Anti-Inflammatory
Medications and Prolotherapy Ross A. Hauser, M.D. Anti-inflammatory medicine,
like Motrin, Advil,
aspirin, Clinoril, Volteran, prednisone, and
cortisone, all inhibit the healing process
of soft tissues. The long term detrimental effects far outweigh the
temporary positive effect of decreased pain. Aspirin does have a
beneficial effect on the heart, but a detrimental effect on soft tissue
healing. When a ligaments or
tendon
is injured, prostaglandins are released which initiate vasodilation in
non-injured blood vessels. This enables healthy blood vessels to
increase blood flow and immune cell flow to the injured area to begin
the repair process. The use of anti-inflammatories inhibits the release
of prostaglandins thus ultimately decreasing the blood flow to the
injured area.
Nonsteroidal anti-inflammatory
drugs (NSAIDs) have been shown to produce short-term pain relief but
leave long-term loss of function.
NSAIDs
(research) also inhibit proteoglycan
synthesis, a component of
ligament and
cartilage tissue. Proteoglycans
are essential for the elasticity and compressive stiffness of
articular cartilage
see also
Articular Cartilage Growth(see research paper) and suppression of their synthesis has significant adverse
effects on the joint.
NSAID prescription for acute soft tissue injury is considered standard
practice. The administration of NSAIDs, in combination with the RICE
treatment, nearly eliminates the body's ability to heal. Is it any
wonder so many people live with chronic pain? In our opinion the current
medical treatment for acute soft tissue injuries is contributing to this
epidemic.
NSAIDs are the mainstay treatment for acute ligament and tendon
injuries, yet efficacy in their usefulness is lacking. Worse yet is the
long-term use by people with chronic pain. Studies in the use of NSAIDs
for chronic hip pain revealed an acceleration of
arthritis in the people
taking NSAlDs.
The end result of taking NSAIDs for pain relief is an arthritic joint.
How many times has Motrin or any other NSAID cured a person of his or
her pain?
Prolotherapy eliminates the cause of chronic pain and often
cures the person's pain. Even long-term aspirin use has been associated
with accelerating hip damage from
arthritis.
NSAIDs are truly anti-inflammatory in their mechanism of action. Since
all issues heal by Inflammation, one can see why long-term use of these
medications will have harmful effects. Osteoarthritis and other chronic
pain disorders are not an Indomethacin or other NSAID deficiency. This
is why the use of these drugs will never cure any disease. Their chronic
long-term use will not cure, and will actually hamper soft tissue
healing and accelerate the arthritic process.
Prolotherapy, because it stimulates inflammation, helps the body heal.
Prolotherapy stops the arthritic process and helps eliminate the
person's chronic pain, often permanently. NSAIDs should not be taken
while undergoing
Prolotherapy because they inhibit the inflammation
caused by the treatment. For that matter, anyone with chronic pain
should seriously consider stopping NSAIDs and starting
Prolotherapy.
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Anti-Inflammatory
Medications and Prolotherapy