INJECTIONS THAT WILL IMPROVE YOUR LIFE
Instituto de Proloterapia is an organization dedicated to training doctors to become good prolotherapists, to promoting Prolotherapy as a treatment for chronic pain and to organizing workshops where low income patients are being treated for pain.
- Organization of practical and comprehensive courses and workshops for the pain treatment with Prolotherapy, aimed at specialists in the areas of musculoskeletal medicine and interested in pain treatment.
- Promotion of the use of Prolotherapy as a first-line option in treatment of chronic pain.
- Organization and participation in altruistic brigades of pain treatment with Prolotherapy.
We want to train a great number of physicians to be within the best prolotherapists worldwide.
- To improve the quality of life of people in chronic pain.
- To promote the scientific foundations of Prolotherapy.
There currently are a few studies that show the effectiveness of the Prolotherapy procedure for alleviating pain.
Prolotherapy is an injection procedure used to treat connective tissue injuries of the musculoskeletal system that have not healed by either rest or other nonsurgical therapies in order to relieve pain.
The injections promote a healing response in small tears and weakened tissue, with the goal of alleviating pain and improving function.
Prolotherapy is also referred to as sclerosant therapy, sclerotherapy, regenerative injection therapy, “proliferative” injection therapy, and nonsurgical ligament reconstruction.
When we suffer an injury for example the knee injury, occurs a period of almost immediate inflammation that we call “acute stage”. During this stage the body sends more blood supply and different types of cells contained in the bloodstream in order to stimulate the healing of the tissue that was damaged during the injury. This process usually takes from a few days to several weeks.
Subsequently, begins a stage that we call “chronic”, in which there is no acute inflammatory data but usually there is pain, joint instability, decreased ranges of motion, edema (swelling), and this period can last from several weeks to more than a year.
Conventional treatments for injuries in the musculoskeletal system focus on management with anti-inflammatory drugs, examples of which are diclofenac, naproxen, sulindac, meloxicam, celecoxib, indomethacin, ketoprofen, etc.
Anti-Inflammatories have side effects such as cartilage toxicity, gastritis and gastric ulcer between much more.
It is important to understand that the inflammatory response that happens in our body is necessary and to limit it or to suppress it with anti-inflammatories in many occasions is not the correct way to go. During the inflammation process occurs a greater blood supply to the affected area and this brings with it a local increase in the number of repairing cells for the damaged tissue. These cells help the cleaning and restoration of tissues because this process limits the damage, new collagen is being synthesized and the tissues heal and return to being functional.
Prolotherapy treatment is the stimulation of the proliferation of healthy tissue.
This occurs by injecting into the affected area with proliferating solutions such as dextrose, sodium morrhuate , glycerol and phenol. These solutions, when placed in the injured area stimulate transient inflammation and arrival of repair cells and collagen synthesis, causing a decrease in pain and increase in joint stability.
Generally, prolotherapy is not painful procedure, however it is being performed under local anesthesia. In the next few hours post to the treatment an inflammation of the treated area is to be expected and this inflammation can last approximately 72 hours. This is the reason why we recommend rest from 48 to 72 hours.
After this, the pain will gradually but steadily decrease during the next 4 weeks, when a new evaluation must be performed in order to weigh the results of the treatment.
In general, a patient needs between 3 to 6 sessions of prolotherapy, as long as gradually improving between sessions.
As a general guideline, patients report between 80 and 100% of a pain improvement with no tendency to return, others present a 50% of only pain improvement. Most patients are within one of these 2 groups.
Other group of patients report that the pain is reduced just a little and that it tends to return and like any type of treatments, some report not having improvement at all.
Is important to mention that when a patient feels no improvement is usually because the body is not responding properly to the proliferant solution, this usually happens in periods when the body is going through a low immunologic response. When this happen is important to check out why this is happening. Usually diabetes and some other immunologic illnesses are the guilty of this.
Other thing that can happen is that the diagnosis is not correct and the treatment has to be surgical, this is why it important to first of all do a full comprehensive physical exam, ultrasound, MRI if needed and then starting with treatment.
Prolotherapy can be done in wide range of patients because its safety and kindness. From 9 year old children with Osggod Schlatter disease or Sinding Larsen Johansen were cartilage injuries occur during growing peaks combined with sports all the way to 80 years old people with degenerative arthritis.
Most of the usual candidates are people with pain in neck, shoulder, ribs, sternum, elbow, hands, fingers, dorsal spine, lowback, hips, knee, ankle and foot. The pain can happen because of sprains, luxations, falls, post surgery whiplash from motor vehicle accident, etc.
Prolotherapy is a safe, simple, effective and elegant procedure.