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Ever since ancient times, creating a small injury to prompt healing has been seen as a good idea. For horses, this was called “pin firing”. The technique was to take a hot poker and place it into a non-healing ligament to cause small amounts of damage to the area, which caused the body to kick up a repair response. While barbaric, it generally worked. For centuries doctors have created small injuries in a non-healing wound by “roughing” up the tissues. Physicians still use this concept today for tendons, ligaments, and joint capsules. For example, in a shoulder capsulorrhaphy a surgeon usually inserts a small catheter that heats up to prompt healing in a damaged shoulder capsule (the covering of the shoulder joint that helps control motion). Surgeons still score ligaments with scalpels and needles in the technique called percutaneous tenotomy, also to prompt a healing response. Another example is micro-fracture surgery to fix a hole in the cartilage; this is where the surgeon pokes holes in the bone to cause the cartilage to heal. Finally, the procedure known as prolotherapy is in this same category. In this procedure, rather than a mechanical injury being initiated, the physician injects a chemical irritant to cause a chemical micro-injury. All of these types of treatment rely on the same concept that we get one bite of the healing “apple” and if something fails to heal completely the first time, we can get more bites at that apple simply by causing a small injury to the area.
The big advantage to micro injury techniques is that these basic procedures are simple and often inexpensive ways to try to get an area to heal. The downside is that while many times they work well, sometimes they don’t have enough oomph to get the right type of healing or enough healing.
Regenerative injection therapy (RIT) or prolotherapy is a natural healing alternative to drugs or surgery. RIT prompts your body to naturally heal damaged and degenerated tissues. It involves a series of simple injections into the injured area, once a month for 3-6 months.
This is not a steroid, which blocks healing, but substances that heal and strengthen the ligaments and joints. The goal of RIT is to increase your activity level. More activity will allow your muscles to increase their tone and further protect the joints and nerves from injury.
Research has shown that RIT is very effective for knee pain, low back pain, tennis elbow and arthritic hand pain. Our own experience shows that it’s also effective for ankle pain, shoulder pain, elbow pain, neck pain, upper back pain, and hip pain. It’s the perfect solution for active individuals looking to return to a pain-free lifestyle.
RIT works by prompting your body’s natural repair mechanisms to heal damaged or degenerated tissues. While most of our daily injuries heal completely, severe ligament tears, degenerated and worn out tissues, and tissues with a poor blood supply (such as the knee) don’t usually mend themselves. RIT first starts by injecting a proliferant into the damaged area. This inflammation causes your body to release it’s own natural growth factors in the injured tissue. These go to work immediately, directing your body’s natural healing mechanisms to repair painful tissues. The first stage of healing usually takes about a week, but the tissue continues to strengthen for 4-6 weeks after an injection.
The most commonly used solution is hypertonic dextrose. This essentially means that concentrated sugar water is injected. Since the solution is very concentrated, the body immediately tries to dilute the solution. This causes a brief inflammatory healing response which kicks off a healing cycle.
Prolotherapy is not typically covered by insurance. Please contact us for estimated costs before you begin treatment.
You should feel numb in the painful area immediately after each shot. This should last for a few hours. For the next few days you should be sore. This is a normal part of the healing process.
Because anti-inflammatory medications (Motrin, Alleve, Steroids, all prescription NSAID’s) block healing, you must stay off these medications while undergoing RIT. You should remain as active as possible as this will help build stronger tissues.
The Centeno Schultz Clinic
403 Summit Blvd Suite 201
Broomfield, CO 80021
I’m back to my conditioning classes, doing squats, lunges, jumping rope and even a little bit of jogging. My knee feels, looks and works better every day. I’m definitely looking forward to the winter and getting back on my snowboard as soon as I can.
— Pixie Greenmeier
“We did the right knee in March 2007. I was off my feet for about an hour after each of the treatments, but that was it. No long recovery time, no time off from work – it was great. The cartilage began to grow back, and the knee was feeling much better, so we did the left knee in October. Since about two weeks later, I haven’t had any pain at all in either knee for the first time in 10 years. It’s fantastic.”
— Kenvir Dixon