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Prolotherapy
What is Prolotherapy?
The majority of joint pain is a result of injury or wear and tear to ligaments that surround and hold the joint together. Think of ligaments as rubber bands, once stretched beyond their limit, they either tear or remain overstretched. Not only does laxity in ligaments cause pain, but it creates joint instability which if left unaddressed contributes to joint degeneration. Ligaments do not possess a good blood supply therefore healing is often slow and incomplete resulting in the chronicity of joint pain.
Prolotherapy which has been referred to as non-surgical reconstruction of ligaments and tendons treats the cause of such joint pain. This is achieved by injection of a proliferant solution most commonly dextrose, which stimulates an immune response in the area being treated. This causes a local inflammatory response that leads to tissue regeneration and repair of the injured ligaments and tendons. We have been programmed to view inflammation as a negative response from the body which should be suppressed. However, inflammation exists as part of the healing process. When we overly suppress inflammation, we are in fact slowing down and preventing the healing process from taking place. Prolotherapy reignites this healing process.
Are Steroid injections the same as Prolotherapy?
No. They are completely different treatments. Steroid injections such as cortisone shots are used to lower inflammation in the affected area which subsequently decreases pain. They work especially well if short term pain relief is needed. However, steroid injections end up being a temporary measure since the root cause of the pain isn’t addressed. In addition, repeated use of cortisone injections suppress the immune system leading to delayed healing and counter productively further weakens the structures surrounding the joint.
What conditions can be treated with Prolotherapy?
- Shoulder Pain, Rotator Cuff Injuries
- Low Back Pain
- Knee Pain, ACL Injuries
- Tennis and Golfer’s Elbow
- Clavicle Injuries, AC/SC Joint Pain
- Ankle Sprains