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Doctor insights on: Prolotherapy

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What is prolotherapy?

What is prolotherapy?

Prolotherapy: Prolotherapy (proliferation therapy) is injection of irritants into joints, tendons & ligaments to decrease musculoskeletal pain. ...Read more

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Is prp more effective than prolotherapy?

I do both--PRP wins: Short answer: I have done both in my practice and I now do almost exclusively PRP.
Long answer: Prolotherapy is specifically designed to stimulate the inflammatory response--I have had patients with significant soreness after the injection because of this. PRP works in a similar pathway but there's better research on it, and I have seen it tolerated better in my patients. ...Read more

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Can prolotherapy help with my overall flexibility?

Yes but: Its not harmful but can be expensive and doesn't help everyone. ...Read more

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What is prolotherapy, how is it done and what is it used for?

Prolotherapy: Prolotherapy is also known as "proliferation therapy, " "regenerative injection therapy, "or "proliferative injection therapy". It involves injecting a non-pharmacological and non-active irritant solution into the body, generally in the region of tendons or ligaments for the purpose of strengthening weakened connective tissue and alleviating musculoskeletal pain. ...Read more

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What is prolotherapy? Is it safe? Is it effective?

Safe: Prolotherapy is used by trained musculo-skeletal physicians to address ligament injuries and instability. It is only effective for these injuries, and stimulates the body to effectively heal itself through the inflammation pathways. It is not effective for pain syndromes of other types. ...Read more

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What are the side effects from a prolotherapy shot?

What are the side effects from a prolotherapy shot?

Pain flare up: Immediate side effects (if we can call it that way) include possible flare up of pain which usually last a couple of days. Some patients don't even experience any flare ups.
See this video where I explain what is prolotherapy. http://otwithmd. Com/what-is-prolotherapy/. ...Read more

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Have you heard of prolotherapy? If so, how efective is it on shoulder connective tissues and labrum?

Have you heard of prolotherapy? If so, how efective is it on shoulder connective tissues and labrum?

Not proven: Prolotherapy involves injection of dextrose (sugar) solution into ligaments to induce repair and strengthening. The labrum is made of a different kind of connective tissue, and if damaged, i.e. Thorn, it will not likely respond to prolotherapy. If detached from the glenoid (socket) of the shoulder it needs to be re attached. This will not happen with prolotherapy but requires surgery. ...Read more

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I have week ligaments near l-2 l-3. It can be very very very painful. How or can this be fixed. Without the use of prolotherapy! What would surgery do?

I have week ligaments near l-2 l-3. It can be very very very painful. How or can this be fixed. Without the use of prolotherapy! What would surgery do?

See below: This is a strange diagnosis. Have you had any trauma to your back such as a severe motor vehicle accident or severe fall. Who had told you of this diagnosis.? Strengthening of the back and core muscles, proper body mechanics and lifting techniques, weight loss if applicable are some basic things you can try. A physical therapist that specializes in backs would probably be very helpful and guide you as well as an orthopedic surgeon. Thank you. ...Read more

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Does prolotherapy cause scar tissue or new tissue?

Does prolotherapy cause scar tissue or new tissue?

New tissue: Good question. The point of prolotherapy is to create new tissue within ligaments. When a ligament has been strained it's like a rubber band that's lost its spring ; no longer effectively holds our bones together. Prolotherapy stimulates regeneration of the ligaments- not scar tissue!
see http://www. Caringmedical. Com/prolotherapyblog/todays-vlog-does-prolotherapy-cause-scar-tissue/. ...Read more

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Is platelet rich plasma and prolotherapy the same thing?

Is platelet rich plasma and prolotherapy the same thing?

No: You are comparing two "alternative" treatments in which stuff is injected into the insertions of ligaments / tendons. In prolotherapy, the operator injects sugar, glycerine, or some other simple substance. Injecting platelet-rich plasma is a whole new level of things. Caveat emptor. ...Read more

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Can prolotherapy make you worse or cause harm? Is it safe for the lower back?

Very safe: Prolotherapy is very safe and proven to help the vast majority who try it. It is common to have a temporary worsening of pain for a few days after treatment (though this is less or non-exisitent with prolozone). See
http://www. Getprolo. Com/prolotherapy-safety/
; http://www. Getprolo. Com/prolotherapy-research/. ...Read more

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What is the difference between trigger point therapy and prolotherapy exactly?

What is the difference between trigger point therapy and prolotherapy exactly?

Location: In trigger point therapy, the physician finds tender points in the muscle and injects them. In prolotherapy, the physician injects around ligaments to strengthen them. ...Read more

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Is prolotherapy proven to cause scar tissue or new healthy tissue? Need some clarification

Is prolotherapy proven to cause scar tissue or new healthy tissue? Need some clarification

Yes: After an injury occurs, ankle sprain or laceration, our body runs a healing program to remove the most damaged tissue and repair/regrow the injured parts. Prolotherapy involves creating a new injury with the point of the needle that will restart/rerun the body's healing program. Formula injected at the time will have some effect toward increasing the healing. Www. Blatmanhealthandwellness. Com. ...Read more

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I have had problems with my sacroiliac ligament for 18 months. Nothing seems to make it better and am considering prolotherapy. Any thoughts?

I have had problems with my sacroiliac ligament for 18 months. Nothing seems to make it better and am considering prolotherapy. Any thoughts?

Try it: I would recommend a formal course of physical therapy along with anti-inflammatory medications. A subsequent pain management consultation is warranted. Possibly an si joint injection may help. Try prolotherapy and see if it works that could be another option for you. ...Read more

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Thankful to the doctor who suggested prolotherapy...Something that I've been researching here in canada. Where do I find out more about this? :)

Hackett Hemwall: The hacket hemwall foundation website (hackethemwall, org) is the leading authority in training prolotherapy techniques in the us. They have a list of prolotherapists. I perform this procedure as well: www. Totalcare-la. Com and I made a video explaining what is prolotherapy: http://otwithmd. Com/what-is-prolotherapy/

hope this helps! ...Read more

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Is inflammation good or bad for healing stretched ligaments? Conventional approach is that it is detrimental, but prolotherapy tries to activate it?

Is inflammation good or bad for healing stretched ligaments? Conventional approach is that it is detrimental, but prolotherapy tries to activate it?

Inflam is part of he: Inflammation is part of healing. Treatment is empiracle - whatever works. However, blinded trials are necessary to see if an intervention works on its own or because of psychological effects. ...Read more

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Is prolotherapy recommended for autoimmune patients (psoriatic arthrits) or will the autoimmune affects is effectiveness?

Is prolotherapy recommended for autoimmune patients (psoriatic arthrits) or will the autoimmune affects is effectiveness?

Absolutely not: Anything that increases inflammation is going to increase the risk for a flare of autoimmune arthritis. Controlling and reducing inflammation, not causing it, is the basis for most successful treatments with autoimmune arthritis (methotrexate, anti-tnf inhibitors like Enbrel (etanercept) or humira). Strongly recommend you talk to your rheumatologist before starting any new treatments. ...Read more

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Is prolotherapy worth trying for a cronic facet ligament injury that happened 7 months ago?

Is prolotherapy worth trying for a cronic facet ligament injury that happened 7 months ago?

Possibly: Prolotherapy is well researched and offered treatment that has shown good success. The basic theory is to strengthen the ligaments around the facet joint and therefore reducing stress on the joint by tightening them up. Pretty cool stuff. There are some other treatments like stem cell injections that can help as well. Neither of these treatments are covered by medical insurance though. ...Read more

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Is prp (platelet rich plasma) more effective than prolotherapy for si ligaments?

Is prp (platelet rich plasma) more effective than prolotherapy for si ligaments?

Platelet Rich Plasma: There is not much good data that I am aware of showing that prolotherapy is effective. PRP or platelet rich plasma is showing effectiveness in small studies for several indications. These include: Facial rejuvenation, hair regrowth, sexual rejuvenation, arthritis and musculoskeletal injuries, and more. Based on my experience, I recommend PRP therapy. ...Read more

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Doing prolotherapy on unstable si joints. What pt exercise can I do that won't stretch them to much and how much walking is ok?

Doing prolotherapy on unstable si joints. What pt exercise can I do that won't stretch them to much and how much walking is ok?

Hope this works well: Prolotherapy has great potential for stabilizing your si joints, and I have seen impressive results, far better than surgical stabilization. Usually, your exercise activity should be suspended for at least 3-4 days following injections, but most exercises should be ok afterwards. Your treating doctor can add a lot of advice regarding an appropriate fitness program. Have pt talk with your doc. ...Read more

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Is it true prolotherapy creates new healthy connective tissue instead of scar tissue? Read where biopsies were done and this is what it showed.

Is it true prolotherapy creates new healthy connective tissue instead of scar tissue? Read where biopsies were done and this is what it showed.

Not clear.: The precise mechanism of action for prolotherapy is currently unclear. The process is considered experimental, and definite benefits have not been demonstrated using currently accepted evidence based techniques. ...Read more

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Does prolotherapy help lumbar bulge disc/sciatica?

Does prolotherapy help lumbar bulge disc/sciatica?

Possibly: Prolotherapy is well researched and offered treatment that has shown good success. The basic theory is to strengthen the ligaments around the facet joint and therefore reducing stress on the joint by tightening them up. Pretty cool stuff. There are some other treatments like stem cell injections that can help as well. Neither of these treatments are covered by medical insurance though. ...Read more

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Does prolotherapy help with chronic knee arthritis?

Does prolotherapy help with chronic knee arthritis?

Prolo: Yes. It aids in stabilizing the knee joint preventing further laxity if the ligaments which contributes to worsening of osteoarthritis. Good luck. ...Read more

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Which is a better option: knee replacement or prolotherapy?

Which is a better option: knee replacement or prolotherapy?

Simple stuff first: There are very few downsides to trying prolotherapy. You can try prolotherapy and if it does not work then consider other options for arthritis such as knee replacement. Knee replacement is the last option and should be considered after several other arthritis treatment options have been exhausted. There is no going back to prolotherapy after tkr. ...Read more

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Knee replacement or prolotherapy -- when do you choose one over the other?

Knee replacement or prolotherapy -- when do you choose one over the other?

Consult orthopaedics: Prolotherapy is considered in the category of "complementary and alternative medicine"- with little scientific evidence to support its use. If your knee arthritis is severe and your pain has failed to respond to appropriate and thorough non-operative care, then knee replacement surgery can be considered. Talk to your orthopaedic surgeon about all your options for treatment. ...Read more

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I have shoulder instability, will prolotherapy help in addition to physical therapy?

I have shoulder instability, will prolotherapy help in addition to physical therapy?

Unclear: Prolo is a type of treatment that has some strong advocates, but I'm skeptical about its benefits in this situation and many others for which it is offered. The important thing is to understand the 'why' behind your instability and to address that directly. ...Read more

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Why does my foot Achilles hurt worse all of a sudden after the last few prolotherapy shots? Could I be having a bad reaction?

Why does my foot Achilles hurt worse all of a sudden after the last few prolotherapy shots? Could I be having a bad reaction?

PRP unreliable data: Prolotherapy injections (platelet rich plasma injections) have conflicting data that they benefit patients. Although some people do get benefit, it is only temporary and a lot of people don't have any benefit. Instead, the injections now may only be masking the severity of tendonitis in your achilles tendon. Make sure your doctor understands these injections are ineffective. You may need a new. ...Read more

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Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Prolotherapy/options: Hard to be sure but try and see. I might consider PIT injections in subcutaneous areas with PRP into the joint. Fee in the $1, 000 ranges. ...Read more

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Can prolotherapy be a cure to patellar tendonitis? Or platelet rich plasma? Which is best?

Can prolotherapy be a cure to patellar tendonitis? Or platelet rich plasma? Which is best?

Prolotherapy & PRP: Prolotherapy and PRP (platelet rich plasma) goals, in the case of patellar tendonitis, is to markedly reduce the tissue degeneration occurring within the patellar tendon at the time of injury. They decrease pain at rest, with daily activities, and during aggressive sports activities. It would be great if either one of these modalities was the cure all - not yet. Still more patients to be studied. ...Read more