Prolotherapy is an injection technique that stimulates growth of cells and tissue that stabilize and strengthen weakened joints, cartilage, ligaments and tendons. The injected solution intentionally causes controlled irritation in the injected tissue. This irritation is an inflammatory response, which increases the blood supply and thereby stimulates the tissue to heal and regrow new tissue.
GetProlo is happy to be the web’s largest listing of Prolotherapy doctors. GetProlo.com is a referral and informational site only. If you would like to know if you are a good candidate for Prolotherapy or other Regenerative Injection Therapy, please contact a Prolotherapy physician’s office directly for an opinion. Thank you for using GetProlo.com!
This is a complete list of all the Prolotherapy and Platelet Rich Plasma Therapy doctors on our site. For the patient, please click on the sites of the doctors in your area and contact them directly with your quuestions. Doctors if you want to be listed please visit http://www.getprolo.com/referral-network-application/
Many doctors agree that knee osteoarthritis treatment should begin with the safest and least invasive treatment before proceeding to more invasive, expensive ones such as surgery. One treatment often over looked but essential is weight loss.
Recently, researchers at Brigham and Women’s Hospital, Boston University School of Public Health, Massachusetts General Hospital studied Obesity and knee osteoarthritis affecting Americans aged 50 to 84 years. What they found was knee osteoarthritis took away nearly two years quality-adjusted life-years (“good years”) and being obese with knee osteoarthritis took away 3 and a half quality-adjusted life-years. Hispanic and African-american women had disproportionately high losses.
Their findings suggest that if obesity prevalence in the United States could be managed to levels seen in 2000 (when obesity levels were lower than today), there would be about 178,000 fewer cases of coronary heart disease, 890,000 fewer cases of diabetes, and 111,200 fewer total knee replacements.1
Obesity and Tendinitis
Researchers writing in the medical journal Foot & Ankle International said that “being overweight or obese significantly increased the chances of having tendinitis in general,” and that Tendinitis, plantar fasciitis, and osteoarthritis may be directly related to increased weight gain.*2
Exercise for knee osteoarthritis and obesity
Researchers writing in The Journal of Applied Physiology studied 16 obese men and women, about 63 years old, during a 12 week exercise program. During the program the participants exercised 5 days a week for 60 minutes a day (treadmill/cycle ergometry @ 85% of heart rate max). Among the many things the researchers measured was total abdominal fat, subcutaneous fat (fat under the skin) and visceral fat (the fat that surrounds the organs).
From the study abstract: “Exercise improves glucose metabolism and delays the onset and/or reverses insulin resistance in the elderly by an unknown mechanism. In the present study we examined the effects of exercise training on glucose metabolism, abdominal adiposity and adipocytokines* in obese elderly.”
What the researchers found: “Visceral fat loss after aerobic exercise training improves glucose metabolism and is associated with the reversal of insulin resistance in older obese men and women.”
Treating excessive weight
When we see a patient with stress and abdominal obesity, depending on the severity of each individual case, we begin the patient on a low glycemic diet. This is a diet consisting mainly of proteins and vegetables in the beginning and slowly introducing back fruits and nuts in moderation later. This type of diet helps maintain consistent and even sugar levels in the blood, a main component of stress reduction and reduced fat production.
We do ask that patients absolutely refrain from processed sugar for obvious reasons and that they avoid dairy products, grains (breads and pasta products) as they are converted quickly into sugars in the body.
*Adipocytokines are a collective term for secretions from the fat cells that help regulate energy metabolism and food intake among other functions. 3
1. Frey C, Zamora J. The effects of obesity on orthopaedic foot and ankle pathology. Foot Ankle Int. 2007 Sep;28(9):996-9.
2. Losina E, Walensky RP, Reichmann WM, Holt HL, Gerlovin H, Solomon DH, Jordan JM, Hunter DJ, Suter LG, Weinstein AM, Paltiel AD, Katz JN. Impact of obesity and knee osteoarthritis on morbidity and mortality in older Americans.Ann Intern Med. 2011 Feb 15;154(4):217-26.
3. O’Leary VB, Marchetti CM, Krishnan RK, Stetzer BP, Gonzalez F, Kirwan JP. Exercise-induced reversal of Insulin Resistance in Obese Elderly is associated with reduced Visceral Fat.J Appl Physiol (December 22, 2005) Study abstract
A patient will often ask us about the differences between Prolotherapy, Platelet Rich Plasma Therapy, Stem Cell Therapy, and Epidural steroid injection. Research suggests that the differences is in the patient outcome.
Epidural steroid injection did not significantly decrease the number of patients who underwent subsequent surgery compared with a placebo or other treatments.” 1
After an examination, often we will ask a patient, why did they agree to the arthroscopy. The answer is usually,“I don’t know.” In our office we see many people who agree to procedures, surgeries, or medications without really knowing the reasons for them or achieving the results they desired.
Here is a case of a patient. We will look at a patients’ actual arthroscopy reports with my opinion regarding what they need to look for and questions they need to find out.
I know what you are thinking – how could my neck pain be linked to damage in my foot? How could my back pain be affected by weakness in my arch?
Why won’t my knee get better after everything I have been through. The answer, my friends, may lie in the foot.
While this idea may seem so foreign to you, it’s time to get up out of your chair and feel the effect that the foot has on the rest of your body. First, take off your shoes and stand on a level floor, preferably one without carpet. Now, roll your ankle inward, and feel and look what happens. Does the inside of your knee start to ache? Do you feel pressure in your hip and lower back? Do your shoulders feel out of balance, and does your neck start to get tight? If so, now you can understand the importance in evaluating the feet for almost every pain problem in the body. IF you feel nothing, just stand a little longer, and eventually you will start to feel it! Continue reading →