Common Injuries Treated With Prolotherapy
• Whiplash Injury to the Neck, Upper Back, Shoulders, and Low Back
• Tension and Migraine Headaches
• TMJ Syndrome
• Low Back Pain from Lifting or Work-Related Injuries
• Postural Strain of the Neck and Back
• Overuse Injuries such as Tennis Elbow, Shoulder Tendonitis, Achilles tendonitis and Carpal Tunnel Syndrome
• Fibromyalgia and Myofascial Pain
• Sacroiliac Joint Disorders
• Muscle Tightness, Strain, and Spasm
• Arthritis Pain-Knee, Hands, Neck, and Back
• Herniated and Degenerative Discs
• Pinched Nerves and Sciatica
• Weak, Loose, and Unstable Joints (Hypermobility/Subluxations/Dislocations)
• Athletic Injuries, New and Old
Is Prolotherapy a Cure for Everything?
Prolotherapy is not a “cure” for every painful condition. It will not always restore 100% of functional capacity and not always eliminate 100% of a person’s pain. Prolotherapy does not work overnight. In addition, some areas of the body cannot be safely reached with a needle (e.g. areas near large arteries, nerves, lungs, brain, spinal cord, etc...)
In addition, prolotherapy may not work very well for patients with certain chronic diseases such as Auto Immune disorders, or for those who are required to remain on chronic immunosuppressants, steroids, or NSAIDS. Individuals with other disorders of there immune system may not respond well. Morbid Obesity, Uncontrolled diabetes, and heavy smokers may also experience a less promising outcome, which is why these areas would need to be addressed prior and during treatment.
The vast majority of patients sufficiently treated by prolotherapy (from two to ten sessions) will receive at least 50% or more relief of their pain. Many even report complete resolution. These results are excellent, considering that chronic pain is exceedingly difficult to treat by any means. It is also important to know that prolotherapy primarily strengthens and rejuvenates tissues in the joints, ligaments, and tendons. No structures are weakened and no scars are formed. Therefore, no bridges are burned in the process.
The motivation to get better on the part of the patient is essential and will often predict an excellent outcome. As with any treatment, patience and time are also a key factor. Functional disability and chronic pain problems take a long time to develop and likewise do not necessarily resolve overnight. If the pain is enough to affect one’s life, then prolotherapy may be indicated.
A comprehensive history and a thorough examination is necessary to select the best candidates for prolotherapy prior to treatment.
DISCLAIMER: The contents of this site are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Rabago D, Slattengren A, Zgierska A. Prolotherapy in Primary Care Practice. Prim Care. 2010 March ; 37(1): 65–80. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831229/
Rabago D, Patterson JJ, Mundt M, Kijowski R, Grettie J, Segal NA, Zgierska A Dextrose prolotherapy for knee osteoarthritis: a randomized controlled trial. Ann Fam Med. 2013 May-Jun;11(3):229-37. http://www.annfammed.org/content/11/3/229.full?sid=cf599129-aa40-
Jahangiri A, Moghaddam FR, Najafi S. Hypertonic dextrose versus corticosteroid local injection for the treatment of osteoarthritis in the first carpometacarpal joint: a doubleblind randomized clinical trial. J Orthop Sci 2014 Aug 27. http://www.ncbi.nlm.nih.gov/pubmed/25158896
Topol GA, Podesta LA, Reeves KD, Raya MF, Fullerton BD, Yeh H. Hyperosmolar Dextrose Injection for Recalcitrant Osgood-Schlatter Disease. Pediatrics 2011;128(5):e1121-e1128. http://pediatrics.aappublications.org/content/128/5/e1121.long
Reeves KD, Hassanein K. Randomized prospective placebo controlled double-blind study of dextrose prolotherapy for osteoarthritic thumbs and fingers (DIP, PIP and trapeziometacarpal Joints) : Evidence of clinical efficacy. Jnl Alt Compl Med 2000;6(4):311-320.
What is Prolotherapy?
Prolotherapy is a non-surgical treatment which is performed by injecting a solution, eg. Dextrose, into an injured or unstable ligament, joint, or tendon. Prolotherapy stimulates the body to heal and strengthen the injured area, to reduce pain, and to promote stability and function.
Prolotherapy is used by individuals who suffer from chronic ligament, joint, and tendon pain due to injury, laxity, and hypermobility. Prolotherapy is also used by individuals who are seeking an “anti-aging” approach to slowing or reversing the degenerative affects of osteoarthritis. Due to its relative safety and effectiveness, Prolotherapy has been considered as an alternative to surgery or when other treatments have failed.
Prolotherapy has been practiced in this country since the 1930's and is recognized by the American Medical Association (AMA), the American Osteopathic Association (AOA).
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