Mesotherapy

A natural solution for your spine!

What is mesotherapy?

Spine mesotherapy is a minimally invasive medical procedure used to treat chronic spinal pain and the surrounding musculoskeletal structures.

It involves administering small doses of medication directly into the painful tissues - muscles, ligaments, or trigger points - using very thin needles.

The goal of the procedure is to relieve pain, reduce inflammation, and improve tissue blood flow, which supports the body’s natural regeneration processes.

During mesotherapy, the physician uses a thin needle (0.3 mm in diameter) or a special injection gun to deliver small doses of a formulation containing, for example:

  • painrelieving medications,
  • collagen,
  • sometimes plateletrich plasma (PRP).

The formulation is selected individually depending on the patient’s needs and the area of the body being treated.

Indications for spine mesotherapy

  • chronic spinal pain (cervical, thoracic, lumbar),
  • overload and tension of paraspinal muscles,
  • myofascial pain syndrome,
  • posttraumatic and overload pain,
  • degenerative changes of the spinal joints,
  • sciatica, brachial radiculopathy,
  • tensionrelated pain (e.g., stress, sedentary work).

Effects of mesotherapy treatment

  • Pain reduction within 1–3 days,
  • Relaxation of tense muscles,
  • Improved spinal mobility,
  • Reduced need for oral medications,
  • Longlasting improvement after a series of 3–6 sessions performed every 1–2 weeks.

Stages of the procedure

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STEP 1 – Patient Preparation

• The patient usually lies on their stomach or side, in a position that allows easy access to the painful segment of the spine.

• The skin is disinfected with an antiseptic solution.

• The doctor may apply local anesthesia (e.g., a numbing cream or a small amount of lidocaine).

STEP 2 – Performing a Series of Injections

• The doctor performs several or a dozen very small injections with a thin needle (0.3 mm diameter) along the spine or around the painful trigger points.

• During the procedure, small amounts of the medication are injected into each point (socalled microdoses).

• The injections are shallow - only a few millimeters deep - and the sensation of pain is minimal.

• If needed, the procedure may be supported with Xray guidance to precisely determine the injection site.

STEP 3 – Substances Used

The type of formulation depends on the treatment goal and the patient’s condition. Commonly used substances include:

• painrelieving medications,

• lowmolecularweight collagen – stimulates cellular renewal,

• mediummolecularweight collagen – supports tissue regeneration,

• highmolecularweight collagen – strengthens supportive structures and stabilizes the spine,

• plateletrich plasma (PRP) – a natural preparation derived from the patient’s own blood, promoting regeneration.

STEP 4 – Completion of the Procedure

After finishing spine mesotherapy, the doctorn disinfects the skin in the area of the microinjections and covers it with a sterile dressing.

Clinical notes

  • The procedure is minimally invasive, safe, quick, and well tolerated.
  • Local anaesthesia is used.
  • Only minor redness or tenderness at the injection site may occur – these typically resolve within 1–2 days.

What to avoid before the procedure

It is recommended that for 3–5 days prior to the treatment, the patient should:

  • avoid taking bloodthinning medications such as aspirin, ibuprofen, ketoprofen, or diclofenac (as they may increase the risk of bleeding or bruising),
  • avoid alcohol consumption,
  • avoid using the sauna or tanning beds,
  • avoid intense physical activity on the day before the procedure.

If mesotherapy is performed using plateletrich plasma (PRP), it is also recommended to:

  • drink plenty of water (at least 1.5–2 litres the day before the procedure).