Pain & Injury Management
When rest, mobility, or standard rehab haven't fully resolved pain, we offer clinician-led, injection-based options that support the body's repair processes—paired with smart loading and strength progressions.
Book ConsultationOur Core Options
Advanced, evidence-informed therapies tailored to your specific condition and recovery goals.
PRP (Platelet-Rich Plasma)
Your own concentrated platelets prepared with Arthrex systems for select tendon/ligament injuries and early joint degeneration.
LEARN MORENeural Therapy
Local-anesthetic injections to calm dysfunctional nerve fields and autonomic patterns perpetuating pain.
LEARN MORETrigger Point Injections (TPI)
Manual or needle-based treatment for myofascial "knots" in taut muscle bands; TPIs may use local anesthetic, saline, or be done "dry."
LEARN MOREWho It's For
Tendinopathies
Achilles, patellar, lateral elbow, plantar fascia irritation
Persistent Ligament Sprains
Joint line pain, postural/mechanical pain
Myofascial Pain Syndromes
"Ropey" muscle tension limiting range of motion
Athletes
Needing a return-to-play plan coordinated with training
What to Expect
Consult & Exam
Comprehensive history, imaging/labs review if available
Plan Selection
PRP / Prolotherapy / Neural Therapy / TPI based on your condition
Treatment Series
Load management + home programming tailored to your recovery
Re-Test & Progress
Strength, ROM, tolerance assessments and adjustments
Consult & Exam
Comprehensive history, imaging/labs review if available
Plan Selection
PRP / Prolotherapy / Neural Therapy / TPI based on your condition
Treatment Series
Load management + home programming tailored to your recovery
Re-Test & Progress
Strength, ROM, tolerance assessments and adjustments
Safety & Scope
We review contraindications, medications, and timing with training or events. Injectables complement—not replace—medical diagnosis; we co-manage with your physician as needed.
Safety & Scope
We review contraindications, medications, and timing with training or events. Injectables complement—not replace—medical diagnosis; we co-manage with your physician as needed.
Platelet-Rich Plasma (PRP) with Arthrex
PRP uses a small sample of your blood, processed to concentrate platelets and growth factors, then injected into the target area to support local repair in eligible tendon/ligament and joint conditions.
Why Our PRP
We use Arthrex PRP processing systems (ACP® double-syringe, ACP Max™, or Angel®) to create consistent preparations; ACP can process ~15 mL whole blood in ~5 minutes, while ACP Max and Angel enable higher concentrations or customized formulations when indicated.
Candidates
- Lateral elbow tendinopathy, patellar/Achilles tendinopathy, plantar fasciopathy
- Mild-to-moderate joint degeneration (select cases)
- Partial-thickness tendon/ligament irritation (case-by-case)
Visit Plan
Medication review; training/load plan set
45–60 min visit (collection, processing, injection)
Relative rest 48–72h, then phased loading
Often 1–3 sessions spaced 4–6 weeks apart (individualized)
Why Our PRP
We use Arthrex PRP processing systems (ACP® double-syringe, ACP Max™, or Angel®) to create consistent preparations; ACP can process ~15 mL whole blood in ~5 minutes, while ACP Max and Angel enable higher concentrations or customized formulations when indicated.
Candidates (examples)
Visit Plan (guide)
Consult & Prep
Medication review; training/load plan set
PRP Session
45–60 min visit (collection, processing, injection)
Aftercare
Relative rest 48–72h, then phased loading
Series
Often 1–3 sessions spaced 4–6 weeks apart (individualized)
Prolotherapy
Prolotherapy delivers targeted injections—commonly dextrose-based—into irritated ligaments/tendons to stimulate a localized healing response, with the goal of reducing pain and improving function.
Candidates
- Chronic ankle sprains, medial/lateral elbow pain
- Sacroiliac or ligament-dominant low back discomfort
- Persistent tendon pain that hasn't responded to rest or standard rehab
Visit Plan
Identify pain drivers and treatment targets
Typically 3–6 sessions at 2–6 week intervals
Graded loading, tempo/eccentric work, home care
Candidates (examples)
Visit Plan (guide)
Consult & Mapping
Identify pain drivers and treatment targets
Treatment Series
Typically 3–6 sessions at 2–6 week intervals
Rehab Integration
Graded loading, tempo/eccentric work, home care
Neural Therapy
Neural Therapy uses small injections of a local anesthetic (often procaine or lidocaine) to areas of disturbed nerve signalling—such as scars or trigger points—to help normalize autonomic regulation and relieve pain.
Candidates
- Long-standing pain with autonomic or scar components
- Post-surgical pain, trauma sites, headache/neck-jaw patterns
- Cases where imaging is minimal but symptoms persist
Visit Plan
Mapping of interference fields
Typically 2–6 sessions (weekly to bi-weekly)
Can be paired with RMT / Sports Acupuncture
Candidates (examples)
Visit Plan (guide)
Assessment
Mapping of interference fields
Initial Series
Typically 2–6 sessions (weekly to bi-weekly)
Integration
Can be paired with RMT / Sports Acupuncture
Trigger Point Injections (TPI)
TPIs treat myofascial trigger points—hyper-irritable knots within a taut band of muscle. A small needle targets the point using local anesthetic (e.g., lidocaine) or saline; in some cases, clinicians use dry needling (no injectate).
Who They Help
- Neck/shoulder/upper-back pain (trapezius, levator, infraspinatus)
- Elbow/forearm overuse, hip flexor/TFL, gluteal/hamstring bands
- Persistent "ropey" muscle tension limiting range of motion
Why Choose Vanguard
Mapping of symptomatic and contributing muscle bands
We keep only what measurably helps
Isometrics → eccentrics/tempos → task-specific loading
Visit Cadence
- Acute flare (0–2 wks): 2×/week to modulate pain and restore gentle range
- Subacute (2–6 wks): 1×/week with progressive loading
- Performance "prehab": Every 2–4 weeks in heavy blocks to maintain tissue quality
Who They Help (examples)
Why Choose Vanguard
Visit Cadence (guide; individualized)
Ready to Address Your Pain?
Book a pain consult — precise options, integrated with your rehab and performance plan
Schedule Your Consultationstill have Questions ?
Our team is here to help.Reach out to us and we’ll get back to you promptly.
Guiding You to Better Health
Contact
Email :
info@vanguardperformance.ca
Phone :
(236) 427-4283
Our location :
- 420 W Hastings St Unit 200, Vancouver, BC V6B 1L1, Canada