ARE YOU GOING FOR BACK, HIP, KNEE, SHOULDER, ANKLE, WRIST OR HEEL SURGERY?

Make sure you have make an appointment and evaluation with our Prolotherapy doctor to rulled out any simple ligaments or tendos problem which can easily be treated with Prolotherapy / PRP Prolotherapy  and avoid any unnecessary operation!

WHAT ABOUT CONDITIONS SUCH AS ARTHRITIS?

There are many forms of arthritis, the most common being Osteoarthritis. Osteoarthritis is the gradual degeneration of joint surfaces, caused by overuse and under repair. Overtime, this wear-and-tear of cartilage progresses to the point that the cartilage is worn thin and pain results. Degenerative joint disease can progress to the point where the patient needs a total hip or knee replacement. Prolotherapy has been proven to reverse the degeneration of joints when the condition is treated early enough. Other forms of arthritis are autoimmune mediated, such as Rheumatoid Arthritis, Lupus, and Ankylosing Spondylitis. Unfortunately, these forms of joint disease do not respond to Prolotherapy.

Prolotherapy techniques and solutions have improved to the point that even severe degenerative hip or knee osteoarthritis can be helped with Prolotherapy. In general, the number of Prolotherapy treatments will depend on the extent of the arthritis. Plasma Rich Plasma Prolotherapy (PRPP) is now easily available and more effective for severe cases of degenerative osteoarthritis of knee or hip joint. In more advanced cases of arthritis the use of Bone Marrow Aspirate Prolotherapy (BMAP) is promising to heal the condition and avoid the knee or hip replacement surgery.

In my experience it is not uncommon for more advanced cases to need 10 to 14 treatments given one to six weeks apart. Most commonly, I see patients for hip treatments at two-week intervals. One can expect at least a 70% overall success, though with less advanced arthritis the success rate is higher.

During the treatment course the patient follows standard post-Prolotherapy instructions. Patients are to be active and exercise to pain tolerance and use heat and avoid ice and other anti-inflammatory medications. The hip is one of the deepest joints in the body. As is the case with all injections, knowledge of the basic anatomy is important to delivering safe and effective Prolotherapy to the hip joint.  It is a ball and socket joint with a large range of motion. Directly in front of the hip joint runs the femoral nerve, artery and vein, all structures that obviously I want to avoid with my needles.

Overall this is a tremendous option for patients to avoid hip surgery. In most cases it is able to accomplish this goal in what patients are routinely told is "impossible." Prolotherapy offers hope for those with hip arthritis.