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Injections to Kick-Start Tissue Repair
The New York Times August 7, 2007
 




One of the most successful yet least known areas of medicine for the treatment of chronic pain is prolotherapy. Prolotherapy is an injection-type procedure which uses natural solutions to eliminate a patient's pain. It has an established 85 to 90% success rate in ending a patient's pain.

Traditional pain management focuses on managing pain, not curing it. It uses epidurals, blocks, surgery, and steroids, and when these don't work the patient is placed on narcotics. And this becomes an unsatisfactory and frustrating situation for both the patient and the doctor. Many of my patients have been in pain for decades before coming to my office.

Prolotherapy is an office procedure with no rehabilitation needed and, in most cases, the patient can return to work the same or next day.

Former Surgeon General, C. Edward Koop, was a practitioner of prolotherapy and is an advocate of it as an effective form of treating chronic pain.

When we experience pain in our back, hip, knee, wrist, or any other part of our body, it is caused by an injury which results in a sprain or small tears to the ligament that hold bones together or ligaments that connect muscles to the bones. These tears cannot always be seen on an X-ray or MRI. Theses ligament or tendon injuries are extremely painful because of all of the nerve endings present in these structures.

These tears heal poorly because they have a very poor blood supply. Prolotherapy is a simple natural injection technique that stimulates the body to repair the painful, injured area when the natural healing process needs a little assistance. That is all the body needs; the rest it can do on its own.

Prolotherapy can get an injured individual back into an active lifestyle. Following treatment, the patient no longer needs the use of a walker, cane or crutches. Patients confined to their beds, or whose activities are restricted due to constant pain can now experience life, pain free.

Patients describe receiving prolotherapy treatment as very positive, "a piece of cake," even though it's an injection procedure. I never allow the procedure to become worse than the pain. As a matter of fact, patients are so happy and satisfied with the treatment received and so comfortable with the procedure, that they happily schedule their next appointment before leaving the office. In addition, they refer their family and friends for treatment.


Prolotherapy is effective in treating:

- Arthritic joints requiring surgery
- Carpal tunnel syndrome
- Migraine headaches
- Achilles tendinitis - Knee or shoulder pain requiring arthroscopy, surgery, or joint replacement
- Shoulder injury (rotator cuffs)
- Heal spurs and all foot pain
- Back pain
- Joint pain
- Neck pain
- Hip pain
- Chronic tendinitis
- TMJ and sciatica
- Sports injuries
- Knee pain


In addition, prolotherapy eliminates the need to undergo months of painful rehabilitation.

The healing response to prolotherapy varies from person to person. How quickly healing takes place depends on the severity of the injury, the age of the person, the immune status of the person and how long ago the injury occurred. Some people need only one treatment while others may require ten treatments. The average is six treatments, however this can best be determined after a thorough evaluation.

Dr. Davidson's office is a referral center for patients who have been treated by surgery, pain specialists, anesthesiologists, and other prolotherapists and still remain in pain. These patients do extremely well with Dr. Davidson.

I welcome the very sick patient: those with high blood pressure, diabetes, heart attacks, stroke, rheumatoid arthritis—the very fearful and anxious patient, who has suffered with pain as a part of their daily routine. I welcome the patient who has tried everything else for pain. Before having surgery, which can be life changing and permanent, consider prolotherapy, which can have the same or better results without being hospitalized, off from work, in rehab, or on narcotics. Prolotherapy has no downside.

 

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