Doctor insights on:
Prolotherapy Pros And Cons
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.See 2 more doctor answers
Yes but: Its not harmful but can be expensive and doesn't help everyone.See 2 more doctor answers
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.
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/.See 1 more doctor answer
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.
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.
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/.See 3 more doctor answers
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/.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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!
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.
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.See 4 more doctor answers
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.See 1 more doctor answer
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.See 2 more doctor answers
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.See 1 more doctor answer