Prolotherapy in Scottsdale, AZ

Prolotherapy for Knee Pain

Prolotherapy is a non-steroidal injection treatment that stimulates the body to heal damaged ligaments, tendons, cartilage and more. If you suffer from chronic joint pain, recent injures, ligament laxity or degenerative joint disease, then prolotherapy is a safe and effective solution that does not involve surgery or drugs.

For people who have been through the mill in conventional pain management and have not seen significant relief, then you are in the right place!  Our physicians the expertise in treating chronic musculoskeletal injuries without medication or surgery.  At Source of Health, we understand that you are in pain and want relief.  Getting a second opinion is crucial to ensure that you have all the information you need to make a decision for your own health. We offer a complimentary consultation with the doctor to see if you are candidate for this wonderful treatment that has helped so many people like yourself.

CONDITIONS TREATED:

  • Osteoarthritis
  • Degenerative joint disease
  • Tendonitis
  • Sports injuries
  • Sprains & ligament injuries
  • Ligament laxity, joint instability & hyper mobility
  • Over-Manipulation Syndrome
  • Low back pain & sciatica
  • Hip Pain - arthritis, bursitis, labrum lesions
  • Knee pain - meniscal, ACL, MCL, LCL tears
  • Chondromalacia patella
  • Foot & ankle pain - plantar fasciitis, sprains, Morton’s neuroma
  • Neck pain - whiplash, headache, migraines
  • Shoulder pain - rotator cuff, glenoid labrum tears
  • Elbow pain - golfer's & tennis elbow
  • Wrist pain - carpal tunnel, weak or sore wrists
  • Hand - thumb & finger pain
  • TMJ
After Prolotherapy - Cartilage has been regenerated and joint space restored.

After Prolotherapy - Cartilage has been regenerated and joint space restored.

Before Prolotherapy - Bone on bone knee, joint space narrowing

Before Prolotherapy - Bone on bone knee, joint space narrowing

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History and Background of Prolotherapy

Prolotherapy Low Back Pain

The treatment was first developed in the 1930s by a surgeon, Dr. Earl Gedney, who injured his own thumb. It is designed to treat musculoskeletal injuries at their root cause - damaged ligaments, tendons and/or cartilage. Soon after, doctors Hackett and Hemwall refined the treatment and dedicated their lives to prolotherapy.

Here at Source of Health, Dr. Sorr examines and evaluates each patient to determine if they are a candidate for this treatment. If approved for treatment, the procedure is performed in less than one hour, awake and using local anesthesia.

How Does it Work?

Prolotherapy has been proven to thicken and strengthen damaged tendons.

Prolotherapy has been proven to thicken and strengthen damaged tendons.

Prolotherapy is the first level in Regenerative Injection Therapies (RIT). In prolotherapy, a concentrated dextrose solution is injected at key points in the body. This creates a localized, temporary area of inflammation. The inflammation activates fibroblasts (cells that produce collagen), and attracts platelets and stem cells to the area. Platelets deliver numerous types of growth factors that have been shown to bring in new blood vessels, activate more fibroblasts, and bring more stem cells to the area to further heal the injection site. According to research studies, biopsies confirm thicker ligaments, tendons, and cartilage after prolotherapy treatments.

 

 

 

How is this different from a cortisone (steroid) injection?

Cortisone is a synthetic drug that mimics cortisol, your body's stress hormone. The main effect of cortisone is to suppress the healing response of the body; turning off inflammation and suppressing the immune system. This gives the person temporarily relief of the pain. The major problem is that this never heals the damage. Eventually the pain may return, and may possibly be worsened due to further wear and tear.

According to guidelines, a person may only receive three cortisone injections annually because it will cause too much damage and lead to a joint replacement prematurely. Prolotherapy is the polar opposite of cortisone, and is considered a first line therapy for many physicians, including Dr. Sorr, for long-term resolution of pain.

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References:

1. Chondrogenic Effect of Intra-articular Hypertonic-Dextrose (Prolotherapy) in Severe Knee Osteoarthritis. Topol GA, Podesta LA, Reeves KD, Giraldo MM, Johnson LL, Grasso R, Jamín A, Clark T, Rabago D.PM R. 2016 Apr 4. pii: S1934-1482(16)30054-5. doi: 10.1016/j.pmrj.2016.03.008

2. New Developments in the Use of Biologics and Other Modalities in the Management of Lateral Epicondylitis. Kahlenberg CA, Knesek M, Terry MA. Biomed Res Int. 2015;2015:439309. doi: 10.1155/2015/439309. Epub 2015 May 31. Review.

3. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. J Altern Complement Med. 2010 Dec;16(12):1285-90. doi: 10.1089/acm.2010.0031. PMID: 21138388

4.  Dextrose Prolotherapy Versus Control Injections in Painful Rotator Cuff Tendinopathy. Bertrand H, Reeves KD, Bennett CJ, Bicknell S, Cheng AL. Arch Phys Med Rehabil. 2016 Jan;97(1):17-25. doi: 10.1016/j.apmr.2015.08.412. Epub 2015 Aug 22. PMID: 26301385

5. Effectiveness and safety of prolotherapy injections for management of lower limb tendinopathy and fasciopathy: a systematic review. Sanderson LM, Bryant A. J Foot Ankle Res. 2015 Oct 20;8:57. doi: 10.1186/s13047-015-0114-5. eCollection 2015. Erratum in: J Foot Ankle Res. 2015;8:60. PMID: 26500703