Prolotherapy is an injection treatment that delivers an irritant solution (dextrose) into tendons, ligaments and muscle attachments to cause a localized productive inflammation that results in the proliferation of new tissue and strengthens and shortens the collagen fibers that already exist in the tissue.  It is used to treat a myriad of different musculoskeletal pain conditions and instability syndromes.  Prolotherapy is used to treat enthesopathies (pain originating in ligaments) all over the body, from the spine to the extremities. It is used in shoulder, elbow, wrist, knee, hip, ankle, sacroiliac, low back, upper back and neck pain.  It is commonly used to treat:
  • Partial tears of the rotator cuff, ligaments or labrum of the shoulder
  • Certain knee meniscal tears
  • Bursitis
  • Partial anterior/posterior cruciate or medial/lateral collateral ligament tears
  • Achilles tendonitis or partial tears of the Achilles tendon
  • Medial/lateral epichondylitis of the elbow
  • Chronic ankle sprains
  • Plantar fascitis
  • Wrist over use syndromes, torn ligaments or tendonitis/tendonopathies
  • TMJ-D
  • Chronic neck and back facet joint capsule sprains from car accidents (whip-lash)
  • Sacroiliac joint pain and instability syndromes
  • Chronic sciatica stemming from a non-neural origin
  • Stabilize spondylothetheses in the cervical, thoracic and lumbar regions
  • Sports injuries or other traumatic or degenerative conditions.
  • Shoulder impingement syndromes
Enthesopathies (pain from ligaments) are known to cause pain that radiates in the same patterns as cervical and lumbar radicular symptoms such as sciatica.  Ligament pain is often confused for true nerve pain due to impingement syndromes and is often what was missed when someone undergoes a surgery that does not result in a cure of pain.  Dr. Talty believes that Prolotherapy should only be used immediately after Osteopathic Manipulative Medicine techniques in certain areas of the body, to assure that the joints and soft tissues are moving in their full-unrestricted range of motion, so that the joints remain in proper alignment throughout the treatment.   Prolotherapy can often be the answer to some of the most complex and perplexing symptom presentations.
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