Prolotherapy for Chronic Low Back Pain: Outcome, Recovery, Risks, Complications
Chronic low back pain is a common medical problem and there is no universally effective treatment for this. There are treatment options for the pain; however, it is vital to understand the reason behind every treatment option. Prolotherapy is an injection-based procedure that can treat the connective tissue injury of a musculoskeletal system.
This injection provides a healing response in the weakened tissue and the small tears, with the objective of removing the chronic low-back pain. Prolotherapy is also known as sclerotherapy, sclerotherapy, proliferative injection therapy, regenerative injection therapy, and nonsurgical ligament reconstruction.
Pain Management with Prolotherapy
Prolotherapy is used in pain management and can treat the numerous conditions that include the neck pain and the low back pain because of the spine related conditions including the following:
The theory behind prolotherapy states that back pain occurs is due to the activation of the pain receptors in the ligament or the tendon tissues that are sensitive to pressure, stretching, etc. It is said that the reason for the low-back pain is because of the ligamentous activity. With this prolotherapy process, the substance when injected into the tissue results in an inflammatory response that may cause natural healing and can strengthen the injured or the torn soft tissue and can reduce chronic low back pain.
Causes of Low Back Pain
Almost 90% of chronic low-back pain is mechanical. This kind of low back pain happens because of excessive spraining, straining, bending, or lifting, which gives rise to ligament sprains, disc herniation, and muscle pulls. This pain is a common cause of any disability in people who are below 45 years of age. Though, disc problems may cause low back pain, one important source for this pain is the ligament injury.
Prolotherapy for Chronic Low Back Pain
In prolotherapy treatment, a substance is injected with the slender needle beside the site where the soft tissue such as the tendon, muscle, and ligament has worn out or injured. The substance that is used in this injection is an irritant agent. Some of the examples of these substances include the following:
For the prolotherapy treatments for any chronic low back pain or any other disorder, this agent is used together with any local anesthesia (lidocaine, or marcaine). This treatment includes many injections ranging between 3-30 that depends on the individual patient and the back condition. The injection series usually cover 3-6 months with the injections at an interval of 2-3 weeks.
Outcome of Prolotherapy for Chronic Low Back Pain
The success rate is reported to range between 80%-90% when it is performed by the physicians who are trained in prolotherapy. Most of the reports have anecdotal evidence from the physicians. The anecdotal reports have suggested improvements like the following:
The factors that may result in a successful outcome of prolotherapy for chronic low back pain are the following:
However, there is no histology regarding what happens when an injection is placed on the painful soft tissues. Yet, an improvement or reduction in the chronic low back pain is observed.
Recovery After Prolotherapy for Chronic Low Back Pain
For counteracting the pain, if the patients experience a swollen injection site for 2 or 3 days after the injection, the physicians may recommend the following:
Follow-up with the physician for post therapy programs.
Risks and Complications of Prolotherapy for Chronic Low Back Pain
The injection technique used in prolotherapy needs great care and skills for a physician. Training, as well as experience is mandatory. There may be possible side effects that may remain for a few days and these can include:
There have been reports of other complications, but they are rare. They may include:
Prolotherapy, when performed by an experienced doctor, is safe and the clinical trials have not reported any major adverse effects. Current data have suggested that it can have a positive effect when compared to the baseline status and when compared to control group. To have a better understanding of this clinical application, it needs further research. Dr. Philipose has been in practice for 21 years and performed thousands of injections for various joint and pain conditions
Prolotherapy is a conservative and a reasonable approach for chronic low back pain, sciatica, and disc disease. As this medical condition is the treatment modality, which offers a long-term solution instead of just palliation, it must be considered a suitable treatment in appropriate patients before surgical intervention and the long-term therapy with narcotics. For more information, call Dr. Philipose in Oklahoma City at 405-848-7246.
Prolotherapy injections can help you heal your hip pain.
What is prolotherapy?
Prolotherapy is a type of natural injection therapy that helps to stimulate the body's natural healing processes. This can be done by injecting a substance like sugar water (for example, dextrose) or a customized injection containing natural collagen, minerals, amino acids and other nutrients a joint may need into an injured area in order to stimulate the growth of new connective tissue. This extra tissue can then support and strengthen the area, which should reduce pain and increase function.
Prolotherapy for hip pain
Many people are confused about how prolotherapy works when it comes to hip pain because they assume that prolotherapy only works on joints instead of soft tissues. However, in reality, prolotherapy works on all types of connective tissue—not just joints. Since connective tissue covers bone, ligaments, and tendons, this means that prolotherapy can actually be very effective for helping hip pain caused by conditions like osteoarthritis or bursitis.
The bottom line: Prolotherapy isn't just for joint problems! If you have hip pain that isn't responding to other treatments like physical therapy or medication, prolotherapy may be able to give you the relief you need!
Dr. Philipose has performed thousands of injections over 21 years. Schedule a FREE consultation at 405-848-7246 in Oklahoma City.
Do your knees hurt? Knee pain is quite common, especially in older adults or overweight people. Fortunately, it rarely is a cause of concern. Knee pain can result from overuse or a sports injury. Some can bear the aches while others cannot work while they suffer extreme pain that prevents them from walking or taking stairs. There are various treatment choices for knee pain—from simple home remedies to prolotherapy for knees.
This treatment may be new to you but it can be dated back to the 1950s. Prolotherapy for knees is a therapy that gives relief to muscles and joints by injecting an irritant to mend any damaged soft tissue in your joint or muscle area.
Also called proliferation or regenerative injection therapy, an irritant—usually in the form of saline, lidocaine, glycerine, phenol—is injected into the joint that briefly increases inflammation. This inflammation allows an increase in blood flow thus repairing and healing damaged tissues. Prolotherapy is a good option and promotes a natural healing process once the procedure is done.
Prolotherapy is a treatment method that can relieve joint pain, particularly in the knees, and clinical studies have shown its promising results. Although a patient may experience minor pain and irritation after the injection, the procedure is practically low risk and unlikely to produce serious side effects. Doctors usually prescribe pain medication to help with the after-process effects.
A study watched 90 adults with knee osteoarthritis. Some participants received monthly prolotherapy injections for 3 to 5 months. Those who had prolotherapy improved their pain, function, and stiffness scores. The result was still positive even after following up with 60 adult participants over 2 years later. No participants who had prolotherapy reported bad side effects.
In 2016, some researchers reviewed a previously published study on dextrose prolotherapy. They discovered that it’s an excellent treatment for tendon injuries, osteoporosis, and pain in the spine and pelvis due to ligament dysfunction.
Better quality clinical studies still have to be done with more patients to discover further the effects of prolotherapy for knee pain and osteoarthritis. But, overall, prolotherapy is well received by patients to alleviate their symptoms and stated positive feedback based on clinical evidence.
In a nutshell, the following are theories on how prolotherapy injection acts in our bodies:
It is vital that prolotherapy injection must only be done by highly trained professionals that are experts in giving prolotherapy injections.
Mild effects of prolotherapy may include:
It is also likely to experience side effects such as:
It has been a rule of thumb to consult your doctor before undergoing procedures that concern your health. Ask your orthopedic doctor, sports medicine doctor, or rehabilitation doctor regarding prolotherapy injection if nothing works with your knee pain. It is a good alternative to try when all else fails.
Prolotherapy may help people dealing with:
Besides knee pain, prolotherapy can also help relieve or treat a range of conditions, including these:
Prolotherapy is not recommended for some people, including those with certain health problems such as the following:
We know it is hard living with knee pain every day, and it is common to be scared and be confused about the treatments presented to you.
If you have tried a lot and are looking for options other than surgery and drugs, then there is nothing to lose if you seek professional help. Venturis Chiropractic & Prolotherapy specializes in comprehensive chiropractic care, acupuncture, and natural, nonsurgical treatments, such as neural therapy and prolotherapy.
Natural approaches to treating pain and injury are gaining popularity more than ever, but one must only trust professionals who are highly skilled and have a track record of performing comprehensive diagnosis and treatment. Our clinic has the facilities, professionals, and ethics that can get rid of your pain and injury. You deserve fully living the life you want without any type of pain.
Visit us at 7917 N May Ave, Oklahoma City, OK 73120, or book online for consultation and inquiries.
To schedule a consultation with Venturis Chiropractic & Acupuncture, call (405) 848-7246, or just click the button below.
Plantar fasciitis is broadly classified as the inflammation of the broad tissue at the base of feet. This condition arises because of the stretching of the band of tissue that runs across the whole length of the foot and serves to connect the heel with the toes. When this broad band is inflamed, an intense pain is felt at the heel.
The specific pain of plantar fasciitis is felt at the morning when the patients usually take their first steps. Then the pain intensity tends to decrease when one start the normal walking but again if the patient stands for a long time or stands after sitting for a longer time period, it again returns.
The occurrence of plantar fasciitis is more commonly observed in obese people, people who wear inappropriate shoes and the fast runners. To prevent such a worsening outcome, doctors advise patients to use the shoes which are not flat and to maintain their weight within the optimum limits.
Plantar fasciitis is accompanied by the symptoms like stabbing pain, difficulty in walking and extreme degree of tenderness over the heel area. It has many complications which include the intense pain that radiates to whole foot, knee and hip joints even.
There are a wide number of diagnostic tests to identify plantar fasciitis . X-rays , magnetic resonance imaging MRI and computerized tomography CT are the best opted techniques for the examination of plantar fasciitis . Some doctors check for the tenderness in the neck to diagnose this inflammatory problem.
Prolotherapy is the technique that employees the use of injections for the treatment of plantar fasciitis and other joint related problems. Prolotherapy is used to subside the pain, inflammation and swelling at the tissue injury site. These remarkable effects are achieved by injecting the damaged joint tissue with the medicated formulations containing various anti inflammatory agents, vitamins, minerals, local anesthetics and many other natural substances.
We offer the best Prolotherapy at our clinic Venturis Chiropactic and acupuncture in the Oklahoma city. Our highly experienced Dr. Alvin Philipose has been performing prolotherapy for patients from all over the world from the last 20 years. He ensures the best treatment with the successful outcomes.
Prolotherapy is employed by many methods like the use of collagen, dextrose solution and most importantly ozone. These methods are discussed below. All of these have the high success rate. The initial injection of Prolotherapy with ozone causes pain and irritation for some time but the 90% of pain subsides after a few minutes permanently.
Plantar fasciitis caused by excessive running, exercise or obesity usually has a poor recovery rate because the broad tissue once got injured due to over stretching is unable to recover unless repaired by the natural means.
Dextrose solutions in the Prolotherapy have excellent results. These injections are known for healing the torn and distorted ligaments of foot. In the plantar fasciitis, there is a gradual stretching and disruption of plantar fascia due to which the fascia and the adjoining tissues are over stretched and got injured. These injured tissues make the foot joints unstable and this way the alignment of the foot bones got disturbed. Prolotherapy injections are given to patients with the plantar fasciitis so that their torn ligaments are repaired.
Once the ligaments are repaired, the alignment of the foot joints is corrected and the resultant joints are strengthened counting for the extra stability of the foot. In this way, the plantar fasciitis complications such as pain are avoided and rectified to some extent with the dextrose Prolotherapy.
Some of the Prolotherapy methods use the injections that stimulate the body immune response to produce collagen fibers. The collagen is then used for the repair of disrupted tendons, ligaments and muscles of the sole region. Prolotherapy is the best known technique as it has the tendency to heal the body disruptions naturally.
Proliferation of blood vessels
The dextrose solution contains some of the vibrant growth factors that stimulate the endothelial cells of the arthritic area hence causing enormous growth of blood vessels. These expanding blood vessels restore the normal blood flow and repair the arthritic wear and tear of the joint. This pronounced blood supply works for the betterment of body own healing mechanism and let the ruptured tissues to repair themselves.
The Prolotherapy procedure employing the dextrose solution gives the excellent results for the relief from pain permanently. When this solution is injected, it stimulates the cartilage and the torn ligaments growth, these growing structures add to the strength of joint cavity. Hence, the pain which was due to the inflamed and degenerated structures at the foot joints, get corrected permanently.
The prolotherapy procedure using ozone is commonly called Prolozone. This procedure is now very common in use for the treatment of plantar fasciitis. The prolozone treatment involves the injections of natural ozone gas mixed with minerals and vitamins, and various proliferative agents into the injured cervical region.
This treatment is widely opted as it causes the permanent cure of the severe pain and marked proliferation and regeneration in the damaged and inflammed area.
The combination of prolotherapy with ozone works by many ways. Each of them is discussed below:
It was experimented that intense pain in the plantar fasciitis was due to many factors. Some scientists suggested that the pain was due to the irritation of many intra articular structures like ligaments, bone cavity, menisci around the foot joints and various tendons. And most important of all these factors is the inflammation around the injured joint which induces sharp pain.
Pain from all these causative agents is significantly relieved by prolozone injections. The injection of ozone causes the suppression of all the inflammatory molecules like the interleukins and substance P. When these pain eliciting inflammatory factors are suppressed the pain also gets suppressed.
Stimulation of various growth factors to repair the ruptured tendons
Prolotherapy is less expensive and faster than surgery and drugs usage.
Prolotherapy injections cause an immediate decrease in pain sensations. Initially, the injection pains for some minutes but later on about 80% to 90% of the pain subsides. On the contrary other medications and surgical methods have delayed and temporary effects.
Several anti-inflammatory medications cause overexpression of the pro-inflammatory cytokines and corpuscle whereas this aspect is avoided in prolotherapy.
A remarkable increase in the thickness of cartilage and ligaments thickness is seen after the prolotherapy with ozone. This fact leads to the strengthening of foot joints and the attached ligaments, fascia, and muscles and prevents degeneration further.
This is the best effective technique for the treatment of severe outcomes of plantar fasciitis.
Call Dr. Philipose at 405-848-7246 and visit Venturis Chiropractic and Acupuncture in Oklahoma City for a Free Consultation to see if Prolotherapy may be right for you.
How does prolotherapy help in plantar fasciitis relief?
Prolotherapy aids in plantar fasciitis by strengthening the fascia and providing support to the arch of the foot. Prolotherapy aids in the regeneration and strengthening of weakened structures like the plantar fascia ligament.
What is the success rate of prolotherapy?
The prolotherapy success rate is about 95%. Once applied, patients usually does not require further treatment once the tendon or ligament is healed.
How painful is prolotherapy?
Prolotherapy injections are mildly painful. The shot can be numbed with a topical cream as needed or required.
Arthritis is generally defined as the inflammation of the synovial membranes of the body joints. Knee arthritis is the inflammation of knee joint, the joint with versatile movements. It is an age related disease mostly affecting people over the age of 50 years but also occurs in young ones. Knee arthritis is of three main types which are discussed next:
This is a chronic inflammatory disease in which the synovial membrane that surrounds the knee joint cavity tears away and swells. As a result of this swelling, there is inflammation and pain radiating around the knee joint.
This type of arthritis is most common. This is a degenerative disease of cartilage around the knee joints. The cartilage wear and tear occurs due to which it becomes rough, and the resultant cavity between the bones of knee joint get reduced in volume. This causes the friction between the bones when they move and thus extreme painful spurs occur around the bony cavity.
This type of knee joint arthritis occurs after the injury to the knee joint. Once the joint is injured the broken bone may lead to the development of arthritis years later. This type of arthritis causes joint instability.
Prolotherapy is the best-prescribed procedure for the treatment of knee arthritis.
Medications including oral supplements
We offer Prolotherapy using natural collagen as a means of tissue regeneration at our clinic Venturis Chiropactic and Acupuncture in the Oklahoma city. Our experienced Dr. Alvin Philipose is been performing thousands of successful treatments over patients from all over the world from the last 20 years. He ensures the best treatment with the successful outcomes. Prolotherapy is an natural injection based technique that uses injecting collagen and ozone into the arthritic joints.
Prolotherapy using collagen
This technique of Prolotherapy induces the collagen formation in the arthritic knee through the series of injections of dextrose which is a natural sugar or mildly chemical. This Prolotherapy procedure employed the use of dextrose injections to patients with intra articular or extra articular knee joint arthritis. The dextrose injection Prolotherapy is used commonly in the knee joint arthritis and intensive musculoskeletal injury. This therapy is proven beneficial because of the large number of its positive effects on the treatment of knee arthritis. Some of these effects are mentioned below:
Strengthening the knee joint
After this dextrose solution is injected, it strongly stimulates the immune system machinery to lay down collagen fibers at the damaged and arthritic knee joint site. This collagen lay down is responsible for holding together the joint bones and gives an extra strength to the joint which has become lax due to arthritis.
The proliferation of blood vessels
The dextrose solution contains some of the vibrant growth factors that stimulate the endothelial cells of the arthritic area hence causing enormous growth of blood vessels. These expanding blood vessels restore the normal blood flow and repair the arthritic wear and tear of the joint.
The Prolotherapy procedure employing the dextrose solution gives excellent results for the relief from pain permanently. When this solution is injected, it stimulates the cartilage and the torn ligaments growth, these growing structures add to the strength of joint cavity. Hence, the pain which was due to the inflamed and degenerated structures at the knee joint, get corrected permanently.
Prolotherapy with ozone in the treatment of knee arthritis
The prolotherapy procedure using ozone is commonly called Prolozone. This procedure is now very common in use for the treatment of degenerated joint arthritis. The prolozone treatment involves the injections of ozone gas, collagen, minerals and vitamins, local anesthetics and various proliferative agents into the injured or arthritis joint.
This treatment is widely opted as it causes the permanent cure of the severe pain and marked proliferation and regeneration in the damaged joint area.
The combination of prolotherapy with ozone works by many ways. Each of them is discussed below:
Relief from pain and inflammation
It was experimented that joint pain in the knee arthritis was due to many factors. Some scientists suggested that the pain was due to the irritation of many intra articular structures like ligaments, bone cavity, menisci around the knee joint and various tendons. And most important of all these factors is the inflammation around the arthritic joint which induces sharp pain.
Pain from all these causative agents is significantly relieved by prolozone injections. The injection of ozone causes the suppression of all the inflammatory molecules like the inter leukins and substance P. When these pain eliciting inflammatory factors are suppressed the pain also gets suppressed.
Improving the oxygen transportation in the arthritic knee joint
Ozone is an unstable triatomic molecule made from combination of three oxygen atoms. The remarkable un stability of ozone counts for its powerful actions on the knee arthritis. Ozone is capable of donating its extra third atom of oxygen and reducing itself to oxygen molecule. The oxygen atom is donated to lipids and various amino acids converting them into strong peroxides. These peroxides are short chained and can easily cross the cellular membranes where they display their oxidizing effect by converting NADH to NAD.
While doing this oxidation, the prolozone therapy actually enhances the oxygen utilization by the arthritic joint tissues and in this way the ratio of NAD/NADH is also increased. This enhanced ratio counts for the magical effects of prolozone therapy because when the oxygen utilization is increased all the cellular functions including cell proliferation, cell differentiation and cell growth increase, thereby repairing the degenerated or arthritic knee. All the normal cellular membrane potentials and the tissues natural healing property returns to normal after the injection of prolozone at multiple sites around the knee cavity.
Improvement of antioxidants factors around the arthritic knee joint
Stimulation of immune system
Prolotherapy is less expensive and faster than surgery and drugs usage.
Prolotherapy injections cause the immediate decrease in pain sensations. Initially the injection pains for some minutes but later on about 80% to 90% of the pain subsides. In contrary other medications and surgical methods have delayed and temporary effects.
Several anti inflammatory medications cause over expression of the pro inflammatory cytokines and corpusclewhereas this aspect is avoided in prolotherapy.
A remarkable increase in the thickness of cartilage and ligaments thickness is seen after the prolotherapy with ozone. This fact leads to the strengthening of knee joint cavity and prevents its degeneration further.
The procedure involves injecting the small volumes of irritant dextrose solution at the multiple sites around the knee joint cavity. The outcomes were tremendously amazing with the high rate of patient satisfaction. The procedure showed the improvement in pain sensations, stiffness around the joint movements and inflammation.
Is prolotherapy good for arthritic knees?
Yes, it is. Prolotherapy research shows significant improvement in most patients with knee arthritis. Treating the whole knee joint aids in alleviating knee pain and healing the damage.
What is the success rate of prolotherapy?
The prolotherapy success rate is about 95%. Once the torn ligament or tendon is healed, it usually does not require further treatment.
Is prolotherapy the same as cortisone injection?
Cortisone and prolotherapy are not the same. Cortisone can cause tendon rupture, unlike prolotherapy. Prolotherapy is a proven orthopedic treatment without the negative side effects of cortisone.
If you or a loved one would like to see if Dr. Philipose can help you with Prolotherapy, Call Venturis Chiropractic and Acupuncture in Oklahoma City at 405-848-7246 Today!