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Prolotherapy Doctors
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● ARIZONA
PHOENIX
Fred Arnold, DC, NMD
SCOTTSDALE
Michael Cronin, N.D.
David Tallman, DC, NMD.
TEMPE
Robb D.
Bird, NMD
TUCSON
Jorge B. Cochran, ND.NMD
● ARKANSAS
Merl
B. Cox, D.O.
●
BRITISH COLUMBIA
Christoph Kind, N.D.
●
CALIFORNIA
ANAHEIM
AREA
Hanson
Wong, M.D.
Howard Rosen,
M.D.
AUBURN
Rodney Van Pelt, M.D.
BAKERSFIELD
Payam Kerendian, D.O.
BEVERLY HILLS
Behzad Emad, M.D.
Payam Kerendian, D.O.
CLOVIS
Kevin Wingert, M.D.
FOLSOM
Michele Raithel ND
GARDEN GROVE
Howard Rosen,
M.D.
GLENDALE
G. Megan Shields, M.D
IRVINE
Allan
Sosin, M.D.
Los Angeles
Donna Alderman,
D.O.
Marc Darrow, M.D
Hanson
Wong, M.D.
Los
GATOS
Joshua M, Donaldson, N.D.
Marin County
Paul
Handleman, D.O.
John Monagle, NMD
Monterey
Howard Rosen,
M.D.
SAN
DIEGO
Andrew
Kulik, D.O.
Gary Matson, D.O.
SAN FRANCISCO EAST BAY
Donna Alderman,
D.O.
SAN FRANCISCO NORTH BAY
Paul
Handleman, D.O.
John Monagle, NMD
San
Ramon
Richard I.
Gracer, M.D.
SANTA
BARBARA
Allen
Thomashefsky, M.D.
SANTA
CRUZ
Joshua M, Donaldson, N.D.
SANTa monica
Peter Fields, M.D.,D.C.
SANTa
ROSA
Justin Hoffman, NMD
Temecula
Edward A.
Venn-Watson, M.D.
UKIAH
AREA
Rodney Van Pelt, M.D.
● COLORADO
BOULDER
Gary Clark, M.D.
BROOMFIELD
Christopher J. Centeno, M.D.
John
R. Schultz, M.D.
COLORADO SPRINGS
Mary Harrow, D.O,
DENVER
Joel A. Berenbeim, D.O.
Thomas Ravin, M.D.
FORT COLLINS
Mark Kelley, N.D. LAc
LITTLETON
Jo
Ann Douglas, M.S.,D.O
PARKER
John
A. Littleford, D.O.
STEAMBOAT SPRINGS
Jon Freckleton, D.O.
● CONNECTICUT
AVON
Valley Sports Physicians & Orthopedic
Medicine
Paul Tortland, D.O.
Albert Kozar
WEST
REDDING
Perry M.
Perretz, D.O.
● DELAWARE
SOUTHERN NJ
Scott R. Greenberg, M.D.
SOUTHERN PA
Brian J.
Shiple, D.O.
● FLORIDA
ORLANDO AREA
Nelson Kraucak, M.D.
ORMAND BEACH
Hana Chaim, DO
Clearwater
Felix Linetsky, M.D.
PACE
Sheila Mohammed, M.D.
PLANTATION
Alvin Stein,M.D.
SARASOTA/TAMPA BAY
Mark Walter, M.D.
Wellington Chen, M.D.
Matthew Burks, M.D.
TAMPA BAY AREA
Felix Linetsky, M.D.
Robinson Family Clinic
● GEORGIA
WARNER ROBINS
E.
Glynn Taunton, D.O.
MARIETTA
Robert C. Shuman, M.D.
Arnold
Weil, M.D.
● HAWAII
HAIKU
Kevin Davison, N.D.
HILO
Liza Maniquis-Smigel, MD
Honolulu, Hawaii
Liza Maniquis-Smigel, MD
● ILLINOIS
CHICAGOLAND
Ross Hauser, M.D
PEORIA
Yibing
Li, M.D.
Jay Harms,
M.D.
WESTERN ILLINOIS
Anwer Rasheed, M.D.
● INDIANA
CLARKSVILLE
Steven
M. Johnson, D.O.
LAFAYETTE
Carolyn
G. Kochert, M.D.
Mishawaka
Mark S. Cantieri, D.O.,
● IOWA
CLINTON
Anwer Rasheed, M.D.
IOWA CITY
John
Macatee, DO.
WEST DES MOINES
Jacqueline M Stoken, D.O
● KANSAS
KANSAS
CITY AREA
K. Dean Reeves, M.D.
TOPEKA
Doug Frye, M.D.
● KENTUCKY
LOUISVILLE
Steven
M. Johnson, D.O.
● LOUISIANA
NEW ORLEANS AREA
Thomas K. Bond, M.D.
● MARYLAND
Rockville
Ingrid Gheen, M.D.
● MASSACHUSETTS
MALDEN
Albert V. Franchi, M.D.
WORCESTER
Jon Trister, M.D.
● MICHIGAN
EAST
LANSING
David Pawsat,
D.O.
Howell
Jerald Gach, DO
SHELBY TWP
Robert Krasnick,
M.D.
Southfield
Jerald Gach, DO
WARREN
Robert Krasnick,
M.D.
● MINNESOTA
EXCELSIOR/Menahga
Mark T. Wheaton, M.D.
MINNETONKA
George H. Kramer, M.D.
● MISSOURI
KANSAS CITY
Edward McDonagh, D.O
ST. Peters
Michael J.
Adams
● MONTANA
HAMILTON
Mark Kelley, N.D. LAc
● NEVADA
CARSON CITY
Alfred N.
Grimes, M.D.
RENO
Andrew C.
Wesely, M.D.
● NEW JERSEY
BLAIRSTOWN
Walter R. Grote, D.O
CENTRAL NJ
Edward Magaziner, M.D.
WAYNE/NORTH NJ
Robert
Kramberg, M.D.
SOUTH NJ/PHILADELPHIA
Scott R. Greenberg, M.D.
(Cherry Hill)
Joseph P. Mullane, M.D.
(Hamilton)
Brian J.
Shiple, D.O.
(Springfield PA)
●
NEW MEXICO
Albuquerque
R. Dean Bair, D.O.
James
E. Baum,
D.O.
SANTA FE
James
E. Baum,
D.O.
Jonas R. Skardis, DOM
● NEW YORK
BALDWIN
Pandu Tadoori, M.D.
BUFFALO AREA
Timothy L. Speciale, D.O.
BROOKLYN
Neil Raff, MD, CNS
David Zirkitev,
P.A.
EAST MEADOW
Christopher Calapai, D.O.
FLUSHING
Neil Raff, MD, CNS
GOSHEN
Irwin
Abraham, M.D.
HICKSVILLE
David Borenstein, M.D.
MANHATTAN
Irwin Abraham, M.D.
Richard Ash, M.D.
David Borenstein, M.D.
John H. Juhl, D.O.
Robert Kramberg, M.D.
NEW YORK METRO AREA
Perry M. Perretz, D.O.
Edward Magaziner, M.D.
Scott R. Greenberg, M.D.
ORANGE
Neil Raff, MD, CNS
ROCKLAND
Neil Raff, MD, CNS
WESTMINSTER
Neil Raff, MD, CNS
● NORTH CAROLINA
ASHEVILLE AREA
Stephen
Blievernicht, M.D.
Huntersville
Dr. Mark Hines
● OHIO
AKRON/CANTON
Vladimir Djuric, M.D.
BLUFFTON
L. Terry Chappell, M.D.
CENTERVILLE
Rick
Buenaventura, M.D.
CINCINNATI
Michael J. Bertram, MD
Elizabeth Woolford MD
TOLEDO
AREA
Jay W. Nielsen, M.D.
● OKLAHOMA
BROKEN ARROW
Shirley J.
Welden, M.D.
● OREGON
ASHLAND
Allen
Thomashefsky,M.D.
EUGENE
Thomas
Peterson, M.D.
HILLSBORO
Kevin C. Wilson, N.D.
LAKE OSWEGO
Noel S. Peterson, N.D.
MEDFORD
Carl Osborn, D.O.
OREGON CITY
Joanne Gordon, ND,MS,PT
PORTLAND
Rick Marinelli, N.D.
Chiaoli
Lu, ND. LAc. DAOM.
Patrick Chapman, N.D.
Joshua David,
N.D.
REDMOND
E. Payson Flattery, D.C.,N.D.
SALEM
Donald McBride, Jr, ND
● PENNSYLVANIA
BALA CYNWYD
Harvey Kleinberg, D.O.
BETHLEHEM
James F. Frommer, M.D.
ELKINS PARK
Kab S. Hong, M.D.
JEANNETTE
Martin
P. Gallagher, M.D., D.C.
MEADVILLE
Paul Peirsel,
M.D.
PITTSBURG
Paul S. Lieber, MD
SOUTHERN NJ - PA
Scott R. Greenberg, M.D.
Allan Magaziner, D.O
Edward Magaziner, M.D.
SPRINGFIELD
Brian J.
Shiple, D.O.
WOMELSDORF
Peter J Blakemore, D.O,
● SOUTH CAROLINA
GREENVILLE/SPARTANSBURG
Robert Schwartz, M.D.
CHARLESTON
Marc N.
Dubick, M.D.
MOUNT PLEASANT
Patrick
Lovegrove, D.O.
● TENNESSEE
BRENTWOOD
Mark L.
Johnson, M.D.
CLARKSVILLE
Rafael Prieto, M.D.
JACKSON
Marcus
E. Meekins, M.D.
MEMPHIS
Marcus
E. Meekins, M.D.
NASHVILLE
Mark L.
Johnson, M.D.
● TEXAS
AUSTIN
Mihnea Dumitrescu, M.D.
David
K. Harris, M.D.
Brad Fullerton, M.D.
DALLAS
Michael Ellman, M.D.
DENTON
Carlos
J. Garcia, M.D.
FORT
WORTH
Gerald Harris, DO
Dennis E. Minotti II, D.O
David E. Teitelbaum, D.O.
HOUSTON
Robert Battle, M.D.
Adam Weglein,
D.O
HOUSTON AREA
Joseph
G. Valdez, M.D
John P. Trowbridge
Shaun Lehmann, M.D.
Curtis Fandrich, D.O.
MESQUITE
Michael Ellman, M.D.
PARIS
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
PLANO
Michael Ellman, M.D.
RICHARDSON
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
SAN ANTONIO
Annette M. Zaharoff,
M.D.
SHERMAN
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
SUNNYVALE
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
● UTAH
PARK CITY
Harry Adelson, N.D.
Kenneth Hurwitz, M.D.
SALT LAKE CITY
Harry Adelson, N.D.
E. Alan Jeppsen
SPANISH FORK
David Taylor Roberts, M.D
● VERMONT
WINOOSKI
Jonathan
E. Fenton, D.O
● VIRGINIA
ALEXANDRIA
Robert H. Wagner,
M.D.
BLUEFIELD
Lenny
Horwitz, DPM
FAIRFAX
Mayo
Friedlis, M.D.
McLEAN
David Wang, D.O.
VIRGINIA BEACH
Lisa
Barr, M.D.
● WASHINGTON
ISSAQUAH
Jena
Schliiter., M.D.
SEATTLE
AREA
Richard
A. Sandler, M.D.
JoAnna Forwell, N.D.
Adam R.
Geiger, N.D.
● WASHINGTON, D.C.
Ali
Safayan, M.D.
● WEST VIRGINIA
MORGANTOWN
Nori Onishi, D.O.
● WISCONSIN
EAU CLAIRE
Deborah Raehl, DO
WAUWATOSA
Neal Pollack, D.O.
MILWAUKEE
William
J. Faber, D.O.
|
Fantastic findings
Journal of Prolotherapy.
2010;2(4):480-486.
A Retrospective Observational Study on Hackett-Hemwall Dextrose
Prolotherapy for Unresolved Hand and Finger Pain at an Outpatient Charity Clinic
in Rural Illinois
Ross A. Hauser,
MD; Nicole M. Baird, CHFP; Joe
J. Cukla, LPN
abstract
Hand and finger pain and stiffness are common problems that
can affect the productivity of those afflicted, especially in
regard to their activities of daily living.
Prolotherapy is an
injection treatment used to initiate a healing response in
injured connective tissues such as
tendons and ligaments,
tissues commonly involved with hand and finger injuries. A
retrospective observational study on
prolotherapy for hand and
finger pain was done at an outpatient charity clinic.
Objective: To investigate the outcomes of
patients undergoing
Hackett-Hemwall
dextrose
Prolotherapy
treatment for unresolved hand and finger pain.
Design: Forty patients, who had been in pain an
average of 55 months (4.6 years), were treated quarterly with
Hackett-Hemwall dextrose Prolotherapy. Patients were contacted
an average of 18 months following their last Prolotherapy
session and asked questions regarding their levels of pain and
stiffness before and after their last
Prolotherapy treatment.
Results: In these 40 patients, 98% had
improvements in their pain. Eighty-two percent had 50% or more
pain relief. Dextrose Prolotherapy caused a statistically
significant decline in patients’ pain and stiffness.
Prolotherapy helped all but one patient on
pain medications
reduce the amount of medications taken. All 40 patients have
recommended
Prolotherapy to someone.
Conclusion: In this retrospective observational
study, Hackett- Hemwall dextrose Prolotherapy treatments helped
reduce the pain and stiffness in patients with unresolved hand
and finger pain.
Introduction
The optimal long-term, symptomatic therapy for chronic hand
and finger pain has not been established. Symptomatic hand pain
and stiffness due to
Osteoarthritis
(OA) effect approximately
6-8% of the US adult population.1, 2
The prevalence of hand OA tends to be higher in women and
elderly persons.3-5 It may be
diagnosed via radiological tests (eg. X-ray), reported joint
symptoms, or a combination, with the most commonly affected
sites being the distal interphalangeal (DIP) and first
carpometacarpal (CMC) joints, followed by the proximal
interphalangeal (PIP) and other CMC joints.6
While hand osteoarthritis is a common cause of hand and finger
pain and stiffness in older populations, athletic injuries,
overuse, and excessive forces are the causes typically
associated with younger populations.7-9
Hand and finger pain may effect activities of daily living and
quality of life enough that they seek medical attention.
The traditional and conservative treatments for unresolved hand
and finger pain can include topical and oral analgesics,
non-steroidal anti-inflammatory (NSAIDS) medications, rest,
exercise, splints and taping, corticosteroid injections, and
surgery, though each has its own risks or lack of efficacy.10-15
Two of the more widely used pain treatments include
corticosteroid injection and NSAID medications, however, these
can accelerate
osteoarthritis and further damage the joint.16,
17 In addition, anti-inflammatories may not provide much
long term pain relief, as seen in a randomized controlled trial
which showed that corticosteroid injections in the
carpometacarpal joint of the thumb for osteoarthritis were no
better than a placebo in reducing pain when compared at 24
weeks.18 Because of the
limited response of chronic joint pain to traditional therapies,
many people are turning to alternative therapies, including
Prolotherapy, for pain control.19, 20
Dextrose Prolotherapy is becoming more widely used for symptoms related to
pain and joint dysfunction in both integrative and allopathic medicine. Its
primary application is in pain abatement associated with tendinopathies and
ligament sprains in peripheral joints.21, 22
It is also being used in the treatment of spine and joint
degenerative
arthritis.23, 24 The effectiveness of
Prolotherapy is still being debated, with promising but mixed results being
reported.25-27
George S. Hackett, MD, coined the term
Prolotherapy.28
As he described it, “The treatment consists of the injection of a solution
within the relaxed
ligament and tendon which will stimulate the production of
new fibrous tissue and bone cells that will strengthen the “weld” of fibrous
tissue and bone to stabilize the articulation and permanently eliminate the
disability.”29 Dr. Hackett introduced
Prolotherapy to Gustav Hemwall, MD, in the mid-1950s. Dr. Hemwall continued Dr.
Hackett’s work after his death in 1969 and trained the majority of the
physicians who practiced the technique over the next 30 years.30
Hence the designation Hackett-Hemwall dextrose Prolotherapy.
Animal studies have shown that
Prolotherapy induces the production of new
collagen by stimulating the normal inflammatory reaction.31,
32 In addition, animal experiments using dextrose
Prolotherapy
injections
at the
fibro-osseous
junction have shown measurable increases in ligament and
tendon diameter and strength, as evidenced upon post-mortem exam.33
K. Dean Reeves, MD, has conducted two human studies that showed Prolotherapy has
the potential to reverse degenerative arthritis. One of his studies involving
150 finger joints on 27 patients, indicated that after six series of
Prolotherapy injections a statistically significant improvement in joint
narrowing scores as revealed by X-rays, compared to a placebo, was seen in the
dextrose Prolotherapy group one year after treatment.34,
35 Prolotherapy is commonly taught and used for unresolved hand and
finger pain.36
However, other than Dr. Reeves’
aforementioned study, no other analysis regarding Prolotherapy and hand and
finger pain has been done. This observational study was undertaken to evaluate
the effectiveness of Hackett- Hemwall dextrose Prolotherapy in regards to
reducing the subjects’ previously unresolved hand and finger pain and stiffness
and also its effectiveness in reducing or eliminating their need for pain
medications.
A Retrospective Observational Study on Hackett-Hemwall Dextrose
Prolotherapy for Unresolved Hand and Finger Pain at an Outpatient Charity Clinic
in Rural Illinois - Part 2
|
Prolotherapy
Information and Research
Prolotherapy
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Prolotherapy
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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?
● Are You A Prolo Candidate?
● Ligament Reconstruction
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How Safe Is Prolotherapy?
●
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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