Frequently Asked Questions
With any procedure, there are risks. Prolotherapy involves deep penetration into tissues with a needle, therefore there is a chance of inadvertent puncture of nerves, arteries, spinal dura, or lung tissue. Risk of complication are low if the procedure is performed by a well-trained prolotherapist. Other complications include, but are not limited to, infection, abscess, allergic reactions, dizziness, nausea, increased pain, and permanent numbness. Overall, complications are rare, but because of the risks all patients are asked to read and sign a consent and waiver prior to therapeutic injections.
Some discomfort should be expected with the injections. Typically, it is mild and well tolerated by patients. A local anesthetic may be used to numb the skin at the sites of injection to decrease discomfort.
Treatment number varies case by case. Typically, three to six treatments are needed, but can range from two to ten or more treatments. The variation depends on the severity, the size of the area treated, and individual patient response. Occasionally, a solution using a stronger stimulant may be needed, like platelet rich plasma, whole blood, or sodium morrhuate. Treatments happen at three to six week intervals, with improved results seen with consistent treatment.
There is no specific procedure preparation, except having a small meal a couple of hours before the treatment and remaining well hydrated. Eating food prior to the procedure will decrease the risk of dizziness, and good hydration lessens the discomfort of the injections.
The increase in stiffness and pain is a part of the healing process and should be expected for the first few days following a treatment. Absolutely NO anti-inflammatory medication (NSAIDs) should be used after the treatments have begun. These medications inhibit the body’s ability to heal. Remember, inflammation is a necessary step to healing. Similarly, using ice is discouraged as it can slow the healing process as well. Heat can help reduce soreness and will help bring blood and nutrients to the area. Tylenol is allowable for short durations for pain.
You can expect to notice improvement 4 to 6 weeks after the first treatment, although some notice improvement as early as two weeks. For others it may take longer after additional treatments.
With the new practice model, prolotherapy and PRP are being offered at a 75% reduced cost to estblished member patients (6+ months of membership history). For those only interested in injection therapy you can find the prices in the fees section of the website. We do ask ALL patients to register through the enrollment page, we discontinue the membership when injection treatments are completed.