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Prolotherapy Doctor
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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
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
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 FOR CHRONIC TENDONITIS/TENDONOSIS
Donna
Alderman, D.O.
Tendonitis, a common diagnosis, is the
Inflammation ("itis") of a tendon. It is defined in Mosby’s Medical Dictionary,
14th Edition, as "an inflammatory condition of a tendon, usually resulting from
strain." A tendon is the end portion of a muscle where it attaches to the bone
in the joint, allowing movement. A person can get tendonitis in any joint in the
body. Some common areas for tendonitis are elbows (tennis elbow, golfer’s
elbow), the
shoulder (rotator cuff, biceps), and
ankle (Achilles
tendon). However, any
tendon has the potential to become inflamed and irritated, especially in sports
where overuse can occur. In most cases, in a healthy, non-stressed, non-smoking
person, that area will usually heal in 4 to 6 weeks, depending on severity.
However, in some cases the tendons do not heal, causing long lasting and chronic
pain. This condition is usually referred to as chronic tendonitis.
In recent years, the word "tendonosis" ("osis"
meaning diseased or abnormal condition) is being used in the medical literature
to describe chronic tendonitis, and some authors believe that it is more common
than chronic tendonitis, and may be a more accurate diagnosis. In this type of
tendon irritation, inflammation is no longer occurring and
collagen breakdown is
the primary problem. Therefore, treatment should target the stimulation of
collagen production rather than the elimination of inflammation, which may not
even be present (Khan, etal., "Overuse Tendonosis, Not Tendonitis", The
Physician and Sportsmedicine, 2000; 28(5)). What causes tendonitis or tendonosis?
You may recall that the muscle has a reddish color, while the tendon part which
attaches to the bone is a whitish color and made of a more fibrous material.
This is because muscles have a good blood supply, however tendons do not. When a
tendon gets pulled or strained beyond its normal range of motion, either
intentionally through exercise, or unintentionally through accident or trauma,
that tendon stretches. However, it will stretch only so far, and if
overstretched doesn’t spring back, much like taffy would be if you pulled on it
too hard. In many cases there are "micro-tears" that occur as a result of this
overstrain or pulling. The tendon needs to heal and in order to do that the
blood has to get in to rebuild the injured tissue. How does the body get blood
into the injured tendon? Inflammation is how the blood gets into the area.
Inflammation consists of several phases, which start with swelling and ends with
the development of new cells in the injured area. First, the injured area
swells, much like you may have seen when someone sprains their ankle; the ankle
swells in order to bring blood in to start the healing process. This healing
process can take several weeks, but after the healing cycle of 4, 6 or even 12
weeks, if the body has not healed that area, the stimulation to heal is
drastically diminished or gone.
This is because the body responds in a
stimulus-response basis. For example, if you cut yourself today, your body
starts the healing process to heal immediately. However, after a period of time,
the stimulus to heal is gone and the body does not respond in the same way. This
is what happens with tendonitis which has gone on too long without healing. The
body's natural stimulus to heal is gone and there is just low-grade
inflammation, but not enough to effectively heal that area. Or, in the case of
tendonosis, there is no inflammation and collagen breakdown is occurring faster
than it is being rebuilt. So what now? Sometimes
physical
therapy can help to
strengthen the muscle around the joint, which can indirectly help to give
stability to the joint. However since the blood supply is so poor in the tendon,
exercise, as a therapeutic remedy does not do much for the actual tendon.
Anti-inflammatory medication work by decreasing inflammation, thus decreasing
blood flow to the injured area. But inflammation is how your body heals. So
these kind of medications slow the natural process of healing. And in the case
of tendonosis, where there is no inflammation, studies provide little evidence
that
NSAIDS (non-steroidal anti-inflammatory medication) and corticosteroids are
helpful (Almekinders and Temple, "Etiology, diagnosis and treatment of
tendonosis: an analysis of the literature." Medicine & Science in Sports and
Exercise 1998;30(8)). So what can you do?
Prolotherapy (short for "proliferation
therapy") is a treatment which stimulates the proliferation (growth, repair) of
injured tendons which have not yet healed. It is a natural treatment that
irritates the tendon, stimulating a repair cycle to occur, even if the injury is
years old. It does this by stimulating the body to send blood and
repair-building cells to the injured areas.
Prolotherapy has a high success rate
and is a safe, in-office procedure. On the average, a person needs between four
to six prolotherapy treatments, spaced out anywhere from two to six weeks. Some people need
less treatments, some people more. It can be done at any age as long as the
person is generally healthy. My youngest patient was 13; my oldest patient was
100.
I treated my own mother, who was in her early 70’s
at the time, for an injured
knee ligament.
Ligaments are much like tendons in
composition, and respond to Prolotherapy as well.
Ligaments hold one bone to
another bone in joints. My mother was an avid walker, walking an average of 5
miles per day, until one day she overdid it and had
knee pain that did not go
away. She had to stop walking, and was miserable because she had planned a trip
to Europe that involved a lot of walking and was worried she might have to
cancel it. My mother is a conservative, retired RN, and originally was not very
open to alternative treatments. She saw her orthopedist, her internist, and even
spoke to my brother, a kidney doctor, before she talked to me. She was indeed
skeptical of this "voodoo" I do. However, she wanted to get better and wanted to
keep her vacation plans. Her other doctors told her she would just have to live
with the pain and restrict her activity, which she was reluctant to do. So I did Prolotherapy on her knee, and two weeks later she called me up, exclaiming:
"It’s a miracle!" and that the pain she had been suffering with for many months
was gone. She headed for Europe as planned, had a great trip and did a lot of
walking there without problem. The bottom line is, Prolotherapy is not for every
injury, but it can be a tremendously successful treatment for the right problem.
In my experience, chronic tendonitis, and/or tendonitis, as well as
chronically
sprained ligaments, in general, respond very well to this treatment because it
stimulates the repair and rebuilding of collagen fibers, making the area
stronger, strengthening the joint and reducing or eliminating pain
|
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
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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
●
Sclerotherapy?
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Turning to Prolotherapy
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Prolotherapy and Chronic
Pain
● Proof Prolotherapy is Working
●
Creating Collagen
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How To
Support Treatment
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Platelet Rich Plasma PRP
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Prolotherapy
and Inflammation
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Prolotherapy
In The News
Prolotherapy
Videos Online
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Prolotherapy to the knee
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Back and Spine treatments
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Shoulder treatments
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Prolotherapy Information sites
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