Prolotherapy Explained

Conditions Treated With Prolotherapy and Platelet-Rich Plasma Therapy: Delivering a Non-surgical Solution for Joint Pain

Most all of our new patients have been to physical therapists and orthopedic surgeons. From what they tell us, the evaluation of ligaments seems to be missing from most orthopedic evaluations. A good physical exam that identifies injured ligaments (or other components of the joints, for that matter) is essential to an effective treatment of pain. Pain-free movement is dependent on the healthy function of ligaments. Prolotherapy and Platelet-Rich Plasma Therapy (PRP) are effective at eliminating chronic pain when injected into the correct locations.

Every joint in the body has ligaments and tendons that can be traumatized. Prolotherapy and PRP can be applied to any joint. Following is a list of common injuries that are responsive to both Prolotherapy and PRP. When one is better than the other, it is so noted.

Headaches are often triggered or aggravated by ligament and tendon injuries in the neck and at the base of the skull. These structures hold the head erect all day and they can fatigue and cause muscle spasms and headaches as well as contribute to migraine intensity and frequency.

Neck Pain is often a result of old whiplash injuries that stretch the ligaments supporting the cervical vertebra and the head. These injuries may cause pain and muscle spasms that persist for years.

First rib sprains occur when the ligaments that stabilize where the ribs connect to the vertebra is traumatized (a common problem) or when the ligaments connecting the ribs to the sternum are injured causing chest pain (less common). A sprain can also create scapula pain where the “levator scapula” tendon attaches. Lower neck pain frequently radiates up from an injured rib ligament. This sprain is often caused by a fall on an outstretched arm and triggers trapezius muscle spasm and chronic “upper back and shoulder” pain. Such sprains are common sources of pain aggravated by computer work.

Low back pain is often caused by sprained sacroiliac and lumbar ligaments and responds particularly well to Prolotherapy. Lumbar disk degeneration that has not been resolved by other therapies can often be helped by Platelet-Rich Plasma Therapy (PRPT) and traction used together.

The shoulder has an extreme range of motion and is often injured by trauma that has caused rotator cuff and labrum tears. Over time, tendonitis and arthritis can develop. Effective treatment requires stabilizing the joint capsule using Prolotherapy and PRPT in order to heal the tendons and cartilage.

Elbow pain from golf, tennis, and other sports trauma is a combination of ligament sprain and tendonitis that consistently responds to Prolotherapy and PRPT.

The wrist, thumb and other finger joints are held together by ligaments and are often sprained by golf, yoga, or a fall and can develop arthritic changes.

Hip and groin pain result from injuries that occur often while jumping or running and sometimes from auto accidents. It can also result from arthritic changes to the cartilage and joint capsule. Menopausal women who lose muscle mass are susceptible to hip problems.

Knee pain is common and has a negative effect on enjoying life. It can limit fun activities as well as mobility and the ability to exercise–with the last of these having a negative effect on heart health and blood pressure. We recommend Prolotherapy and PRPT before getting arthroscopic surgery that removes part of the meniscus. Prolotherapy is effective for moderate knee pain, while PRPT is used for torn meniscus, arthritis, and patello-femoral joint disease.

Ankle and foot paint can be caused by injury to the many ligaments and tendons in these delicate areas of the body. Chronic ankle sprains, plantar fasciitis, and Achilles tendonosis respond positively to Prolotherapy.

When you come in for treatment, we design an individualized plan that includes the number of prolotherapy treatments needed and if PRP is needed in addition or instead of Prolotherapy. Each Prolotherapy injection can be adjusted to be milder for patients sensitive to injections or stronger for those wanting faster results. We use a prolotherapy formula that stimulates growth of healthy collagen and often contains glucosamine.

Prolotherapy Explained

Conditions Responsive To Prolotherapy

  • Arthritis
  • Cartilage injury
  • Headaches
  • TMJ pain
  • Neck pain
  • Upper back pain
  • Shoulder pain
  • Chest pain
  • Tennis and Golfer's Elbow
  • Carpal tunnel
  • Low back pain
  • Sacroiliac pain
  • Sciatica
  • Groin pain
  • Knee pain
  • Torn meniscus
  • Ankle sprains
  • Foot pain
  • Plantar faciitis

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Monday, Tuesday & Thursday
From 7:30 AM - 5:00 PM

Wednesday & Friday
From 7:30 AM - 3:00 PM

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