Dr. Alvin Philipose DC/ Charnelle Dean APRN
Table of Contents
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:
Rheumatoid arthritis
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.
Osteoarthritis
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.
Post-traumatic arthritis
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.
Surgery
Medications including oral supplements
Physical exercise
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.
Pain relief
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!