Traditional Prolotherapy

Traditional Prolotherapy With Ultrasound Guidance

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Prolotherapy is terrific alternative to traditional pain treatments such as surgery and cortisone injections. Prolotherapy fundamentally supports the body by stimulating the body’s inflammatory and recovery process so that new collagen and tissue repair can occur.

Ultrasound guidance is offered during Prolotherapy injections for difficult to access areas, areas of chronic injuries or deep injections.

Prolotherapy uses a natural substances to stimulate the “rehabillitation of an incompetent structure by the generation of new cellular tissue.” There are many different proliferate solutions that can be used but Dr. Wang primarily utilizes a dextrose solution with B-vitamins injected into an area to stimulate tightening of ligaments, tissues, discs or joints. There are many common conditions that Dr. Wang treats with Prolotherapy, PRP Prolotherapy, Neural Prolotherapy, Biopuncture, electro-myopulse or a combination of the modalities to recover injured tissue.

Chronic pain or debilitation that has lasted for years can disappear in a matter of weeks. Unlike cortisone injections which removes inflammation allowing for possible over use or reinjury of a joint, prolotherapy temporarily increases immune response to stimulate the rebuilding of a joint, ligament or tendon.

Things We Treat

Prolotherapy is a relatively painless proliferate therapy which stimulates the ligaments, joints and tendons toward recovery and repair. Depending on severity, and duration of pain you should expect 4-6 treatments for an area to fully repair. In acute injuries, treatment times are much shorter and faster.

Ligament or Tendon Strains or Sprains
Joint Degeneration
Carpal Tunnel Syndrome
TMJ
Plantar Fasciitis
Arthritis (Osteo and Rheumatoid)
Back Pain/Disc problems
Migraines or Headaches
Neck and Shoulder pain
Thoracic Outlet Syndrome
Tendonitis
Tennis Elbow
Morton’s Neuroma
Scars
Trigger Points
Lumbar or lower back pain
Sciatica
Frozen Shoulder
Rotator Cuff injuries
Recurrent Shoulder dislocation
Ganglion Cysts
Degenerative Joint Disease
Baker’s Cyst
ACL or PCL cruciate ligament tears
Pseudogout
Shin Splints
Chronic Edema
Bunions
And More…

What to Expect

Average treatment takes approximately 30-45 minutes, PRP Prolotherapy takes 60-90 minutes.
The proliferate is injected into the treatment area using a small diameter needle. There is little discomfort during the treament but you may experience some discomfort and bruising in the days following the injection.
You will have limited mobility and soreness for 1-2 days after treatment.
You should refrain from overuse of the treatment area for approximately 3 weeks.
It is recommended that anti-inflammatories or NSAIDS not be used during recovery time but homeopathics for pain can be used.
Prior to coming in for your treatment, stop taking all unnecessary NSAIDS and aspirin for 4 days before your appointment. You will remail off these medications for 4 days after your treatment.
Be kind to yourself, rest and recover.

Prolotherapy Research

Efficacy of intra-articular hypertonic dextrose prolotherapy versus normal saline for knee osteoarthritis: a protocol for a triple-blinded randomized controlled trial.

Efficacy of intra-articular hypertonic dextrose prolotherapy versus normal saline for knee osteoarthritis: a protocol for a triple-blinded randomized controlled trial.

BMC Complement Altern Med. 2018 May 15;18(1):157

Authors: Sit RWS, Wu RWK, Reeves KD, Rabago D, Chan DCC, Yip BHK, Chung VCH, Wong SYS

Abstract
BACKGROUND: Knee Osteoarthritis (KOA) is a very common condition with prevalence rising with age. It is a major contributor to global disability and has a large socioeconomic burden worldwide. Conservative therapies have marginal effectiveness, and surgery is reserved for severe symptomatic KOA. Dextrose Prolotherapy (DPT) is an evidence-based injection-based therapy for chronic musculoskeletal conditions including KOA. The standard “whole joint” injection method includes intra-articular injection and multiple extra-articular injections at soft tissue bony attachments. The procedure is painful and requires intensive procedural training often unavailable in conventional medical education, which potentially limits access. Intra-articular injection offers the possibility of a less painful, more accessible treatment. The aim of this project is to assess the clinical efficacy of intra-articular injection of DPT versus normal saline (NS) for KOA.
METHOD: Seventy-six participants with KOA will be recruited from the community. We will conduct a single center, parallel group, superiority randomized controlled trial comparing DPT and NS injections, with blinding of physician, participants, outcome assessors and statisticians. Each group will receive injections at week 0, 4, 8 and 16. The primary outcome will be the Western Ontario McMaster University Osteoarthritis Index pain scale (WOMAC), and secondary outcomes include WOMAC composite score, the WOMAC function and stiffness subscale, the Visual Analogue Score of pain, objective physical function tests (the 30 s chair stand, 40- m fast paced walk test, the Timed up and go test) and the EuroQol-5D (EQ-5D). All outcomes will be evaluated at baseline, and 16, 26 and 52 weeks. All analyses will be conducted on an intention-to-treat basis using linear mixed regression models.
DISCUSSION: This paper presents the rationale, design, method and operational aspects of the trial. The findings will determine whether IA DPT, an inexpensive and simple injection, is a safe and effective non-surgical option for KOA. The results can be translated directly to clinical practice, with potentially substantial impact to patient care.
TRIAL REGISTRATION: The trial ( ChiCTR-IPC-15006617 ) is registered under Chinese Clinical Trials Registry on 17th June 2015.

PMID: 29764447 [PubMed – indexed for MEDLINE]