What is Prolotherapy?
Prolotherapy (Proliferative Therapy), also known as Non-Surgical Ligament and Tendon Reconstruction and Regenerative Joint Injection, is a recognized orthopedic procedure that stimulates the body’s healing processes to strengthen and repair injured and painful joints and connective tissue. It is based on the fact that when ligaments or tendons (connective tissue) are stretched or torn, the joint they are holding destabilizes and can become painful. Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new collagen tissue, resulting in permanent stabilization of the joint. Once the joint is stabilized, pain usually resolves. Traditional approaches with surgery have more risk and may fail to stabilize the joint and relieve pain, and anti-inflammatory or other pain relievers only act temporarily.
How does Prolotherapy work?
Prolotherapy works by stimulating the body’s natural healing mechanisms to lay down new tissue in the weakened area. This is done by a directed injection to the injury site, “tricking” the body to repair again. The mild inflammatory response which is created by the injection encourages growth of new, normal ligament or tendon fibers, resulting in a tightening of the weakened structure. Additional treatments repeat this process, allowing a gradual buildup of tissue to restore the original strength to the area.
What is in the solution that is injected?
Prolotherapy injections contain natural substances that stimulate the healing response, as well as local anesthetic agents to help with the pain of the injection. Traditional formulas include ingredients such as dextrose, saline, sarapin and procaine or lidocaine.
Is the Prolotherapy treatment painful?
Any pain involving an injection will vary according to the structure or joint treated and the choice of solution. The treatment may result in a temporary increase in pain with mild swelling and stiffness. The discomfort usually passes fairly quickly and can also be reduced with pain relievers such as Tylenol or other prescribed medication. Anti-inflammatory drugs, such as aspirin and ibuprofen, are not recommended for pain relief because their action suppresses the desired inflammatory healing process produced by the prolotherapy injections.
Can Prolotherapy help everyone?
Each patient must be evaluated thoroughly with patient history, physical exam and radiological or ultrasound exam. When indicated, laboratory work, should be ordered or evaluated prior to treatment. With this information, your physician can evaluate your potential success with this therapy. Success depends on factors which include the history of damage to the patient, the patient’s overall health and ability to heal, and any underlying nutritional or other deficiencies that would impede the healing process. In appropriate patients, prolotherapy has a high success rate.
What areas of the body can be treated?
Areas/problems treated include:
- neck pain
- knee pain
- knee meniscal tears
- wrist or hand pain including carpel tunnel
- shoulder pain including rotator cuff tears
- elbow pain including golfers or tennis elbow
- foot pain including plantar fasciitis
- ankle pain or instability
- osteitis pubis
- IT band syndrome
- piriformis syndrome
- temporal mandibular joint syndrome (TMJ)
- other musculoskeletal pain or injury
- low back or mid-back pain including degenerative disc disease and sacro-iliac joint instability/dysfunction
Some areas or problems can be more challenging than others, and it is therefore important to be evaluated by a physician trained and experienced in this procedure so that an accurate assessment and treatment plan can be given.
How often do I need these treatments?
Treatment intervals vary depending on the specific problem and severity of the area being treated, as well as the protocol of the physician. Typical intervals between treatments are every three to six weeks, with an average interval of once a month, for a total of four to six treatments. However this can vary and may be more frequent, or take longer, depending on the condition being treated.
What’s the rate of success in treatment for Prolotherapy?
The anticipated rate of success depends on a number of variables, including the patient’s history and ability to heal, and the type of solution used. In patients with low back pain, studies have shown 85% to 95% of patients experience improvement with prolotherapy (compared to studies showing a 52% improvement with back surgery). Many studies done over the years show a high success rate when prolotherapy is used for various ligament, tendon or joint pain/injuries.