What is Prolotherapy?
Prolotherapy is a procedure used to alleviate chronic pain in the ligaments and tendons, though it’s also effective in alleviating chronic pain in other areas like the neck and back. Prolotherapy involves a series of injections into the painful areas, strengthening them by promoting the growth of collagen, cartilage and soft tissue.
Is Prolotherapy painful?
Initially, many patients feel stiff and sore in the affected area, but this pain is short-term. Eventually, as the area begins to heal and strengthen, there will be considerably less pain. Most injections also contain a pain-reducing anesthetic such as Lidocaine to ease the process along.
What else is in Prolotherapy injections?
Injections generally contain extract of corn or concentrated dextrose as well as an anesthetic like lidocaine, as mentioned above. Depending on where you go to get your prolotherapy treatment, your doctor may include other chemicals to help speed along the process. When these elements finish working together to make the affected area stronger, they safely leave the body. Prolotherapy treats chronic pain and also successfully helps patients with back, neck, knee and shoulder issues, headaches, osteoporosis, arthritis, tendonitis, fibromyalgia, achilles tendonitis, plantar fasciitis, joint stiffness and soreness, tennis elbow, runner’s knee and numerous other ailments.
Is Prolotherapy safe? Are there any side effects?
Prolotherapy is very safe, with most side effects limited to very mild pain, stiffness or swelling. However, as with any medical procedure, there are some rare but serious risks, including infection, lung puncturing or nerve damage. Again, these risks are very rare and vary depending on the area being treated.
How many Prolotherapy treatments do I need?
The average patient receives 4 to 8 treatments over a period of 3 to 6 weeks. The number of treatments you will need depends on variables as age, the area being treated and the amount of pain you have before beginning treatments.
Will I need to go through Prolotherapy more than once?
Again, this varies from person to person. Prolotherapy, while incredibly healing and restorative, does not prevent your body from the natural wear and tear that occurs from living a healthy and active life. Therefore, sometimes patients will return to repair new damage. If you take care of yourself post-treatment, you will have less reason to need future treatments.
How quickly will I recover after the injection?
As soon as the doctor finishes administering the injection, you are free to go! There’s no recovery time, so you may leave straight from the office and go about the rest of your day. Movement post treatment is actually good for the body and your improvement.
How can I make Prolotherapy treatments more effective?
First and foremost, avoid over-exercising. Though movement and exercise is still encouraged, too much can be detrimental during times of healing. If the exercise is causing you pain, put in less effort or stop altogether. Secondly, avoid anti-inflammatory drugs like aspirin and ibuprofen. Lifestyle modifications such as avoiding alcohol, smoking cessation and healthy eating will all improve the effectiveness of the treatment. Finally, don’t give up on your treatments in the middle of healing.
How much does Prolotherapy cost? Will my insurance cover it?
Despite its effectiveness, Prolotherapy is not covered by many insurance plans. Since the cost for treatments vary significantly from patient to patient, we will provide you with pricing info during your initial consultation, based on your specific needs and situation.
Why isn’t Prolotherapy covered by my insurance?
Because of the lack of research in the area of prolotherapy, insurance companies still view it as an experimental treatment. This doesn’t mean that prolotherapy is ineffective. The effects of prolotherapy are simply more difficult to research due to the unique nature of the injections. On top of that, drug companies wouldn't turn much of a profit by researching something that could potentially decrease the need for pain medication and surgery.
What is PRP?
PRP (platelet-rich plasma) treatments safely and effectively heal damaged bone and soft tissue in order to alleviate chronic pain. PRP consists of a small sample of your own blood plasma spun in a centrifuge to concentrate the platelets. This enriched sample is then injected into the damaged area.
How does PRP work?
When you are injured, your body immediately sends blood platelets to the area to help in the healing process. PRP, consisting of concentrated blood platelets, imitates that reaction in areas causing chronic pain. Once injected into the injured area, PRP releases a potent combination of growth factors that produce collagen and fibroblasts to restore tissue and alleviate chronic pain.
Is PRP safe? Are there any side effects?
PRP is very safe, with most side effects being very mild pain, stiffness or swelling. However, as with any medical procedure, there are some rare but serious risks, including infection, lung puncture, or nerve damage. Again, these risks are very rare, and differ depending on the area being treated.
Is PRP painful?
Many patients experience short-term stiffness and soreness after the injection. When your body experiences an injury, it sends platelets to the injured area, causing it to swell as it heals. PRP causes similar swelling, which is where much of the pain and discomfort come from. As the area begins to heal and strengthen, you will experience considerably less pain.
How many PRP treatments do I need?
Often the average patient only needs 1 treatment, although some patients may require 1-2 more 2-3 months apart. How many treatments you will need depends on your age, the area being treated, and the amount of repair your body requires before beginning treatments.
Will I need to go through PRP more than once?
While incredibly healing and restorative, PRP doesn’t prevent your body from the natural wear and tear that occurs from living a healthy, active life. As a result, some patients will return for additional treatments. If you take care of yourself post-treatment, you will have less reason to need future treatments.
When can I go back to my regular activities?
In the midst of receiving treatments, participation in some light activity is okay and even encouraged. A little bit of movement is good for the body — just do not overdo it, though. You may leave the office and go through your daily routine immediately after the injection.
Should I avoid anything after receiving a PRP injection?
There are three important things to avoid. First, avoid over-exercising. If exercise causes you any pain, put in less effort or stop altogether. Second, avoid anti-inflammatory drugs like aspirin and ibuprofen. Finally, and most importantly, do not give up on your treatments before your body finishes its healing process.
Can anyone receive PRP?
Yes. The only patients that cannot receive the treatment are those suffering from active cancer or patients with an infection in the area needing treatment.
How much does PRP Therapy cost? Will my insurance cover it?
Despite its effectiveness, PRP Therapy is not covered by many insurance plans. Since the cost for treatments vary significantly from patient to patient, we will provide you with pricing info during your initial consultation, based on your specific needs and situation.
What is Stem Cell Therapy?
Stem cell therapy attempts to harness the body’s own healing potential by isolating stem cells from one location of the body (fat tissue or bone marrow) and relocating them to an area of disease, injury or inflammation. The main function of stem cells is to maintain and repair tissue. Stem cell therapy enhances this natural function by getting stem cells more directly to an area of need within the body.
How Long Will My Recovery Take?
Our American Regenerative Clinic procedure is minimally invasive and patients walk out within 3 hours in most cases. As a result recovery time is very quick. Many patients will experience soreness for a couple days to a week, but there are usually no restrictions regarding resuming normal activity.
When should I expect to see results?
It is important to note that we are treating patients with their own adult stem cells, therefore each treatment and response is unique to that patient. No guarantee can be made of what results will be achieved or how soon results can be felt. However, many patients report that they begin to experience results within a week with fuller effects felt within 4 to 8 weeks. In cases where the condition being treated is more severe the patient may notice results over a longer time frame, and in some cases seeing results in the 6-9 month time frame is possible.
Does Health Insurance Cover The Cost Of This Procedure?
No, health insurance in the U.S does not currently cover costs associated with our American Regenerative Clinic procedure.
Is this procedure FDA approved?
No it is not; however our procedure falls under the category of physician’s practice of medicine, wherein the physician and patient are free to consider their chosen course of treatment. Our procedure is compliant within the guidelines listed in the FDA Code of Federal Regulations 21 Part 1271. We meet FDA guidelines by providing a same-day procedure done entirely in clinic with only minimal manipulation of a patient’s own cells which are then immediately delivered back to that patient.
Are there any known side effects to adult Stem Cell Therapy?
Side effects are typically minimal and may include minor pain and irritation at the injection site. Since we are using a patient’s own stem cells, chances of immune system rejection are extremely low. Extensive research and testing using adult stem cells is ongoing worldwide, and to our knowledge there have been no reported instances of “serious adverse events” in any studies.
Are there any moral or ethical issues regarding these treatments?
Our American Regenerative Clinic procedure uses a patient’s own stem cells derived from their own adipose fat tissue or bone marrow. We do not perform any procedures or undertake any research using embryonic stem cells, which is where you will see the most intense ethical scrutiny.