Prolotherapy Injections Specialist Near Me in Oklahoma City, OK

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Treating Vertigo: A Oklahoma City, OK and Surrounding Areas Chiropractor’s Perspective

If you have ever felt dizzy, off-balance, or completely unable to hold yourself upright, then you know just how harrowing that feeling can be. It is almost as if your entire sense of reality is being warped, which is a deeply uncomfortable sensation to experience. Unfortunately, for people who have vertigo, this is a common occurrence. While it is not a life-threatening condition by nature, it is scary and debilitating and can have a massively negative impact on one’s quality of life.
Vertigo is a condition in which the inner ears are not able to properly regulate a person’s balance. This results in feelings of dizziness, unsteadiness, faintness, and possibly blurred vision. Other common symptoms of vertigo include nausea, vomiting, headaches, ringing in the ears, just to name a few. There are special tubes in the inner ears called semicircular canals, and each tube has tiny hair sensors that always track our positioning. These are all part of the vestibular system, which coordinates all this information with the brain to make sure that we keep our balance and center of gravity under normal conditions. When things become dysfunctional in the inner ear, it can throw off your sense of balance and make you unsteady and dizzy.
There are many different medications and other medical treatments that are used to treat vertigo. Dramamine, a commonly used medication for seasickness, is one example. It helps to reduce symptoms such as nausea and vomiting and helps people feel better. Generally speaking, though, this addresses the symptoms of vertigo, not the actual cause. Treatments such as Prolozone Therapy and chiropractic are two examples of natural care that can help address the root cause of the problem and lay the foundation for more sustained healing. This can help a person make a fuller recovery, rather than just masking the uncomfortable symptoms. At Venturis Clinic, we have been able to help many people improve their quality of life and get back to doing the things they love.

How We Treat Vertigo in Oklahoma City, OK and Surrounding Areas

Comprehensive Consultation and Exam

As a new patient at the Venturis Clinic, Dr. Alvin Philipose must be first able to get to know you and learn about your problems. This helps them to understand where you are coming from and what kind of impact vertigo has had on your life. Dr. Alvin Philipose will ask detailed questions about the history of the problem to get as much information as possible. The clearer picture they have of the situation the more accurately so he can diagnose the problem, which then dictates what kind of treatment recommendations to make.
After the consultation, Dr. Alvin Philipose will take you through a series of examinations to further assist in the diagnostic process. Orthopedic, neurologic, and postural exams are performed to understand the functional state of the spine and the role it is playing in the person’s symptoms. Additionally, for patients with suspected vertigo, Dr. Alvin Philipose will perform a test called the Dix-Hallpike maneuver to verify the diagnosis of vertigo. By taking the time to get to know their patients and properly evaluate them, he can better understand their patients and get them on the correct path of treatment.

Specific Chiropractic Care

Chiropractic care is at the center of our treatment efforts when it comes to vertigo. When a spinal bone or section of the spine becomes misaligned, it creates stress on the nerves and spinal cord in that area. This affects how those nerves communicate back and forth with the brain. Over time, if misalignments are left uncorrected, a person will eventually begin to experience symptoms. When it comes to vertigo, there are typically issues in the upper cervical (neck) part of the spine. The nerves from the C1 level travel to places such as the middle and inner ear and deliver messages from the brain that help them function. If there is a misalignment there disrupting that communication, it can cause dysfunction in the middle and inner ear and things like vertigo or more frequent ear infections. Addressing this misalignment helps restore function to these areas allowing symptoms to resolve.
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Prolotherapy is a form of low risk, non-steroidal treatment for degenerative bones, joints and ligaments. It is an injection of hypertonic dextrose solution at the affected area(s), such as knee joints, cervical spine and spinal cord. The body has a natural self-healing capability. For example, if someone is bleeding from a cut, the blood can be naturally stopped as the body has a clotting factor (Your plasma stops the bleeding) . Secondly, a red wound signifies inflammation and more blood cells around the wound. Thirdly, tissues can repair themselves autonomously until the wound can properly heal. Prolotherapy induces mild inflammation to initially activate the self-healing process. After triggering inflammation, the process of tissues repair will gradually start until the wound becomes healed or when the joint comes back to normal. The mechanism of action is different from an anti-inflammatory injection or when taking a pain relieve medication which only treats the symptoms. They do not actually address the root cause of the problem.
After the first Prolotherapy injection, the second injection will be 1-3 weeks later. The whole treatment program takes 3-6 sessions, depending on the severity of symptoms plus the doctors’ recommendation. The injection targets inside the joint and frozen ligaments around the joints to stimulate the tissue repair process. After the intentionally induced inflammation from the Prolotherapy subsides, the pain experienced becomes less. However, the treatment result varies as each patient’s condition is different to another.
Patients may experience mild pain and inflammation that can persist for 1-2 days. The discomfort can be relieved by applying a hot compress to the affected area, plus minimal help of painkillers. Patients will be advised not to consume any anti-inflammatory medications the day before, the day of as well as the day after as it contradicts the principles of Prolotherapy which is inflammation induction. After 1-2 days of inflammation, the pain will gradually subside.

Epley’s Maneuver

With vertigo, displacement of the tiny crystals that exist within the inner ear is a major cause for why balance gets thrown off. To help restore one’s sense of balance and positioning, those crystals need to be restored to the correct position. One of the best natural ways to correct this is Epley’s maneuver. This is a technique that involves having the head in different positions through a series of deliberate movements. These movements are specific and designed to guide the crystals back to their rightful place. When done properly, relief from vertigo can be instant.
At Venturis Clinic, Dr. Alvin Philipose have helped many people with vertigo using Epley’s maneuver. If you are not able to get to the office due to severe vertigo symptoms, however, it is a technique that can be learned and done yourself from the comfort of your own home. In a bind, this can provide some relief until you can get to the office for further evaluation and treatment. Overall, Epley’s is one of the most recognized ways to effectively treat vertigo at the source.

Therapeutic Stretching Exercise

We take a cautious approach when incorporating exercise into any vertigo treatment plan. Stretching is the best way to help improve postural and muscle imbalances that can cause dysfunction of the spine, even in the upper parts of the neck where dysfunction could lead to vertigo. We are mindful of the fact, however, that people with vertigo are in vulnerable positions where quick head movements could trigger dizziness. Gentle postural exercises that don’t require a lot of rotation are preferred so that the head can stay as still as possible.
One exercise that is utilized to help with vertigo is called the Brandt-Daroff habituation exercise. This exercise involves sitting on the edge of the treatment table or bed, turning your head 45 degrees in one direction, and quickly laying on the opposite side. Going through these repetitions helps to stabilize the positioning crystals in the inner ear and bring longer relief from symptoms.

Common Causes of Vertigo in Oklahoma City, OK and Surrounding Areas

Benign Paroxysmal Positioning Vertigo

Benign Paroxysmal Positioning Vertigo, BPPV for short, is a common cause of vertigo, where you feel like your head is spinning. The crystals in your inner ear that help regulate balance, known as otoliths, get dislodged from their usual position. This disrupts your sense of equilibrium and is deeply uncomfortable to experience. It can cause vertigo ranging from mild to extremely severe. Dizziness is usually caused by nystagmus, rapid movement of the eyes back and forth. This happens when the eyes are trying to re-establish equilibrium and are in constant movement to do so. The best way to treat BPPV is performing Epley’s maneuver, which can help reposition the crystals in their proper place and restore balance to the individual.


The labyrinth is the inner part of the ear that contains the centers for both hearing and balance. If you have an infection such as a cold, sometimes it can travel to the inner ear and cause inflammation of the labyrinth, in a condition known as labyrinthitis. When this happens, it is possible that the vestibular branch of the Vestibulocochlear Nerve can also be inflamed, which can cause vertigo. Thankfully, labyrinthitis is a self-limiting condition that usually resolves on its own in a few days. On occasion, people take medications to help ease the symptoms of vertigo until the labyrinthitis can clear up.

Meniere’s Disease

Meniere’s Disease is a condition of the inner ear that commonly causes vertigo. It can be the result of an infection, but also from genetic factors or even trauma such as a concussion. While vertigo is a common symptom of Meniere’s disease, it is commonly identified by some of its other symptoms – such as hearing loss, the feeling of “fullness” in the ear, and ringing in the ear. It typically only affects one side has the potential to be chronic. Overall, it is a condition that has the potential to cause a decrease in quality of life because it can affect people over a longer period.


Another common cause of vertigo is concussions, which is a mild type of traumatic brain injury (TBI). In a concussion, there is impact to the head where the brain smashes into the inner part of the skull, causing inflammation and bruising. This can affect balance by itself, but it is also possible during impact for otoliths to become dislodged and cause vertigo symptoms as well. Concussions can be frustrating for some because they can sometimes take long periods to heal fully – sometimes several months or longer. Treatments like Epley’s maneuver can be helpful towards addressing vertigo that results from a concussion.
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Frequently Asked Questions

What is prolotherapy good for?

Many conditions respond well to prolotherapy, such as facet syndrome (back and neck arthritis), whiplash, joint sprains, degenerative disc disease, osteoarthritis, tennis elbow, sprains, chronic tendonitis, Ehler’s-Danlos Disease, Bulging disc, knee pain, shoulder pain Vagus nerve inflammation and more.

What are the risks of prolotherapy?

Theoretical risks of prolotherapy injections include soreness, infection or neurological (nerve) damage. Injections should be performed by trained physicians using universal precautions diagnostics examinations and tproper examinations. This results in very minimal side effects.

What is the average cost of prolotherapy?

Costs vary quite a bit from $150-$1500 dependent on type and contents of injections.

Is prolotherapy a permanent fix?

Prolotherapy is an all-natural, permanent treatment, as it relies on the body repairing itself to reduce pain. In contrast, pain relievers and anti-inflammatory medications only provide temporary relief. Booster shots as well has wellness therapies including stretching, massage, chiropractic, dry-needling and strengthening will help maintain progress.

Who is a good candidate for prolotherapy?

More specifically, prolotherapy may be right for you if you experience any of the following: Damaged or lost tissue, especially surrounding the joints. If patients have tried various traditional treatments including prescription drugs, physical therapy, or steroids but seen minimal to no results, prolotherapy may be right for you.

Why does prolotherapy hurt so much?

A patient is generally sore for a couple of days after Prolotherapy. This is because the injections have to go through some muscles to get to the ligaments and tendons. To help the muscle soreness resolve itself sooner, dry needling and moist heat applied to the area is recommended.

Is prolotherapy better than cortisone?

Cortisone can cause tendon rupture, particularly of the achilles tendon. Prolotherapy is a proven orthopedic treatment to reduce pain and strengthen weakened joints without the negative side effects of cortisone.

What are the pros and cons of prolotherapy?

Prolotherapy is great for strengthening weak joints and creating heightened muscle functionality, such as increased movement and flexibility. However, there are some risks involved, for example it is a shot like any other so there could be pain or tenderness to the injection site.

What should you not do after prolotherapy?

Due to the numbness we ask that you refrain from any strenuous activities but to stay mobile. Continue to move affected area to decrease soreness and stiffness. You should avoid strenuous physical activity for 2 days following injections. You will experience some pain and soreness 2-5 days after your treatment. Do not take any anti-inflammatories, pain medications or steroids during treatments. This may inhibit your body’s ability to heal the affected tissue.

How long does prolotherapy take to heal?

Most ligaments and tendons heal within a period of 3 months; however, the majority of healing after a prolotherapy session occurs in the first two weeks.

How many prolotherapy sessions will I need?

Prolotherapy treatments vary from person to person and from injury to injury. Many patients have experienced some relief of their pain with only one session. The average person requires anywhere from 3-12 treatment sessions spaced about 3-6 weeks apart from each other.

How long does a prolotherapy injection last?

On average, patients experience one year of improvement and relief from prolotherapy. However, there is a huge variation and sometimes improvement lasts from three months to 15 years.

What is injected during prolotherapy?

Prolotherapy involves injections of a mild irritant into the injured part of your body. Most of the time the injection contains saline, dextrose (a type of sugar), and lidocaine, which is a numbing agent. Dr. Philipose custom tailors the injection, so the exact composition depends on your needs. These injections may include natural collagen, minerals, amino acids and other natural substances to accelerate healing compared to traditional prolotherapy.

Is prolotherapy better than surgery?

Prolotherapy is considered a viable alternative to surgery, and as an option to pain medications, cortisone and other steroidal injections. The Prolotherapy procedure is considered a safe, affordable option that allows the patient to keep working and/or training during treatment.

Can prolotherapy reverse arthritis?

One study with 90 adults with knee osteoarthritis involved some participants getting monthly prolotherapy injections of dextrose for 3 to 5 months. Those who received prolotherapy saw a significant improvement in pain, function, and stiffness scores.

Does prolotherapy regrow cartilage?

Prolotherapy is an injection of a non-biologic substance with localized effects for repairing connective tissue injuries of the musculoskeletal system. Recent studies in humans show that prolotherapy stimulates cartilage regeneration.

Are you sedated for prolotherapy?

Prolotherapy is a safe, cost effective injection technique used for treating musculoskeletal injuries and chronic pain in various parts of the body. It is noninvasive, has limited side effects and does not require sedation.

What does dry needling actually do?

Dry needling treats muscle tissue, and its goal is to reduce pain, inactivate trigger points and restore function. It rarely is a standalone procedure. Rather, it often is part of a broader physical therapy approach incorporating other traditional physical therapy interventions into treatment.

What is dry needling and does it hurt?

We use very thin filament needles. The initial feeling of the needle entering through the skin is very minimal; much less than a vaccination or having blood drawn. Once the needle reaches the muscle, the twitch sensation feels more like a deep cramp and doesn't last long (15-30 seconds).

How long does dry needling results last?

After dry needling, experiencing some slight soreness is normal, and you will typically note an improvement in your symptoms within one to two days. How long the benefits will last will vary per individual. The first few treatments will usually have a short length of relief spanning over several days.

How many sessions of dry needling do you need?

If treatment zones are found and the correct muscle groups are targeted, sub-acute conditions will improve after three – four consecutive sessions, with chronic injuries requiring five – six consecutive needling sessions.

Does dry needling remove knots?

Dry needle therapy resolves muscle knots by inserting a very thin needle directly into the trigger point. The knot responds to the interruption and relaxes immediately. Most patients agree that dry needling doesn't hurt in the way that you might think!

How deep do dry needles go?

Superficial dry needling involves inserting a needle at a depth up to 10 mm or into the subcutaneous tissue and may be combined with manipulation of the needle while in situ.

Does dry needling reduce inflammation?

The micro tears caused by the needle prompts the body's natural defenses to get to work, bringing nutrient-rich blood to the site and boosting tissue repair. Dry needling also helps to dissipate inflammatory mediators, those substances that gather in an area of inflammation.

Is dry needling good for arthritis?

Dry needling is an effective treatment in reducing pain from osteoarthritis because it increases blood circulation around the joint, thereby providing natural relief.

What exactly does a chiropractor do?

A chiropractor is trained to make sure your body is functioning as optimally as possible by using spinal manipulations and other therapies to relieve pain in your joints and muscles. These spinal adjustments will increase blood flow and nerve conductivity to the joints and muscles that are experiencing pain. They are taught philosophically to find and treat the cause rather than just the symptoms.

Is it healthy to go to the chiropractor?

Spinal manipulation and chiropractic care are generally considered safe, effective treatments for acute low back pain, the type of sudden injury that results from acute or chronic conditions such as strains, arthritis or disc injuries.

What are the benefits of chiropractic care?

• Improves neck pain.
• Reduces reliance on opioid pain relievers. 
• Eases back pain.
• Possible reduction of osteoarthritis symptoms. 
• Eases headache symptoms. 
• More affordable treatment for chronic back pain. 
• High satisfaction. 
• Reduces scoliosis symptoms.

What are the cons of seeing a chiropractor?

Spinal and joint manipulation has a chance to go wrong and may cause unwanted injuries. So it is important that you only have an appointment with an experienced chiropractor that performs the necessary examinations and diagnostics to ensure safe treatments. DO NOT ALLOW a physical therapist or any other untrained person try a manipulation especially without X-rays.

When should you go to a chiropractor?

Chiropractors are most sought after to treat neck and low back pain due to acute or chronic pain. If you experience back pain that lasts for more than a few days, consult a chiropractor for an assessment.

What cracks when you see a chiropractor?

During a back adjustment, your back undergoes quick, gentle stretching of the spinal facet joint, so you may hear a cracking or popping noise. This is caused by small pockets of air or bubbles, which are in the fluid that surrounds your joints.

Why do chiropractors want you to keep coming back?

Changing your posture, changing your spine's ability to move, changing your muscle health and structure take time. Months in fact. All muscles have memory and your body wants to go back to its old patterns instead of creating new healthy ones. That is why adjustments need to be repeated again and again

Is chiropractic care is ineffective?

Critics are skeptical mainly due to the fact that chiropractic care does not involve medications or any invasive surgeries. Some have associated this practice with some side effects and fatal complications in some cases resulting in death or stroke. It also goes against the medical philosophy of not prescribing medications. In recent years there has been a comparison that shows not only Chiropractic to be safe, but healthier and more successful than taking steroids and medications. There are also various techniques now that prevent any type of injuries due the gentleness of the adjustment.

Why do some chiropractors crack and others don't?

The noises you hear during chiropractic treatment depend on the technique used. For example, some techniques cause a cracking sound, and others don't, but both can be highly effective, depending on your needs. So, whether you hear an abundance of pops or none at all, you don't need to worry.
If you have tried multiple types of doctors and treatments but still hurting, you may not have found the cause. We can help!
Find Us
7917 N May Ave, Oklahoma City, 
OK 73120, USA
(405) 848-7246
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