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Prolotherapy
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Prolotherapy Basics
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How
Does Prolotherapy Work?
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Why
Does Prolotherapy Work?
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How
Prolotherapy Helps?
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Indications - Contraindications
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Introduction to Prolotherapy
● Why Get Prolotherapy?
● What is Prolotherapy?
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How Does Prolotherapy Work?
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● Ligament Reconstruction
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How Safe Is Prolotherapy?
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Finding a Prolotherapy doctor
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When Prolo May Not
Work
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20 Questions - Prolotherapy
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The History of Prolotherapy
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Curing Chronic Pain
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Sclerotherapy?
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Turning to Prolotherapy
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Prolotherapy and Chronic
Pain
● Proof Prolotherapy is Working
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Creating Collagen
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How To
Support Treatment
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Prolotherapy
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Ankle and
Foot Treatment with Prolotherapy
Rodney S. Van Pelt, MD
My ankle hurt A LOT immediately! I had gone up to block the
spike and came down on the foot of the spiker (who followed
through under the net!). The ankle quickly swelled and the
throbbing pain prevented me from sleeping at all that night. I
had severely sprained the lateral ligament complex while playing
my favorite sport, volleyball. I quickly began a series of
Prolotherapy treatments on my own ankle. It went like this
(initially). I sprained my ankle on Thursday night. On Friday
morning I treated the ankle with Prolotherapy. By the following
Thursday it felt good and the swelling was down, I played
volleyball Thursday night which led to swelling and pain again
(you think?). I repeated this scenario for about six treatments
before pausing to consider why I wasn’t getting better, like my
patients did with Prolotherapy!
It didn’t take much reflection to realize I wasn’t “avoiding
strenuous exertion of the treated body area,” which is my
standard advice to the Prolotherapy patients I treat (along with
“Be active, as long as it feels good.”). I love volleyball and
it was difficult, but I gave up my Thursday evening recreation
while treating myself weekly (I was in a hurry) with
Prolotherapy. After six treatments and two and a half months I
returned to my beloved volleyball without pain or swelling!
It has been 15 years since my ankle was restored by Prolotherapy.
Since then I have done any recreational activity without pain or
swelling of my ankle! Currently, I hike, water and snow ski,
snow shoe, and cross country ski without pain or swelling!
The ankle is a small but important joint. Injuries to the ankle
are the most common orthopedic injuries in sports, especially
volleyball, basketball, football, and jogging. So we see many
patients with ankle pain/sprain. In this article, we will look
at the treatment of ankle and foot injury with Prolotherapy.
Prolotherapy treatment of the ankle and foot is very successful.
It takes an average of four to six treatments, spaced two to six
weeks apart, to achieve full healing.
Arthritis: There are two primary joints at the ankle: the ankle
joint proper, and the sub-talar joint. I almost always treat
them both when either one is involved. Ankle arthritis can be
set up by repeated severe sprains and the ensuing instability.
Osteoarthritis is another common cause of ankle arthritis.
Identify the ankle joint by feeling anteriorly while flexing and
extending the foot at the ankle. Feel for the dorsalis pedis
artery so the injection can be given lateral or medial to it
(and the accompanying anterior tibial nerve). Cleanse the skin,
extend the ankle to open up the joint, then insert a 25G,
1.5-inch needle. Inject 3-4cc of 25% dextrose directly into the
joint. (See Figure 1.) After withdrawing the needle, repeatedly
flex and extend the joint to distribute the proliferant
throughout the ankle joint. HGH may be added to the Prolotherapy
solution if the joint is severely degenerated.
Figure 1. Prolotherapy injection to the ankle joint.
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