This is a regenerative method consisting in the injection of hypertonic dextrose (glucose) into the tendons’ and ligaments’ insertion points.
These injections create an acute and temporary inflammation that recalls blood to the affected areas, stimulating the tissue regeneration and promoting the stabilisation of vertebras and disks.
The glucose injected in the ligaments solicits the production of new collagen tissue thanks to the activation of a true “regenerative fall”.
For Prolotherapy we follow the guidelines from the American University of Wisconsin, in which it is suggested to use hypertonic dextrose in a concentration of 15 % at the periosteum level and of 25% when the injection is intra-articular.
PROLOTHERAPY FOR THE TREATMENT OF THE HIP
Prolotherapy is of great interest in the treatment of hip pain.
The causes of pain in the hip area can be multiple and could concern tendons, ligaments, the capsule and articular cartilage. Patients affected by Coxalgia often complain of a pain in the groin or gluten area that irradiates all the way to the knee. In the case of severe hip arthrosis there are specific signs of this articular pathology, among which are lameness and difficulty in putting on socks. A radiography and a clinical examination often confirm the coxo-arthrosis diagnosis while, for peri-articular pain, the best diagnosis remains clinical.
LUMBAR RADICULOPATHY - BENEFITS OF PROLOTHERAPY
Many patients diagnosed with Lumbar Radiculopathy often have something more than a radicular pain that comes and goes with changes in activity and position.
This means that the nerve is pinched in an intermittent way, possibly because of a lesion to the ligaments of the lumbar column.
The ligaments become weaker and allow a greater movement than normal. The vertebra will subsequently move more, and the nerve might get pinched. This pinch causes acute pain along the legs and feet. If the radiculopathy is intermittent, then the leg pain will be occasional or intermittent. Prolotherapy in the lesioned or weakened areas will stabilize the lumbar vertebras. Intermittent radiculopathy generally responds well to prolotherapy.
KNEE INSTABILITY AND PROLOTHERAPY
Knee instability can have different causes. It mostly comes from acute traumas; however, it is even more frequently caused by a degenerative process of the knees’ cartilage. As a matter of fact, in a certain phase of life the cartilage’s degeneration could proceed faster than the restorative and stabilising action of the ligaments. The consequence of this phenomenon, which is sometimes simply due to the normal aging process, is an increased inability or laxity of the articulation, which will be responsible for more cartilage damage because if the continuous local irritation.
USE OF PROLOTHERAPY ON SHOULDER PATHOLOGIES
Prolotherapy can be very useful or, in some cases, resolutive in many pathologies concerning the shoulder. As it has been said in other points in the website, the effects of this innovative way of proceeding is that of activating the intrinsic and spontaneous healing mechanisms of the human body; to achieve this goal various types of substances (never cortisone!) are injected into the structures that, time after time, are worn by functional overcharging. For example heavy or repetitive work, sport pathologies where the athlete repeats the same movement several times, and so on.
PROLOTHERAPY AND ELBOW PATHOLOGIES
Epicondylitis is also known as Tennis Elbow. It is one of the most common pathologies and it causes a localized pain on the outside part of the elbow. This pathology can become invalidating making it too painful to lift any object, even a cup of coffee, or simply to turn a key in its keyhole.
Hand and Wrist
PROLOTHERAPY AND PATHOLOGIES OF HANDS AND WRISTS
Tendinitis manifests through swelling and an inflammation of the tendons. Inflammation of tendons or of the tendon sheath (the tunnel through which the tendons pass) can cause swelling and pain along the side of the wrist towards the thumb. This shows up particularly when making a fist, grabbing something, or turning the wrist.
PROLOTHERAPY AND ANKLE INSTABILITY
The instability of the ankle is caused by a trauma that interests the lateral ligaments of the ankle. Usually the cause is a simple sprain but, in more severe cases, it could be a partial or total laceration of the ligament’s fibers. When these lesions do not completely heal, they can create a condition of instability with a subjective sensation of unstable ankle (sagging) and an objective laxity of the articulation. This can predispose the patient to frequent distortions caused by minor traumas or small and simple torsion movements associated with the articulation.
SPORT MEDICINE AND PROLOTHERAPY
Prolotherapy is a regenerative method that is used to treat traumas caused by sport; it is a non-surgical orthopedic approach that has shown to be very efficient in the treatment of such injuries. This method, which was imported from the United States, where it has been successfully practiced for more than fifty years in all types of lesions caused by sports, is now also used in Italy. It is an innovative treatment that consists in simple glucose infiltrations (i.e. water and sugar), a substance that causes a sort of acute and local inflammation that stimulates the multiplication (“prolo” derives from “proliferate”) and activation of fibroblasts, the cells responsible for tissue regeneration.
Of further interest
Articles of general interest
Prolotherapy and old age.