management approach to manage hip pain. This is a whole-person treatment that focuses on providing maximum relief from hip pain; starting with electroanalgesia and moving to IV therapy and lifestyle counseling.


Neuragenex offers the most effective form of electrical stimulation and pain relief through electroanalgesia. Not only is it safe and effective at treating hip pain, its efficacy outweighs that of a TENS unit. Its efficacy, when compared to a TENS unit, is directly related to its high-pulse stimulation which is 10,000 pulses per second compared to a TENS unit’s 400 pulses per second. Electroanalgesia, with its high-pulse electrical stimulation, creates a depolarization effect on the pain neurons, while also stimulating tissue regeneration that repairs damaged nerves and damaged microvascular tissues in the hip.

IV Therapy

Neuragenex also offers a specialized nutritional hydration therapy of vitamins, minerals, and other nutritional necessities that assist the body’s immune system and its ability to relieve hip pain. This specialized nutritional hydration therapy works in conjunction with electroanalgesia’s ability to effectively relieve the pain with lasting results.

Lifestyle Counseling

Patients who seek the most effective form of relief from hip pain will undoubtedly find it with our treatment program and attain the ability to maintain their pain in the interim by participating in our educational and lifestyle counseling. These programs ensure patients will have the ability and confidence to do all they can to mitigate the often debilitating endometriosis pain.

Get Yourself An Effective Hip Pain Treatment

When experiencing hip pain, it is crucial to consult with a medical professional to seek effective relief and ensure proper management of your condition. Here are the reasons why consulting with a medical professional is essential:

Accurate Diagnosis 

A medical professional, such as an orthopedic specialist or a primary care physician, can conduct a thorough evaluation to accurately diagnose the underlying cause of your hip pain. Hip pain can stem from various conditions, including osteoarthritis, bursitis, tendinitis, hip labral tears, or referred pain from other areas. Obtaining an accurate diagnosis is crucial for developing an appropriate treatment plan tailored to your specific condition.

Personalized Treatment Plan

Healthcare professionals can provide a personalized treatment plan based on your diagnosis, medical history, and individual needs. They can consider various factors, such as the severity of your hip pain, functional limitations, and any underlying health conditions that may impact your treatment options. A personalized approach ensures that you receive the most effective and appropriate interventions for your specific situation.

Access to Specialized Care

Medical professionals have access to a range of resources and specialists who can contribute to the management of your hip pain. They can refer you to physical therapists, pain specialists, or orthopedic surgeons if necessary, ensuring that you receive comprehensive care and access to specialized treatments.

Monitoring Progress and Adjustments

Consulting with a medical professional allows for ongoing monitoring of your condition and the effectiveness of your treatment plan. They can assess your progress, modify your treatment approach if needed, and provide guidance on lifestyle modifications, exercises, or pain management techniques to optimize your recovery.

Safety and Risk Assessment

Healthcare professionals are trained to assess potential risks and complications associated with different treatment options. They can evaluate your medical history, medication use, and other factors to ensure that the chosen interventions are safe and suitable for you. This is particularly important if you have pre-existing medical conditions or take certain medications that may interact with specific treatments.

Seeking guidance from a medical professional is crucial to ensure that you receive the most effective and appropriate care for your hip pain. They have the expertise and knowledge to guide you through the diagnosis process, recommend evidence-based treatments, and monitor your progress to help you achieve optimal pain relief and improved hip function.

At Neuragenex, we understand that hip pain can be life-limiting and preclude many from living the full-fledged life they had imagined. At the same time, we know and have confidence that pain relief will come through electroanalgesia, IV therapy, and educational programs. At Neuragenex, our mission is to relieve pain, restore health, and magnify the quality of life while operating as a non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic pain treatment provider. Our vision is to be the first thought, first choice, and first step in the journey of chronic pain relief.

Tens Unit For Feet: Is It Strong Enough For A Long-Term Relief?

Dealing with any kind of foot pain can be an incredibly frustrating experience. If you have an issue with your foot that’s causing pain, it can be easy to aggravate it every time you put pressure on it. As a result, foot pain can be highly debilitating since something as simple as standing or walking can cause pain. 

Fortunately, there are many treatment solutions when it comes to pain relief. One of those options is TENS (transcutaneous electrical nerve stimulation) therapy, which is commonly used to reduce the intensity of pain symptoms. Although TENS therapy can be effective for providing temporary pain relief, the real question is, can it provide long-term relief as well?

Common Causes Of Foot Pain

Before diving further into TENS therapy and whether it can help relieve foot pain, it helps to better understand what causes foot pain. For treatment of any kind to be effective over the long term, you need to be able to treat the underlying cause of the pain. With that in mind, the following are the most common causes of foot pain:

  • Plantar Fasciitis: Plantar fasciitis is an inflammation of the tissues that connect the heel to the toes. It can be caused by an injury or overexertion of the foot and can cause intense pain when walking or standing.
  • Bunions: Bunions are when the big toe starts to lean towards the other toes, causing a bump on the side of the foot, leading to pain and discomfort. This is often caused by wearing ill-fitting shoes and can lead to pain in the toe area.
  • Hammer Toes: Hammer toes are when the joints at the end of a toe become bent, causing intense pain with every step. Like bunions, hammer toes can result from wearing footwear that’s too tight for your feet.
  • Morton’s Neuroma: Morton’s neuroma is a condition where the tissues around a nerve in your foot thicken, leading to pain and tingling sensations. It can be caused by wearing narrow or pointed shoes that put too much pressure on the front of your foot.
  • Stress Fractures: Stress fractures can occur when the bones in your feet are weakened due to repetitive stress or trauma. Stress fractures are commonly caused by running or jumping on hard surfaces while wearing improperly cushioned shoes.
  • Achilles Tendinitis: Achilles tendinitis occurs when the Achilles tendon becomes inflamed, which can be caused by running on hard surfaces while wearing shoes that don’t provide enough support. It can also be caused by doing too much physical activity without properly stretching beforehand.
  • Gout: Gout occurs when uric acid crystals accumulate in the joints, which can cause pain, swelling, and redness. An unhealthy diet or lifestyle often causes gout, leading to intense foot pain.
  • Ingrown Toenails: Ingrown toenails are often caused by cutting your nails too short, wearing shoes that are too tight for your feet, or attempting to push a nail out from the side. This can cause intense pain and infection in the affected area.

Foot Pain And TENS Therapy

There are a lot of different conditions that can cause foot pain. TENS is a popular form of treatment because it’s non-invasive and drug-free. With that in mind, the following are a few things you should know about TENS therapy to better understand how it works:

How Does  A TENS Unit Work to Relieve Foot Pain?

TENS therapy works by sending tiny electrical pulses through the skin that stimulate nerve fibers, which can help to reduce pain signals from reaching the brain and stimulate the release of endorphins, which function like natural painkillers. This is done using a TENS unit, which delivers electrical stimulation via electrodes attached to the skin. The electrical pulses can also provide a soothing massage-like sensation to the foot, which can help relax the muscles and reduce tension, thereby reducing stiffness and pain.

Benefits Of TENS Unit For Feet

The following are a few of the reasons why TENS therapy is so effective at providing temporary relief from foot pain:

  • Flexibility: With a TENS unit, you can control the intensity and duration of the treatment. This allows you to adjust it according to your level of pain or discomfort.
  • Increase Circulation And Reduce Inflammation: Many conditions that cause foot pain, like gout, are at least partially a cause of inflammation. TENS can help to increase blood circulation and reduce inflammation, which can help alleviate foot pain.
  • Improve Range Of Motion: By massaging the muscles and tendons in your feet, a TENS unit can help reduce pain and stiffness associated with conditions like plantar fasciitis and Achilles tendinitis, which can improve your range of motion.

Is TENS Strong Enough To Relieve The Foot Pain?

TENS therapy can be pretty effective when it comes to temporary pain relief. As such, it’s suitable for acute conditions that cause foot pain. However, TENS therapy simply isn’t strong enough to provide long-term relief from more chronic foot conditions. This is because TENS therapy uses low-voltage electrical stimulation to provide relief, and it can’t penetrate deep enough into the tissues to address the underlying cause of the pain.

A regular TENS unit can only deliver electrical currents up to 400 pulses per second, and the at-home TENS units available on the market can only deliver upwards of 250 pulses per second. So if you’re suffering from severe pain or a chronic foot condition, getting TENS therapy is more akin to getting a nice foot massage. It may feel good for a moment but won’t last.

How Neuragenex Approaches Foot Pain

At Neuragenex, we firmly believe that electrical stimulation can be highly effective at helping patients manage their foot pain. It’s why electrical stimulation is a critical component of our Neuragenex protocol, which implements a Neurofunctional Pain Management approach to treating chronic pain. This means that instead of just addressing the symptoms, we focus on the underlying cause. 

We also emphasize a whole-person approach to treatment to help you manage your condition over the long term; all without relying on potentially addictive pain medications, risky chiropractic treatments, or invasive and expensive surgical procedures. Keeping this in mind, the following are the treatment solutions we provide when treating chronic foot pain:


At Neuragenex, we use electroanalgesia to target the deeper tissue of your foot and reduce pain while improving circulation and reducing inflammation. Like TENS therapy, electroanalgesia is a form of electrical stimulation therapy to help block pain signals and stimulate the release of endorphins. 

However, unlike TENS therapy, electroanalgesia delivers high-pulse currents that provide deep penetration and targeted relief. It’s much more effective than TENS therapy because electroanalgesia machines can deliver electrical currents at up to 10,000 pulses per second. Unlike TENS, electroanalgesia therapy can’t be used at home and is only administered by trained professionals.

IV Therapy

As part of our whole-person approach, we combine electroanalgesia with IV therapy. This specialized nutrient-replenishing treatment helps reduce inflammation and nerve damage. IV therapy delivers powerful, highly concentrated solutions filled with essential vitamins, minerals, and antioxidants directly into the bloodstream. This helps to reduce foot pain caused by inflammation or nerve damage and helps to speed up the healing process.

Lifestyle Counseling

Finally, we provide lifestyle counseling to help you make the necessary adjustments to ensure long-term foot pain relief. This includes providing advice on nutrition, exercise, and stress reduction techniques as well as providing guidance on how to care for your feet properly. By helping you make the necessary lifestyle adjustments, we can help to reduce and manage your foot pain over the long term.

Take A Step Towards A Pain-Free Life With Neuragenex

At Neuragenex, we specialize in providing effective, long-term relief from chronic foot pain. By combining electrical stimulation, IV therapy, and lifestyle counseling, we can help you appropriately manage your condition without relying on potentially addictive pain medications or invasive surgical procedures. So, if you’re suffering from foot pain and looking for long-term relief, contact Neuragenex today to take the first step to a life free of chronic foot pain.

Treating Shoulder Pain with Neurofunctional Pain Management

With a sometimes undeciphered origin, patients experience shoulder pain at a level and frequency that quickly becomes unmanageable. While shoulder pain can be a result of several factors, at times the diagnosis of shoulder pain is not what matters to patients, it’s an option to relieve it. There are times when patients experience a level of pain in their shoulders that causes them to only care about the treatment for the pain. However, effective treatment depends on diagnostics and knowing what the problem is. As we have discussed in many articles, there are often many possible options, and sometimes co-morbid causes of pain a patient is feeling. If a patient has not been diagnosed properly it could be that the treatment options being offered won’t be as effective. Knowing the origin of the pain is important otherwise it is possible that the treatment they undergo will not only be less effective but counteractive to their condition. Understanding and educating oneself on the origin of shoulder your pain and the treatment options that will help the most is the most important part of the process.

For decades, physicians have been tracking the prevalence of patients seeking shoulder treatment. As early as 2005, Dr. Caroline Mitchell and her associates found that, “[s]elf reported prevalence of shoulder pain is estimated to be between 16% and 26%; it is the third most common cause of musculoskeletal consultation in primary care, and approximately 1% of adults consult a general practitioner with new shoulder pain annually” (2005). With that in mind, patients can be sure that as they seek treatment, they will likely know someone else who has suffered from or is currently seeking treatment for their shoulder pain.

Patients in search of an origin to their shoulder pain will often be met with several results to scroll through online. Before patients attempt to self-diagnose the condition of their shoulder pain, it is recommended that they seek the opinion of a medical professional. But, for the sake of helping patients understand the most common causes of shoulder pain, we will cover the most general aspects of these conditions so that patients will not only feel more confident in the knowledge they’ve gained but be sure that the treatment they choose for their condition is right for them and their specific condition.

One of the most common causes of shoulder pain, especially for patients who have not suffered a serious injury, is simply that they may have slept on their shoulder at a bad angle. This is typically the case for patients who are overweight and experience the height of their shoulder pain in the morning. If patients can determine whether their shoulder pain is a result of poor positioning during sleep, it is unlikely they will need a medical intervention or extensive treatment. If this is the case, it is recommended that patients attempt to sleep on their back or stomach, attempt to diet and exercise (especially shoulder exercises), and stretch their shoulders before bedtime. Patients who are able to reduce their weight are less likely to experience shoulder pain in the morning because the reduced weight lends itself to relieving pressure on the shoulder joint.

In somewhat of a contrast to uncomfortable sleeping positions that contribute to shoulder pain is the overuse of the shoulder. Dr. Mitchell explains that, “[o]ccupations as diverse as construction work and hairdressing are associated with a higher risk of shoulder disorders. Physical factors such as lifting heavy loads, repetitive movements in awkward positions, and vibrations influence the level of symptoms and disability, and psychosocial factors are also important”. When patients have a typically strenuous occupation that requires them to do heavy lifting, if they have exercised their shoulders in excess, or if they have not properly stretched the shoulder tendons before lifting, it is very possible they will experience shoulder pain.

At times, those who have not experienced shoulder pain may not recognize the seriousness or life-altering conditions of shoulder pain, especially when life calls for the patient to be physically capable. Dr. Deborah L. Greenberg explains the life-altering aspects with the following: “Shoulder problems can significantly affect a patient’s ability to work and other activities of daily life such as driving, dressing, brushing hair, and even eating” (2014). If patients with shoulder pain are incapable of even dressing or eating, can we really expect them to work under strenuous conditions.

Not unlike shoulder pain as a result of poor sleep, shoulder pain as a result of overuse is largely self-correctable and treatable without medical intervention. If patients are experiencing a level of pain that is unbearable when lifting heavy objects at work or the gym, it is recommended that patients stretch and prepare themselves before lifting those objects. If patients ever feel that a load might be too much for their shoulders to handle, it is imperative that they stop what they are doing and ask for assistance. If the pain persists in an occupational setting, medical intervention may be necessary. However, this is not always true, as patients who have strenuous occupations will often and rightly seek occupations that they know their body will be able to handle. In the end, a good rule-of-thumb is to listen to your shoulders. Not listening to your body’s signals will often lead to injury and a stronger need for correction and extensive treatment.

The misuse of shoulders will eventually lead to heavy strain and, typically, a spraining of the shoulder that is the third most common type of shoulder pain. In the case of a shoulder sprain, medical intervention and diagnosis will be necessary. This is not to say that shoulder sprains are always a result of ignorance or persistence on the part of the patient but patients who do experience injury are often refusing to listen to the signals their shoulders are sending. However, the shoulder is complex and if the origin of pain is not clear, that is not at all surprising. As Dr. Greenberg explains, “‘[t]he shoulder’ consists of a complex array of bones, muscles, tendons, and nerves, making the cause of pain seem difficult to decipher. Shoulder pain can be caused by structures within the shoulder or can arise from problems external to the shoulder”. Because of the complex structure and operation of the shoulder, the cause of pain is not always clear.

Dr. Greenberg claims to have found the most common cause of shoulder-related injuries and states that, “[t]he rotator cuff provides stabilization to the glenohumeral joint and contributes to mobility and strength of the shoulder. Disease of the rotator cuff is the most common cause of shoulder pain seen in clinical practice”. If disease of the rotator cuff is the most common cause of shoulder pain seen in clinical practice, this means that patients who elect to seek diagnosis and treatment for shoulder pain have likely experienced the pain on a chronic basis. In contrast, patients who experience a sparingly low frequency of pain, say from bad sleep positioning or basic strain, are unlikely to seek treatment from a clinic.

Those who have been diagnosed with disease of the rotator cuff will be curious to know the risk factors associated with their diagnosis and the possible pathogenesis of the disease. Dr. Greenberg continues to explain that, “[t]he prevalence of rotator cuff disease increases with age, obesity, diabetes, and chronic diseases that affect the strength of the shoulder such as stroke”. With the common comorbidities in mind, patients can take the first step in addressing their rotator cuff disease. While there are some risk factors that cannot be changed, patients can take action for others. For example, while patients cannot necessarily reduce their age or stop aging altogether, they can address their weight and assess whether their weight is contributing to the pathogenesis of their rotator cuff disease.

Once patients understand the origin of their shoulder pain, whether it is a result of rotator cuff disease or an isolated irritation of the shoulder, they can start to seek out the most effective treatment options. Neurofunctional Pain Management with Neuragenex is quickly becoming one of the most effective options for shoulder pain as it is a non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic pain treatment program. Neurofunctional Pain Management uses a combination of high pulse electrical stimulation therapy and specialized nutritional hydration therapy to relieve pain and restore health. This category of pain management may quickly become the first step in the journey of chronic pain management due to the safety of the program. There will always be a place for drugs, surgeries, spinal injections, implants, and chiropractic care, however we believe that a genuine effort to relieve pain and restore health using the safe and effective protocols of Neurofunctional Pain Management should be the first option for patients. Given the choice of all the options available, patients and doctors would choose Neurofunctional Pain Management over all these other conventional options mentioned.

Neuragenex has created and pioneered the field of Neurofunctional Pain Management and has created a unique and proprietary treatment protocols that administers multiple aspects of therapy over the course of several weeks to treat chronic pain. Extensive diagnostics help to confirm the condition and to report success in the pain treatment effort and before and after blood work to report on the health restoration effort. The combination of high pulse electrical stimulation with concurrent IV hydration therapy is called Neuralgesia and works by sending high-pulse electrical stimulation to the affected region, depolarizing pain neurons and repairing damages vascular tissues and other tissues. When a patient experiences pain, it is a signal to the brain that something needs to be done, which triggers an inflammation cycle that also causes more pain. This is the pain/inflammation negative feedback loop that occurs with chronic pain conditions. Many medications and treatments are specifically designed to reduce inflammation in order to interrupt this negative feedback loop. However, even if a patient is unable to treat the condition on their own, the pain will continue to signal. As patients go through a course of Neurofunctional Pain Management treatment with Neuragenex, they may experience a very safe and effective version of interrupting this pain/inflammation cycle.

High pulse electrical stimulation interferes with pain signaling, eliminating the pain reporting cycle which in turn reduces the inflammation response. Specialized hydration therapy also reduces inflammation by hydrating the tissues and providing a dilution effect that helps to remove hydrogen ion concentrations in the inflamed tissues. These two therapies combined create a strong pain relief effect that may endure for a long period of time. All this while improving the overall health of patients will help create a longer pain relief effect than with just electrical therapy alone. The combination makes the treatment effective and since the entire process is safe for the vast majority of patients, it is an ideal first step in the process of pain relief. Ideally patients can get out of pain and back into a state of good health and effectively be able to return to functionality, improving quality of life.

Neuragenex intends to magnify quality of life as one of its core treatment models. This is a result of both pain relief and health restoration that improved the mental outlook of the patient’s chronic condition. Improved mental outlook is one of the greatest accomplishments in the process. If a patient can see a path to success their entire life can change for the better. Neuragenex is more than just pain relief, it’s pain relief, with health restoration and magnified quality of life through Neurofunctional Pain Management.

Fibromyalgia Pain Relief With Neurofunctional Pain Management

Fibromyalgia is another complex and misunderstood condition with many possible variations of symptoms and comorbidities, making it very difficult to treat. The fact remains that many doctors, patients, and the medical community as a whole have a difficult time understanding and working with this condition. It is therefore unsurprising to learn that many physicians can’t help but feel that the condition is fabricated and that it’s all in the mind of the patient.

This suggestion is not entirely untrue, and we will explore why later, but even if fibromyalgia originates in the psyche of a patient, it does not make the pain any less real. As we know in medicine, the mind is the most powerful medical tool we have. In the end, both patients and physicians want a treatment for fibromyalgia that addresses the pain and improves the quality of life for patients.

Understanding The Origins Of Fibromyalgia

Since the first cases of fibromyalgia were found, doctors have been scrambling to understand its origins, not only to determine a proper treatment but also to understand the patient’s experience. Doctors Christine Davis and Marian Gillard claim that “. . . [t]he symptoms of fibromyalgia can be misperceived because they are often visibly undetectable, thereby leaving persons with fibromyalgia exposed to others’ incorrect understanding of their experience and physical capabilities. Persons with fibromyalgia may experience stigma when nobody understands the condition or how it affects their daily occupations” (2022).

Unlike some conditions, such as osteoporosis or peripheral neuropathy, which have been the subject of years of research that has resulted in successful diagnosis and treatment options, fibromyalgia is relatively nascent in comparison. However, for many, fibromyalgia is still painful, and its treatment has not been unlike the treatment of other conditions. In fact, for some patients, treatment can be as simple as vitamin replenishment and supplementation to balance out the system. As we learn more about the gut biome connection with the brain, we may discover that many conditions will require a specialized probiotic treatment.

The Relation Of Vitamin D Deficiency And Fibromyalgia

In a 2022 study examining the role of vitamin D deficiency in fibromyalgia syndrome (FMS) and chronic musculoskeletal pain (CMP), Dr. Mauro Lombardo and his associates concluded that, “. . . vitamin D deficiency is frequently observed in FMS and CMP patients, and supplementation with vitamin D can be proposed to reduce musculoskeletal pain and improve the quality of life in vitamin D-deficient subjects with FMS and CMP” (2022).

While patients may be unable to explain the origin of their FMS and doctors may be unclear on how to diagnose the condition, one of the first steps is for doctors to suggest supplementing with vitamin D. This natural treatment for the condition is music to the ears of both patients and doctors, as they will be less likely to look into treatments with more unwanted side effects.

The Psychiatric Cause

Speculation about the psychiatric origin of this disability is not new, and behavioral health elements have been determined by some physicians to be the primary cause of its debilitating pain. Because the condition cannot be diagnosed by conventional clinical diagnostics, Dr. Bernstein concedes that “. . . it is possible that fibromyalgia is more psychiatric than musculoskeletal. . . patients have been encouraged to anchor their lives around their misery. Yet none of these factors makes fibromyalgia any less real”.

Dr. Bernstein’s claim that perhaps patients may be “encouraged” to center their lives around the pain suggests that the conditions of fibromyalgia are driven by psychosomatic factors, with psychosomatic meaning a physical manifestation of symptoms from mental or emotional distress. Physicians Fatmanur Kocak and Emine Eda Kurt have determined that, “ . . . [i]ndividuals with fibromyalgia often have comorbid anxiety, depression, and/or other pain syndromes” (2018).

These determinations suggest that some who suffer from fibromyalgia may wish to seek psychiatric attention. However, this does not change the fact that the patient is still in physical pain that needs to be addressed. The presence of depression and anxiety, which are causes of fibromyalgia, often detracts from physicians’ understanding of a physical manifestation of pain. 

Though it may be difficult to relate a mental or emotional origin to a physical manifestation of pain, physicians should be careful not to dismiss FMS as something made up or simply in the minds of their patients. Listening and working to understand a patient’s experience with fibromyalgia is the first step to making them feel comfortable discussing the condition, and more importantly, it is the first step in finding an effective treatment.

Diagnosing Fibromyalgia

For anyone who may still doubt the existence of fibromyalgia at all, it should be understood that the condition is very real. As a matter of clarification, the condition of FMS is recognized and has an entry in the 10th edition of The International Classification of Diseases, which is seen as one of the most reputable sources for the diagnosis of disability. 

For all intents and purposes, fibromyalgia is a legitimate condition and often results in debilitating pain for the affected patient. Those who claim they’ve experienced the pain of fibromyalgia and seek medical attention or treatment are often met with skepticism from their physicians or treatment centers, who have no clinical method of diagnosing the condition or finding the cause. And even though patients may feel foolish for suggesting they have a condition their physician may or may not understand, patients should be made aware of their physicians’ perspective.

The Pressure In Diagnosing The Condition

Dr. Bernstein sums up the experience of doctors when they encounter FMS with the following: “They leave us feeling ignorant because we do not understand them and feeling impotent because we cannot cure them. They hector us for notes certifying their disability without providing the usual signifiers of legitimacy” (2016). Although an understandable frustration mounts between doctor and patient, it is the physician’s responsibility to find an effective treatment that will alleviate the pain and treat the problem their patients are experiencing. The doctors experience pressure and the patients experience frustration.

The diagnosis of the cause is frustrating for physicians, and Bernstein also concedes that, “[w]e have to be open to the possibility [that] physicians can be part of the problem . . . perhaps we find ourselves on a pedestal of wisdom we do not deserve”. Either way, doctors must work with their patients to address the condition and work to understand it so that the stigma may lessen. At the same time, patients need to understand that little is known about what causes fibromyalgia. 

Most of the time, doctors who specialize in the treatment of pain conditions will examine the body for signs of a cause. If a physician can locate and diagnose a condition’s cause, they will know how to treat it. The issue with fibromyalgia is that there are no apparent physical signs for the cause of fibromyalgia. While there is no clinical method of diagnosing the physical cause of fibromyalgia, many have turned to finding a psychiatric cause for fibromyalgia.

Treating Fibromyalgia Pain

Fibromyalgia syndrome was not defined as a standalone condition with its own set of symptoms and causes until the 1970s. However, research on the treatments for this condition did not start to show promising results until the late 1980s. 

To this day, many doctors lack the knowledge of fibromyalgia diagnostic criteria necessary to identify the condition and provide patients with an adequate treatment program. 

As more and more is understood about the symptoms and impact of FMS on a patient’s life, healthcare providers are attempting to offer solutions that aim to address both the physical and mental health effects of this condition.

Some of the treatments that are commonly prescribed for fibromyalgia include the following:

  • Pain-relievers – Pain relievers are one of the most common treatments for fibromyalgia. They include over-the-counter medications and prescription drugs such as Tylenol and Ibuprofen. 
  • Anti-seizure medications – Antiepileptic drugs might be beneficial in reducing fibromyalgia symptoms and pain by interfering with the normal pain signaling between the brain and nerve endings. Pregabalin, an anticonvulsant, may be effective in reducing pain by 30% in half of the patients with fibromyalgia. 
  • Antidepressants – Antidepressants and muscle relaxants can ease nerve pain and physical discomfort deriving from fibromyalgia. These medications also promote better sleep and reduce mood disorders. 
  • Physical and occupational therapy – Physicians and occupational therapists can help you adjust your lifestyle to ease FMS pain and can train you to keep your muscles strong and flexible, which can counteract the pain that comes from fibromyalgia. 
  • Natural remedies – Therapies such as acupuncture, massages, meditation, yoga, exercise, and stress-management techniques might be beneficial in relaxing tense muscles and providing relief from fibromyalgia pain

While these lines of treatment might be efficient in the short term, they don’t come without side effects. For example, taking opioids and pain relievers over long periods of time can lead to dependency and addiction. On the other hand, antidepressants can affect all aspects of your life, from increasing fatigue to causing mood changes, digestive problems, and sleep disturbances. 

What’s more, it is important to consider that fibromyalgia is a lifelong condition that can worsen with age. Because of this, it is vital for patients to look for a treatment strategy that is sustainable in the long term and does not involve taking medications on a daily basis. That’s where Neurofunctional Pain Management can help. Let’s look at this approach in more depth below.

Neurofunctional Pain Management

While many treatments exist across the spectrum of painful conditions, not all can claim efficacy and lasting results. What’s worse, many patients go through a litany of side effects from treatment trials that they would rather not experience in addition to their fibromyalgia pain. This is where Neuragenex may be able to provide a treatment that is suitable to cover these concerns and treat the patient. Neuragenex created and pioneered the field of Neurofunctional Pain Management which uses a pain relief approach combined with a health restoration approach to treat pain.

Neurofunctional Pain Management uses a combination of high-pulse electrical stimulation, specialized hydration therapy with nutritional deficiency balancing, and a robust lifestyle counseling training program that can help patients stay out of pain while they continue to maintain better health. Neurofunctional Pain Management is a thorough and extensive treatment program that tackles pain at its source. With a condition like fibromyalgia, the pain can be debilitating, but patients can have confidence in understanding that treatment is more than just a pill, it’s a non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic pain treatment program. This brings a tremendous level of confidence to patients looking for treatment options.

Discover Effective Treatment For Pain Relief

Neuragenex has shaped the Neurofunctional Pain Management treatment model to effectively work for a wide range of pain conditions. Fibromyalgia is one of the many conditions that may be effectively treated by Neuragenex using our non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic approach to pain relief and health restoration. At Neuragenex, our mission is to relieve pain, restore health, and magnify the quality of life without medications, surgeries, or invasive procedures. Our vision is to be the first thought, the first choice, and the first step in the journey of chronic pain relief.

The Next Generation Of Treatment For Endometriosis Pain Management

Almost half of the women worldwide experience the conditions of endometriosis and a lot of them experience it as soon as early puberty. Even considering that this condition is common, most who experience the pain do not seek medical attention or look for treatment. 

For the most part, this is not due to patients not wanting treatment, but to a lack of treatment options in general. Because of the manner in which this condition develops and the early signs that manifest as endometriosis, women who experience its effects look to common and temporary relief for the pain, rather than seeking more effective and lasting treatment. 

Dr. Machairiotis emphasizes the urgency for effective treatment by explaining that, “. . . pain is one of the main symptoms of endometriosis and it has a deleterious effect on a patient’s personal and social life. To date, the clinical management of pain includes prolonged medication use and, in some cases, surgery, both of which are disruptive events for patients. Hence, there is an urgency for the development of a sufficient non-invasive medical treatment” (2021).

Relief from the pains of chronic endometriosis, although elusive, exists and can significantly improve the lives of women who understand and seek it out.  Knowing and understanding what your body is going through is the first step to seeking effective and lasting treatment– a next-generation treatment that can be found through Neuragenex.

What Is Endometriosis?

Endometriosis develops within women and can best be explained as tissue that should remain inside the uterus growing outside the uterus instead. As Dr. Teresa Gruber and Sylvia Mechsner explain, endometriosis (EM) “. . . is defined by endometrial tissue-like lesions that occur outside the uterine cavity. Primarily, the disease is described as ectopic lesions on the peritoneum of the internal genital organs (endometriosis genitalis externa)” (2021).

Specific causes are debated among the medical community, but it is generally assumed that endometriosis is caused by cell differentiation when a female reaches puberty. This cell differentiation causes the lining of the uterus to be developed on the outside.

During each menstrual cycle, the body is designed to break down this tissue and be released but because the tissue has been developed on the outside of the uterus, it has nowhere to go. 

Since it is unable to leave the body, the abnormal endometrial growth builds up, swells, and thickens with each menstrual cycle. This leads to severe complications such as widespread inflammation, cysts, scarring, and adhesions that bind reproductive organs together and prevent them from working properly. Ultimately, women with endometriosis are at greater risk of infertility, difficult bowel movements, pain during sex, and painful periods. 

Although a definitive cure for endometriosis remains elusive, there is a lot that patients can do to relieve their symptoms and restore their reproductive health. Below, we’ll explore what research says and how Neurofunctional Pain Management for endometriosis represents a valid, non-invasive, and non-pharmaceutical alternative to surgery or medication.

What The Research Says About Endometriosis

Endometriosis is a widespread condition that affects millions of women worldwide. And yet, despite how common this disorder is, 90% of people with endometriosis report being disbelieved or dismissed by doctors and loved ones. The existing stigma surrounding this condition – coupled with the fact that its symptoms are not immediately outwardly visible – has delayed the search for a definitive cure. 

Nonetheless, recent research is providing valuable insights into the causes, risk factors, and treatment options for endometriosis. Let’s look at this research in more detail below.

How A Patient’s Diet Is Connected To Endometriosis Pain

Dr. Mary Salliss and her associates summarize the experience of endometriosis as, “. . . a chronic, burdensome condition that is historically understudied” (2021). As far as the pathogenesis (or development) of endometriosis is concerned, the physicians continue to explain that the condition is “. . . influenced by estrogen metabolism and inflammation, which are modulated by several factors including the microbiome and the estrobolome (the collection of genes encoding estrogen-metabolizing enzymes in the gut microbiome). Therefore, there is increasing interest in understanding the role of microbiota in endometriosis etiology.”

To break this down, it should be understood that these doctors are specifically concentrating on the patient’s diet (microbiome) and how it can contribute to the increased/decreased pain (etiology) that patients experience. 

Also, note that chronic inflammation makes an appearance in this chronic pain condition. Chronic systemic inflammation is a common characteristic of pain conditions and chronic pain in general.

The doctors continue to suggest that, “[t]here is evidence that a dysbiotic [imbalanced] gut or genital microbiota is associated with multiple gynecologic conditions, with mounting data supporting an association between the microbiome and endometriosis and infertility. These microbiomes likely play a role in the gut-brain axis [pathway for communication between the gut and brain], which further supports a putative [reported] association with the spectrum of symptoms associated with endometriosis, including infertility . . .” 

In short, these physicians argue that a woman’s ability to maintain a healthy diet will greatly lessen the pain caused by endometriosis.

Why Endometriosis Is Hard To Diagnose

As one might imagine, the body would have an adverse reaction to being unable to release tissue that has broken down and is expected to release. This adverse reaction has even worse side effects when the tissue has grown into other organs surrounding the pelvic area and can cause severe complications and pain if not treated. However, most women who experience this pain do not recognize or differentiate it from the pain that is associated with a more common menstrual cycle. 

In a study conducted by doctors Milica Markovic and associates determined from a sample of Australian women that “diagnosis is not always straightforward, and women and health professionals alike may have difficulties recognizing period pain as a sign of anomaly, considering it instead as an inevitable part of menstruation” (2008). 

Because of the inevitable pain and discomfort associated with menstruation, many thousands of women do not seek diagnosis or treatment for endometriosis, making the condition much more unknown and elusive than other pain conditions.

Endometriosis is typically diagnosed based on the level of pain that a woman experiences during a menstrual cycle. Cramps that are worse than usual or an over-dependence on painkillers may signify that a doctor’s opinion is necessary. 

Women suffering from the effects of endometriosis should look for any signs of pain surrounding or involving the pelvic region, and this includes pain during intercourse, urination, and tension or severe cramping in the abdomen

Unfortunately, many women seek temporary solutions to the debilitating pain that do not ultimately have lasting effects, probably because they are unaware that they may even have endometriosis as a condition. 

Because of the lack of knowledge involving lasting treatment, many women settle with and accept the conditions they have and move forward without ever seeking help. However, there may be options that can help.

Available Conventional Treatments For Endometriosis

Endometriosis is a difficult condition to diagnose and treat and, in most cases, patients only obtain a detailed clinical picture when dealing with unexpected infertility. Additionally, endometriosis can manifest itself with a range of symptoms, which are not always correlated to the amount of endometrial growth present outside of the uterus. 

In simple terms, some patients can deal with severe lesions, excruciating pain, and inflammation arising from minimal endometrial growth; while others with advanced endometriosis have little to no symptoms. 

Depending on the nature of your condition and the extent of it, your healthcare provider may recommend a specific line of treatment to address your symptoms, ease pain, and remove the endometrial implants. Here’s what you need to know about the treatment options traditionally recommended.


Medications that aim to ease the pain deriving from endometriosis are often the first line of treatment recommended for this condition. It is important to note that most pharmaceutical treatments only aim to address the symptoms of endometriosis, but they don’t slow down the growth of endometrial implants outside the uterus. Additionally, each pharmaceutical treatment comes with significant downsides, including gastrointestinal ulcers, headaches, mood swings, and even addiction.

Here are some of the most common medications prescribed for endometriosis: 

  • NSAIDs: Non-steroidal anti-inflammatory drugs are affordable and accessible, and can be used to reduce the pain you experience during flare-ups. Although they represent a valid short-term treatment to manage your symptoms, taking NSAIDs chronically can increase your risk of addiction, stroke, heart attack, and stomach ulcers. What’s more, not all patients respond well to these drugs. 
  • Muscle Relaxants: Muscle relaxants are prescribed to relieve the tension and cramping of the pelvis muscles, which can occur due to inflammation and irritation. Without cramps, patients can experience a decrease in pain, better sleep quality, and less discomfort during bowel movements. 
  • Antidepressants: Antidepressants reduce pain by increasing the activity of the neurotransmitters in the spinal cord responsible for modulating pain signals. To see results from a pharmaceutical treatment based on antidepressants, you’ll need to take these medications daily for weeks at a time. However, when doing so, be sure to evaluate the side effects of this class of drugs, which include dizziness, sleep disturbances, and mood swings. 
  • Anticonvulsants: This class of drugs is used to prevent seizures, but it also has an inhibiting effect on the pain signals traveling from overactive nerves to the brain. Anticonvulsants like gabapentin and pregabalin may help in reducing endometriosis pain but, when taken regularly, they lead to nausea, weight gain, drowsiness, and fatigue.
  • Hormone Therapy: Endometrial implants that grow outside of the uterus are hormone-dependent, just like the endometrium inside the uterus is. So, each month, during the menstrual cycle luteal phase, the abnormal endometrial growth thickens and expands, worsening the severity of your endometriosis. Hormone therapy like birth control pills and GnRH drugs suppress the hormones involved with the menstrual cycle to prevent further endometrial growth.
  • Muscle Injections: Botox (Botulinum Toxin) injections into the pelvis muscles can cause these muscles to relax and prevent painful spasms and cramps. This may help you manage pain and limit distress when passing urine or stool.

Non-Surgical Interventions

Alongside medications, your healthcare provider may recommend non-surgical, conservative treatments that can help you manage pain and discomfort. Although these therapies are not equally efficient for every patient, they can help you improve your overall physical health and mental well-being. 

These therapies include 

  • Pelvic Floor Physical Therapy: Through techniques such as trigger point therapy, pelvic floor exercises (i.e.: Kegel exercise), and deep tissue massage, pelvic floor muscle physical therapy can help you improve the function, strength, and coordination of your pelvic muscles. This can prevent cramps and spasms, and ultimately ease the pain deriving from endometriosis. 
  • Cognitive Behavioral Therapy (CBT): Initially developed in the 1960s, CBT can be used to address the psychological distress associated with endometriosis. Through CBT, patients can ease the anxiety derived from their fear of pain and ultimately improve their condition.
  • Stress Management: Stress can significantly worsen your endometriosis symptoms. This is because high levels of stress are associated with high inflammation, which worsens the distress and pain you experience from thickening endometrial implants outside of the uterus. Additionally, stress increases fatigue and influences how you experience pain. Stress management techniques like yoga, meditation, and breathing exercises can help you manage your condition in your daily life.
  • Lifestyle Changes: Some habits such as caffeine intake, alcohol consumption, smoking, and limited physical activity may impact the synthesis of sex hormones. Positive lifestyle changes such as exercising regularly, reducing caffeine, and eating a nutritious diet can help you combat pain by decreasing inflammation, boosting blood circulation, and toning your muscles.


Given the side effects associated with this treatment option, surgery for endometriosis is only recommended when the condition is recalcitrant, severe, or not responding to other lines of treatment. Your doctor may also propose surgery as a valid alternative if the pain you are experiencing is life-limiting, disabling, or impacting your ability to work and have a social life. 

Known as laparoscopy, surgical interventions for endometriosis aim to remove portions of the endometrial implants that are growing outside of the uterus. This surgery is minimally invasive and may help slow down the progress of endometriosis, but 20% of patients require further treatment to manage their symptoms.

In more severe cases, you may need to undergo a hysterectomy to remove the uterus, cervix, or ovaries to ease pain and regain some of your pelvic function. This surgery is extremely invasive and irreversible, meaning that you’ll be permanently sterile.

Alternative-Medicine Strategies For Managing Endometriosis Pain

Some non-invasive treatment options based on alternative medicine may be used to manage the symptoms of endometriosis without medications or surgery. It is important to note that this approach isn’t always efficient. 

Some of the alternative treatments you may consider trying include: 

  • Gluten-free diets: Studies conducted in 2012 show that following a gluten-free diet for at least 12 months is associated with a significant decrease in endometriosis pain. This is because gluten can influence hormonal activity and increase inflammation. Make sure to consult a specialized dietitian before switching to this nutritional plan. 
  • Acupuncture: Acupuncture may relax tense muscles, ease stress, relieve pain, and trigger the release of the body’s natural painkillers, endorphins. According to a 2023 study, acupuncture can be used to shorten pain duration, relieve dysmenorrhea (painful menstruation), and improve overall quality of life. 
  • TENS: Transcutaneous electrical nerve stimulation (TENS) for endometriosis leverages mild pulses of electrical current that interfere with how pain signals travel to the brain. The pulses also stimulate blood circulation and trigger the production of feel-good hormones like endorphins.
  • Botox: Botox injections may be used to support muscle relaxation and ease the painful spasms and cramps often associated with endometriosis. The muscle-relaxing effects of Botox injections can last up to six months.

Home Remedies For Endometriosis Pain

Some home remedies can be used to ease endometriosis pain during flare-ups that can help you temporarily, especially during menstruation or other critical times of the month. The following home remedies may reduce stress, increase blood flow to the area, relax tense muscles, relieve spasms, and reduce inflammation:

  • Heat compresses
  • Pelvic massages
  • Rest 
  • Supplements with relaxing or anti-inflammatory properties, such as turmeric and chamomile
  • Light exercise 
  • Taking probiotics and prebiotics to improve gut health

Since some of these remedies may interact with medications or negatively influence your health, make sure to consult an expert before choosing this line of treatment.

Next Generation Neurofunctional Pain Management For Endometriosis

It should be a relief for patients to know that there are not only treatments for endometriosis, but that possible lasting and effective treatments can be found through Neuragenex and the use of Neurofunctional Pain Management treatment protocols. 

The way our brains interpret pain is meant to signal to us that something needs to be done. Pain signals have the purpose of driving us to seek treatment or to stop using or agitating the affected area altogether. 

With Neurofunctional Pain Management we are able to manage the pain signals that trigger the pain while treating the hydration and nutritional deficiencies of the patient, so pain is lessened over time.

Combined Electroanalgesia And Hydration Therapy

Neuragenex uses high pulse electrical stimulation to relieve chronic pain, combined with specialized hydration therapy to apply health restoration efforts to address the nutritional deficiency and restore health so that the pain relief effect will endure as long as possible. The combination of high-pulse electrical stimulation and specialized hydration therapy is called Neurofunctional Pain Management and is a proprietary treatment protocol offered exclusively by Neuragenex.

High pulse stimulation is the initial step in the process because it requires a high pulse frequency to deliver enough power to stimulate pain neurons in the tissues deep in the body that are causing endometriosis. The high pulse stimulation creates a depolarization effect that relieves pain. 

The specialized hydration component is accomplished with nutritional deficiency application to balance the needed vitamins and minerals that are deficient based on blood test results. 

Because there is never a one-size-fits-all solution for most pain conditions, Neuragenex performs thorough diagnostics so that the overall treatment is as effective as possible.

Lifestyle Counseling Education Program

In addition to Neurofunctional Pain Management treatment protocols, Neuragenex offers a robust and extensive lifestyle counseling education program that helps patients engage in a healthier lifestyle and ultimately produce the best possible pain relief duration.

Our goal is to educate patients who experience pain, offer treatment for that pain, and celebrate the results as patients return to living a manageable lifestyle. 

With these therapies combined, our objective is to create lasting therapeutic applications for relieving pain.

Take The First Step Toward Managing Endometriosis Pain

With Neurofunctional Pain Management treatment protocols, Neuragenex is poised to be one of the only treatment options available for such a difficult pain condition as endometriosis. There are few conventional treatment options for endometriosis, so being able to offer a full treatment program specifically for this condition makes Neuragenex a next-generation pain management program.

Our mission is to relieve pain, restore health, and magnify the quality of life without drugs, surgery, or invasive procedures while maintaining a treatment program that is non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic. Our vision is to be the first thought, first choice, and first step in your journey of chronic pain relief.

Treating Osteoporosis Pain With Neurofunctional Pain Management

Osteoporosis is diagnosed in over three million people every year and remains a major health concern for 54 million Americans

But despite how widespread this condition is, its “silent” nature makes it difficult to diagnose and treat. Indeed, besides living on a daily basis with osteoporosis pain, patients are often unable to self-diagnose the origin of their pain and typically get their self-diagnosis wrong.

In most cases, Osteoporosis pain typically presents as back pain, making it very difficult for a patient to know the cause. To make things worse, in addition to uncertain self-diagnoses, patients also must grapple with trusting their doctor’s diagnosis and their recommended treatments. 

Even for doctors, osteoporosis related pain can be a condition difficult to diagnose because of its several risk factors and symptoms. Having a thorough understanding of the causes and treatment options available for osteoporosis can help doctors ease the burden of this disease  – and support patients in their choice of therapy. 

In this guide, we’ll dive deep into the nature of osteoporosis and explore how neurofunctional pain management can provide a safe and natural alternative to traditional treatments.

Understanding The Damage Caused By Osteoporosis

The easiest way to understand the condition is to break down the parts of the word “osteoporosis”: osteo- meaning bone, and porosis- meaning filled with holes.

It might be hard to imagine a bone being filled with holes like a sponge because our bones appear smooth and relatively solid. However, the holes that riddle the bone are not on the surface but on the inside. 

Understandably, any structure would weaken if it were filled with holes. This is why many compare the condition of osteoporosis to termites and how they slowly weaken the wooden frame of a well-constructed house. 

Eventually, the termites wear the house down to the point where several other essential parts of a home are affected. Much like termites, osteoporosis is difficult to notice without proper and careful diagnosis.

Patients with osteoporosis, after knowing the structure of their bones and how it manifests underneath the surface of the bone, can begin to see why it is so difficult to diagnose osteoporosis related pain.

Why Osteoporosis And The Pain It Causes Are Hard To Diagnose

Today, the rates of untreated or undiagnosed osteoporosis cases are as high as ever. In a 2020 study, over 22% of women with postmenopausal osteoporosis did not receive treatment for their condition. On the other hand, while osteoporosis accounts for over 2 million broken bones in the US, over 80% of patients with fractures are not tested or treated for osteoporosis. 

Fortunately, thanks to recent advances in medicine, doctors and patients can now access new, more accurate diagnostic tools. 

However, understanding the risk factors and symptoms of osteoporosis should remain a priority for healthcare providers. In turn, this can help patients obtain a reliable diagnosis before they begin to suffer from fractures and pain. 

Here is an overview of the medical research available today on osteoporosis and osteoporosis pain. 

Low Screening Rates For Osteoporosis

According to a 2022 study, only around 20% of female participants were screened for osteoporosis within 2 years before a bone fracture, and only 20% of those screened received accurate treatment for their condition. 

Additionally, despite official recommendations by the U.S. Preventive Services Task Force, screening rates of osteoporosis remains low among eligible patients. These same patients are even less likely to be screened for low bone mineral density and increased risk of fracture closer to the time of fracture. Among women aged 65 to 79 (high-risk group), screening rates in primary care were as low as 12.8% in 2020.

The Use of Imaging Tools For Osteoporosis Screening

There are common risk factors that make osteoporosis much easier to identify.

In a 2018 study evaluating the prominence of osteoporosis and its developing diagnostic methods, Dr. Palak Choksi and his associates with the University of Michigan found that “[t]wo million osteoporosis fractures occur in the U.S. each year costing approximately $19 billion. 

Despite the medical and economic costs of fragility fractures, osteoporosis screening is often overlooked and viewed as a low priority. Dual-energy X-ray absorptiometry (DXA) was introduced in the mid-1980s as a rapid and safe imaging modality to estimate bone mineral density (BMD) and predict skeletal fracture risk. 

Up until the widespread use of DXA, patients at high fracture risk were not easily identified and effective osteoporosis medications were limited. Today, not only are DXA scanners utilized in hospital radiology departments, but they are also found at many physician group outpatient clinical practices” (2018). 

While patients might take comfort in knowing there is a technology (like the DXA scanner that measures bone density) for osteoporosis, they might also consider that they might not be identified before a DXA screening. In this case, most patients will either find out about their osteoporosis through general pain or a fracture.

Dr. Choski and his associates continue and attest to the impressive structure of the human bone by explaining that “[t]he determinants of bone strength are complex but can be divided into four basic components: size, shape, architecture and composition. Bone has a unique ability to coordinately adjust these traits. 

This results in a structure that is sufficiently stiff to resist habitual loads but minimizes mass, keeping the overall energy of movement to a minimum. The overall strength of a bone depends on the proportion of cortical and trabecular tissues, their morphologies and their material properties, and the interactions among these traits. 

An individual’s unique genetic program also contributes to bone strength; it is estimated that up to 70% of ultimate bone strength and structure is genetically determined”.

The “Silent Disease”: Why Are Osteoporosis Symptoms Hard to Diagnose

One of the factors that make osteoporosis so hard to diagnose is that patients are unable to notice its symptoms before they experience a bone fracture, which commonly takes place in the wrist, hip, or spine. 

Additionally, osteoporosis tends to be painless until a bone is broken. Once a fracture happens, the disease makes it harder to heal, which can lead to long-term pain. Beyond simple pain and discomfort, osteoporosis can also lead to a loss of height and a stooped or hunched posture, which is known as kyphosis (“dowager’s hump”).

The fact that symptoms tend to only appear after a broken bone, coupled with the low screening rates for bone density, causes patients to only receive an accurate diagnosis for their pain after a fracture.

Known Risk Factors For Osteoporosis

Having a clear understanding of which lifestyle and genetic factors lead to a heightened risk of osteoporosis is critical to choose an adequate disease management program. 

In particular, for patients who are at greater risk of declining bone density (such as women over 50) learning the root causes of this condition can prevent recurring fractures and their complications.

Today, the body of research agrees that the human bone will retain its strength based on a number of factors categorized by both risk and treatment. 

In addition to the contributors to bone strength mentioned by Dr. Choski, there are unfortunately several risk factors associated with osteoporosis. 

Some of these risk factors associated with bone density and strength may be mitigated by a change in lifestyle while others are immutable. 

For example, women over 50 are four times more likely than men of a similar age to develop osteoporosis Additionally, being older, having a small body frame, and holding a family history of low bone density can increase the risk of bone loss and fractures.

Nonetheless, there are many risk factors that can be changed and reduce the likelihood of diagnosis include diet, exercise, and sometimes a change in medications that might worsen the condition.

Let’s look at these factors in more detail below.

Common Risk Factors For Osteoporosis

It is common that patients who have a slight or small frame, are postmenopausal, and are over the age of sixty have a greater risk of being diagnosed with osteoporosis. It must be understood that patients who would otherwise seem healthy cannot change the immutable risk factors of age, frame, or sex. 

In a 2018 article summarizing the risk factors associated with osteoporosis, Dr. Farkhondeh Pouresmaeili determined that “[t]he genetics of osteoporosis represents one of the greatest challenges and the most active area of research in bone biology. It is well established that the variation in BMD is determined by our genes. 

Several candidate gene polymorphisms in relation to osteoporosis have been implicated as determinants of BMD . . . Osteoporosis is a challenging human disease. In spite of using various therapeutic approaches for the prevention or treatment of osteoporosis, their side effects are undeniable. 

Increasing our knowledge about the signaling pathways involved in bone remodeling will help us to design new therapeutic options for osteoporosis” (2018). Either way, as fixed risk factors such as age increase, the likelihood of diagnosis with osteoporosis increases.

Dietary Risk Factors

Since our bones are made up of porous tissues of calcium, the introduction of calcium vitamin D and magnesium to a patient’s diet early on is likely to decrease the risk of being diagnosed with osteoporosis. In the same way, making a change to a more active lifestyle will increase bone strength and density, also decreasing the likelihood of osteoporosis.

More specifically, our diet has a profound impact on the overall wellness and strength of the bones. Here are three of the main factors that can lead to osteoporosis among other complications:

  • Low Calcium Intake – Calcium is the principal component of the human body, and has the role of maintaining the bones strong, giving them shape, and managing a reservoir of minerals necessary for other body functions. Healthy calcium levels also support the contraction and expansion of blood vessels, thus influencing blood flow and muscle health. A significant calcium deficiency for long periods of time can reduce bone density and slow down the bone’s regeneration process, thus leading to an increased risk of fractures and osteoporosis. 
  • Eating Disorders – Patients with unaddressed eating disorders might be more prone to developing osteoporosis. This is because restricting calorie intake for long periods of time and being underweight can lead to severe nutritional deficiencies (i.e.: calcium and vitamin D), thus affecting bone strength. A 2019 study shows that 20-30% of patients with anorexia nervosa also had low bone density. 
  • Gastrointestinal Surgery – Although gastrointestinal surgery does not directly cause nutritional deficiencies, it can interfere with how the body absorbs and metabolizes nutrients. This happens because some gastrointestinal surgical procedures involve the removal of a part of the stomach, which reduces the size of the intestinal surface in charge of absorbing nutrients.

Hormone-Related Risk Factors

Hormones and hormonal changes can have a significant impact on bone density and bone health. Because of this, low bone density and osteoporosis are more likely in people that have too much or too little of one or more hormones. 

  • Sex Hormones – Changes in the levels of sex hormones, such as estrogen and testosterone, can impact bone density. In women, menopause represents the major risk factor for developing osteoporosis. This is because estrogen plays a role in slowing down the natural breakdown of the bone to release minerals (bone resorption). When estrogen levels drop in menopause, bones begin to break down much faster than they regenerate. Similarly, testosterone deficiency in men (which might be caused by certain medications for prostate cancer) can decrease bone mineral density.
  • Thyroid Disorders – The thyroid covers an important role in all metabolic processes in the human body, including setting the rate at which the old bone tissue is replaced by a new one. In the case of an overactive thyroid, too much thyroxine (the thyroid hormone) is produced. In turn, thyroxine speeds up the rate of bone loss. This can also happen in people taking medications to manage an underactive thyroid. 
  • Gland Overactivity – Dysfunction of other hormone-producing glands or problems affecting the endocrine system can also lead to faster bone loss. In particular, overactive pituitary, parathyroid, and adrenal glands  – which produce hormones in charge of regulating growth and metabolism  – can lead to low bone density. 

Medication Use

Some medications and pharmaceutical therapies can have an adverse effect on bone density and speed up the rate at which bones break down, especially in older age. In particular, patients should be aware of the impact of the following treatments on their musculoskeletal system:

  • Long-Term Steroid Use – High doses of steroids (such as taking prednisone at doses of 7.5 mg per day or more) over a long period of time can have a negative effect on bone health. These medications alter how the body absorbs calcium and vitamin D, as well as how fast these nutrients are used. In turn, this can cause bones to break down more rapidly. Cortisone-induced osteoporosis occurs in 30-50% of patients taking glucocorticoid (a type of steroid hormone). 
  • Seizure Medication – High doses of anti-epileptic drugs can increase the body’s production of certain enzymes, which speed up the rate at which the body uses and destroys Vitamin D. In turn, Vitamin D deficiencies interfere with how calcium is absorbed, thus leading to bone loss. 
  • Gastric Reflux Medication – Medicines used to ease gastroesophageal reflux disease (which are called proton pump inhibitors) may cause a decline in bone density. This is because these medications reduce the amount of stomach acid produced by glands in the stomach lining, which has been seen to facilitate calcium absorption
  • Cancer Drugs – Chemotherapy and exposure to radiation can have multiple effects on bone health. In women, chemotherapy can drop estrogen levels, which can lead to early menopause and increase the risk of osteoporosis. Additionally, cancer treatments might trigger a process known as cellular senescence (permanent cell growth arrest) which might impact bone density. Lastly, drugs such as doxorubicin and cisplatin can reduce calcium levels in the body. 
  • Anti-Transplant Rejection Medication – These medications are administered to prevent a patient’s body from rejecting an implanted organ, and they act as immunosuppressants. Although not all anti-transplant rejection medications cause bone weakness, some (such as prednisone and tacrolimus) can increase the rate at which bone tissue is lost.. 

Other Medical Conditions

Some medical conditions can affect the rate at which bone tissue is replaced, speed up bone loss, and impact how the body absorbs calcium. In particular, you might be at greater risk of developing osteoporosis if you have one of the following medical conditions: 

  • Celiac Disease – In people with celiac disease, the body responds to food containing gluten by attacking the small intestine’s lining. In turn, a damaged stomach lining can negatively impact how the body absorbs calcium and Vitamin B among other nutrients. This can lead to nutritional deficiencies as well as osteoporosis. A 2016 study showed that nearly 30% of people with celiac disease had osteoporosis, and an additional 56% had osteopenia (low bone density). 
  • Inflammatory Bowel Disease – Patients with inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis have a higher risk of osteoporosis. This is because these diseases damage the lining of the intestine and prevent the body from absorbing nutrients that are essential for bone health, such as calcium and Vitamin D.  
  • Kidney/Liver Disease – The kidney and liver play a significant role in several metabolic processes, including how nutrients like calcium are absorbed and how toxins are processed. Kidney or liver disease also impacts the rate at which bones are formed and boosts the levels of phosphorus in the body, which are associated with lower levels of calcium. Around 30% of people with chronic liver disease also have osteoporosis. 
  • Cancer – Besides the detrimental effect of chemotherapy on the musculoskeletal system, cancer cells alone can weaken the bone and make patients more prone to fractures. This is especially true in the case of types of cancer that are likely to spread to bone structures, such as breast and prostate cancer. 
  • Multiple myeloma – Multiple Myeloma refers to a type of cancer that affects the plasma cells in the bone marrow. Myeloma speeds up the rate at which bones break down, while also reducing the speed at which the body can regenerate lost tissue. This can lead to thinning of the bones and lytic lesions (holes in the bone structure), which can make fractures far more likely. 
  • Rheumatoid Arthritis – Directly, arthritis can lead to loss of bone tissue in the area surrounding the affected joint. Indirectly, this disease can cause osteoporosis because of the therapies recommended to ease pain (usually steroids) and due to the fact that it encourages a more sedentary lifestyle. 

Lifestyle Choices

Although some factors leading to osteoporosis are out of control for patients (i.e., genetics), some lifestyle factors can be managed to reduce the risk of losing bone mass density. Here is what patients should be aware of:

  • Sedentary LifestyleRegular exercise and weight-bearing are essential for bones to remain healthy. Physical activity stimulates bone regeneration and slows down the bone’s aging process. In turn, leading a sedentary lifestyle can speed up bone loss and increase the risk of fractures. 
  • Excessive Alcohol Consumption – Consuming alcohol excessively can impact how the intestine absorbs calcium, and negatively influence how the pancreas and the liver metabolize vitamin D. Combined, these effects reduce bone density and increase the risk of osteoporosis. 
  • Smoking And Tobacco Use – Nicotine has a cascade of negative effects on bone health. Firstly, smoking tobacco can reduce the supply of blood – and, in turn, of nutrients and oxygen – to bones. Additionally, nicotine inhibits the production of bone-regenerating cells and impacts how calcium is absorbed. Over long periods of time, this can lead to osteoporosis and reduced bone density.

Is Osteoporosis Treatable?

Osteoporosis is considered to be the least resolvable condition and is widely known to be incurable. However, there are many treatments and actions that can be taken to mitigate the onset and progression of osteoporosis so patients living with the condition every day and in fear of damaging their fragile bones have at least a few options available.

Regardless of the risk factors associated with osteoporosis, diagnosis is often tricky and commonly missed before bone fractures occur. Patients who do not wish to wait for a fracture to learn of their diagnosis and treatment options may find value in learning and recognizing signs of osteoporosis. 

These early signs might be better recognized by examining family history with osteoporosis, acknowledging prescribed medications that might contribute to loss of bone density, and testing balance or noticing loss of posture. 

In the meantime, while pain from osteoporosis can be a persistent problem, there are safe and effective options that can treat this pain.

The Healthcare Costs Of Treating Osteoporosis

Because of the consequences of osteoporosis, it is difficult to quantify the impact that this condition has on the healthcare system on a national and global scale. 

However, fractures due to weak bones cost the US healthcare system $10 to $17 billion each year. When taking into account the cumulative burden of osteoporosis in the US, Canada, and Europe, this figure can reach a whopping $5000 to $6500 billion. For patients, the impact of a fracture on their annual medical cost is as high as $8,600. 

To have a better picture of the impact of bone conditions nationally and worldwide, it is also important to consider that those patients with osteoporosis who did not experience a fracture still incurred medical costs as high as $500 per person. This translates into a cost of over $2 billion nationwide. 

But not the full impact of osteoporosis is quantifiable. Indeed, fractures and pain can lead to a significant loss of productivity, higher rates of disability, lost wages, and significant mental health implications.

At a glance, these figures show that efforts to strengthen bones have multiple benefits. Strengthening bones and preventing osteoporosis reduces the fear of fracture for patients, allowing patients to be more comfortable being active. 

It improves quality of life by reducing pain associated with osteoporosis by not having to endure hospital visits, and it reduces overall healthcare costs.

A Better Treatment Alternative For Pain From Osteoporosis

Neuragenex has pioneered the field of Neurofunctional Pain Management which offers a safe and effective way to reduce pain.

Why We Use The Neurofunctional Approach For Osteoporosis

Pain is a nervous system condition, with pain neurons referring pain to the brain and the brain interpreting that pain and creating inflammation responses. It’s a feedback loop that is supposed to be a healing mechanism for short term injuries but is destructive with long-term chronic problems. 

If there is no healing occurring then it simply becomes a negative feedback loop with the pain neurons and the brain reacting to that pain and triggering inflammation which causes more pain, and the cycle continues. 

Neurofunctional Pain Management is an effort to relieve pain while also restoring health so that the conditions causing chronic pain can be resolved as much as possible in the effort to relieve overall pain from osteoporosis.

How Neurofunctional Pain Management Works

Neurofunctional Pain Management is the next generation in pain management with an emphasis on safe and effective pain treatments that are supported by health restoration. 

Neurofunctional Pain Management uses a combination of high-pulse electric stimulation that works to depolarize pain neurons associated with reporting pain, a process called sustained depolarization. This method of pain relief is effective when performed on a regular basis over a period of time. 

We combine this treatment with specialized nutritional hydration therapy which can help to restore health in general. Any degree of health restoration will help maintain the pain relief effect. 

In addition to pain neuron depolarization, high pulse electrical stimulation stimulated smooth muscle vascular tissue, effectively stimulating repair and regeneration of vascular tissues like blood vessels and capillaries in the bones themselves. 

This stimulation does not directly treat or cure the condition of osteoporosis, but it does assist with stimulation of vascular blood flow in those areas which helps everything in the process. 

Neurofunctional Pain Management treatments typically last for one hour twice a week to create the ongoing pain relief effect required for long-term pain relief. Patients who stick with their treatment plan may be able to experience long-term pain relief and a degree of health restoration that can help the pain relief effect last longer.

Get The Right Treatment For Your Pain

For many, a bone fracture or a diagnosis of osteoporosis equals a life tied to pain-killing medications, steroids, and hormone treatments. However, these are no longer the only options available to restore your bone health, prevent complications, boost your overall quality of life, and live a life free of medications and pain.

And, our mission at Neuragenex is to make these alternatives available to each and every patient. Thanks to our proprietary Neurofunctional Pain Management approach, we strive to relieve pain, restore health, and magnify the quality of life without drugs, surgery, or invasive procedures. After a patient has experienced pain relief and their health has improved, their outlook on life is often better and brighter. Magnifying quality of life is the pinnacle of our efforts.


Craniosacral Treatment For Chronic Pain: Neurofunctional Pain Management

When patients have back pain that has been chronic and spreads across the length of the back, it is often difficult for those patients to determine its origin. For many patients with chronic pain that worsens over the years, it may seem practically impossible for a doctor to diagnose their condition and its cause. It is even less likely for patients to have a successful self-diagnosis. This is because back pain that travels along the length of the spine is not as easily diagnosed, nor can it always be pinpointed to a previous injury or condition.

Conditions of pain that are isolated to a specific portion of the back are typically due to an injury, but what should patients do if they cannot specify the event in which an injury occurred or if they have no recollected diagnosis of a back pain condition?

Unfortunately, the confusion surrounding general back pain is not only due to the inability to detect the cause, but it also reflects the early stages of research into craniosacral pain. One of the most common and least understood conditions of pain stems from the craniosacral system– a system of nerves that many don’t realize are connected to a wide variety of pain conditions.

So, what is the craniosacral system? How does it relate to physically painful conditions? What are some treatment methods for pain related to the craniosacral system?

In this guide, we’ll cover all you need to know about the craniosacral system and look at how craniosacral therapy (CST) can help your chronic pain

Understanding The Craniosacral System And Regulating Pain

The craniosacral system is only recently understood and its relevance to other various forms and conditions of pain has recently come to the forefront in the search for pain treatment. 

Other, more familiar, systems in the body– like the cardiovascular or respiratory system– have centuries of research to back up our understanding of their function and maintenance in the body. However, all of these systems, including the craniosacral system, deserve a high level of attention and study if we are to understand the primary causes and adjustment of pain.

Each system plays a role in the maintenance and regulation of the body on a constant basis, but the maintenance and regulation of pain are entirely dependent on the craniosacral system.

A study examining the prevalence of craniosacral pain asserts that, “[c]hronic pain disorders are the leading global cause of disability and are still increasing in prevalence. Low back and neck pain, headache and migraine considerably affect all age groups from the beginning of adolescence to middle-aged and older adults. The often limited effects and potential side effects of pharmacological treatments for chronic musculoskeletal pain conditions may be reasons why patients frequently use complementary therapies” (2020).

With craniosacral difficulties leading not only to general back pain but headaches and migraines, one can begin to understand why our comprehension of the craniosacral system is crucial to mitigating its painful conditions. So, what is the craniosacral system?

How The Craniosacral System Communicates Pain Signals

We can imagine the craniosacral system as a highway that extends from the base of the skull (cranio, or cranium) to the bottom vertebra of the spine (sacral, or sacrum).

Simply put, the system consists of the entirety of the spine, so it should not be surprising to find a growing number of pain conditions attributable to the craniosacral system.

This highway of nerves is a major part of our central nervous system (CNS) and branches out into other roads and paths of nerves that extend to our peripheral nervous system at the ends of our fingers and toes.

Every instance of pain is tied to our CNS and the CNS is how the pain we feel is communicated to our brain. If we feel pain in our hands, the CNS sends a message of pain to our brain so that we recognize the problem and seek treatment.

However, even though the signals run along the craniosacral system, this does not mean that we will feel the pain travel from our hand to our spine, and finally our brain.

The brain recognizes the affected nerve endings, and the pain is localized to the affected areas. For this reason, we should not always assume that every pain condition is related to the craniosacral system.

Common Cause

One of the most basic causes of craniosacral pain is what researchers are calling “malalignment”. Malalignment in the sacral region is common among more sedentary lifestyles with a lot of sitting.

If you think of the sacral bone as a three-dimensional bone being supported by tension pulling it in all directions, you can visualize that the sacrum can get turned and twisted in a variety of ways that agitate and pull or pinch nerves all around the region.

Sacral torsion is a term you may hear to refer to this concept. In some cases, a torsion is so visible that you can see a corner of the sacral bone pushing out of the back, forming a lump on the low back when a patient bends over and stretches the area. If you see or feel a lump pushing out on one of the four corners of the sacral bone that would be an example of a malalignment that can cause craniosacral chronic back pain.

Dr. Ghasemi Cobra and his associates explain that malalignment, “. . . in the pelvic and spinal column disturbs the balance and decreases the postural control ability. Malalignment is known as one of the main causes of back pain particularly the nonspecific chronic low back pain” (2020). Craniosacral pain is certainly what patients would refer to as “nonspecific” and as was mentioned previously, this nonspecificity leads to difficulty in diagnosing the cause. However, as Dr. Cobra and his associates conclude, malalignment may be one of the largest contributing factors to craniosacral pain.

The physicians go on to suggest that “[m]alalignment in the pelvic and spinal column regions exists in 90–80% of the adult population. Malalignment leads to asymmetry in bones and joints in the pelvis, trunk, and limbs and affects the muscles and lower limbs and disturbs the balance and decreases the postural control ability. It is known as an early and significant cause or an exacerbating factor in 50–60% of people suffering from back pain, particularly the nonspecific chronic low back pain (NSCLBP) which is the most common form of low back pain”.

With most of the adult population suffering from malalignment of the spinal column, is it any wonder that patients experience indecipherable back pain? Is it any wonder that research into craniosacral pain has increased exponentially?

Conditions Related To Problems With The Craniosacral System

Along with malalignment leading to the imbalance and asymmetry of other bones, joints, and limbs, it will typically lead to other conditions related to craniosacral pain. These conditions include and are certainly not limited to:

  • Fibromyalgia
  • Migraines
  • Multiple Sclerosis
  • Insomnia
  • General Neck Pain

While these are the most common conditions related to the craniosacral system, the list is seemingly endless. As was previously mentioned, and because we are learning more about the craniosacral system every day, many will falsely attribute their pain or medical condition to the craniosacral system when their condition requires treatment which is entirely unrelated.

This is why craniosacral treatment should focus on the affected area between the base of the skull and the base of the spine.

A Quick Note On Malalignment And Chronic Craniosacral Back Pain

Many non-physician providers will attempt to treat craniosacral back pain with spinal adjustments such as chiropractic adjustments and special stretching and massage. These techniques may help, but in most cases, they provide temporary relief.

Many patients suffering from these conditions describe having to seek these treatments continually. One patient described it as an endless cycle of chiropractic appointments with no other option but to keep coming in. What’s worse is that the pain relief doesn’t always last very long. Stretches and massage also help, but these are similar scenarios of temporary relief and the requirement for repeated patient participation.

Is it any wonder that these service providers are quick to diagnose craniosacral pain as the problem because the only current treatment is an ongoing cycle of adjustments and massage? Patients may be fine with this for a while, but ultimately, they will want some sort of relief that lasts.

Neurofunctional Pain Management As A Treatment Protocol

When pain travels along the spine like this, and splits off into various parts of the body, it can seem almost impossible to find a treatment that can both target and mitigate the pain. Neuragenex has developed the field of Neurofunctional Pain Management as a treatment for chronic pain conditions of all kinds.

Neurofunctional Pain Management is a treatment protocol that utilizes external high pulse electrical stimulation and specialized hydration therapy to relieve pain and restore health to a point where patients can get back to an active lifestyle and be motivated to engage in healthier lifestyles and activities, which will magnify the patient’s quality of life.

Benefits Of Craniosacral Treatment

Patients with craniosacral pain can be treated across the entire spine from top to bottom using high-pulse electrical stimulation. This treatment creates a sustained depolarization effect that relieves pain for a prolonged period of time. Nutritional hydration therapy helps restore health and reduce inflammation that may be exacerbating the pain condition.

Also, it’s perfectly fine to continue to receive adjustments and massages from non-physician providers while going through a course of treatment with Neuragenex.

Combined, these therapies make up a whole-person approach that can offer endless benefits, including easing pain, improving posture, and laying the foundations of long-term health.

In the sections below, we’ll look at how craniosacral therapy and Neurofunctional Pain Management can help you combat chronic pain.

Improved Postural Alignment

Craniosacral treatment programs aim to restore the natural flow and rhythm of the cerebrospinal fluid (the fluid that flows around the brain and the spinal cord). To do so, this type of therapy looks at blockages and malalignments that may occur between the bones of the cranium or along the spine.

Craniosacral treatment – used as part of a more comprehensive Neurofunctional Pain Management treatment protocol – can resolve these malalignments and improve the overall function of the spine. In turn, this can improve your posture and gait, which translates into improved spinal function, greater mobility, reduced risk of injury and falls, and ultimately, less pain.

Reducing Restrictions Throughout The Body

According to a 2009 study, the rhythmic flow of the cerebrospinal fluid around the skull and the spine is considered to be the body’s third circulatory system. Although this system isn’t as well-researched as the cardiovascular and lymphatic systems, it is believed to play a role in disorders such as restricted respiratory function, vertebral subluxation syndrome, and mechanical disorders of the nervous system.

Through an ad hoc craniosacral treatment program, a specialist will be able to remove blockages that are hindering the circulation of the cerebrospinal fluid. Removing these blockages restores the normal flow of the cerebrospinal fluid and prevents conditions that may aggravate your chronic pain, such as respiratory conditions, fibromyalgia, and stress.

According to a 2007 study, craniosacral therapies can help in the management of asthma, when used alongside a more comprehensive treatment program.

Calming The Nervous System

Practitioners who specialize in restoring the rhythmic flow of the cerebrospinal fluid around your head and spine will use hands-on techniques to assess and restore imbalances in the craniosacral system.

Using light touch (no more than 5 grams of pressure), practitioners will be able to remove blockages and ensure that the cerebrospinal fluid can move freely around the central nervous system.

This can balance components of the craniosacral system such as nerves, fluids, connective tissues, and bones. The restored balance ensures that mechanical systems work as they should, that loads and weight are evenly distributed by the spine, and that the nervous system carries signals to the brain appropriately.

As a result, craniosacral therapies can relieve tension in the central nervous system and prevent other components of the craniosacral system from being overloaded.

Providing Stress Relief

High stress levels play a significant role in making pain feel more intense. This is because sustained high levels of stress can cause your muscles to become tense and spasms. Additionally, stress is associated with an increase in the cortisol hormone throughout the body, which can have pro-inflammatory effects.

Ultimately, craniosacral therapies may help you relieve pain by offering stress relief benefits. During craniosacral treatment sessions, a specialist will use a light touch to relieve compression in the neck, head, and spine.

These therapies also calm the central nervous system while activating the parasympathetic nervous system, which is the component of your nervous system responsible for rest, relaxation, and reducing bodily functions when needed.

Overall Sense Of Wellbeing

Craniosacral therapy has been seen to help relieve tension in the membranes surrounding the skull and the spine (known as the Fascia), realign the spine’s components, improve posture, and calm the central nervous system. This translates into an overall sense of well-being, which you can enjoy after each session.

What’s more, a 2011 study shows that craniosacral therapy can ease depression and anxiety, and boost the quality of life of patients affected by chronic pain conditions such as fibromyalgia.

Get Lifetime Relief From Craniosacral Pain Without Surgery Or Drugs

If you have been battling chronic back pain, and obtaining an accurate diagnosis for your pain seems to be a distant dream, craniosacral therapy may help. Used as part of a more comprehensive, whole-person Neurofunctional Pain Management protocol, this therapy can address imbalances and tension that may be aggravating your pain – without medications or surgery!

The mission of Neuragenex is to relieve pain, restore health, and magnify quality of life without drugs, surgery, or invasive procedures. Our vision is to be the first thought, first choice, and first step in the journey of chronic pain relief.

Treating Plantar Fasciitis Pain With Neurofunctional Pain Management

Plantar fasciitis is one of those conditions that you don’t usually hear much about until you or someone you know develops it themselves. It’s very painful and debilitating because the pain in your feet makes it nearly impossible to get around normally and handle the daily activities of life. 

Since most patients are unfamiliar with it, they are likely lacking the vital information they need to seek the proper treatment. 

Simply put, plantar fasciitis is inflammation of the muscle bodies on the bottom of the foot, so imagine that when you walk, your entire weight is stepping down onto this bed of muscle bodies and stretches out and contracts for you to walk. There is a significant opportunity for any sort of inflammation or injury in this area to create compounded problems. 

When a patient has experienced plantar fasciitis pain and learns how to handle it and educate themselves on their condition, they are more likely to seek and apply effective treatment for the pain. 

While patients may not fully grasp the original cause of their pain or have the ability to mitigate the risk factors associated with plantar fasciitis, the fight for manageable pain levels begins with a patient’s willingness to be proactive. Armed with the appropriate knowledge, patients can tackle the condition with alacrity and hope for a future of improved quality of life.

Understanding Plantar Fasciitis

Plantar fasciitis is a painful foot condition that accounts for over 600,000 visits to primary and specialist care clinics in America, making it one of the leading causes of foot and heel pain. Also known as plantar heel pain (PHP), this condition exhibits itself on the bottom of the foot between the arch and the heel in the cords of tissue known as the fascia. This part of your foot is intended to hold the weight of your body and flex to absorb the shock from stepping and standing. 

You can think of the fascia as the built-in bridge that connects your heel to your toes and facilitates movement and communication along the bottom of your foot.

When it comes to understanding the nature and causes of plantar fasciitis, it is important to start by clarifying that, just like most other conditions that have the suffix -itis in their name, this is an inflammatory condition. 

It arises when the fascia becomes inflamed, irritated, or damaged, and can lead to severe pain, changes in the gait, and reduced foot mobility. Although most plantar fasciitis cases resolve by themselves with lifestyle modifications within a year, this condition can lead to complications such as structural changes in the foot and the degeneration of the connective tissue in the fascia (plantar fasciopathy). 

Plantar fasciitis can affect anyone at any age, but it often arises as a consequence of excessive stress and tension on the fascia, which can be caused by repeated forceful movements (i.e.: running), a sedentary lifestyle, obesity, improper footwear, or aging. 

Let’s look at the symptoms and risk factors for plantar fasciitis in more detail below.

Symptoms Of Plantar Fasciitis Pain

Since plantar fasciitis develops gradually over time, the first symptom that you may notice is mild discomfort. However, as inflammation worsens, the painful sensations may become chronic, stabbing, or burning pain that spreads from the arch of the foot to the top of the foot and heel.

Most patients with plantar fasciitis will notice that the pain will manifest in the morning when they first stand and have been walking or standing for long periods.

Besides pain, other symptoms of plantar fasciitis include the following:

  • Stiffness and swelling: The build-up of fluids and increased blood flow to the damaged area are normal aspects of the body’s inflammatory response. However, in the case of inflammatory conditions, the swelling is sustained over long periods of time. In turn, swelling around the foot and ankle area can lead to stiffness or the inability to move your foot properly. 
  • Tight Achilles tendon: If you have plantar fasciitis, you may notice sensations of tightness in the Achilles tendon, which attaches to the plantar fascia. An inflamed fascia will cause you to change your foot mechanics and gait to avoid pain, which may put excessive stress on the Achilles tendon. When this happens, you may start suffering from a tight Achilles tendon and, in severe cases, from a secondary Achilles tendinitis (inflammation of the Achilles tendon). 
  • Reduced foot mobility: If your foot’s fascia is tight, inflamed, or stiff, you may have trouble moving your foot properly. Movements such as lifting your toes or climbing stairs can become difficult or painful. 

If left unaddressed, plantar fasciitis may also lead to a cascade of complications. Firstly, sustained or chronic inflammation may cause permanent damage to the connective tissue in the fascia. Additionally, changes in the way you walk to compensate for the pain can cause you to develop foot deformities such as heel spurs.

Physicians Explain The Causes Of Plantar Fasciitis

The cause of this pain has been attributed to inactivity, as well as excess activity– another reason why plantar fasciitis is one of the least understood conditions of pain. 

Many physicians, such as Dr. Lindsey Luffy, explain in the most basic terms that, “[p]lantar fasciitis is a degeneration of the plantar fascia as a result of repetitive microtears of the fascia that lead to an inflammatory reaction, and is not a primary inflammatory process that most believe it to be” (2018)

However, Dr. Luffy goes on to state that, “[t]he cause of plantar fasciitis is unknown but is believed to be multifactorial, with abnormal biomechanics and delayed healing as likely contributors”. The “abnormal biomechanics” Dr. Luffy mentions specifically refers to the use of the fascia that is likely to lead to wearing down the cords of tissue. 

For example, if a patient suffers from chronic gout or has experienced ankle injuries that cause them to walk in an abnormal way, the likelihood of developing plantar fasciitis increases. Along with “abnormal biomechanics”, Dr. Lindsey refers to “delayed healing” which is a cause of plantar fasciitis on which patients can likely have a direct impact. 

As mentioned before, when patients educate themselves on the condition of plantar fasciitis, they are more likely to be proactive and seek treatment early on. When intervention is early and intentional, the progression of the condition is greatly decreased.

As was mentioned previously, patients who experience pathogenesis of plantar fasciitis have likely seen it develop due to abnormal biomechanics that are themselves a result of another painful condition or injury. 

Patients suffering from these conditions and subsequent plantar fasciitis will often ask themselves how much their feet can handle before experiencing pain and whether it would be better to stay off their feet altogether. 

Unfortunately, those who stay off their feet to avoid the pain know that the moment they stand, the pain will come searing back. Even when patients understand the cause or development of their plantar fasciitis, they often feel frustrated at their inability to move and be physically proactive. 

Over time, the demands of daily life will necessitate the use of a patient’s feet and the constant stretching of the fascia will further inflame and irritate the condition of plantar fasciitis. So, what are patients with developed plantar fasciitis to do?

Managing Risks Associated With Plantar Fasciitis: Awareness Is The Key

The solution to addressing developed plantar fasciitis goes back to education. With further education in mind, the risk factors must be explained in order for patients to seek effective treatment. 

Once the risk factors for plantar fasciitis have been assessed, it is likely that patients will find they can reduce the likelihood of experiencing plantar fasciitis pain by managing their risk factors where possible.

Below, we’ll look at the main risk factors for plantar fasciitis and how to manage them.

First Risk: Age

Because plantar fasciitis should be understood as a degenerative tissue condition, the most common risk factor, as is common with most conditions related to pain, is age.

Age is primarily a risk factor for plantar fasciitis because the fascia’s nature wears down over time.

A lifetime of walking and performing daily activities can cause the fascia to wear and tear, become less elastic, and lose its ability to withstand stress or absorb shock. Additionally, as we age, our feet become wider due to repeated stress that may flatten some of the foot’s structures. This can change how the weight is distributed during movement and can put the fascia under excessive stress.

The likelihood of plantar fasciitis symptoms cropping up in patients is in direct correlation with the age of those patients–the age being around fifty. However, some patients claim to have felt the pain of plantar fasciitis decrease as they age. This is not due to the condition miraculously going away over time but the reduction of physical activity and therefore, irritation of the plantar fascia is reduced.

While you can’t stop the effects of aging on your body, you can manage the risk of suffering from plantar fasciitis through certain lifestyle choices, such as massaging and stretching your feet, maintaining a healthy weight, or choosing supportive shoes.

Second Risk: Excess Weight

As mentioned earlier, excess weight can also cause unnecessary strain on the fascia. When this is compounded with the wearing down that occurs with age, a patient can begin to understand the delicate nature and necessity for care of their feet. 

Fortunately, and unlike the age of a patient, weight is one of the manageable risk factors that will influence the pain from plantar fasciitis.

Although working with a specialized nutritionist should always be your first port of call, eating a nutritious and balanced diet, maintaining a healthy weight, and exercising regularly can help you avoid the complications associated with a high BMI or obesity.

Third Risk: Harmful Exercises

While patients claim to have reduced plantar fasciitis pain when activity is decreased, one of the more surprising risk factors is exercise. In order to appreciate and fully understand the impact of exercise on plantar fasciitis, we must first qualify which types of exercise contribute to the pain associated with the condition. 

Qualifying the type of harmful exercise will reduce the likelihood of patients exercising in a way that might exacerbate their condition. At the same time, patients should be aware that exercise that does not worsen their condition could lead to weight loss and less strain on their plantar fascia.

While many who hear about plantar fasciitis might assume it is characteristic of an older population, patients who experience the pain are often young dancers or distance runners who spend long hours placing strain on their feet. Even occupations that require patients to remain on their feet for long periods of time may also experience the pain associated with plantar fasciitis.

Activities that involve frequent jumping or walking on uneven surfaces can lead to plantar fasciitis. You may be at greater risk of developing this condition if you practice sports such as football, soccer, or trail running. Some occupations may also involve movements that lead to the inflammation of the fascia. These include professions that require you to be on your feet all day long. 

If you are an athlete, working with a personal trainer or physiotherapist can help you better understand how to improve your form to avoid injuries. On the other hand, if the condition is caused by factors related to your job or hobbies, an occupational therapist will be able to help you make positive changes in your life to safeguard your foot health.

Patients who learn and understand the risk factors for plantar fasciitis will understand the signals from their bodies and learn to manage their pain, although the condition will worsen with time.

Conventional Treatment Options For Plantar Fasciitis

As we have seen above, plantar fasciitis is a degenerative condition that worsens gradually over time. While it may be asymptomatic at first, inflammation of the fascia can lead to chronic or acute pain, and impair most of your daily activities.

Eventually, patients with plantar fasciitis pain will require treatment to manage the pain. The task for those seeking to manage their pain without surgery is to find a treatment that works and lasts without side effects.

Besides physical therapy, massages, rest, ice compresses, and immobilization, patients are often recommended one of the therapies below. Understanding the side effects of these lines of treatment is essential to understand the risks involved and choosing a pain management program that works for your needs.

Let’s look at the most common treatment options for plantar fasciitis below.


Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or aspirin are often recommended by doctors to alleviate painful sensations. While these medications are easily accessible over-the-counter and may relieve pain in the short term, they cannot be considered valid long-term solutions. 

Patients with plantar fasciitis may experience pain for a year or longer. Taking these medications for such long periods can expose you to severe side effects, including gastrointestinal ulcers, kidney failure, increased risk of heart attack or stroke, or dependency.


Iontophoresis is a medical procedure that involves delivering ionic (soluble) medications into the body through the skin. Iontophoresis is performed by applying mild electrical pulses to the painful area. 

In the case of plantar fasciitis, a 1997 study showed that iontophoresis of 0.4% dexamethasone may be effective in reducing the symptoms of an inflamed fascia when other more conservative methods haven’t worked. New clinical trials are also attempting to determine whether iontophoresis is a valid alternative to ultrasound therapy in the treatment of plantar fasciitis. 

Iontophoresis can cause mild side effects, such as minor electric shock or temporary tingling sensations. However, this treatment option isn’t recommended for patients who are pregnant, epileptic, or wearing devices such as pacemakers.

Corticosteroid Injection

While there are treatments available for plantar fasciitis, there is one treatment in particular that patients should be made aware of– and not necessarily for its positive effects. 

In an extensive study untangling the puzzle of plantar fasciitis, Dr. Daniel Latt of the American Orthopaedic Foot & Ankle Society concludes that “[t]he therapeutic benefit of corticosteroids is dependent on their anti-inflammatory properties, which provide significant pain reduction. 

However, they also act to inhibit fibroblast proliferation and ground substance protein expression. These effects can produce atrophy of the plantar fascia and plantar fat pad and lead to complete plantar fascia rupture, both of which are difficult to treat” (2020). 

As was mentioned previously, plantar fasciitis is not only a condition of inflammation but degeneration as the tissues of the plantar fascia wear down. Dr. Latt not only concludes that corticosteroid injections would do little to solve the problem of plantar fasciitis but might actually make the condition worse– effectively atrophying, tearing down, and rupturing the plantar fascia.

Dr. Latt continues to embolden his claim by stating that a “. . . number of studies have demonstrated the association between steroid injections and plantar fascia rupture. In summary, steroid injections may provide temporary symptomatic relief but are associated with an increased risk of developing persistent pain, local tissue atrophy, or plantar fascia rupture. 

Thus, if they are used it should be with caution and patients should be advised of the risks and benefits before injection”. Dr. Latt, without dismissing CSIs completely, properly provides the context and risk factors associated with their use in plantar fasciitis. 

One of the biggest determinations patients need to make when it comes to treating plantar fasciitis pain is if the treatment is safe. The second preliminary decision that helps patients determine their proper course of treatment is whether the treatment is effective. Luckily, better options are becoming available in the medical field that may help.

Plantar Fasciitis Pain Treatment And Our Neurofunctional Pain Management Approach

Neuragenex is pioneering Neurofunctional Pain Management and focuses on three core components for patient care to ensure that treatments are safe, effective, and covered by Medicare and commercial insurance. 

Neurofunctional Pain Management may be the future of chronic pain management, but most people wouldn’t be able to participate if those three elements were safe, effective, and reimbursed. Patients can be sure that their condition will be met with a targeted and professional approach that works to treat the pain and maintain the quality-of-life patients expect and deserve. 

Neurofunctional Pain Management is a combination of disciplines that work together to produce effective pain relief.

Neuralgesia And IV Therapy

Neuragenex has a proprietary treatment protocol called Neuralgesia and is a combination of high pulse electrical stimulation that relieves pain in the affected area and specialized hydration therapy to balance nutritional deficiencies in patients suffering from chronic pain conditions. 

Neuralgesia utilized a high-pulse electrical stimulation treatment called electroanalgesia that has been around for decades as an approved treatment for nerve pain. However, combining that treatment with specialized hydration makes this even more effective for a patient, relieving their pain, restoring their health as much as possible, and magnifying their quality of life.

Lifestyle Counseling

As a part of Neurofunctional Pain Management, patients will not only be treated with high pulse electrical stimulation and specialized hydration and nutritional deficiency replenishment, but they will also engage in a thorough patient education program throughout the course of their treatment program. 

This education process is critical to patients changing their lives, bringing them greater success in enduring pain relief. 

A typical patient that goes through a treatment program with Neuragenex has an extended period in which the pain relief will endure after the treatment program is completed. Imagine if you could get out of pain, then that pain relief motivated you to get back into a better state of health, and that motivated you to engage in a higher quality of life altogether.

Our Goal At Neuragenex Is To Help Patients Like You

We aim to see and celebrate the improved quality of life patients have through Neurofunctional Pain Management and the specific protocols we’ve developed here at Neuragenex. As patients understand their condition, participate in effective treatment, and maintain a positive outlook on their condition, they can experience that magnified quality of life that drives our passion for this work. 

At Neuragenex, we aim to relieve pain, restore health, and magnify the quality of life without drugs, surgeries, or invasive procedures. Our vision is to be the first thought, first choice, and first step in the journey of chronic pain relief.

Migraine Headache Treatment With Neurofunctional Pain Management

If you have ever experienced a true migraine or suffer from chronic, recurring headaches that last for four hours, you certainly understand the urgency for an effective form of pain relief, as well as some ways to prevent them from occurring. 

Moderate to intense throbbing pain that fluctuates for hours and sometimes days, debilitating nausea, and sensitivity to light and sound– migraines are more than just a bad headache, and patients who suffer from chronic migraines know the difference. 

When patients experience migraine pain, or pain from any condition, that pain is a signal that something in the body is at risk. Some damage is occurring, or some tissue is in trouble. This triggers an inflammatory response that creates inflammation and swelling in the areas of pain. 

This can be very problematic in areas of the body that cannot handle that swelling and puts pressure on all the other tissues in that area. The pain and inflammatory cycle is especially constrictive in areas like the head and neck, where there is no physical tolerance for swelling and inflammation. 

Pain signals have the purpose of driving us to seek treatment or to completely stop using the affected area. Self-diagnosis of migraines and a patient’s ability to identify and sometimes avoid the triggers for a migraine have increased alongside our understanding of the condition. However, knowing when and how a migraine is triggered is not enough to treat the condition or reduce its pain.

Types Of Headaches

Over 50% of the world’s population experiences headaches and, according to the CDC, a quarter of adults aged 18-44 have at least one severe headache or migraine every three months. 

But these figures alone don’t show the impact that an active headache disorder can have on a person’s life, nor do they describe the types and intensity of symptoms experienced. 

To understand this, it is important to look at the different types of headaches and at the symptoms they cause. Let’s look more in-depth at the various types of headaches below.

Primary Headache

Primary headaches don’t have another underlying cause, such as an illness or disease. This means that the pain you experience in your head or face is, in itself, the condition. 

Primary headaches can be chronic (occurring more than 15 times in a month) or episodic (occurring up to 15 times each month). There are different types of primary headaches, including the following ones:

  • Tension headache – These headaches cause dull or aching sensations around the head and are caused by tension in the neck, forehead, scalp, or shoulder muscles. 
  • Cluster headaches – These are severe headaches that cause a burning or piercing sensation. They may last between 3 and 15 minutes and can recur 1-4 times a day. Other symptoms include tearing eyes, swelling, flushing, and seating. 
  • Hemicrania continua – Hemicrania continua causes mild but continuous pain on one side of the face for 3 months or longer. Flare-ups are common and they involve symptoms such as eye tearing, nasal congestion, agitation, and sweating. 
  • Stabbing headache – Ice-pick headaches may cause short and intense pain in your head. The pain lasts only a few seconds, moves around the head, and comes without warning. 
  • Hypnic headache – Also known as alarm clock headache, this type of head pain recurs at nighttime, during the REM phase of the sleep cycle, and always at the same time. 

One of the most common types of primary headaches is migraines. Migraines are neurological diseases caused by changes in the brain’s pathways and chemicals. Migraines involve severe throbbing pain on one side of your head that lasts for days and can be extremely debilitating. These headaches are also accompanied by other symptoms, including vomiting, nausea, and extreme sensitivity to light and sound.

Secondary Headache

Secondary headaches usually have a well-defined underlying cause and may be the symptom of another illness, disease, or allergic reaction that is happening in the body. 

Some triggers of secondary headaches include:

  • Allergies
  • Head injury 
  • Hormone fluctuations (i.e.: associated with pregnancy, menstrual cycles, and using birth control pills)
  • Overuse of and withdrawal from caffeine
  • Exertion and intense physical activity 
  • High blood pressure
  • Medication overuse 

Some forms of headaches, such as thunderclap headaches, can either be primary or secondary, depending on whether they are related to an underlying cause or whether they are spontaneous.

Causes Of Migraines

Doctors Kristian Haanes and Lars Edvinsson explain that “the neurovascular theory dominates, suggesting clear involvement of the trigeminovascular system. The most recent data show that a migraine attack most likely originates in the hypothalamus and activates the trigeminal nucleus caudalis (TNC)” (2019). 

In other words, the part of our brain responsible for maintaining our body’s stability (the hypothalamus) triggers the part of our brain that responds with pain and heat (the TNC). 

The hypothalamus being set off and triggering the adverse effect from the TNC does not always have a clear cause; however, there are several scenarios in which migraine pain can be triggered by anything from food sensitivities, allergies, alcohol, lack of sleep, medications, or changes in the weather.

The Prevalence Of Migraines In The General Population

Overall, migraines are not to be taken lightly, and they affect more people than previously thought. Doctors De Logu and his associates conclude that “[m]igraine is a pain disorder that affects about 15% of the adult population worldwide” (2019)

With around 1.2 billion people suffering from migraines, it is unsurprising that research to understand its origin and the search for a cure has been relentless. 

Dr. De Logu continues: “Thus, the burden of migraine is enormous in terms of suffering, disability, healthcare costs, and social and economic costs. For these reasons, migraine is ranked among the most disabling medical conditions. 

Although considerable progress has been made in the development of new treatment options, our current understanding of the mechanisms underlying migraine pain is still incomplete.”

Migraines As A Medical Condition

To someone unfamiliar with the condition, let it first be understood that migraines are classified as a neurological medical condition that manifests from a multitude of contributing factors. 

Dr. Karl Messlinger, whose research still stands relevant today, explains that “[m]igraine is a complex neurological disease with a genetic background. Headache is the most prominent and clinically important symptom of migraine, but its origin is still enigmatic” (2009)

Since 2009, the condition, origins, and treatment options for migraine pain and chronic headaches have remained mysterious.

Symptoms Of Migraines

Suffering from chronic headaches can prevent you from sleeping, being productive at work, or even concentrating on a task. Learning more about the symptoms of your headache can tell you more about the nature of your condition and help you choose a line of treatment that best suits you. 

Below, we’ll look at the common symptoms of migraines and chronic headaches

A word of caution; if your headaches last more than two days or are accompanied by vision loss, numbness, nosebleeds, shortness of breath, chest pain, high fever, or slurred speech, you should seek immediate medical care. This is because many symptoms of migraines overlap with the signs of serious conditions, such as strokes.


One of the most prominent symptoms of migraine and chronic headaches is pain. While the pain is often localized in one or more areas of the head, it can spread through your neck, shoulders, ears, and arms. 

In the case of migraines, painful and throbbing sensations concentrate in one half of the head. 

Although it isn’t clear what triggers this kind of pain, theories show that multiple factors might come into play, including hyperactive brain cells that trigger the production of vasoconstricting chemicals, such as serotonin. As the blood vessels narrow, fluctuations in the blood supply to the brain can aggravate the painful sensations. 

The pain deriving from migraines can last between 4 and 72 hours.

Light, Noise, And Odor Sensitivity

Migraine and chronic headaches can increase your sensitivity to stimuli such as noise, light, or odors, which can worsen your headache. 

This is due to the fact that migraines increase brain connectivity, or the link between the brain and other parts of the body. This changes the way the brain processes visual and auditory noises and alters how pain receptors in the brain work, causing you to be hypersensitive to stimuli that should normally be painless.

Nausea And Vomiting

Nearly 30% of migraine attacks are accompanied by nausea and vomiting, making this one of the most severe and bothersome symptoms of migraines. Although the connection between migraine pain and vomiting isn’t well-understood, researchers have several hypotheses. 

For example, vomiting may represent the last stage of a migraine. Other hypotheses show that vomiting might have a stimulating effect on the vagus nerve, which can relieve a migraine attack.


Fatigue is a natural part of the migraine’s pathophysiology, or the range of abnormal changes in body functions caused by this disease. 

Fatigue and tiredness may also be worsened by pain, vomiting, and feelings of nausea. Additionally, the throbbing pain of a migraine might prevent you from falling asleep and getting a good night of rest, which can aggravate your fatigue.

Blurred Vision

Migraines may also cause temporary vision changes, including blurred vision, double vision, or blindness in one eye. In most cases, these symptoms are a normal part of the migraine’s “aura”, or wave of brain activity that occurs before the migraine attack. 

In some rare cases, blurred vision may be a symptom of retinal migraine; a type of migraine that affects the eye and might lead to serious vision changes, such as seeing flashing lights in one eye or blindness. Retinal migraine is a rare condition that is estimated to occur in 1 in every 200 people with migraines

Migraine-related vision changes arise from changes in the blood flow reaching the brain as well as vasoconstriction. However, abnormal brain activity and changes in how brain receptors process visual stimuli may also be contributing factors.

Other Symptoms

The symptoms associated with migraines can vary in nature and intensity from one person to another. You might also experience different symptoms from one migraine to another, depending on what has triggered the attack. 

However, some other common symptoms you should be aware of include the following:

  • Changes in body temperature – Migraines commonly affect the areas of the brain associated with processing muscle and temperature sensations. Changes in these parts of the brain during a migraine attack can cause you to experience temperature spikes and drops, shivering, fever, chills, or excessive sweating. 
  • Paleness – Migraines might cause changes in the blood flow, which can lead to pallor (paleness). You might also look paler due to the changes in body temperature, fatigue, or nausea. 
  • Diarrhea – Beyond vomiting and nausea, migraines are linked to several gastrointestinal disorders, including irritable or inflammatory bowel syndrome. These can cause digestive issues such as diarrhea, nausea, or bloating. 
  • Vertigo – Dizziness and vertigo are common symptoms of a type of migraine called vestibular migraine. These symptoms appear when the migraine affects the area of the brain responsible for balance and coordination. 

Other symptoms that might be associated with a migraine attack include allodynia (feeling pain from stimuli that should be painless), mood swings, insomnia, brain fog, neck pain, or phantom smells.

Migraine Timeline

As seen above, every migraine is different. However, the body of research over the past years has been growing and, today, migraines are categorized into three types:

  • Migraine with aura – If you have a migraine with aura, you’ll experience warning signs several hours before developing a headache. 
  • Migraine without aura – This is the most common type of migraine. It occurs suddenly and without warning signs. 
  • Silent migraines – This happens when you experience the aura, or the premonitory signs of a migraine, but don’t develop a headache. 

Migraines with auras are characterized by sensory, visual, and motor disturbances, and they manifest themselves in 4 well-defined phases.  Today, it is estimated that nearly 30% of people suffering from migraines will experience at least one premonitory sign.

Pre-Headache (Prodrome)

The prodrome (or pre-headache) phase occurs up to 24 hours before a migraine. During this phase, you’ll experience abnormal sensations that may last for hours or days. 

Some of the prodrome symptoms include:

  • Food cravings and changes in appetite
  • Mood changes and feelings of depression or euphoria
  • Increased urination or fluid retention
  • Stiffness in the neck
  • Excessive yawning 
  • Hypersensitivity to light, smell, or noise
  • Fatigue
  • Digestive issues like bloating, constipation, and diarrhea


Within 24 hours of developing a headache, you might experience what’s called a migraine aura. The exact causes of auras are not well-understood, but it is believed that visual, auditory, and sensory changes are due to abnormal electrical activity in the brain. 

The aura can last between 30 and 60 minutes, and it is characterized by a range of symptoms, which can vary from one person to another. 

Common telltale signs of a developing migraine aura include:

  • Visual disturbances – These include seeing dots and sparks of light, having tunnel vision, experiencing blurred vision or vision loss, or seeing wavy lines. You may also experience hallucinations. 
  • Motor and sensory disturbances – Also known as sensorimotor aura, this type of aura causes changes in your movement and sense of touch. You may experience numbness, tingling, changes in smell or taste, and weakness in your arms and legs. 
  • Impaired speech and communication problems – Although less common, dysphasic migraine aura can cause temporary slurred speech or mumbling. 

You may also experience sensations such as being touched or a ringing in your ears (tinnitus). Migraine auras can be triggered by several factors, including bright lights, skipping meals, certain foods, stress, certain medications, sleep problems, or hormonal changes. 

Learning to recognize the symptoms of an aura can help you go to a safe and comfortable place before the headache starts.


The headache phase is characterized by intense, throbbing pain in one side of the head. The pain will build gradually in intensity and become worse during or after physical activity, 

Migraine attacks commonly last around 4 hours, but if left unaddressed, can be painful for up to 3 days. During this time, the pain can move from one side of the head to the other, or even affect both sides. 

Symptoms such as vomiting, nausea, sleep disturbances, fatigue, or a feeling of “fainting” are common during this phase.


The postdrome phase occurs after the headache has subsided. During this stage of a migraine, you may feel tired or confused, experience muscle weakness, or have food cravings. 

The postdrome stage usually lasts around a day.

Types Of Medications For Migraines

Migraines are difficult to treat because, in most cases, they have no direct cause. Additionally, a lot of how they change over time and the symptoms they cause are not well understood. 

However, beyond home remedies such as resting and applying cold compresses to the forehead, patients with migraines often get recommended one of two lines of treatments by their healthcare providers:

  • Pain-relievers– These medications are not curative; they only aim to reduce the pain derived from severe headaches. Usually taken during the attack, these medications include pain relievers, prescription drugs that block pain pathways in the brain (triptans), anti-nausea drugs, opioid medications, and medications with sedating effects. 
  • Preventive treatments – Medications to lower blood pressure, antidepressants, and anti-seizure drugs might be prescribed to patients who suffer from migraines in order to prevent future attacks.

These medications might provide some relief in the short term. However, people who suffer from migraines will experience debilitating headaches an average of 2-4 times each month. Taking migraine medications for such long periods can expose you to significant side effects, including:

  • Gastrointestinal problems, like diarrhea, bloating, and nausea
  • Fatigue and myalgia
  • Weakness and heaviness in the limbs
  • Dizziness, confusion, and brain fog
  • Insomnia and sleep disturbances
  • Chest tightness
  • Alopecia and hair loss
  • Visual disturbances
  • Weight gain and changes in appetite
  • Low blood pressure
  • Bradycardia or tachycardia
  • Sexual and liver dysfunction 

Taking these medications over long periods might also lead to increased tolerance, addiction, or dependency. 

Fortunately, thanks to advances in migraine treatment research, today’s patients can start to look beyond traditional treatments. Below, we’ll look at the limitations of today’s lines of treatment for migraines and explore the benefits of Neurofunctional Pain Management for chronic headaches.

Are Traditional Migraine Treatments Enough?

Patients don’t want to be addicted to or even dependent on painkillers, especially when those painkillers become less potent over time. When the pills fail, patients will often turn to more potent prescriptions for their migraine pain.

When migraine relief appears beyond reach or its effectiveness is lacking, it may be time to search for an ongoing treatment that is both non-invasive and non-habit forming. 

With patients typically running for a glass of water and Tylenol to lessen the pain as it starts ramping up, these methods are not always effective. In fact, in many cases, the use of painkillers to numb the pain can be habit-forming, addictive, and even deadly.

Neurofunctional Pain Management For Migraines

Neuragenex has created and pioneered the field of Neurofunctional Pain Management and may offer a solution to some of the chronic migraine conditions prevalent in the population. Neurofunctional Pain Management is considered the next generation of pain management due to its focus on non-pharmaceutical, non-surgical, and non-invasive treatment protocols

Neurofunctional Pain Management may offer some excellent treatment options for patients suffering with chronic migraine pain. With Neurofunctional Pain Management, patients will not only acquire pain relief but also a health restoration effort to hydrate the body and balance nutritional deficiencies that contribute to chronic pain conditions.

Foundational Elements Of Neurofunctional Pain Management

An understanding of where the pain comes from in the first place and how it presents, and progresses is the first step in understanding how a treatment program would work. The foundational elements of Neurofunctional Pain Management are high pulse electrical stimulation and specialized hydration therapy. 

This combination provides an excellent and enduring pain relief effect for many chronic pain conditions. The combination of these two treatments performed simultaneously is called Neuralgesia. Neuralgesia is a proprietary treatment protocol offered exclusively by Neuragenex.

Because there are many triggering sources of migraine pain, the treatment may be received differently by different patients with migraines occurring from different problems. 

This is a much more complex scenario than other chronic pain conditions like osteoarthritis or sciatica, where the source of the pain is a known and understood condition that presents very similarly in most patients. 

Migraines are problematic because of their variability so even with Neurofunctional Pain Management the outcomes may vary from patient to patient depending on these many factors.

Neuragenex also includes robust education and lifestyle counseling as part of the Neurofunctional Pain Management program to educate patients on their condition and counsel them on lifestyle changes through their course of treatment. 

While patients learn more about their condition and what they can do to help manage the migraine pain on their own, they will go through the treatment protocols of high pulse electrical stimulation and specialized hydration therapy.

Get Help For The Pain. Consult With Us Today.

Neurofunctional Pain Management treatment protocols attempt to reduce the pain-inflammation cycle in multiple essential ways, treating pain through direct stimulation of pain neurons with high-pulse electrical stimulation and adding hydration to dilute the concentrations of inflammatory ions in the affected tissue areas. This two-sided approach gives patients relief from future episodes of migraine pain.

The ultimate goal and objective of Neurofunctional Pain Management is to relieve pain and prevent its recurrence. Neuragenex works towards the same mission: relieving pain, restoring health, and improving quality of life without dependence on drugs, surgery, or invasive procedures.

The first step in that process is to get the patient out of the immediate pain condition and into a state or relief so that they are motivated to engage in health restoration efforts. These additional efforts, such as specialized nutritional deficiency, hydration therapies, and lifestyle modifications, will help the pain relief effect endure for a prolonged period. 

When they know they are relieved of pain and their health is better all around, their entire outlook on life changes from restrictions to freedoms. This is a magnified quality of life, and we champion this final step in the process.

Neurofunctional Pain Management For Chronic Osteoarthritis Pain

Osteoarthritis is a chronic pain condition and a pervasive medical problem across the world. It is often referred to as a wear and tear condition that continues to progress throughout a patient’s adult life until they are driven to seek treatment. 

Osteoarthritis often presents in knees, fingers, and toes, but most joints are capable of developing osteoarthritis. Patients who suffer from OA can expect to experience chronic pain and inflammation that gets worse over time.

To make things worse, if you have been diagnosed with osteoarthritis, your physician or doctor may have recommended painkillers, steroids, or invasive procedures to ease the pain.

Fortunately, taking pain relievers every day or living in fear of having to undergo surgery are no longer the two alternatives available to treat the symptoms of osteoarthritis and improve your joints’ function. 

In this guide, you’ll learn what we know – and what we don’t know – about osteoarthritis, and explore the treatment options that can help you magnify your quality of life. Let’s get started.

What We Know About Chronic Osteoarthritis

Osteoarthritis is one of the most common musculoskeletal conditions and a leading cause of disability in the elderly.

In a study conducted in 2021, Dr. Jeffrey Katz and his associates conclude that OA is, “. . . the most common joint disease, affecting an estimated more than 240 million people worldwide, including an estimated more than 32 million in the US. Osteoarthritis is the most frequent reason for activity limitation in adults” (2021).

While patients experience limitations from joint-damaging conditions such as OA, they should not discount that their pain and inability to operate their life normally could also result from multiple other chronic pain conditions.

Dr. Katz explains why patients may confuse OA with other conditions, such as neuropathy when assessing their symptoms by explaining that OA “. . . can involve almost any joint but typically affects the hands, knees, hips, and feet”. Patients should be careful and thorough in the assessment of their pain and understand its origin to properly target it for treatment. 

This task is sometimes proven more difficult by the shared pain conditions themselves which, as Dr. Katz states to include, “. . . joint dysfunction, pain, stiffness, functional limitation, and loss of valued activities, such as walking for exercise and dancing”. With so many similarities that create a barrier to self-diagnosis, patients may wonder what the major differences could be.

The overlapping symptoms, as well as the fact that there is no definitive diagnostic test for osteoarthritis, cause people to wait nearly 8 years to receive an accurate diagnosis. At the same time, understanding the nature of your condition is the first step to accepting it and finding an adequate treatment option. 

Let’s start by looking at the causes, symptoms, and risk factors for osteoarthritis.

What Causes Osteoarthritis?

Osteoarthritis is one of the most common forms of arthritis; an inflammatory disease that affects the joints. 

Also known as “wear and tear” arthritis, osteoarthritis develops when the cartilage in the joints starts to break down. The cartilage is a soft, cushioning material located between a joint’s components, and has the role of protecting the bones from friction and shock damage during movement. 

In people with osteoarthritis, the loss of cartilage is caused by the high levels of inflammation sustained by an overactive immune system. The high inflammation, coupled with the natural wear and tear of the cartilage that occurs as we age, can cause severe joint damage. 

As the cartilage breaks down, the bones are left to rub against each other during movement, which can lead to a wide range of complications. For example, you may compensate for the pain you experience in one side of the joint by overloading another area, which can cause abnormalities and posture problems. 

Additionally, if left untreated, osteoarthritis can cause chronic joint pain, inhibited range of motion, and disability. 

Although there is no trigger cause of osteoarthritis, some factors can put some individuals at greater risk of developing this condition. Let’s look at the symptoms and risk factors of OA below.

Symptoms Of Osteoarthritis 

Most of the symptoms of osteoarthritis are related to the progressive breakdown of the joint’s cartilage. 

Most often, OA affects load-bearing joints such as the knee and hips. However, no joint is immune to this disease. For example, statistics by the Arthritis Foundation show that around 50% of women and 25% of men may suffer from hand osteoarthritis to some extent by the time they are 85.

Depending on what joints are affected by OA, you’ll experience the symptoms below around one or more areas of the body.

  • Joint pain at the end of the day or after a strenuous activity: One of the main symptoms of OA is chronic joint pain, which affects an estimated 70% of older adults. The pain and discomfort may intensify at the end of the day or after practicing physical activity.

This is because high-impact, strenuous, or repetitive movements add unnecessary pressure to the joints, which are unable to endure such stress due to the loss of cartilage.

  • Stiffness at the beginning of the day or after resting: If you have OA, you may notice that your joints feel stiff in the morning or after periods of resting. Such high levels of stiffness only last for around 30 minutes, a period during which the body replenishes some of the lubrication between the joints’ components. 
  • Limited range of motion that goes away with movement: OA can cause temporary or permanent limited range of motion. In some cases, your ability to move your joints can improve with movement. This happens because, with movement, the muscles become more flexible and the body pumps lubrication into the joints. 

However, if the cartilage is severely damaged, the joint’s bones may not be able to move as they should, which can cause permanent mobility issues. 

  • Clicking or popping sounds in the joint: If you suffer from OA, you may start hearing “popping” or “clicking” noises when walking or moving your joints. This symptom is known as crepitus, and it occurs when the joint’s components are unable to slide smoothly against each other. 
  • Swelling around the joint and stiffness: Osteoarthritis is an inflammatory condition. As such, it causes the body to sustain high levels of inflammation for long periods of time. In turn, inflammation can lead to the build-up of fluids around the area of injury, which can cause swelling and stiffness. 
  • Joint instability or buckling: OA can prevent the joints from moving as they should, and even alter your joints’ mechanics and gait. This translates into posture problems and a sensation of instability in the joints affected by osteoarthritis.

Risk Factors For Osteoarthritis

As we have seen above, there is no single cause that triggers osteoarthritis. However, some factors can put you at greater risk of developing OA. Learning about them is the first step to modifying your lifestyle and reducing the risk of suffering from this degenerative disease.

Here are some critical risk factors for OA and what you can do to reduce the risk

  • Age: Age is a leading risk factor for OA, but it is also an unmodifiable one. During the aging process, the cartilage between the joints becomes less elastic and supple, which makes it more prone to breaking down. The high inflammation levels caused by arthritis speed up this process. 
  • Genetics: If you have a family history of OA, you may be at greater risk of developing this disease. Although there is more to be understood about the correlation between genetics and osteoarthritis, studies have shown that 40-70% of OA cases have a genetic component. 
  • Obesity: Obesity is one of the main risk factors for osteoarthritis because the extra weight puts the joints under excessive pressure, which accelerates the loss of cartilage. Overweight individuals are 4-5 times more at risk of developing OA, which makes maintaining a healthy weight essential to prevent osteoarthritis. 
  • Weak Muscles: Weak muscles and poor conditioning impact how the body weight is distributed and managed during movement. Without the support of strong muscles, the joints may be under excessive stress, which can speed up the breakdown of the cartilage. 

Practicing regular physical activity can help you keep your muscles strong, prevent the age-related loss of muscle mass, and lower the risk of OA. 

  • Overuse: Overusing your joints can speed up the degeneration of the cartilage, especially as you age. Practicing sports that involve high-impact, throwing, jumping, and swinging motions can make you more likely to develop OA in the knees and hips. 

Occupational activities that require repetitive hand movements, such as typing on a keyboard, can increase the risk of hand OA. Working with an occupational therapist can help you understand how to practice your favorite activities without increasing the risk of suffering from degenerative diseases of the joints. 

  • Joint Injuries: Joint injuries, even if healed, can lead to OA. This may be the case if the cartilage between a joint was severely damaged by trauma. You may also develop osteoarthritis if an injury has changed the joint’s mechanics, which can cause areas of the joints to rub against each other and wear down the cartilage during movement.
  • Musculoskeletal Abnormalities: Some hereditary and congenital abnormalities may increase the risk of OA. These include abnormal joint mechanics and gait, which expose joints to friction and shock damage areas of the joint that should be unaffected during movement. Being born with thinner or weaker cartilage can also increase the risk of OA.

What Is Not Known About Osteoarthritis

According to the Global Burden of Disease Study 2019, the prevalence of OA has grown by more than 113% between 1990 and 2019. Additionally, as life expectancy, global population, and rates of obesity continue to rise, OA is expected to remain one of the greatest health concerns worldwide.

The steady growth in the number of cases has contributed to a steady and persistent level of research into a treatment for the condition and this should be a welcome relief for anyone seeking said treatment. 

Unfortunately, research from several in the medical community concludes that effective treatment for osteoarthritis is elusive and often lacks the efficacy desired by both patients and their doctors.

While a definitive cure for OA is yet to be found, there are several pain management strategies that you can use to ease the discomfort deriving from osteoarthritis. Below, we’ll look at the surgical and non-surgical alternatives often recommended by physicians.

Treatment Options For Chronic Osteoarthritis

Osteoarthritis is the leading cause of invasive surgical procedures such as knee and hip arthroplasty, or joint replacement surgery. 

These procedures are prescribed to patients with advanced osteoarthritis, which has caused a severe loss of cartilage, bone spurs, or changes in the joint’s mechanics. Arthroplasty is an invasive surgical intervention that aims to replace parts of the joint that have been damaged with artificial components, usually made of metal or plastic. 

It is important to note that these surgical procedures don’t cure osteoarthritis, nor are they able to stop the future degeneration of cartilage. Additionally, they involve 3-6 months of immobilization and rehabilitation, lead to several days of work lost, and, in some cases, require additional surgical interventions to achieve desired results.

Are There Safe Non-Surgical Treatment Alternatives? 

As seen above, surgical interventions may help patients with severe osteoarthritis. But is surgery your only option? Other pain management methods are available, but they are not always effective. And, they are certainly not curative or disease-modifying. 

With the need for effective nonsurgical treatment of osteoarthritis being sought by patients, even professionals in the medical community like Professor Brandt are frustrated with the lack of effective options available to their patients. 

Professor Brandt, after surveying the available options, their limited benefits, and many side-effects, states that “. . . we surely need better and safer drugs to treat OA symptoms” (2004). The last thing patients of OA want to hear is that the symptoms they are attempting to treat with better and safer drugs are met with sometimes worsening side effects.

Throughout the survey of treatments, Professor Brandt also concludes that some drugs had little to no effect in a clinical trial when compared to the effects of a placebo.

It is perhaps most disconcerting to hear this statement which sums up the entirety of Professor Brandt’s concern: “Despite enormous increases in our understanding of pain mechanisms and of the metabolism, biochemistry, and molecular biology of articular cartilage . . . our track record for the development of more efficacious drug treatment for OA is discouraging”. 

This is not to say that treatments do not exist for osteoarthritis; in fact, there are several. The issue, that Professor Brandt brings succinctly to the forefront, is the issue of efficacy.

Some of the most common conservative treatment options for osteoarthritis include the following:

  • Weight Loss: If you are overweight or obese, a weight loss journey can help reduce the stress and pressure on the joint. In turn, this may slow down the degeneration of cartilage and reduce inflammation and pain. 
  • Exercise: Regular physical activity and muscle conditioning can strengthen the musculoskeletal system as a whole, and help ease the load on affected joints. 
  • Nutraceuticals: Nutraceuticals and supplements, such as chondroitin and glucosamine, are often used to decrease the pain and inflammation associated with osteoarthritis. 

However, more studies are needed to determine the efficacy of this treatment, and the American College of Rheumatology recommends against the use of these supplements in the treatment of hip, knee, and hand arthritis. 

  • Pain Medication: Pain medications such as non-steroidal anti-inflammatory drugs (NSAIDs) and over-the-counter pain relievers are often the first line of treatment for osteoarthritis. 

While this treatment may help relieve the pain during flare-ups, taking medications daily cannot be considered a long-term solution. Additionally, pain medications come with severe side effects, including the increased risk of stroke and heart attack, stomach ulcers, and dependency.

  • Topical Treatments: Creams and other topical creams that contain capsaicin may help relieve pain. Capsaicin, which is the active compound in chili peppers, has been seen to inhibit the function of a pain transmitter, thus preventing you from feeling pain. 
  • Steroids: Corticosteroid injections are sometimes used to provide longer-lasting pain relief to people with osteoarthritis. These medications have severe side effects, including high blood pressure, mood swings, and muscle weakness
  • Platelet-Rich Plasma (PRP): PRP refers to a treatment that uses the blood’s healing factors – known as platelets – to support the regeneration of the cartilage affected by osteoarthritis.

Is There A Cure In The Horizon?

Patients may feel disheartened and hope for a simple cure that might end OA once and for all. Unfortunately, as is the case for many conditions, there is no cure for osteoarthritis. There are only treatments for the condition that can help manage the pain and improve limb functionality. 

Dr. J.L. Whitaker and his associates cooperated with him in a 2021 study that evaluates our understanding of treating OA. 

In the article, they state: “Given there is no cure for OA disease, and we only can offer persons who have OA illness modestly effective symptomatic treatments, the concept of prevention is attractive” (2021). 

Many patients reading this would not accept that answer and conclude that they would have to go back in time to prevent an incurable condition from ever happening in the first place.

Nonetheless, with the right treatment options, it is possible for patients to improve the functionality of the joints affected by osteoarthritis, while also preventing the disease from progressing. Let’s look at what you can do to prevent and manage OA below.

Is Osteoarthritis Preventable?

Dr. Whitaker continues to explain that, “[t]he field of OA prevention is relatively young. To date, most of what is known about preventing OA and risk factors for OA is relative to the disease of OA, with few studies considering risk factors for the illness of OA”. 

While patients assess their risk factors, including age and obesity, they may be able to determine their likelihood of worsening their already diagnosed condition. Patients may protest that age is a risk factor that cannot be mitigated, however, there are risk factors, including weight and diet, that can be addressed to mitigate the worsening of OA. 

Dr. Whitaker explains this further and offers another manageable risk factor by concluding that “. . . as our understanding of disease mechanisms grows, it is important to acknowledge that OA may emerge as a heterogeneous disease that culminates in a common illness. Despite these important knowledge gaps, obesity and joint injury have emerged as strong and highly prevalent modifiable risk factors for OA disease and aspects of OA illness.”

How Neurofunctional Pain Management Can Help

While the best way to avoid worsening effects of OA is to mitigate the manageable risk factors, there are other treatment options that can help get patients into a better situation regarding their OA pain and improve joint flexibility.

Neurofunctional Pain Management offers a possible option for osteoarthritis pain relief by first addressing the pain relief with high pulse electrical stimulation, then addressing the health of the patient with specialized hydration therapy to enhance the effect of pain relief. 

This combination of therapy creates an enduring pain relief effect and restores health so that patients are motivated and have a more positive outlook on their chronic pain condition, which magnifies their quality of life. 

This is the core protocol of Neurofunctional Pain Management. With a new positive outlook on their situation, patients are motivated to act and to take direction for a better state of health and ultimately keep their chronic pain under control.

Neuragenex is pioneering the field of Neurofunctional Pain Management and is creating the core principles that may bring sustained pain relief and restored health to millions of patients across the nation. Osteoarthritis pain is one of these conditions that can be treated with Neurofunctional Pain Management. 

The specific protocol of combining high-pulse electrical stimulation simultaneously with hydration therapy is called Neuralgesia and is a proprietary treatment program offered exclusively by Neuragenex. These two treatment protocols work together to produce the enhanced pain relief that can endure for several months after a patient completes a course of treatment.

How Neurofunctional Pain Management Approach Works

As seen above, osteoarthritis is not preventable or curable. But this should not condemn you to live with excruciating pain and limited joint mobility! Thanks to the customizable Neurofunctional Pain Management programs offered at Neuragenex, you can improve your quality of life, regain your joint’s mobility, and ease your pain – without invasive procedures or medications. 

Here are some of the main pillars of a Neurofunctional Pain Management plan:

  • Electroanalgesia: Electroanalgesia is a pain-relieving technique that employs electrical current pulses. The electrical pulses improve blood and oxygen circulation, trigger the release of endorphins, and inhibit pain signals from reaching the brain This combination of actions may result in long-term pain relief. 
  • IV Therapy: Ad hoc IV therapies assist patients in combating nutritional deficiencies and dietary imbalances, which may be risk factors for illnesses like osteoarthritis. IV therapies attempt to replenish nutrients and offer long-lasting hydration. 
  • Lifestyle Counseling: Some lifestyle factors may increase the risk of developing osteoarthritis. These include performing activities that put the joints under unnecessary stress, being overweight, or living a sedentary or inactive life. A specialized counselor can help you address these lifestyle factors, thus reducing the risk of developing or aggravating OA. 

The mission of Neuragenex is to relieve pain, restore health, and magnify the quality of life without drugs, surgery, or invasive procedures. This is the optimal pattern for sustained long-term pain relief from chronic pain conditions. 

The first step is to relieve pain so that patients can experience the relief they need to be motivated to take additional steps for their nutritional health and physical movement and exercise. 

This immediate pain relief can really help them gain the motivation to get relief and move forward with their lives. Restored health through specialized hydration therapy and nutritional deficiency balancing. In addition to these two protocols, we have an education program that offers lifestyle counseling for ongoing health and wellness activities. 

This approach to chronic pain makes our mission statement much stronger to relieve pain, restore health, and magnify the quality of life while operating as a non-pharmaceutical, non-surgical, non-invasive, and non-chiropractic pain management treatment program.

Safely Manage Your Chronic Osteoarthritis Pain

If you suffer from osteoarthritis, taking pain medications daily or living in fear of having to undergo a total knee replacement surgery can have a profound impact on all aspects of your life. 

Fortunately, thanks to today’s advances in regenerative medicine, and the whole-person approach of Neuragenex, you can take advantage of a non-surgical, non-pharmaceutical, and non-invasive Neurofunctional Pain Management designed around your unique needs.