Open Paths Integrative Medicine

Ronald Rosen MD PC


 "I have been a patient who has benefited from Prolotherapy …

My intractable pain was not intractable and I was remarkably improved."

  —Former U. S. Surgeon General C. Everett Koop

(from Prolo Your Pain Away: Curing Chronic Pain with Prolotherapy, Beulah

Land Press, 2000, by Ross Hauser, MD and Marion Hauser, MS, RD)

What is Prolotherapy?

Prolotherapy is a natural healing method used to treat musculoskeletal pain. It was designed for pain that has not resolved within 6 to 8 weeks. Prolotherapy was developed over a 50-year period as a natural nonsurgical method. It assists the body in healing ligaments, tendons, and joints. A solution of highly concentrated dextrose (sugar water) mixed with Lidocaine and, on occasion, other natural substances, is injected into joint spaces or insertion sites of ligaments and tendons. Prolotherapy is a treatment that can reactivate the body’s natural healing response. Prolotherapy is a safer and less expensive alternative to surgery.


How Does Prolotherapy work?

When dextrose (or PRP, see below) is injected into the damaged area, a mild inflammatory response develops. This healing response causes the recruitment of stem cells. Ligaments and tendons are repaired by the formation of new collagen which tightens and strengthens the damaged area. After an evaluation of the damaged area, a fine needle is used and a natural proliferative solution is injected into damaged ligaments, tendons, and joints. Your own body’s natural tissue growth factors are released and fibroblasts (the body’s repair cells) move to the injured site to form new collagen. This process increases lost flexibility (due to injury) and can heal chronic pain.


About PRP

PRP (platelet rich plasma therapy) is a form of Prolotherapy where the substance used is the patient’s own blood. The blood is removed and through a concentration method using a centrifuge, a high numbers of platelets are obtained. The concentrated platelets include growth factors that are vital to initiate and accelerate tissue repair and regeneration by increasing stem cell production. This increases the healing potential for ligaments and tendons. Even the potential for regeneration and repair of cartilage tissue is increased.


Who is a good candidate for Prolotherapy?

Anyone suffering from pain (more than 6 to 8 weeks) who may have the following conditions:

Arthritis: hand, wrist, shoulder, hip, and knee

Tennis elbow, golfers elbow, Epicondylitis

Shoulder injury: rotator cuff, frozen shoulder, impingement syndrome

Knee pain: osteoarthritis, lax or partially torn ligaments, meniscus tear, knee cap pain

Plantar fasciitis

Hip pain

Neck pain from whiplash

Headaches from musculoskeletal origin

Low back pain: disk disease, herniation, chronic pain

Sacroiliac joint pain and sciatica, TMJ, jaw pain

Leg, foot, and ankle pain: toe arthritis, ankle sprains, metatarsal pain


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