Prolotherapy

Prolotherapy, also known as Ligament Reconstructive Therapy and Sclerotherapy, is a technique of strengthening ligaments naturally. Ligaments are structures that connect bones to each other and provide support for all of the joints of the body, including the spine. Ligaments may stretch and become lax from injury or from wear and tear over time. When this occurs the joint becomes unstable and painful. Rehabilitation and manipulation attempts often fail to provide lasting relief because such attempts cannot strengthen ligaments.

Fortunately, these ligaments can be strengthened through Prolotherapy. In this approach the affected ligaments are injected with natural substances to deliberately cause inflammation. The ligament responds by laying down collagen tissue which develops over several weeks into mature ligament. The result is a thickened, strengthened ligament and a more stable joint. This is very different from injecting cortisone which lessens inflammation but can actually weaken the ligaments. For most joints of the body, a series of four to twelve injections are necessary to achieve the desired effect.

A diagnosis of ligament laxity is made by taking a complete history combined with physical examination and review of X-rays of the effected area. The classical history would include joint or spine pain of several month's duration where efforts such as physical therapy or manipulation have not provided lasting relief. Limited range of motion is often present. The pain may be the result of an acute injury or it can develop over time from wear and tear. Physical examination reveals very tender focal areas over the painful site. X-rays do not show the ligaments themselves, but are often necessary to rule out other sources of pain or limited range of motion.

Once the diagnosis is made, the affected area is injected with the following substances:
• Lidocaine, a local anesthetic to lessen discomfort.
• Vitamin B 12, to help nourish the developing tissue.
• Concentrated Dextrose, a corn sugar, to cause inflammation that leads to collagen deposition.

Significant improvement is usually noted after the fourth treatment, although each person will have their own unique response.

Dr. Teitelbaum has been practicing Prolotherapy since 1994.