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Prolotherapy Anyone?

post #1 of 8
Thread Starter 
Has anyone here had Prolotherapy for an injury? If so, what was your injury and how did it work out for you?

I have a trauma induced back injury that I believe includes (but not limited to) an unstable SI Joint due to some ligament or tendon damage.
post #2 of 8
I'd be very very careful before getting any 'prolotherapy'.
I read the description: injecting a sugar solution, causing temporary inflammation, which then accelerates the growth of ligaments and tendons?
The standard explanation states that the rate of healing of those tissues is limited by the poor blood supply, which is a function of the number of blood vessels serving ligaments and tendons. Inflammation does not increase the carrying capacity of the blood vessels, nor the number of blood vessels.
Sounds risky, flaky, quirky. Has it been subjected to any double blind studies?
Good luck.
post #3 of 8
The inflammatory response increases the permeability of existing blood vessels which delivers more nutrients and immune cells directly to tissue.

Prolotherapy is IMO a reasonable approach to chronic tendonopathies (i.e. degeneration of tendons). I refer a few patients a year who have failed conservative measures (even casting) for prolotherapy and high intensity (percussive) ultrasound. There are decent studies supporting both approaches, but no large well powered RCT that I'm aware of.

Then again - there are very few good RCTs for most surgical approaches to tendonopathy and this tends to be the salvage approach for many chronic tendon problems (achilles, patellar, tennis elbow) that simply don't resolve or are at risk for rupture.

I suspect prolotherapy become more popular especially with the advent of reasonably priced high resolution portable ultrasound imaging units that allow far more accurate injections.
post #4 of 8
The consensus among doctors seems to be that inflammation is harmful, not helpful.
However, this little group in CA seems to think it promotes healing. I don't see the names of any orthopedists or other specialists in sports injuries associated with this 'therapy'.

If they induce inflammation, and then afterwards the patient feels better, that's probably because the inflammation went away; like the guy who hits himself in the head with a hammer because it feels good when he stops.
post #5 of 8
post #6 of 8
Is that what Splat had done? Check TGR threads. I think Splat only recommends it when combined with hookers and blow though.
post #7 of 8
Thread Starter 
I have done some research and haven't found any negative info about this yet. It has been used by some pro athletes. I tend to believe what they do since they need to recover as quickly as possible. This procedure seems to be popular in Europe but has not caught on yet in the US.

Just because docs are not recommending it doesn't mean it doesn't work. They tend to err on the side of caution. I am also surprised how behind the curve so many doctors are. I have to wonder how much continued education some of them do.

If I do it though I doubt I would have any cash left for the hookers and blow.
post #8 of 8
Originally Posted by MattL View Post
If I do it though I doubt I would have any cash left for the hookers and blow.
Why not get a hooker to do the prolotherapy on you, and share the blow with her?

But seriously folks...
Did you find any websites that document this as a safe treatment, from Europe?
You might get temporary relief, and find out in a few years that your joint is much worse as a result of the injections. Did you find any athletes who had it done 10 years ago, who are still fine? How about 5 years ago?
I don't have an axe to grind here; I'm just skeptical.
If you said you were going to get rich buying foreclosed homes using a system you saw on late night infomercials, I'd be just as skeptical.
And I do know how it is to be desperate for relief from pain, when conventional doctors have failed.
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