Prolotherapy and PRP:
What is Prolotherapy?
Prolotherapy is a non-surgical injection therapy that stimulates your body to repair the painful injured area by utilizing its own healing factors, known as growth factors. These growth factors are responsible for regenerating new healthy tissue that will strengthen and tighten tendons and ligaments as well as promote the re-growth of lost cartilage.
These therapies have been shown to be effective in treating many musculoskeletal conditions including:
- Osteoarthritis of the knees
- Low Back Pain
- Tennis Elbow
- Plantar Fasciitis
- Wrist Pain
- Neck Pain
- Chronic Headaches
- Sports Injuries
- Meniscal Injury
- Ankle pain and sprains
- Shoulder pain and instability
- Frozen Shoulder
- Hip pain and Arthritis
- Finger pain and Stiffness
- Knee pain
- TMJ pain
- Degenerative Disc Disease
What is the Difference between Prolotherapy AND PRP?
At Vitalia, Dr. Waller uses Dextrose Prolotherapy and PRP Prolotherapy, as they have very high safety profiles and she has experienced excellent clinical outcomes with them. As the title suggests, Dextrose Prolotherapy uses Dextrose to increase growth factors in the targeted area, whereas, PRP (platelet rich plasma) is manipulating platelets to release growth factors.
Still confused? Read on…
Dextrose acts as a chemical messenger that stimulates the wound-healing cascade and allows for growth factors to migrate to the affected area. PRP is an injection of concentrated platelets, which directly release growth factors into the injured area. Remember, growth factors are responsible for healing and the regeneration of tissue, so higher amounts of growth factors in an area means increased healing. While PRP and Dextrose Prolotherapy are both very effective, in most cases, PRP will heal an area faster and with fewer treatments. The caveat is that PRP comes at a higher cost per treatment and will cause more initial discomfort. Generally any injured or weak area requires 3-8 Dextrose Prolotherapy treatments or 1-3 PRP treatments. Variability depends on the health and age of the patient, ability to heal, chronicity of the injury, severity of the injury and ability to allow the area to rest and heal.
What can I expect from treatment?
With any injection treatment there is usually a degree of discomfort, however, it is generally quite tolerable. There may be some pain and swelling post treatment, for up to 7 days. Pain and swelling is not as noticeable with Dextrose Prolotherapy as it is with PRP. It generally takes up to 3 months to notice the full benefits of treatment, and treatments are spaced 3-4 weeks apart to maximize the healing cascade. To enhance healing, 3000mg of Vitamin C daily are recommended. Other nutritional supplements may also be advised.
Who is a candidate for treatment?
Most individuals are able to receive treatment, however, we do screen patients to ensure they are candidates. Those with Autoimmune joint conditions, platelet disorders, immune compromised, and uncontrolled diabetes are not suitable for treatment. We also advise against treatment for those who have a great deal of difficulty with needles.
What you must know Prior to Treatment:
• No anti-inflammatory medication for a minimum of 48hrs prior to treatment
• Avoid alcohol the night before treatment
• Eat a decent meal 1.5hrs prior to treatment
• No treatments if you have an active infection like a bad cold or the flu
• No treatments to the area if you were treated with a steroid injection in the same area with in 3 weeks of treatment.
Dr. Waller looks forward to helping you on your healing path and getting you back to the activities you love.