Pain care
Pain Management & Prolotherapy
Evidence-informed naturopathic care for joint, tendon, and ligament pain—focused on restoring function, improving stability, and supporting long-term healing.
Overview
A clear plan for pain
Pain is rarely just a symptom—it’s often a signal of irritation, inflammation, instability, or overuse. We combine assessment, targeted therapies, and supportive lifestyle strategies to help you move with more confidence.
Pain management
A whole-person approach to reduce pain drivers, improve mobility, and support recovery—using nutrition, lifestyle, and evidence-informed therapies.
Prolotherapy
Regenerative injection therapy designed to support joint stability and reduce chronic musculoskeletal pain by stimulating the body’s healing response.
Root-cause assessment
We look at biomechanics, training load, inflammation, sleep, stress, and nutrition to identify what’s keeping pain stuck.
Integrated care
When appropriate, we coordinate with imaging, rehab, and your broader healthcare team to keep your plan safe and effective.
Conditions we commonly treat
Joint pain & instability
Knee, shoulder, hip, ankle, and small joint pain—especially when symptoms flare with activity or feel unstable.
Tendon & ligament pain
Chronic tendinopathies and sprains/strains where healing has stalled or keeps recurring.
Back & neck pain
Mechanical pain patterns, stiffness, and recurring flare-ups—supporting function and resilience over time.
What to expect
Your visit, step by step
We’ll meet you where you are and build a plan that fits your goals, comfort level, and timeline.
1) Assessment
History, movement and joint assessment, and a review of contributing factors (training load, posture, inflammation, sleep, and stress).
2) Personalized plan
A clear plan may include prolotherapy, nutrition and supplement support, lifestyle strategies, and home care to improve stability and recovery.
3) Treatment & follow-up
We track progress and adjust as you improve—so you’re not stuck in a one-size-fits-all approach.
4) Long-term prevention
Strength, mobility, and habit support to reduce flare-ups and help you stay active.
Prolotherapy FAQs
Common questions about safety, timing, and results.
What is prolotherapy?
Prolotherapy is an injection-based therapy used to support the body’s natural healing response in irritated or weakened connective tissue.
What conditions respond best?
It’s commonly used for chronic joint pain, ligament laxity/instability, and certain tendon issues—especially when symptoms have persisted despite rest or rehab.
Does it hurt?
Most people describe brief discomfort during the injection and mild soreness afterward. We’ll review what to expect and how to stay comfortable.
How many sessions will I need?
Plans vary by area and severity. Many patients require a series of treatments spaced over weeks to months, with reassessment along the way.
Is there downtime?
You may have temporary soreness and are typically advised to modify activity for a short period. We’ll provide clear aftercare guidance based on your case.
Can I combine this with other care?
Yes. Prolotherapy often works best alongside a supportive plan (rehab exercises, nutrition, sleep, and stress support). We can coordinate with your existing providers when needed.
Next step
Ready to move with less pain?
Book an appointment with Dr. Ryan Nakama, ND to discuss pain management and whether prolotherapy is a fit for your goals.