Prolotherapy is a treatment designed to stimulate healing of the supportive structures around the joints. A mild solution is injected into the ligaments, tendons and joints to encourage repair of damaged tissue. In essence, strengthening the attachments of the support system around the bones and joints. It is these structures that are producing the pain. The National Institute of Health is now recognizing that one of the causes of the pain of arthritis is not the bony changes, but the looseness of the supporting structures, causing too much motion and pain.
Prolotherapy is short for “proliferation therapy”. It works by gently inflaming the ligaments, thereby allowing the patient's own body to repair and create more healthy tissue in areas where it has become weak and or damaged. Since it involves the body's healing, it takes four to six weeks after the injections to feel the results. But after the healing takes place the pain is gone once and for all.
We begin with a low dose dextrose solution whenever possible and then progress to a stronger agent if needed. In some patients, PRP, platelet rich plasma, is used first, since it is filled with growth factors, when the body needs more help.