Prolotherapy & Pain management in Edmonton
TruMed offers Edmonton Injectable treatments for pain
Our Naturopath Dr. Cindy Tran offers prolotherapy at our office.
Advanced Pain Therapies
Prolotherapy is an in-office outpatient injection-based therapy that works to rehabilitate damaged, incompetent and unstable structures; namely ligaments, tendons and cartilaginous tissues that are often the cause for chronic joint pain.
Prolotherapy - commonly known as "Prolo" where a dextrose based solution is injected into an affected joint.
Hypertonic dextrose is the most commonly used and best studied. Local irritation, inflammation, and consequent anabolic tissue healing is thought to occur after
Dextrose is hypothesized to stimulate native healing of damaged intra and peri-articular soft tissue, including cartilage, ligaments, tendons.
Commonly used for: Knee, Toe, Elbow and Finger arthritis as well as "overuse" tendon issues such as tennis elbow, rotator cuff and achilles tendinopathy. Prolotherapy is also effective in Plantar fasciitis and hip adductor tendon issues.
Treatment with prolotherapy typically consists of injections 1 to 6 weeks apart over several months.
How does Prolotherapy work?
Solutions such as a local anaesthetic and dextrose are injected into painful and damaged areas producing local inflammation. This targeted localized inflammation triggers a would healing cascade resulting in deposition of new cartilaginous tissue that strengthens and stabilizes the joint.
Depending on the extent of the injury, prolotherapy can have a high success of relieving sports injuries and chronic pain.
How does Prolotherapy compare to Cortisone?
Prolotherapy works to rebuild and heal damaged tissues by stimulating and inducing proliferation of new cells. Prolotherapy therefore attempts to target the root cause of chronic pain by strengthening and rebuilding and repairing unstable tissues, ligament and tendon weakness and underlying joint instability.
While cortisone injections can provide immediate relief from pain by reducing inflammation and swelling, they do not promote healing of damaged tissues.
Cortisone injections can in fact inhibit the synthesis of proteins, collagen, cartilage and chondrocytes causing a net catabolic or weakening effect in spite of offering temporary pain relief. The result being weakened synovial joints and surrounding structures that in turn can increase pain and lead to repeated cortisone injections which typically have a limitation on the number of sessions you can have.
What to expect on your first prolotherapy consultation.
A thorough history and physical exam with your Naturopathic doctor will be completed on the initial consultation. If deemed appropriate, the first injection may be completed that day.
Typically most patients will require on average a series of treatments in succession; weekly, bi weekly or monthly until appropriate functionality and pain relief is achieved as determined in consultation.
With regards to injury, after Hyperbaric treatment, oxygen levels in muscle remain elevated for up to 2 and up to 4 hours in subcutaneous tissues. Ultimately, Hyperbaric Oxygen causes a reduction of edema, has an anti-inflammatory effect, stimulates neovascularization (new blood vessel formation), osteoneogenesis (bone formation) and collagen production by fibroblasts. Lastly, stem cell release is also a well known Hyperbaric effects that's applicable to injury.
A 1999 study looked at 22 athletes with various injuries including seven leg joint sprains, four knee ligament damages, four partial muscle ruptures, three peripheral nerve injuries, two fractures and two categorized as "other injuries." Hyperbaric treatment was set between 1.3 and 2.0 ATA, with dives from 30 to 90 minutes.
More than 70% of the patients experienced improvement.
A 2019 study, looked at 32 rugby players (professional or semi-professional) with significant knee injury. The time to return to play was 31 days in the Hyperbaric group and 42 days in the non-Hyperbaric group.
A 1995 a study suggested that ankle sprain patients treated with Hyperbaric Oxygen Therapy improved approximately 30% faster than a control group.
HBOT in Athletes (Ishii 1999)
Classically, the Myers' Cocktail is an essential IV Therapy to use in the fibromylagia as popularized by Gaby. Improvement is occasionally seen after the first treatment, but more often 3–4 injections are needed before a clear benefit was apparent.
Newer IV Therapies such as IV NAD+ and IV PolyMVA have also shown benefit in improving energy and quality of life measures through their multiple effects on Mitochondrial energy production.
A 2007 pilot trial giving Fibromyalgia patients a modified Myers' IV Therapy treatment (100ml treatment given over 20-30 minutes) once weekly for 8 weeks was helpful for treatment resistant Fibromyalgia.
Pain levels steadily decreased with energy steadily increasing with IV treatment administered over the 8 week period.
Some practitioners use a combination of injected vitamin B1 & B12 for patients with sciatica and trigeminal neuralgia. Our office uses both IV and Intramuscular Vitamin injections for these concerns
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