PROLOTHERAPY

What is prolotherapy?

Proliferative therapy (Prolotherapy) is a non-surgical ligament, and tendon regenerative joint injection used most commonly for chronic musculoskeletal conditions. Prolotherapy repairs the weakened site by producing new collagen tissue, stabilizing the joint, and pain relief.

This is what gives prolotherapy an advantage over traditional approaches such as surgery, which has more risk and may not stabilize the joint or relieve pain, and pain killers, which only  provide  temporary pain relief 

How does prolotherapy help us?

When ligaments or tendons are stretched or torn, the joint attached loses stabilization and causes significant pain. This can be due to age, previous injury, or illness.

Prolotherapy promotes the cells in our bodies to grow and duplicate to replace the affected site. Prolotherapy triggers various cellular pathways and activates them to induce self-healing. 

What problems can prolotherapy treat?

Prolotherapy can treat various tendon, joint, and nerve problems. It can also be a pre-treatment to support other regenerative medicine treatments such as PRP and stem cell injections.

Problem areas that can be treated by prolotherapy include back pain, neck pain, knee pain, knee meniscal tears, wrist or hand pain, osteoarthritis, shoulder pain, elbow pain, foot pain, ankle pain or instability, hypermobility, osteitis pubis, IT band syndrome, or other musculoskeletal pain and injuries

What to expect on the day of the procedure?

Prolotherapy injections can be performed during a consultation or a planned injection appointment. If you are using NSAID medications, you need to abstain from them for at least three days before receiving prolotherapy injections. At My Doc, we use ultrasound guidance to inject the targeted problem area more accurately. 

Neuroprolotherapy is performed by making injections in the soft tissue near the nerves. According to your patient’s preference, this can be done with or without local anesthesia

What happens after the injections?

Prolotherapy injections are an outpatient procedure that typically takes no more than half an hour, depending on the number of injections. You will not be required to stay the night at the clinic. Immediately after the procedure, you will likely experience mild pain at the injection site. 

Post-injection, you should be applying cold packs for up to 20 min every hour over the next 3 hours to minimize the potential for swelling or pain. 

Prolotherapy treatment sessions are generally given in up to 3 injections, with multiple series of injections being required in some cases

Do I have to fast on the day of the prolotherapy?

No, you can eat and drink normally. A good protein meal is recommended before the procedure, and you are asked to drink lots of fluids before the procedure to stay hydrated. 

What are the problems that can be treated by prolotherapy?

Problem areas that can be treated by prolotherapy include Low back or mid back pain, neck pain, knee pain, knee meniscal tears, wrist or hand pain, osteoarthritis, shoulder pain including rotator cuff tears,  elbow pain including golfers or tennis elbow, foot pain including plantar fasciitis, ankle pain or instability, hyper-mobility, osteitis pubis, IT band syndrome, or other musculoskeletal pain or injury. 

Why is an ultrasound machine used during the procedure?

The Ultrasound machine allows us to see the inside of the joint in real-time in the consultation room. This way, we can verify that the treatment is being injected into the affected joint and not simply into the soft tissue surrounding the joint

What are the side effects of prolotherapy?

Mild pain, irritation, stiffness, numbness at the injection site, or mild bleeding. The application of ice packs every 20 minutes for 3 hours after the procedure will significantly decrease the chance of these side­ effects. Often, you’ll be able to return to work directly following the process, and these symptoms will subside within the following 24 – 72 hours

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