What is prolotherapy Prolotherapy is a form of injection

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What is prolotherapy Prolotherapy is a form of injection Powered By Docstoc
					             What is prolotherapy?                           How does instability cause pain?                         Are there any risks involved?

Prolotherapy is a form of injection treatment for     A weak ligament causes the joint it supports to        All procedures have possible risks. The type of
pain caused by weakened ligaments and tendons.        become loose or unstable. When this happens,           risk often depends on the location of the body
                                                      the muscles around the joint will try to support it.   part that is being treated.
                                                      This leads to spasm and early fatigue due to
"Prolo" is short for proliferation. The treatment     overwork of the muscle. Eventually, the tendons
causes the proliferation (growth/formation) of                                                               The most common risks include: no
                                                      will weaken and other muscles will be recruited        improvement, bleeding under the skin, infection,
new ligament or tendon in areas where it has          to help support the joint, causing widespread
become weak or injured.                                                                                      increased pain or swelling at the injection site and
                                                      pain and spasm.                                        temporary or permanent nerve damage.

Ligaments are the structures that connect bones                       What is injected?
to bones and support joints.                                                                                 The most serious risk of treatment in the upper
                                                                                                             back and chest is a pneumothorax (collapsed
                                                      Many different proliferant solutions are available.    lung), which could lead to hospitalization and
Tendons are the structures that connect muscles to    Each stimulates the body’s healing response in a       need for further treatment.
bones and move joints.                                different way. A solution will be selected based
                                                      on the type of injury or the area being treated.       Great care is taken so that these do not happen,
When ligaments or tendons are injured, they                                                                  and in fact the more serious risks are very rare.
don’t always heal to their original strength or       Glucose (sugar water) combined with phenol and         However, it’s important for you to be aware of
endurance due to limited blood supply where           glycerin (irritants) is the most common solution.      these risks. If you don’t feel that the possible
they attach to the bone. These attachments have                                                              benefits of this treatment are worth the risks,
many small nerve endings and will cause pain                                                                 then prolotherapy might not be right for you.
when they are injured.                                A local anesthetic such as procaine is usually
                                                      added to decrease the pain during injection.
                                                                                                                     How long will it take to complete
Prolotherapy involves injection of a solution                                                                           a course of treatments?
(proliferant) into the area that the ligament or                  Will the injections hurt?
tendon attaches to the bone. This causes                                                                     The response to treatment varies from person to
localized inflammation in the injured area.           There is a wide variation in the discomfort level      person, and depends upon one's own healing
Inflammation increases the blood supply and flow of   experienced by patients receiving prolotherapy.        ability. Some people may only need a few
nutrients to the area, stimulating the body to        The needles used are very thin and tend to not         treatments, while others may need as many as 10
repair itself. The result is a stronger bond          cause much pain. Most of the discomfort is felt        or more. The average number of treatments is 4
between the ligament or tendon and the bone.          when the solution is injected and it is usually        to 6 for an area treated. The usual time between
                                                      described as a “pressure sensation” rather than a      treatments is 3 or 4 weeks. This is the time
Prolotherapy is not a new technique. In ancient       true pain.                                             needed for the body to repair the area after the
times, Hippocrates first used a version of this                                                              injection stimulates the healing response.
technique on soldiers and Olympic javelin             If you are interested in having prolotherapy but       A typical course of injection treatment will take
throwers who often dislocated their shoulders.        are very nervous or concerned about the pain,          3-6 months. Rehabilitation exercises may be
                                                      medications can be prescribed that can be taken        recommended to continue even after injections
In the past 60 years, research has helped doctors     before your appointment to help ease some of           are finished.
(MDs and DOs) improve injection techniques to         the discomfort and anxiety.
successfully treat pain caused by instability.
       What can I expect after injection?                                                                            www.prolotherapy.com
Pain and swelling at the injection site are normal for
about 3-4 days after a treatment. The amount of
pain experienced may vary with each injection or use
of different proliferant solutions. The swelling is a
result of the increased blood supply to the area and
the body’s healing process at work.

Pain medication will usually be prescribed for the
first few days. Do not take any anti-inflammatory
medications (ibuprofen, aspirin or arthritis
medicines), since they will make the treatment                                                                          for Chronic Pain
less effective.
                                                                                                                Prolotherapy is an injection treatment for
        What else can I do to get better?
                                                                                                           chronic pain and is also known as sclerotherapy,
                                                                                                             regenerative injection technique, stimulated
Exercise, physical therapy and postural retraining                                                            ligament repair and non-surgical ligament
will usually be prescribed during and after a course
                                                               George Pasquarello, D.O.,                                    reconstruction.
of injections. It is critical to retrain muscles that have
been weakened and injured so they can return to the                                                             This treatment may be useful for many
job of moving joints during normal activities.                Neuromusculoskeletal Medicine                   different types of chronic pain including:
                                                             Osteopathic Manipulative Medicine
Ergonomic evaluation and workstation changes may                                                               •   Rotator cuff injuries
be necessary to help avoid further repetitive motion             Dr. Pasquarello has been teaching
injuries.                                                    prolotherapy nationally since 1999. He has
                                                                                                               •   Tennis elbow
                                                             lectured, authored several articles and co-
Supplementation recommendations or dietary                     authored a textbook on prolotherapy.
changes may be made to help support healing                                                                    •   Wrist pain from repetitive motions
ligaments, tendons and joints.
                                                                                                               •   Partially torn tendons and ligaments
Nicotine use may slow the normal healing process.
Prolotherapy will work better if you stop smoking or
using tobacco products.                                         1351 South County Trail Building 2             •   Low back pain
                                                                    East Greenwich, RI 02818
             Is Prolotherapy right for me?                                401-886-5907
                                                                                                               •   Sciatica
Prolotherapy is not for everyone. Doctor
Pasquarello can answer questions you may have                                                                  •   Chronic knee pain
about prolotherapy treatment for chronic pain.                        For more information:
Some of the common conditions that may benefit                                                                 •   Foot and ankle pain
from prolotherapy are listed on the front of this

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