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What are in the
Prolotherapy Injections?
3.
“What is a complicated problem?”
Anyone
who is post-surgery or post
every-other- treatment-known- to-
man (except Prolotherapy), should
consider their cases to be out of
the ordinary and needs to see an
experienced Prolotherapy doctor. If
your injury is severe or disabling,
this is not a simple problem. If the
pain, weakness or instability is
severe and disabling, then consider
your condition complicated and you
need to see a comprehensive
Prolotherapy clinic.
4.
“What is a comprehensive
Prolotherapy center?”
A comprehensive Prolotherapy center
is a place where they either
exclusively perform Prolotherapy or
at least the major therapeutic
technique used is Prolotherapy. A
comprehensive Prolotherapy center
also uses a variety of Prolotherapy
solutions. For example, a facility
that just uses platelet rich plasma
(PRP) and does not offer any other
type of Prolotherapy solutions is
not a comprehensive center of
Prolotherapy. I would even add that
the comprehensive center can do
Prolotherapy with or without x-ray
guidance. Let me ask you this, if
you could get Prolotherapy without
x-ray guidance and it would save you
$1000 to $2000 per session, wouldn’t
you go to a facility where they
could perform all aspects of
Prolotherapy without x-ray guidance.
I can inject any joint and any place
on the spine without x-ray guidance
and have done it for many years. My
first few years in practice I was
the Pain Director of a local
hospital and soon learned that the
x-ray guidance that I was doing, as
far as efficacy of treatment (how
successful treatments were), proved
to be unnecessary and did not
increase the efficacy of the
treatment. All it did at the time
was add $1500 (hospital/facility
charge) to the treatment. Since 1995
I have done Prolotherapy without
x-ray guidance.
I currently have admitting
privileges at a local surgery center
so anytime I want to perform
Prolotherapy under fluoroscopy or
ultrasound guidance, I can; but I
rarely do. Why? Because it doesn’t
help the efficacy of the treatment
and just adds cost. For those
interested in the research related
to this statement: As far as I know,
and I have asked experts in the
field of fluoroscopic guidance,
nobody knows of any study that shows
that x-ray guided injections
actually help the patient get better
faster. I would even add in most
cases as it relates to Prolotherapy
that a doctor doing Prolotherapy
under fluoroscopy is most likely
under-treating the patient, because
by definition if you are doing the
procedure under x-ray it means that
the injured tissue is very
localized. Most patients who get
Prolotherapy have very diffuse pain,
covering a broad area and their
physical examinations show this.
What this means is that the area
needing treatment (also called the
field of healing) has to be very
broad. The most significant pain may
be at the L5 facet joint, but most
likely the patient needs L3-S1
treated, along with the iliolumbar
and sacroiliac ligaments, as well as
the sacroiliac joint, transverse
processes, and the gluteal muscle
attachments on the iliac crest!
A comprehensive center of
Prolotherapy, like Caring Medical in
Oak Park Illinois, will use a
variety of solutions including:
osmotic, hormones, nutrients,
minerals, blood components (platelet
rich plasma), and bone marrow
components. The center should have a
lot of experience with each
potential solution and know which
conditions each solution works best
for. When discussing the prognosis
with the doctor, the Prolotherapy
doctor should be able to give you an
estimate on the amount of treatments
needed. Sometimes the range may be
10 to 15 visits, meaning the doctor
knows your condition is very serious
(such as bone on bone arthritis) and
the patient needs a year’s worth of
care. Most conditions, however, heal
in three to six visits.
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Prolotherapy Ingredients
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