What is Prolotherapy?

Prolotherapy, short for proliferative therapy, is a regenerative treatment designed to promote the repair of damaged tissues in joints, ligaments, and tendons. It involves the injection of a solution, typically containing dextrose (a type of sugar), into the affected area. This solution acts as an irritant, triggering the body’s natural healing response to strengthen and repair tissues.   How Does Prolotherapy Work? The joint capsule is a fibrous tissue that encloses a joint, providing stability and facilitating smooth movement. When the joint capsule is weakened or damaged due to injury, overuse, or degenerative conditions, it can lead to joint instability, pain, and reduced function. Prolotherapy works by inducing a controlled inflammatory response at the site of injection. Here’s how it can help reconstruct the joint capsule and alleviate pain:

1. Stimulation of Tissue Repair:
   • The injected solution causes mild irritation in the targeted area, which stimulates the body’s natural healing mechanisms.
   • This controlled inflammation attracts growth factors, white blood cells, and other healing agents to the site, promoting the repair and regeneration of damaged tissues.
2. Strengthening of Ligaments and Tendons:
   • As the body heals, the collagen fibers in the ligaments and tendons surrounding the joint capsule become stronger and more organized.
   • This strengthening of the supporting structures helps to stabilize the joint, reducing abnormal movements that can contribute to pain.
3. Reduction of Pain:
   • By improving the integrity and stability of the joint capsule, prolotherapy reduces the mechanical stress on the joint.
   • This decrease in stress and joint instability can significantly alleviate pain, particularly in cases where traditional pain management techniques have failed.
4. Restoration of Joint Function:
   • With improved stability and reduced pain, patients often experience an enhancement in joint function and range of motion.
   • This restoration allows for better participation in physical activities and a higher quality of life.

          What to Expect During and After Treatment Prolotherapy is typically performed in an outpatient setting and involves multiple injections around the affected joint. The number of sessions required can vary depending on the severity of the condition and the patient’s response to treatment.

• During the Procedure:
  • The area to be treated is cleaned and numbed with a local anesthetic.
  • The prolotherapy solution is injected directly into the joint capsule or surrounding ligaments/tendons.
  • The procedure typically takes about 30 minutes.

   

• After the Procedure:
  • Mild swelling, stiffness, and discomfort at the injection site are common and typically resolve within a few days.
  • Patients are usually advised to avoid strenuous activity for a short period to allow the healing process to take place.
  • As the tissues heal, patients may notice a gradual reduction in pain and an improvement in joint stability.

  Summary Prolotherapy offers a non-surgical option for patients with joint pain and instability, particularly those who have not found relief through conventional treatments. By promoting the natural repair of the joint capsule and surrounding structures, prolotherapy can help restore joint function and improve the overall quality of life. If you have questions about prolotherapy and whether it might be appropriate for your condition, please discuss with us to explore your options.