is short for “proliferative therapy,” and, by definition, is an injection technique that uses natural solutions (from a simple dextrose solution to more complex stem cells) to restart and maximize the body’s own healing process. Agents typically used in Prolotherapy injections are dextrose, phenol-glucose-glycerine (P2G), Sapin, or human growth hormone (HGH).
Prolotherapy injections work when the injected solution acts as an irritant and causes a local inflammatory response. The injured tissue then releases specific growth factors that attract tissue-healing cells. Prolotherapy is used to treat painful conditions in virtually every major area of the body with excellent results. Platelet Rich Plasma (PRP) and Stem Cell Therapy are different types of Prolotherapy.
Platelet Rich Plasma (PRP) Therapy
Platelet Rich Plasma Therapy is a nonsurgical treatment that uses your own body’s blood plasma and platelets to accelerate the healing process. The PRP process replicates the body’s natural healing response where blood swells around an injured area of the body to protect it and facilitate healing.
This technique can help shorten the rehabilitation time following an injury or surgery and can often help patients to avoid surgery or the need for cortisone injections.
Stem Cell Therapy
Stem Cell Therapy is a nonsurgical treatment that boosts the body’s natural healing mechanism. It is often done in conjunction with PRP. They are vital to our body’s natural repair systems via growth factors, immune mediators, cytokines, and other signaling cells that promote healing and reduce inflammation.
When an injury occurs, stem cells localize to the site, initiate the healing response, and regenerate healthy tissue. As infants, we have stem cells present in very large numbers. However, as we age the number of stem cells decline, which in turn limits our regenerative capabilities. The goal of stem cell therapy is to enhance the body’s innate repair system by providing additional stem cells to an injured area.
Learn more about Stem Cells
Extracorporeal Shock Wave Therapy (ESWT)
ESWT is a noninvasive treatment that uses the mechanical force of a powerful acoustic shock wave within injured tissues to reduce pain and speed healing of the affected area. ESWT disrupts fibrous tissue allowing for the subsequent promotion of revascularization and healing.
The high-energy shock waves break up fibrous/calcified deposits, thereby loosening structures and promoting the resorption of calcium, which decreases pain and improves function.
ESWT is primarily used to treat chronic, recalcitrant tendinopathy throughout the body. It is especially beneficial for
- Plantar Fasciitis or “joggers heel”
- Lateral epicondylitis (tennis elbow)
- Rotator cuff tendinitis / shoulder pain (calcific and non-calcific)
- Hamstring Tendinopathy
- Patellar Tendonitis
- Greater trochanteric pain syndrome (a combination of both gluteal (buttock) tendon injuries (tendinopathy) and bursitis (inflammation of the bursa) surrounding the hip joint. The main tendons involved are that of the gluteus medius and gluteus minimus muscles.