Dr. Aryn Bartoshyk, ND

Injection Care

o p t i m i z e y o u r h e a l i n g w i t h

pre- & post-injection care

PREHAB - how to prepare to get the most out of your treatment.

#1. OPTIMIZE YOUR LIFESTYLE 

This can contribute up to 70% of your success as an optimal lifestyle and environment is important to the healing process. Remember, regenerative injections depend on YOUR body’s own healing response to be effective. Ways in which you can optimize your lifestyle include:

Anti-inflammatory Diet

  • Include lots of colourful vegetables, berries, SMASH fish (salmon, mackerel, anchovies, sardines, herring), nuts and seeds, avocadoes.

  • Balance your meals by including a healthy fat (nuts, seeds, oil, fish), protein (grass-fed and hormone-free lean meats, fish, organic tofu, chickpeas, beans, lentils), fibre (vegetables) and carbohydrate (brown rice, quinoa, sweet potato, yam)

  • Cook with avocado oil, and dress salads with olive oil.

  • Stay hydrated by starting your day with water and limiting caffeinated beverages to 1-2/day.

  • Limit processed foods, dairy, refined sugars, fruit juices and sodas.   

Daily Movement

Move daily if your body is physically able. This can mean 10-minute walks on your work breaks, going to the gym, yoga, hiking, starting your day with qi gong, swimming at the lake, dog walks, or taking your bike to work. Exercise should always leave you feeling better. If it doesn’t, try something new.

Prioritize Sleep

As Mathew Walker says, “sleep is the #1 performance enhancing drug”. It’s anabolic and the optimal time for our body to repair and refuel.

Stop or Limit Smoking and Alcohol Use

Tobacco and alcohol are toxic to our bodies, especially in high amounts, and can hinder our ability to repair. Smoking also depletes vitamin C, an essential component of healing.

Optimize Hormone Status

Hormones such as estrogen, progesterone, testosterone, cortisol, and thyroid hormones can all impact the ability to heal. Ask your naturopathic doctor to address imbalances if you are experiencing menopausal symptoms, irregular periods or PMS, low energy, insomnia, or any other symptoms you feel might be representative of hormone status.

Prioritize Mental and Emotional Well-being

Listen to your body. Even 5-minutes for yourself can greatly reduce stress. Make time for relaxation, meditation, hobbies, and/or activities that bring joy. Self-care should always decrease stress and never heighten enhance. Hence, it should never feel forced but, rather, satiating. For example, if you don’t feel like journaling, then don’t. Perhaps you are craving a round of golf or a nap instead.

Supplementation

Consider a few key supplements such as magnesium bisglycinate (especially if taking certain anti-depressants or proton pump inhibitors, which can lower magnesium needed for repair), vitamin D, vitamin C, and fish oil. Ask your naturopathic doctor for good quality brands and optimal dosing strategies.

#2. PHYSIOTHERAPY

If you haven’t seen a physiotherapist already, book an appointment in the second week after PRP. This can help correct underlying imbalances that may have contributed to the injury. Addressing the cause is important to get for long-lasting results.

#3. SUPPLEMENTAL THERAPIES

There are a variety of therapeutic tools that can be used to enhance healing. These include:

  • Massage 

  • Shockwave

  • Ultrasound

  • Laser

  • Acupuncture

  • Voodoo floss

  • Hydrotherapy (e.g., cold plunges, Epsom salt baths, contrast hydrotherapy)

  • Foam rolling

 #4. EXERCISE PRIOR TO YOUR PRP TREATMENT

A 4-minute bout of high intensity exercise shortly before drawing blood (within ½ hour) can increase platelet yields in the blood. For example, it might be beneficial to bike or run to your appointment, ride a stationary bike for 4 minutes, or perform jumping jacks prior to the blood draw. 

Note: Only do this if you do not have a heart condition or any other circumstances in which this could cause harm.

#5. MEDICATION EVALUATION

Prior to receiving injections, talk with the administering physician about all the current medications and supplements you’re taking to ensure they don’t interfere with the treatment and healing response. Some important medications and supplements to note include:

  • Anti-inflammatories: It is generally recommended to stop anti-inflammatory medications and supplements at least 1-2 weeks (depending on strength) before and after prolotherapy as anti-inflammatories can counteract the therapeutic effect. Examples include NSAIDs (e.g., Advil/Ibuprofen, Aleve, Celebrex, Aspirin/ASA, Diclofenac/Voltaren), steroids (e.g., Prednisone, Dexamethasone, Hydrocortisone), and natural supplements (e.g., turmeric, fish oil).

  • Anti-depressants, PPI’s: Don’t typically need to be discontinued but can decrease magnesium levels, thus making supplementation important.

Note: Do not stop prescribed medications without first discussing with your doctor.

REHAB – post procedure rehabilitation

 Overview: What to Expect

  • It’s normal to experience soreness and swelling for 2-3 days after the injections. However, injections into the tendon and ligaments can sometimes be painful for 7-10 days. After this, the improvement is gradual and can take anywhere from 3 months to 2 years.

  • There will be ups and downs, and adjustments will need to be made throughout the upcoming months. 

 
 
 
 

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