Prolotherapy literally means proliferative (cell proliferation, cell and tissue renewal) treatment. The most important feature of prolotherapy is not only to relieve pain, but also to inject proliferative solutions into weakened, eroded, worn, loosened and weakened tendons, ligaments, cartilages and joints, causing intentional inflammation in these tissues, resulting in increased blood flow, cell migration, cell proliferation and the release of repairing factors. and damaged structures are repaired. In other words, the body's own repair mechanism is triggered and this process continues for months.
Why Prolotherapy?
Persistent chronic musculoskeletal pain such as joint calcification, lumbar and neck hernia, and meniscus tear are caused by worn and damaged tissues. Strong joint ligaments and tendons are structures that absorb and minimize the load and friction forces on inter-articular cartilage structures such as discs and meniscus. Loose, worn-out joint ligaments and tendons that have lost their strength cause extra load and friction on the inter-articular cartilage, thus causing wear and calcification in structures such as cartilage, disc, and meniscus, thus forming the basis of chronic joint pain. For this reason, a permanent treatment with prolotherapy is possible for the physician who diagnoses most patients with musculoskeletal system complaints through various tests. Because it repairs the damaged mechanical structure in the body by repairing the ligaments, and the tissues that have lost their strength regain their former health. Prolotherapy cortisone etc. Does not contain medication. It is a non-surgical treatment method, does not require hospitalization, and the patient continues his daily life.
The diseases for which prolotherapy can be applied can be listed as follows:
Joint laxity and loss of strength
Tendon and ligament damage
Arthrosis (joint cartilage wear, calcifications). )
Headaches
Shoulder pain, muscle tears, frozen shoulder, shoulder dislocation, etc.
Neck, back, waist pains, hernia and calcification etc.
Foot pain; Heel spurs, Achilles tendon problems, plantar fasciitis, sprains, etc.
Elbow pain; Tennis and golfer's elbow etc.
Wrist pain; Tendinitis, nerve compression, arthritis, sprains, etc.
Coccyx pain
Knee pain; meniscus, cruciate ligament tears, calcification, etc.
Hip pain; impingement, calcification, avascular necrosis, etc.
How Prolotherapy is Applied:
The patient for whom treatment is planned should stop using anti-inflammatory group painkillers at least 3 days before and after the treatment. Blood thinning medications that may cause bleeding tendencies can also be stopped under the supervision of a doctor for a certain period of time before the procedure.
Before the application, the application points are determined, the injection area is sterilized, and the area to be applied is anesthetized with local anesthesia.
The prepared solutions are then injected into the application points. Depending on the width of the area to be applied, the injection takes 10-30 minutes. continues.
Treatment is applied in 3-6 sessions depending on the recovery status. Session intervals are 3-4 weeks.
While some patients experience improvement in the first few sessions, the repair process may be delayed in some patients (advanced age, chronic disease, smoking, alcohol use and unhealthy diet, etc.). For this reason, 8-10 sessions may rarely be required.
What is the recovery process like after Prolotherapy?
Excessive physical activities such as sports should be avoided for the first 3 days after the injections.
Are there any side effects?
A temporary pain and swelling may occur in the application area due to cell renewal. may occur, but the pain only lasts 1-5 days and then healing begins. Temporary bruising may occur in the application area due to the injection. As with all interventional treatments, care should be taken during application in case of nerve damage and infection.
In which cases is it not applicable?
It is not applied to those with active inflammatory rheumatic disease, those with bleeding disorders, those with a serious infection or systemic disease, and those using cortisone or anti-inflammatory drugs.
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