Welcome to Episode #3 of the Healing Pain Podcast with Dr. Tyna Moore!
Today we are joined by Dr. Tyna Moore, ND, DC, founder of Core Wellness Clinic in Portland, Oregon.
In This Healing Pain Podcast You Will Learn:
- About regenerative injection therapies including prolotherapy and platelet rich plasma.
- How regenerative injection therapies work to decrease joint pain.
- The effectiveness of regenerative injection therapies versus surgery or cortisone.
- How these treatments are combined with physical therapy.
- Nutrition, exercise and fitness tips to live a strong and pain-free life!
Okay, in 3, 2, 1. Doctor Tina Moore, welcome to episode number three of Human Pain podcast. It’s great to have you here.
Thank you so much. I really appreciate you having me. I am glad to be here.
I am really excited to have you on here. Ever since I was on your summit, because I know you have some really unique and cutting edge things to share with us. But before we go into the strategies you’re going to talk about, you have two really great degrees in healthcare that I’d love to hear how you came about, what’s been your path to those two, you know, professional degrees.
Sure. Well, it’s interesting. I was a very sick child and so. I am going to take one of my ear plugs out. I was a very sick child and I really didn’t get a lot of, I was taken from specialist to specialist to specialist. And the only doctors that ever really sat down and spoke to me directly even as a child and answered my questions clearly were my chiropractors. So I’d always been a patient of chiropractic and really loved my chiropractors. And the chiropractors that I had were very holistic. They practiced nutrition and supplementation, etc. And then in my undergrad I was going to become an M.D. and I was working up at Oregon Health Science University here in Portland. And when I graduated from school from undergrad I wasn’t really sure what I wanted to do. That was the nineties and medicine was changing and HMOs were taking over and patients weren’t really able to, at least what I was seeing in the hospital setting, patients weren’t getting a lot of time with their physicians. And I was a bit heartbroken about it, actually.
One of the head neurologists that I was working with out there told me that if he spent more than seven minutes with a patient, he was losing money. And this was who you went to when you became, I mean, vegetable state. I mean the patients he was seeing had severe neurologic issues. So, I was sort of drifting and sad about the whole thing and I ended up getting a job as a receptionist for a naturopathic position here in Portland with Doctor [inaudible 00:01:50] who was my mentor for a long time and he’s since passed away. He was really who brought regenerative injection therapies to the naturopathic profession decades ago. Big deal in our profession and pain management. And I was just fortunate enough to land on his step and we became really good friends. And so years later I went to chiropractic college much to his dismay. He was not happy with me. A little, maybe I shouldn’t say this, but chiropractors and naturopaths there’s a little bit of a beef. I don’t know why. But it’s something that I felt and I know others who have dual degrees who share the same.
And so I went to chiropractic college. He wasn’t terribly thrilled with that. At some point I jumped ship, entered naturopathic school because I really wanted a license to do Prolotherpay and Platelet Rich Plasma and those treatments. And at some point I ended up going back to chiropractic college. So I finished both degrees, concurrently which was crazy. But I am glad I did it. I really just wanted to be great at sports medicine and I wanted to have a toolbox that interested me. I was really interested in doing injections, so that’s it. That’s how it all came to be.
Awesome. Congratulations because obviously going through both of those doctoral trainings is years of your life but it really gives you a very, I think unique position regarding pain. Because you have two different professions that have some similarities but also have some differences that you now can bring to [inaudible 00:03:11] population.
What was really cool was most people go through one program and then the other. And so they’re a naturopathic becomes a chiropractor, you know it’s a paradigm shift. And I learned them both concurrently and so as I was learning all of the bone pathology on patients from the inside looking at imaging in chiropractor college and you know manual therapies. I was learning all of those things as East processes from history taking and lab work in the naturopathic school. So really I feel like I just melded the two together in a very unique way. So I, and it’s not to brag I just know my brain works differently for sure than a lot of my colleagues. I see things I can’t help it. You know I can’t help to see it from whichever angle. I am either watching their gate or their movement patterns or I am looking at them thinking, “Your thyroid isn’t working and that’s causing your muscular skeleton pain.” You know? It’s a curse and a blessing, but it’s definitely fun, so.
Awesome. So in your practice today what percentage would you say is chronic pain that you’re seeing and treating?
Well, I am sort of the last stop for people. So, the work that I do in regenerative injection therapies really involves seeing, most people have been through the gamut, so they’ve been through everything and they failed care or they’re getting some decent results but it’s just not quite sticking. So, I see that a lot too. So I’ll treat a lot of acute athletes. I’ll treat athletes who have something, you know, I mean the definition of acute versus chronic but they’ll have had something that just isn’t quite responding and they need to get back to sport. Or it will be somebody who’s been carrying something around for, I just saw a woman yesterday who gave birth 10 months ago and they put her in a really obscure position to deliver the baby and really just screwed up her lumbopelvic region and the ligaments there. So 10 months of chronic pain for her. I’ll see other people who have been dealing with it for 20 years. So it’s kind of all across the board.
But I am sort of that last stop for people. They’ve gone down and tried lot of different conservative care options or they’ve gone down the cortisone and you know, pill route and they end up on my door step for whatever reason. And so, I guess most of them by definition would be chronic.
It’s a varied amount of years.
Great. So I am speaking with Doctor Tina Moore. She’s a naturopathic physician and a doctorate chiropractic based in Portland. And today we’re going to talk about regenerative therapies. So, let’s just jump into that. And tell me what are regenerative therapies.
So regenerative injection therapies have been around since the thirties. It started with a treatment called prolotherapy. A lot of people don’t know about these therapies. They were developed in response to treating ligamentous pain. So before the advent of MRI there was a good appreciation for ligamentous pain. And ligaments and tendons where they meet bone it’s called the enthesopathy. And that’s where a lot of chronic degeneration occurs. So ligaments and tendons will pole and they’ll become damaged, so that area is highly [inaudible 00:06:00] and highly vascular and it hurts a lot. So Doctor Hackett came up with the idea in the thirties to inject dextrose, which is sugar water into these enthesopathy areas, these enthesis points. You could call them fibriosis junctions, you can call them whatever you want. But the bottom line is the dextrose is hyperosmotic meaning it draws water to it and it draws the immune system to it. So it gives the body a secondary chance of healing. So the needling itself counts. The needling itself is very important, the technique is very important. But what you have in your syringe basically calls the immune system up and says, “Hey, let’s pay attention here. We need to have a secondary attempt at healing.” So if you’ve ever sprained an ankle, you know they take forever to heal. That’s the ligament it’s not going back to their original shape and function and tenacity and so we give them a second shot. So that’s prolotherapy. As a technique it involves injecting all of the enthesis points that are tender in a say a rotator cuff for instance. You don’t just treat the supraspinatus tendon where you know the MRI is showing degeneration. You treat the whole rotator cut, every ligament or tendon insertion that’s tender or painful and also interarticular so inside the joint. And then we can beef that up. The technique is the same, but we can put something different in our syringe. So we can add different nutrients, it’s all natural. We can add different nutrients to the syringe, homeopathics. We can put testosterone in it sometimes in certain states, depending on your license. Or we can do platelet plasma which is you know, if prolotherapy is coffee or tea, then PRP would be, we call it PRP for short, would be coffee. And so that’s about two to three times as strong as prolotherapy. However I think the technique really is critical and that’s the one thing that a lot of the orthopedic doctors who are just jumping on the PRP bandwagon they don’t get the point that if you’re not very good at prolotherapy technique of actually treating the entire joint structure. If you just shoot juice into the joint, you’re only getting half the benefit if that. You know. So those are the two main things I do all day long in practice. And then the third thing would be stem cell so we can harvest stem cells from the bone marrow or the adipose fat, they’re high end [inaudible 00:08:06] stem cells, we mix that with the PRP and we, same technique. We just get that inside the joint, we get that where it’s needed but that would be the expresso. So we’ve got some varied strengths of potency.
Are you finding that one works better than another for a particular person, a particular patient or a certain diagnosis?
For sure. You know, I think prolotherapy is wonderful and it’s cost effective and it’s something that I think, you know none of this is covered by insurance so it’s all out of pocket for patients. And I think prolotherpy is a wonderful treatment in the right hands of the right practitioner. Sometimes it’s not strong enough though. So if something’s really chronic, it kind of depends on how degenerated the structure is or the patient is it’s only, these are only as good as your immune system is. So if you’re diabetic and you’re eating poorly and you’re immune response isn’t good and you’re not a good healer because of lifestyle factors, these treatments are not that efficient. You know, they’re not that effective which is a bummer. When we talk about the stem cells and the PRP, that’s really only as good as you are, you know. Your PRP is different than my PRP based on your sex, I am sorry, your gender and your age and your hormone levels and your blood sugar and all that. So as far as potency goes PRP would be, it’s usually my go-to. I do like dextrose though. Dextrose has some benefits of calming things down first. So it kind of depends on the patient. But I do find that PRP is really kind of midline cross the board, if, you know it would be the volvo. Yeah, it’s a good safe bet in most cases.
So it sounds like PRP is kind of the entrance point for most people. However you said something really interesting that I want to go back to so everyone understands. If I understand correctly, most of these injections are giving your immune system a second chance to heal.
Can you talk a little bit more about that? Because I think for most of us we think, “All right, we sprain an ankle and we tear some ligaments and you know, it should heal within 12 weeks.”
But it doesn’t always.
Is that correct?
Right. Well. So if somebody is nutritionally unsound, if you don’t have the building blocks to build the collagen to lay it down in the first place, you’re messed up. And what do most people do when they hurt themselves? What’s the first thing that we are taught, are trained to do, right? We tell them to take nsaids, which are non-steroidal anti-inflammatories and we tell them to ice it. Both of which completely shut off the immune response. From what I am understanding you might know this better. I kind of look at the first 10 to 14 days as the really critical inflammatory response period. And then each portion of collagen production and healing is dependent on the last to the go to fruition. So, you know there’s about three hundred days of collagen production and lay down and stabilization that happens after an injury. And if you screw up those first 14 days with ice and nsaids, you kind of mess up the whole thing. You know. And so that’s the standard of care really is just ice it and ibuprofen it. I think that’s where a lot of people run into issues and so we’re trying to jumpstart that whole inflammatory response over again in a modulated fashion. It used to be called sclerotherapy. It’s not, we’re not laying down scar issue. Studies have shown we’re laying down healthy fibro cartilage. We’re laying down healthy, the condor sites are kicking in. The fiber blasts are kicking in and those are the cells that make your collagen and your cartilage and so we’re actually seeing healthy regeneration of normal tissue. And then it’s up to the patient to go through a rehabilitative process and lay down those fibers in a linear fashion, right. Collagen likes to line up in linear lines and that’s the tensol force on it and that’s only as good as the patient is moving. So I can build collagen all day if the patient has the building blocks in their system. They’re eating well. They’re ingesting collagen sources. I get the whole thing revved up and going. You know, vitamin D is important in that. There’s a bunch of other nutrients. And then I inject them to get the immune system to kick on and pay attention to that area. Then the patient needs, the ones who do well are the ones who go follow up. And every treatment plan I give them says, “Follow up with your PT, follow up with your whoever, you know. Just move.” So that’s really important as well. But their nutritional status and their hormonal status is everything right. Because as you know people who are unhealthy don’t heal well from the get-go.
Yeah. I want to come to the nutrition later on in our podcast and we can talk about-
But to kind of move on, so. The PRP, is that more effective than the prolotherapy for some people then?
For some. I would say in certain joints for sure. Some of the bigger joints I found just clinically in practice. And this isn’t based on anybody’s experience but my own and what I’ve seen in talking with colleagues, you know, achilles, big big structures. Achilles, tendons, plantar fasciosis, lumbopelvic regions. Those all really respond to PRP very well. And that is more efficient. I will say though that there is a benefit of using dextrose to calm down your agentic inflammation. Dextrose sits on the warm receptor which is the same receptor that’s your substance P producing pain. It’s what produces the chemicals that aggravate the pain in nerves right. Dextrose calms that down and so sometimes I will insist, I can tell just by looking, you know, typically it would be the female who’s between 45 and 65 who’s just prone to flares for whatever reason. Usually it’s a hormonal imbalance and a variety of things. Most of the time I’ll insist that we start with dextrose prolotherapy because, one it’s diagnostic. I can use as much as I want and find the pain generators. Two, it’s not nearly as inflammatory. And three it will calm everything down. So that when I do go back with PRP, it’s a much more comfortable experience for the patient. So it kind of depends on the patient you know. But if it’s a gentleman like you, healthy guy, 30s to 50s to 60s, they’ve got a rotator cuff issue, they’re athletic, let’s do the PRP. Let’s do two to three rounds of PRP. They should be solid. If I don’t get him better in two visits, or two treatments, I am not doing my job. In my opinion.
So traditionally an orthopedic physician or physiatrist, when it comes to injections most of the time they’re doing either lidocaine or maybe cortisone for tendon issues that have not healed.
You know lateral epicondylitis comes to mind, I am also a certified hand therapist. I’ve seen tons of [inaudible 00:14:21] get stalled.
As far as healing goes. But why is this better than the cortisone injection? And how does it differ?
Well, particularly for lateral epicondylitis, that seems to be the best studies we have on PRP. It works great. Why is it better than cortisone? So cortisone works to be it’s anabolic. I am sorry, it’s catabolic that chews up tissue. So basically the reason it makes you feel better is because it shuts off your immune system in the area, it decreases inflammation locally, it does go systemically from what I’ve seen. And it calms everything down. The long term studies are showing that it chews up your tissues and causes very decent instability in the joint. The whole reason the joint hurts is usually because of instability in the first place. So it’s a bit counterproductive. In my opinion from what I’ve seen it disintegrates tissue so aggressively that you know the patient, that’s who comes to see me, they failed cortisone. Maybe it was years ago, maybe it was recently. So PRP is anabolic. It grows tissues. So we’re taking the patient’s blood, we’re spinning out the growth factors, there’s 22 known growth factors, we inject them in a concentrated form back into the region of damaged tissue and we’re basically throwing a little balm of healing goodness in there to grow tissue and heal it up and tighten it up. So that it quits slopping around and causing further damage. Which I think ultimately is ideal, right. And there is a place for cortisone. Very rarely do I use it but I use it in tiny tiny doses. I am just trying to quiet the area. I might even add it to the PRP. It’s even been shown in very tiny doses to be anabolic. But the macro-doses that you’re getting at the, generally at the orthopedic office is so high and so just damaging long term to tissues.
The take home message then in those cases, the cortisone is actually shutting down the immune system whereas the strategies you’re using, you’re enhancing our own body’s ability to heal itself.
Which is really great.
I think so and I am taking the immune system and concentrating it into a form and delivering it via syringe and needle to the damaged tissues. I think that’s, in my head is very naturopathic, it’s very holistic, you know, it’s a very natural. And it’s safe, you know there’s no contraindication, it’s from the patient’s own cells. There’s nothing else in there that I am mixing in that would be contraindicated.
So is there an age limit? Can adolescents do this? You know, is there a certain age where you’re too old for if or maybe osteoporosis or something comes into play that might be contraindicated?
Not really. I am not keen on injecting children because it can be a painful process. So I leave that up to some of my colleagues. The youngest I’ll go is tween, you know, maybe 13, 14 years old, depends on the case. But I treat lots and lots of wonderful elderly patients into their 90s and they’re not going to go get a hip replacement surgery. They’re just not. They’re just not into it. They’re going to live out their life and they want to keep moving and they’ve always been moving. And you know these are the healthy elderly. And PRP works wonderfully. It’s not the same as your PRP, I mean if I could get my hands on a 18 year old male athlete who eats clean, his PRP would be the best. You know, so I get varied responses. But a lot of these people are just so thankful and prolotherapy, I do a lot of just plain old dextrose prolotherapy on a lot of elderly patients with wonderful results. And they’re so thankful and it’s really rewarding because it keeps them mobile, which we know is the ticket to living and longevity.
Exactly. And you know to talk about a movement so you just brought movement to conversation, you brought it up before. I know you’re exercising as a physician. YOu’re a big advocate of movement of all sorts. So when I think of movement I think of three things. I think of cardiovascular exercise. I think of resistance training and high intensity interval training. So those are the three categories that pop into my mind first. Is there one that you advise patients on working more than the other, on what you feel people need more than the other?
I prefer strength training. Because I am looking at joints all day. And I am looking at joints that are in pain because the patient’s body is hanging off their ligament. So a shoulder for instance, I am not going to get a lateral tear or a rotator cuff issue and usually they have both, fixed if there’s no deltoid. If there’s nothing holding that, if those rotator cuffs muscles and the deltoid muscle are not holding that appendage onto the body, it’s not going to last. It’s going to continue to disintegrate and ligaments that are on pole hurt because they’re pulling off bone that’s the enthesis point. So I am big on strength training. I think that ideally for what I do, it holds you together the best. And that’s what I am most, there’s a lot of other benefits we could go on and on about. But I think just holding your body together is key. I always tell patients, “You have to earn your running. You have to be strong enough to run.” There’s nothing worse than seeing somebody with extremely [inaudible 00:19:06] whether they’re lean or obese just sloching around on their joints out there. It kills me. And I know that to some degree you can build up that stamina. But when I was doing a lot of cardio and a lot of pilates and even high intensity interval training alone without the strength training, I still felt like I was going to break. I have a lot of joint instability myself. And I felt like if I were to jump off at even a high curb, there was a chance I was going to screw up my pelvis. And now I just feel solid. I just, you know if I wipe out at the roller skating rink, I bounce back up. I don’t shatter to pieces. And so I am seeing a lot of patients particularly women who are just so skinny and so lean and they run themselves into a hormonal mess and they’re just in chronic pain because they have no muscular chain to hold their bodies together. That’s what I am the biggest at strength training.
You’re the type of person I think that we may want to talk about are people who just do let’s say, yoga multiple times a week. Which yoga is fantastic for chronic pain, I am not saying anything negative about it. But at times if they’re not doing yoga on a high enough level, it could really lack the strength training component to it.
So I am curious about it as a female, as a female physician, how do you speak with other females about strength training because they can be really resistant at times about picking up some weights and using them.
Right. Well, I, you know, I practice what I preach and so I try to model the lifestyle as best as I can and they usually come in and they’re like, “Wow, you have such a trim waist and such nice gluts.” I mean they’ll say that to me you know. They’ll compliment my figure. They’re like, “How do you do.” My assistant, my medical assistant does nothing but lift and she’s just a tall gorgeous creature young woman, very fit. And we both just say, “We’re not really that into cardio.” We do a little bit of it. I mainly do cardio just to give my brain a spark. Just to keep cognition good. But when they say, “Well I don’t want to get bulky” or “I don’t want to bulk up too much” or “I don’t want to hurt myself, “I don’t, this and that.” We just look down at ourselves and we’re like, “We’re not bulky. We’re lean as can be,” you know. So I think modeling it is probably my biggest weapon, I would say in convincing patients. And then really the cases where I treat them two or three times and they’re spending good money and you know the treatments can be painful, and at by the third treatment they’re not getting quite the results and I usually take their hand and I say, “Do you remember the first visit when I told you you needed some gluts? That you needed to build some gluts?” That’s, this is why this isn’t taking as well, because you’re not, you’re just hanging off the ligaments, you have no gluteal muscles,” so that can be very comp-. I think pain and vanity, I gotta say, you tap into a patient’s pain and vanity. And then going back to yoga. Yoga is just, you’re right, at a high level very strong people but, people who are just kind of mucking through it who already have a general sense of ligamentous laxity they’re just hanging on ligaments. They’re really putting them on extreme stretch and hanging on them and that can be devastating to a joint structure. So, I am pretty frank with my patients. I have the kind of Jesus talk with them and I don’t really hold back and that’s what I am known for. So I just lay it down. They’ll either like me or they don’t. I am not that terribly concerned about it. I am talking from my heart and I know that I am coming from a place of kindness. And I am trying to help them so. And I’ve done it all. I am 42. I’ve done it all and I’ve landed on this and this is the body I have because of strength training. So maybe I should show before and after pictures if they don’t. Because I like was that skinny fat little ligamentous lax girl that we see so much of in practice who hurt all the time, you know.
It’s true. I mean obviously stretching feels good, like you know a nice yoga class with some pilates stretching feels wonderful and can do a lot to decrease pain sensitivity.
But you know when you look at your muscles, you have to look at them globally and obviously strength is really needed unless people can lose their muscle tissues just naturally unless you’re working on it.
As a naturopathic physician the other thing that you really have in your toolkit is nutrition.
You mentioned that even if you’re doing all the injections that people still have to have a really good immune system and that’s supported by their nutrition.
So what are some of the nutrients that you might give a patient to support them in this process of regenerative injections?
So getting them to eat a clean whole foods diet is key. I don’t care what you want to call it. Paleo, elimination, whatever. I am trying to keep inflammatory foods low and I am trying to keep nutrient dense foods high. I am just a big fan, I am a big fan of animal protein. I get that some people are vegetarian. From where I am coming from, you need to eat collagen and ingest collagen to build collagen. So if they won’t agree to eat meat I can usually get them to take a collagen supplement. So I am big on collagen supplementation. There’s all different kinds. Some of them are specific to types 1 and 2 collagen and 3 collagen. It kind of depends on the patient, their case. But I can usually get them on some kind of supplementation. Eating adequate protein and for me as a strengthening conditioning person it’s the same trying to heal somebody up. I usually put them on a pretty high protein diet. Nobody hates it. That’s the thing. It’s very hard to ingest that much but I usually try to go for you know, 90 to 120 grams of protein a day. And even just presenting that to a patient can be eye-opening. Because a lot of patients will say, “Oh, I eat plenty of meat.” And it turns out they eat like a chicken breast every three days. You know, so, that’s not enough. A chicken breast is about 30 grams. They need three of those a day. So that’s a hard one to get in, specially a lot of women. Women are protein starved. I think that’s why they hurt. Having, I am really into supporting microbiome, so really supporting the gastrointestinal tract with a lot of good fibers, nutrient dense vegetables. I love greens. I think kale and other greens are fantastic. So eating a variety of colors. Keeping sugar low. Sugar, pain lives off sugar, I am sure of it. There’s a lot of different mechanisms but keeping sugar intake super low. Lot of people ae inflamed because of grain intake and that comes down to their immune system and how they’re genetically made up and there’s a lot of reasons for it but I try to get them to reduce their grain load. This isn’t about gluten free, although gluten is a trigger for pain. You wrote an excellent article on that by the way. I just want to say. I thought that was great.
Just getting the grain intake low. Getting their immune system to chill out. Getting their sugar intake low. Making sure that what they’re eating is nutrient dense. Lots of healthy fats. I am a big fan of fat. Butter, coconut oil, avocado. Just really healthy fats. I think all of that tends to calm people’s pain down. Not everyone agrees with me on that diet but that’s what I found in practice over the last 10 years. Works ideally and most patients are in agreeance with that. I try to not take too much away from them. I try to add in enough good stuff that they don’t have room for the bad stuff. You know. So, and most patients I have to say by the time they’re here and they’re in this much pain and they’re willing to plop down the cash to get the treatments, they’re usually pretty compliant with the diet. So, they want to optimize their selves.
Right. They’re pretty motivated at that point. They’ve tried everything that’s conventional.
I don’t know if I like the word conventional at this point. From the interview today it’s like this should be the first step.
For some of the other things that we’re doing. Because obviously surgeries are very expensive.
Oh my gosh.
And they cost our healthcare system and us as individuals a lot of money. If we can do things like this that are natural, combining nutrition with movement, with some of regenerative injections I think we kind of have a win-win.
It’s true. If I can just say, you know most people’s deductibles nowadays are in the thousands and for that amount of money I can easily get even the worst joint, I can get significantly improved in most cases even in very unhealthy obese individuals. I have treated the worst looking MRIs you’ve ever seen, these shoulders, and backs, I always can get them better. And I am not saying that from a place of arrogance. I will not treat somebody if I don’t think I can help them. I don’t BS people. I am very frank with patients. I will not put a needle in them if I don’t think that’s the best option. But it’s absolutely a cost efficient route to go. And there’s no downtime. You’re back to work the next day. The cost of surgery, not just the actual surgery, but the recovery as you know, that’s insane for some people. And it can take months and months and months. The cost of missing work. The cost of downtime. Missing out on activities of daily living. People don’t consider what those costs look like. Driving to and from the practitioner. It’s not always very efficient. And it can really take a toll. And then there are adrenal’s crash. You know just a whole thing that happens when you’re in that much pain so.
I tell people you know, the first thing to consider is that when you go into, you know, for surgery into a major hospital, infection is the number one problem that you really have to look out for and that’s if even if your surgery goes perfect and they fix whatever the problem is, quote and quote, infection really could be your big kind of you know thorn in your side basically. And that is kind of nasty because those infections are resistant to antibiotics.
And terrifying. I don’t even like going in hospitals because of the infection. If you don’t walk in with one, you’re probably going to walk out with one. You know. And that’s the beauty of these treatments too. We’re actually causing the immune system to come to the area efficiently and so I will say that if you get together with a group of hundreds, hundreds of prolotherapists, even the ones who’ve been doing it for decades, we have, I’ve never had any, knock on wood, but very low infection rates. Because we’re actually, specially in the case of PRP, we’re throwing a balm of immune system in there. So if there is anything, hopefully there’s not we use sterile technique, but if there is anything that goes wrong, versus putting cortisone in where you’re actually injecting something that’s tanking out the immune system locally, you know it’s a good bet that what we’re injecting along with the treatment is going to have some efficacy in keeping you protected. We hope. So.
Excellent. Doctor Tina Moore, you’ve given us so many good strategies today and I think people really have a good idea of what injection therapies are. But please tell us how we can find you, both your practice as well as your website.
Sure. So my practice and my website are combined at this point. So it’s drtyna.com. D-R-T-Y-N-A. I have a unique spelling. And you can find me there. There’s all kinds of good information. My blog is there. If you want to find me on social media, I am very active. So Tina Moore NBDC on Facebook. And then Dr. Tyna for Twitter and Instagram, I am also available there. I do online health coaching as well as seeing patients locally in my practice in Portland, so, yeah.
Excellent. Awesome. I want to thank you for an amazing interview today. And thank you for having me on your summit a couple of months ago. It was lots of fun.
Yeah, we did. So I did a health summit, I did a great pain summit. You had done a great pain summit that inspired me actually, so it was fun having you on that. And I’ve gotta get people access to those interviews again because your talk was, that was one of the more fun ones. We really geeked out. We had a good time.
We could probably keep going today maybe we should schedule you know a second interview for the Healing Pain podcast because I know you have lots of things [inaudible 00:29:46] to talk about.
Sure. Well thank you so much for having me on. This has been a lot of fun.
So I want to thank Tina again for being on the Healing Pain Podcast, episode number 3. Please check her out on her website and stay connected at www.doctorjoetatta.com for the Healing Pain podcasts and we will see you next week.
About Dr. Tyna Moore, ND, DC
Dr. Moore is recognized as an authority in the application of natural pain solutions and regenerative injection therapies to treat all varieties of musculoskeletal conditions. As both a board certified Naturopathic and Chiropractic physician, she brings a unique perspective and expertise to the diagnosis and treatment of orthopedic conditions. Throughout her professional career Dr. Tyna Moore has focused on pain and musculoskeletal conditions. It was through her own illnesses as a child that inspired her to pursue medicine. Visit www.corewellnesspdx.com to learn more about Dr. Tyna Moore, ND, DC and regenerative injection therapies.
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If you would like to appear in an episode of The Healing Pain Podcast or know someone with an incredible story of overcoming pain contact Dr. Joe Tatta at firstname.lastname@example.org. Experts from the fields of medicine, physical therapy, chiropractic, nutrition, psychology, spirituality, personal development and more are welcome.
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