Services

Advanced injection therapies.

Dr. Kelly Robertson, ND offers injection therapies in Nanaimo and Parksville, BC, with a focus on acute and chronic pain and degenerative joint concerns. Your assessment brings together your symptoms, goals and the evidence relevant to your condition to guide appropriate treatment options. Where appropriate, ultrasound guidance helps target your injection with precision, using a real-time view of the treatment area.

Dr. Kelly Robertson holding an ultrasound probe beside the ultrasound monitor.

01 / Treatments

An assessment comes first.

Your initial visit includes a history, physical examination and a discussion of appropriate options, possible benefits, limitations, risks and costs. Injections usually begin at a follow-up. Confirm availability at your preferred location when booking.

Dextrose injection therapy

Prolotherapy

Prolotherapy uses a dextrose solution injected into selected areas around a painful joint, tendon or ligament. It is intended to stimulate a local tissue response and may be considered for persistent musculoskeletal pain, including some tendon problems and joint concerns following injury or overuse.

Dr. Kelly Robertson, ND assesses the source of your symptoms before discussing whether prolotherapy fits your care plan. Research findings and individual responses vary, so the expected benefits, limitations and course of treatment are discussed for your specific concern.

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PRP therapy

Platelet-Rich Plasma (PRP) Injections

Dr. Kelly Robertson, ND uses the Arthrex ACP Max system to prepare platelet-rich plasma (PRP) from a sample of your own blood, concentrating platelets and their associated growth factors. The preparation is then injected into a selected treatment area. PRP may be considered for certain tendon injuries and osteoarthritis-related joint pain.

Your symptoms, medical history and goals help determine whether PRP is appropriate. Evidence differs by condition and preparation method, so expected benefits and limitations are discussed individually. Follow-up considers changes in pain and function before further treatment is recommended.

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Joint + soft-tissue care

Hyaluronic Acid (HA) Injections

Hyaluronic acid is a substance found naturally in joint fluid, where it contributes to lubrication and shock absorption. HA injections may be considered for osteoarthritis-related knee or hip pain, or selected tendon and ligament concerns. Research has also explored their use for tennis elbow, ankle sprains and rotator cuff tendinopathy.

Evidence is mixed and varies by condition and product. Dr. Kelly Robertson, ND considers the joint or tissue involved, your symptoms and previous treatment before discussing potential benefits, limitations and alternatives. The aim is to identify an appropriate option for your individual care plan.

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Nerve-related pain

Perineural Injection Therapy

Perineural injection therapy uses a dilute dextrose solution placed near peripheral nerves, including superficial nerves beneath the skin. It may be considered when nerve irritation contributes to persistent pain, such as neuralgia or selected nerve-entrapment concerns.

Dr. Kelly Robertson, ND assesses the pattern of your symptoms and the tissues involved before recommending an approach. Evidence depends on the condition and injection technique, and results vary. Treatment is considered within a care plan that also looks at other possible contributors to your pain.

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Inflammation + injection care

Corticosteroid (Cortisone) Injections

Cortisone injections use a corticosteroid medicine to reduce inflammation at a selected joint or soft-tissue site. They may be considered for some inflammatory conditions, including certain arthritis, bursitis or tendon-related concerns, after the cause of symptoms has been assessed. Any pain relief varies with the condition and does not replace a broader treatment plan.

Dr. Kelly Robertson, ND reviews your symptoms, previous treatment, medications and relevant health conditions before discussing the proposed injection site, alternatives, potential risks and aftercare. Follow-up helps determine how you have responded and whether further treatment is appropriate.

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Muscle tension + myofascial pain

Trigger Point Injections

Trigger points are sensitive areas within a tight band of muscle, often described as knots. They can cause pain locally or refer it to another area. Trigger point injections involve identifying these areas on examination and placing an injection into the affected muscle.

This approach may be considered for myofascial pain or when identifiable muscle trigger points contribute to pain associated with certain headaches or an injury. Your assessment looks at how muscle tension contributes to your symptoms and how treatment would fit alongside movement or rehabilitation. The proposed solution, potential benefits, risks and aftercare are discussed before proceeding.

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Therapeutic injection care

Therapeutic Neuromodulators

Therapeutic neuromodulators are prescription injections that temporarily alter specific nerve signals involved in muscle activity, sweat production or pain pathways. Depending on the diagnosis and product, they may be considered for chronic migraine prevention, certain forms of muscle overactivity or excessive underarm sweating. The treatment areas and plan depend on your medical history and the concern being assessed.

Dr. Kelly Robertson, ND also discusses concerns such as jaw tension and teeth grinding. These uses may be off-label, meaning they fall outside a product’s approved indications, and require an individual discussion of the evidence, alternatives and risks. Potential adverse effects, including unwanted muscle weakness, and follow-up needs are reviewed before treatment.

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Dr. Kelly Robertson examining a knee with the ultrasound image visible on the monitor.

The method

Precision you can see.

Your treatment plan begins with your health history, a physical examination and a conversation about your goals. Where appropriate, diagnostic ultrasound helps identify the treatment area and guide injections in real time.

02 / Common questions

Before you book.

Will I receive an injection at my first visit?

Usually not. The first appointment includes an assessment: history, physical examination, a treatment decision, and a clear plan and cost. If an injection is appropriate, it commonly begins at a follow-up.

Do I need a referral?

No referral is required in British Columbia. You can book an assessment directly at either location.

Which treatment is right for me?

That depends on the tissue involved, your health history, your goals and the evidence for each option. The assessment is designed to make that decision with you.

Where does Dr. Kelly Robertson practise?

Appointments are available at Pinpoint Physiotherapy & Health in Nanaimo and Parksville Wellness Collective in Parksville.