Top
20
Doctor insights on: Prolotherapy Pros And Cons

Share
1

1
What is prolotherapy?

What is prolotherapy?

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

See 1 more doctor answer
2

2
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.

See 2 more doctor answers
3

3
Can prolotherapy help with my overall flexibility?

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

See 2 more doctor answers
4

4
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.

5

5
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.

6

6
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/.

See 1 more doctor answer
7

7
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.

8

8
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.

9

9
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/.

See 3 more doctor answers
10

10
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.

11

11
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/.

See 1 more doctor answer
12

12
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.

See 1 more doctor answer
13

13
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.

See 1 more doctor answer
14

14
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.

See 1 more doctor answer
15

15
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!

16

16
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.

17

17
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.

See 4 more doctor answers
18

18
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.

See 1 more doctor answer
19

19
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.

See 2 more doctor answers
20

20
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.

See 1 more doctor answer