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Prolotherapy: What’s the Solution?
Ross Hauser, M.D.
Many of our readers have emailed us questions asking about the solutions
used for Prolotherapy. As with any kind of medical treatment, each
physician may use a little bit different solution or technique. Our most
commonly used Prolotherapy solution is made of dextrose,
lidocaine,
Sarapin, and sterile water.
Gustav Hemwall, M.D.,
the grandfather of
Prolotherapy, found this
solution to be the safest, most effective solution and we have found the
same to be true. Most patients do very well with this standard solution.
However, sometimes we need to give the body a little bit stronger
proliferative solution due to the severity or longevity of the injury,
or, in the case of some of our athlete patients – the desire to speed up
the healing process.
Here are some commonly asked Prolotherapy solution-related
questions and our answers:
I have heard a lot about PRP. Do you use it for all of your Prolotherapy
cases? PRP or
Platelet Rich Plasma is a
fairly new technique that involves drawing some of the patient’s own
blood and then processing it and using the
growth factors to do the
Prolotherapy. We have found this technique to be useful in cases of
severe labral and
meniscal (knee) tears or
avascular necrosis of the
hip. We have also used it when a patient is not responding quite as
well as we had hoped and has a more severe injury.
Do you use
human growth
hormone (HGH) in your Prolotherapy solutions? We typically use HGH along with regular Prolotherapy solution, in knee
joints and
hip joints, but also in other joints to help with
cartilage regeneration.
Do you use
glucosamine
in your Prolotherapy solutions? We typically use Glucosamine along with
regular Prolotherapy solution, in knee joints and hip joints, but also
in other joints to help with cartilage regeneration, as is often seen in
cases of bad arthritis.
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