1. What is Prolotherapy?
Prolotherapy also know as regenerative injection therapy, sclerotherapy, and proliferative therapy, is a recognized orthopedic procedure that stimulates the body’s healing process. Prolotherapy induces an anabolic inflammatory response that can help regenerate new tissue and stimulate cell growth and differentiation. Prolotherapy can can repair the weakened tissues (ligament, tendon, cartilage, muscle, etc.) and decrease pain by utilizing your own regenerative potential.
2. How does Prolotherapy work?
With a precise injection of a mild irritant solution (Dextrose, Plasma, Saline, etc.) directly on the site of the damaged tissue, Prolotherapy creates a mild, controlled injury that stimulates the body’s natural healing mechanisms to lay down new tissue over the damaged tissue. The mild inflammatory response that is created by the injection encourages growth of new tissues, resulting in a strengthening of the weakened structure. Additional treatments allow a gradual build-up of new tissue to restore the required strength in the damaged area.
3. What is in the solution that is injected?
The prolotherapy injections contain anesthetic agents and natural substances, which stimulate the healing response. The classical agent is Dextrose (sugar solution), but each treating physician tailors the selection of substances according to the patients’ needs.
4. Is the Prolotherapy treatment painful?
Any pain involving an injection will vary according to the structure to be treated, the choice of solution and patient factors. The treatment may result in swelling and stiffness. The discomfort passes fairly rapidly and can be reduced with Rest, Ice, Compression, Elevation (RICE), and Tylenol. Anti-inflammatory drugs, such as ibuprofen, should be limited as their action suppresses the desired inflammatory process produced by the injection.
5. Can Prolotherapy help everyone?
Prolotherapy is a specific treatment and is indicated for specific people and conditions, as such we review each patient on a case-by-case basis and determine if this treatment would be appropriate for you. Over the years we have treated many patients with numerous conditions with excellent outcomes. Talk to our expert medical staff to find out if you are a candidate for this treatment.
6. Who administers Prolotherapy?
Our medical staff (Physician and Physician Assistant) have been trained to adminstor this treatment and If you want a specific medical staff that you feel comfortable with, please don’t hesitate to ask.
7. What areas of the body can be treated?
Prolotherapy can be used for joints, tendons, ligaments, muscle, fascia and bursa treatments. In addition, we have had success with trigger point management and chronic pain treatments using prolotherapy. Ask our medical staff if your unique condition qualifies for this treatment.
8. How often do I need these treatments?
Every condition and every person will require a different frequency of treatments. On average we usually recommend 3 (three) treatments over a course of 6 weeks (1 treatment every 2 weeks). Our medical staff will inform you of the frequency for your particular condition.
9. What’s the rate of success in treatment?
The anticipated rate of success depends on a number of variables, including patient factors, disease, compliance and technique. Numerous literature reports a benefit range from 50-80% success rate in reducing pain and improving function with prolotherapy.
10. What side effects can I expect?
Side effects of prolotherapy injections may include temporary soreness, stiffness and occasional bruising in the injection site. Depending on the agent used, patients may experience flushing or warmth, in addition to localized pressure. Symptoms usually resolve after 24-48 hours. Tylenol can be used to decrease the pain post injection, in addition to rest-ice-compression-elevation (RICE).
11. Can Prolotherapy cure all pain?
Of course not. No single treatment is capable of treating all pain conditions and prolotherapy is not an overnight cure. Prolotherapy results can be enhanced when combined with exercise, health weight, proper diet and activity modifcation.
12. Is this the same as a cortisone injection?
Cortisone is a corticosteroid and stops the inflammatory process, and is traditionally not considered a prolotherapy agent.
13. Is Prolotherapy safe?
In the majorioty of cases, prolotherapy is safe and effective treatment when performed by a trained health care professional.