What is prolotherapy for back pain?

Asked by: Nestor Hettinger Jr.
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Background: Prolotherapy is an injection-based treatment for chronic low-back pain. Proponents of prolotherapy suggest that some back pain stems from weakened or damaged ligaments. Repeatedly injecting them with irritant solutions is believed to strengthen the ligaments and reduce pain and disability.

What are the side effects of prolotherapy?

Conclusions: Side effects related to prolotherapy for back and neck pain, such as temporary postinjection pain, stiffness, and bruising, are common and benign. Adverse events related to prolotherapy for back and neck pain are similar in nature to other widely used spinal injection procedures.

What is prolotherapy and how does it work?

How does it work? Prolotherapy is an injection that contains a potential irritant, such as a dextrose solution. The irritant is thought to trigger the body's healing response. Once activated, the body will start to strengthen and repair damaged ligaments in the joint.

How long do prolotherapy injections last?

How many treatments are needed? The injections are administered approximately 4-6 weeks apart, with an average number of 4-6 injections,. The typical time frame for a course of treatment is 4-6 months.

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Can I walk after prolotherapy?

Exercise in moderation – we encourage walking but no strenuous activity during the first week. Keep moving but not to the point of pain. Do not over-stretch – after all we are trying to repair ligaments which are already too lax.

Who is a good candidate for prolotherapy?

Prolotherapy is most effective at treating joint injuries and conditions that cause pain. So any patient who has suffered a joint injury may be a good candidate. More specifically, prolotherapy may be right for you if you experience any of the following: Damaged or lost tissue, especially surrounding the joints.

How painful is prolotherapy?

Prolotherapy injections are mildly painful, much like a flu shot, and can be numbed with a topical cream as needed. Speak with your doctor about what medications you are able to take for any soreness that may occur afterward.

What should you not do after prolotherapy?

It is important to AVOID all anti-inflammatory medications and steroids (cortisone) for at least 6 weeks after your injection. These medications include Ibuprofen, Advil, Aleve, Mobic, etc. These type of medications will block the effect of the injection and will inhibit the body from healing itself.

How often should you get prolotherapy?

A: Prolotherapy treatments vary from person to person and from injury to injury. Many patients have experienced some relief of their pain with only one session. The average person requires anywhere from 3-6 treatment sessions spaced about 4-6 weeks apart from each other.

Is Prolotherapy good for arthritis?

Prolotherapy research shows significant improvement in selected patients with knee osteoarthritis. Treating the whole knee joint as opposed to selective parts of the knee is more effective in alleviating knee pain and healing the damage.

What should I do after Prolotherapy?

After Prolotherapy Treatment

To help the muscle soreness resolve itself sooner, massage therapy and moist heat applied to the area is recommended. Nutritional supplementation to encourage soft tissue healing such as bromelain, MSM, or other soft tissue support formulas are recommended.

Why is Prolotherapy not FDA approved?

Prolotherapy isn't approved by the Food and Drug Administration, but that, said local pain management doctor, Paul Kramm, has much to do with the fact that no patents are involved in a treatment using a dextrose solution and thus no commercial interests are seeking a clinical trial for FDA approval.

Can prolotherapy make you worse?

With most prolotherapy procedures you can expect to feel a small amount of stiffness, discomfort, or pain in the area for the hours or days following the procedure. This is completely normal. However, if the pain or other symptoms persist or get worse over time, contact your physician right away.

Does insurance cover prolotherapy?

The Coverage Issues Manual (CIM) '35-13, "Prolotherapy, Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents - Not Covered," states that the medical effectiveness of these therapies has not been verified by scientifically controlled studies, and therefore, cannot be covered by the Social Security Act, ...

Does prolotherapy help chronic pain?

Prolotherapy has been used in pain management and treatment of numerous conditions, including back pain and neck pain due to spine related conditions such as: Degenerative disc disease. Sacroiliac problems. Sciatica.

Can you shower after Prolotherapy?

You can use diffuse, intense heat (e.g., sauna, hot tub) on the treated area during the first three days following Prolotherapy—a hot shower or bath is also acceptable – but only for short periods of less than 10 minutes. After the third day, you may use local or diffuse heat if it provides comfort as needed.

How do you prepare for prolotherapy?

Eat prior to coming in!

If you are planning to get Prolotherapy, you must eat beforehand. If you have a morning appointment, please eat a good breakfast before coming in, ideally with some protein. If you have an afternoon appointment, you should have had breakfast and lunch before coming in.

Can Prolotherapy help muscles?

Prolotherapy stabilizes joints in order to provide long-term relief from muscle spasms. If the progression of joint instability is not stopped, the body will continue to stabilize the joint through muscle spasms and swelling, and, in the long-term, by overgrowing bone.

Does Prolotherapy work on hips?

Prolotherapy effectively stabilizes the hip joint and repairs the associated labral tears and impingement.

Is Prolotherapy good for hip osteoarthritis?

Prolotherapy techniques and solutions have improved to the point that even severe degenerative hip osteoarthritis can be helped with Prolotherapy.

Is it OK to exercise after prolotherapy?

The treatment involves a solution that causes controlled inflammation in order to initiate tissue healing. Although you shouldn't attempt vigorous exercise after your prolotherapy, light exercise, consisting of cardiovascular, balance, resistance and flexibility exercises, is recommended.

Can you drink alcohol after prolotherapy?

Do not consume alcoholic beverages for the first 7 days following your procedure. Avoid smoking. Smoking delays healing and can increase the risk of complications. Drink at least 64 ounces of water daily to help your heal properly.

How long does Prolozone therapy last?

Most patients experience instantaneous relief upon receiving their first injection of Prolozone. However, Prolozone Therapy is typically most effective after 3-5 sessions.