Prolotherapy

Prolotherapy is very helpful in chronic pain, especially when tendons and ligaments are involved. Many patients come for treatment when they have exhausted all options and are considering surgery. Adult patients of all ages may benefit. In addition, individuals on pain medication can often go without these medications following a series of Prolotherapy injections. It is a great treatment for sports injuries for all ages.

Prolotherapy involves the injection of a solution of dextrose (a type of sugar) and lidocaine (an anesthetic) directly into damaged ligaments or tendons. These ligaments and/or tendons attach to important bones or muscles. These areas are often weakened or stretched due to overuse or injury. This injection causes a temporary inflammation, which the body tries to heal. In this healing process, the body sends cells called fibroblasts that produce collagen. Collagen makes the ligaments and tendons stronger. This additional strength can often alleviate pain and increase strength in the area. 



The number of injections depends on the area treated and each person’s response. Areas that are more complicated in structure usually require more injections. The back is more complex and usually involves several treatments. On the other hand, the elbow may require less. Visits are usually 2-8 weeks apart, depending on the severity of the problem and location. The number of sessions and expected results are discussed at the initial visit. 

There might be pain and soreness during and after the injections. Pain is usually temporary, lasting for 24 to 48 hours. This is due to the inflammation caused by the therapy. Anti-inflammatory medications are not to be used during the proliferation period. Patients usually begin to feel positive results on the third to fifth day.

For more information about these therapies, speak with your Bastyr Center provider.