With a precise injection of a mild irritant solution and nutrients directly on the site of the torn or stretched ligament or tendon, prolotherapy creates a mild, controlled injury that stimulates the body’s natural healing mechanisms to lay down new tissue on the weakened area. The mild inflammatory response that is created by the injection encourages growth of new ligament or tendon fibers, resulting in a tightening of the weakened structure.
Why should one choose Prolotherapy?
Joints- when ligaments or tendon attachments are stretched, torn, or fragmented, become hypermobile and painful. Traditional approaches with surgery and anti-inflammatory drugs often fail to stabilized the joint and relieve this pain permanently. Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new fibrous tissues, resulting in permanent stabilization of the joint.
What is the solution that is injected?
The prolotherapy injections contain anesthetic agents and natural substances, which stimulate the healing response. There are numerous substances, and each treating physician tailors the selection of substance according to the patient’s need.
Is prolotherapy treatment painful?
Any pain involving an injection will vary according to the structure to be treated, the choice of solution, and the skill of the physician administering the injection. The treatment may result in mild swelling and stiffness. The mild discomfort passes fairly rapidly and can be reduced with pain relievers such as Tylenol. Anti-inflammatory drugs, such as aspirin and ibuprofen, should not be used for pain relief because their action suppresses the desired inflammatory process produced by the injection.
How is Prolotherapy different than Cortison Injections?
Prolotherapy strengthen the joints, ligaments and tendons and decrease the pain by stimulating the body’s own repair and healing process. On the other hand, Cortisone injection an anti-inflammatory procedure prevents the natural healing process from occurring.
What areas of the body can be treated?
This form of therapy can be used to treat dislocation of the joints, knee pain, shoulder pain, Temporal Mandibular Joint dysfunction, Carpal Tunnel Syndrome, and disc problems at any level of the spine. The therapy affects only the area treated and does not cause any problem in any other area.
How often do I need these treatments?
The treatments should be administered every one, two, three weeks, or six weeks as determined by your treating physician.
What’s the rate of success in treatment?
The anticipated rate of success depends on a number of variables, including the patient’s history and ability to heal, and the type of solution used. In patients with low back pain with hypermobility, 85% to 95% of patients treated experience remission of pain with this form of therapy. In comparison, the Journal of Bone and Joint Therapy reports on a 52% improvement in patients treated surgically for disc involvement.
Are there any risks?
Anytime a needle is used to penetrate the skin into the deeper tissues, there is always the chance that inadvertent puncture of arteries, nerves, spinal fluid or lung tissue may occur. Complications are rare and are greatly minimized by the skill of the well-trained practitioner. However, since it is a procedure with some risk to the patient, all patients are asked to read and sign a consent and waiver form prior to the procedure.
Should I exercise following treatments? What should I avoid doing?
Controlled exercise and mobilization of the treated area promotes tissue healing and results in faster recovery after the treatment. For this reason, movement and exercise are recommended as soon as possible. The amount will depend on one’s level of fitness before and on how many areas were treated.
However, it is important to keep the injection sites clean and avoid public hot tubs, swimming pools and lakes for 3-5 days following the injections. Showering the day of the injection or the next day is fine.
Should I eat before the appointment?
A light meal and plenty of water about 1-2 hours before the procedure and good hydration the day before is recommended. Water improves cell hydration and lessens the discomfort of the injections, while food diminishes the likelihood of dizziness. Patients report less discomfort when they drink water right up to the time of the injections.
“Dr. Fernandez empowers her patients by educating and listening to them. She utilizes evidence based and traditional medicine to provide comprehensive treatments tailored to meet individual needs.”