3D Illustration of sacral and cervical painful, medical concept.
Living with acute or chronic pain is a daily struggle and finding relief can be challenging.  Chronic pain is defined as pain that lasts for 3 months or longer. It can be caused by a variety of factors, including injury, disease, or nerve damage. Chronic pain can have a significant impact on a person’s quality of life and may require ongoing management to help alleviate symptoms. The primary goal of chronic pain management is to improve the patient’s ability to function and reduce their pain levels.

Dr. Boxtart utilizes cutting edge treatments including Prolotherapy, Pain Mangement and Platelet Rich Plasma (PRP) for acute and chronic injuries providing patients with better pain management, pain relief and a much better quality of life.


Prolotherapy is also known as nonsurgical ligament reconstruction, and is a treatment for chronic pain that is caused by chronic and acute ligament and tendon injury. The treatment is useful for many different types of musculoskeletal pain, including arthritis, back pain, neck pain, fibromyalgia, sports injuries, unresolved whiplash injuries, carpal tunnel syndrome, chronic tendonitis, partially torn tendons, ligaments and cartilage, degenerated or herniated discs and sciatica.

Dr. Boxtart has been using prolotherapy to help patients since 2003 and he now administers over 200 procedures annually. Success utilizing this type of procedure is considered highly operator dependent, meaning experience counts when you are considering a practitioner for this type of service.

Experience translates to:
1. More comfortable procedures.
2. Less procedures required for resolution of your injury.
3. Back to work/sport faster.

In addition, Dr. Boxtart can utilize real-time portable ultrasound both during the assessment process and the procedure when necessary. This tool can aid in assessment, prognosis and the procedure it self, maximizing successful outcomes for patients.

Platelet Rich Plasma (PRP)

Not all types of PRP preparations are equal. Dr. Boxtart uses an advanced PRP preparation centrifuge called The Arthrex Angel System. This cutting edge system allows for adjustments in the PRP output so that the correct PRP solution can be utilized for each patients particular injury. Many commonly used PRP extraction systems do not allow for adjustments in the PRP product, thus not providing maximum benefit for different applications.

Platelet Rich Plasma is a simple, natural technique that assists the body’s natural healing process, buy stimulating the body to repair and rejuvenate an area of the body experiencing pain. A small amount of the patients blood is spun in a centrifuge, concentrating platelets. The PRP is injected into and around the point of injury, jump starting and significantly strengthening the healing process. Having a concentration of platelets four to ten times greater than the normal concentration of blood, there is a faster regeneration and healing.

The body’s first response to soft tissue injury is to deliver platelet cells to the area. Packed with growth and healing factors, platelets initiate repair and attract the critical assistance of stem cells. PRP’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets directly into the area in need. Because your own blood is used, there is no risk of transmissible infection and a low risk of allergic reaction.

PRP injections stimulate ligament and tendon growth and repair. The response to treatment varies from individual to individual, and depends upon one’s healing ability. Most chronic tendon or ligament that fail to respond to the usual treatments will generally take several weeks to heal after PRP. Most patients responding to PRP have failed active rehabilitation (physiotherapy) because of pain exacerbation. If physiotherapy or exercise makes your pain worse, you may well be a strong candidate for PRP.

Because the goal of PRP therapy is to resolve pain through healing, it could prove to have lasting results. Initial improvement may be seen within two weeks, gradually increasing as the healing progresses. Research studies and clinical practice have shown PRP therapy to be very effective at relieving pain and returning patients to their normal lives. Both ultrasound and MRI images have shown definitive tissue repair after PRP therapy, confirming the healing process. The need for surgery can also be greatly reduced by treating injured tissues before the damage progresses and the condition is irreversible.

The first step is to get an evaluation by Dr. Boxtart to see if you are an appropriate candidate.


We look forward to seeing you soon!