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What is Prolotherapy?

The word "prolo" is short for proliferation, and is derived from the Latin word Proli which means to regenerate. Regenerate what? New tissue (ie: ligament and cartilage tissues) by stimulating the body's own healing potential with the use of a proliferating agent.

The injection causes a localized inflammatory reaction, which increases the blood supply to the area and stimulates and promotes the body's natural healing response. The inflammatory response after the injection can be fairly painful for a period of several days. The body's healing response consists of stimulating certain cells (macrophages, fibroblasts) and growth factors to produce new collagen (a protein found in ligament & cartilage tissue) at the same time it helps inhibit the body's destructive factors. It promotes healing, NOT scarring of tissue.

What are some advantages?

It is safe.
There is very little "down time".
It is not surgery.
It is not cortisone.
It can be safely repeated without limits until the painful condition is resolved (cortisone injections are limited).
It has a very good rate of success (on average ¾ of patients have a beneficial response).
Most conditions will respond in 3-6 treatments (some may require less and others more).

Tends to be less effective in smokers and diabetic patients, but still maybe an effective treatment.

What conditions can it be used for?

  • Chronic low back pain and spine pain
  • Joint injuries (shoulder, elbow, hip, knee, ankle)
  • Arthritic joint problems
  • Sprains and strains (ie: tennis elbow, patellar tendonitis, plantar fasciitis, etc.)
  • Other musculoskeletal conditions not listed above may also be treated (discuss with your doctor)

What should I expect?

Moderate pain and a pronounced swelling (inflammatory response) at the site of the injection within 1-2 days, lasting several days (usually 4-5 days),and resolves after 10 days.

Response to the therapy is determined by improvement in pain. The therapy is coordinated with a good strength and conditioning program by your physical therapist and good nutritional intake. Repeat therapy is usually done at 3-4 week intervals if necessary.

Should you have any additional questions, please do not hesitate to contact our office. We will be more than happy to answer any questions you may have.

Phone: (503) 885-8008