PowerPoint Presentation
PROLOTHERAPYA method of injection treatment designed to
stimulate healing
Proliferation TherapyQuick Anatomy LessonMain structures for
supporting the bodyBonesMusclesTendonsLigamentsCartilage
Ankle
Sprained Ankle
Result
What do most people do first
What else?
Anti-inflammatory DrugsShort term inflammation is how the body
heals itself, by controlling what gets in and out of the areablood
flow to the areapermeability (fluids and blood proteins can move in
and out easier)white blood cells in the tissues
The Healing ProcessInflammation Phase (0 to 6 days)Initially
decreased permeability, as to increase blood clottingFollowed by
increased permeability to deliver healing cells that are essential
for healingWhite blood cells eat damaged tissueGrowth factors are
released into the woundthese promote the growth of new tissues
The Healing ProcessProliferation Phase (3 to 21 days)Formation
of new blood vesselsCollagen is deposited (keeps your skin
tight)New tissues begin to form that will eventually become scar
tissueDamaged tissues begin to contractsuch as stretched or torn
ligaments
The Healing ProcessMaturation Phase (Up to 1 year)Also known as
the remodelling phaseCollagen is realigned to form lines of tension
known as scar tissueAny cells no longer needed are removed by
programmed cell death
Life after wound healingIncomplete healing is common after an
injury to tendons and ligaments, which is often a result
of;Interfering with the inflammatory phaseRepeated injuries to the
same tendons and ligamentsLifestyle choices: Smoking, stress,
medications, lack of sleep and poor nutrition
It has been estimated that these tissues only regain about 50%
to 60% of their pre-injury tensile strength!!!
Back to ProlotherapyProlotherapy is short for proliferative
therapyInjection of a solution into the tendons and ligaments that
triggers the inflammation phaseDextrose, Procaine (anesthetic),
Vitamin B12Dextrose triggers an injury responseProcaine reduces
pain as a local anestheticVitamin B12 improves local cell
communicationFollowed by the proliferative phase and maturation
phase!Prolotherapy vs No Prolotherapy
30-40% increase in diameter, which is estimated to double the
strength of the tendonWho needs this?Repetitive injuries that
persist despite treatmentHistory of sprains, strains, dislocations,
surgeriesTendonitis, Tennis and Golfers elbowChronic whiplash, and
other long term pain problems that just wont go away
Prolotherapy repairs weak tendons and ligaments and is a long
term solution! Is it painful?We use the same size needle as a
vaccineBut we do use a local anesthetic to reduce the pain of the
procedureThe entire process lasts about 30 45 minutesYoull be sore
for a few days after the procedure while the inflammation phase is
under wayYou can take Tylenol if you need it, but no Advil
CostA typical prolotherapy treatment will be about $120 for the
initial treatment, and $100 for follow up. The average cost in
lower mainland is double that ($225 - $250)Falls under Acupuncture,
and can be claimed under extended health
Number of Treatments NeededMinor injuries: 1-3 treatments ($100
- $300)Moderate injuries: 3-5 treatments ($300 - $500)Severe
injuries: 6-12 treatments or surgery ($600 - $1000)
In some cases prolotherapy can prevent surgery
