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● ARIZONA
PHOENIX
Fred Arnold, DC, NMD

Kent L. Pomeroy, M.D.


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.

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.

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.


● 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
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
B
ALDWIN
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
HICKSVILLE
David Borenstein, M.D.

MANHATTAN
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.
CARY

Catherine Duncan, D.O.

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

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
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.

TOMBALL
Shaun Lehmann, M.D.
Curtis Fandrich, D.O.


● 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.


● WEST VIRGINIA
MORGANTOWN

Nori Onishi, D.O.


● WISCONSIN
EAU CLAIRE
Deborah Raehl, DO

WAUWATOSA
Neal Pollack, D.O.

MILWAUKEE
William J. Faber, D.O.
 

PROLOTHERAPY RELIEVES PAIN, RESTORES MOTION
 
SCOTT GREENBERG, M.D.

Originally published in Letsliveonline.com

Originally used by Hippocrates to help javelin throwers with dislocated shoulders, prolotherapy is a natural solution for chronic pain -- and the only treatment that helped to relieve the former surgeon general’s persistent back pain. Scott Greenberg, M.D., a physician at the Magaziner Center for Wellness & Anti-Aging Medicine in Cherry Hill, N.J., talks about why he uses prolotherapy almost exclusively for chronic pain caused by ligament and tendon injuries.

How did you get interested in holistic medicine, particularly prolotherapy?
I was very disappointed when I entered my clinical years. Medicine seemed to be a revolving door of patients coming in and going out, all getting the same treatments. Things weren’t individualized in any way. I had always wanted to be a doctor, but traditional medicine seemed impersonal, cold and very much like, “Here, take this -- it will fix you. There’s no other way.” When I started my family residency, I began reading more about nutrition and testing it out on my patients, with amazing results.

One thing that I thought was particularly tragic was people in pain. Many times, however, something hurts for a very good, mechanical reason. Through my investigation, I found that prolotherapy was the way to fix this damage. When I learned that prolotherapy was the only treatment that helped the former surgeon general, C. Everett Koop, M.D., I began to incorporate it into my practice.

What is prolotherapy?
Prolotherapy is a reconstructive ligament treatment administered through a series of injections, which signal the body to repair a damaged area. The ligaments and tendons are the supporting structures of our bodies. I’ve found that a lot of people’s chronic pain comes from these areas. For example, in the case of arthritis, it is often the soft tissue and the supporting structure around the joint that cause symptoms, not necessarily bone grinding on bone. Prolotherapy works because it restrengthens an area, which eliminates the pain and restores function.

Which conditions respond best to prolotherapy?
Any kind of chronic pain in the hands, fingers, ankles, knees, neck and back. Prolotherapy is also useful for tennis elbow,
TMJ, herniated discs and even migraines and sciatica.

How does prolotherapy work?
First off, I do a complete medical examination and a full musculoskeletal examination, placing extra emphasis on pain that originates from the ligaments or tendons. If I find that a patient’s pain is coming from one of these areas (because I’m able to reproduce the symptoms during my examination), then I will be able to treat it with prolotherapy.

For the injections, I use a solution generally made up of two anesthetics and an irritating (or inflammatory) agent (dextrose or cod-liver extract). The purpose of the irritant is to signal the body that there is an area that needs repair. It’s the same as when you sprain your ankle -- your body creates Inflammation to repair the damage. Prolotherapy does the same thing: It tells the body that there is an injury that needs to be healed. The body sends specialized white-blood cells, fibroblasts and Growth Hormone, which help to remove debris and, ultimately, repair tissue and lay down new collagen. Collagen is the supporting structure for our tendons and ligaments.

Is pain involved?
The injections aren’t painful when done by a skilled practitioner. Initially, because there is some local anesthetic in the injection, patients are relieved of pain when they leave the office. If I inject the ligaments of the knee, and a patient’s pain goes away, then I know that the arthritis isn’t from bone grinding on bone. I know that the arthritis is from ligament pain in the knee. Unfortunately, the local anesthetic only lasts for a few hours. I use that more for a diagnostic purpose. After a few days, patients will experience an increase in pain and soreness. (Some patients have described it like a toothache.)

How many sessions do people need?
It’s very individualized. The small joints may take from one to four series of injections. Knees and ankles may take anywhere from three to six series of injections, and necks and backs may take on average of six to 12 series of injections, depending on the person. Usually, I inject people every two to three weeks. It can take up to six weeks to have maximum healing from one injection. The body is repairing itself over a six-week period of time.

What are the signs that the ligaments and tendons are healing?
I can tell a couple of ways: patients’ strength, their range of motion, and, most importantly, their symptoms. Are they pain-free? Some people may need follow-up sessions. Because it’s a restorative technique, however, the person should be “cured” of pain forever. The technique is really something that rebuilds structure, and unless there is another injury, there may not be a need for additional treatments.

If prolotherapy replicates a natural process in the body, why do some people need extra help healing?
The most common reason is that when most people get hurt, they reach for drugs like Advil, Motrin and Aleve, all of which inhibit inflammation. In the long term, this detracts from the body’s ability to heal. Ironically, I haven’t really found inflammation in my chronic-pain patients, outside of those with rheumatoid arthritis, which is more of a degenerative disease. The second most common reason is that a person’s ligament and tendon strength deteriorates and weakens over time for a variety of reasons. This contributes to tissue breakdown, rather than tissue building. That is why I need to stimulate the tissues to rebuild themselves.

The “technical” side of prolotherapy is interesting, but how does it work for your patients?
A 72-year-old man came to me after having diagnostic arthroscopic surgery for chronic knee pain. His orthopedic surgeon told him he would need knee-replacement surgery. His knee pain (see Prolotherapy research paper) was so bad that when he came to our office, he had to use our handrail to hoist himself up the stairs. I found out that he had some tenderness in certain ligaments of his knees. I gave him three series of Prolotherapy injections. After the third treatment, he had 100% relief of his pain. He no longer limped (which he did initially); he was able to walk upstairs with no knee pain -- and without holding onto the railing. He canceled his knee surgery.

What supplements/therapies do you use in addition to prolotherapy?
I usually put my patients on an individualized stretching and strengthening program. I also like heat therapy, ultrasound and massage a lot. Some supplements that are good for tissue regrowth are vitamin C, MSM, glucosamine sulfate and zinc.

Scott Greenberg, M.D., specializes in prolotherapy, nutrition, cancer therapies, preventive medicine and anti-aging strategies. For more information, call (856) 424-8222. Dr. Greenberg answers patient questions on Tuesday and Wednesday nights from 5 to 6 p.m. (EST) at (856) 424-0707.

Prolotherapy
Information and Research
Prolotherapy
Prolotherapy
How Does Prolotherapy Work?
Why Does Prolotherapy Work?
How Prolotherapy Helps?
Indications - Contraindications
Introduction to Prolotherapy
Why Get Prolotherapy?
What is Prolotherapy?
How Does Prolotherapy Work?
Are You A Prolo Candidate?

Ligament Reconstruction
How Safe Is Prolotherapy?
Finding a Prolotherapy doctor
When Prolo May Not Work
20 Questions - Prolotherapy
The History of Prolotherapy
Curing Chronic Pain
Sclerotherapy?
Turning to Prolotherapy
Prolotherapy and Chronic Pain
Proof Prolotherapy is Working
Creating Collagen
How To Support Treatment

· Platelet Rich Plasma PRP

Prolotherapy and Inflammation

Prolotherapy In The News
 


Prolotherapy
Videos Online

Prolotherapy to the knee
Back and Spine treatments
Shoulder treatments

· Prolotherapy Information sites

The Journal of Prolotherapy


Prolotherapy Research at
The Journal of Prolotherapy




 

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Prolotherapy is a medical technique. As with any medical technique, results will vary among individuals. Prolotherapy injections may not work for you and as with all medical procedures there are risks involved. These risks should be discussed with a qualified health care professional prior to any treatment.

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