Comprehensive Prolotherapy for Ligament Injuries
Comprehensive Prolotherapy: Why So Many Shots?
 One question we at Caring Medical are often asked is why Dr. Hauser administers so many injections in a single Prolotherapy treatment, especially when other Prolotherapy doctors opt for a much less aggressive approach. The simple answer is that we believe in a comprehensive Prolotherapy approach to healing injuries. Comprehensive Prolotherapy uses multiple injections to strengthen the entire structure of a given joint. In contrast, a single or a few injections will not adequately cover an injured area to regenerate joint tissues and thus will not generate complete healing.
Comprehensive Prolotherapy refers to the Hackett-Hemwall method of administering multiple injections in and around the joint. For a joint like a shoulder or elbow, this is usually around 50 individual injections and for larger areas of the back it can be as many as 90. While this might sound like a lot of shots to you, a good way to think about Prolotherapy is to compare it to spot welding; repair at only one or two points won’t be enough to hold the entire structure together. The soft tissues in our joints – ligaments, tendons, and cartilage - are all interdependent of one another. Unless all of tissues in a joint are strong and healthy, the injured or degenerated sites will not have the support necessary to heal. A single injection to a degenerate joint cannot produce a sufficient inflammatory response to heal all of the damaged structures.
 A great example of the necessity for Comprehensive Prolotherapy is seen in the case of one patient, Chris. He came to Caring Medical last year after over a year of unsuccessful Prolotherapy treatments for his low back pain. Chris told us that he had been receiving Prolotherapy every two weeks for the past year, and although it gave him some temporary relief, his pain always returned. Upon reviewing his previous Prolotherapy reports it became clear why the treatments never had any lasting results. The treatments he was receiving typically consisted of 10cc’s or less of solution, and never involved more than six injections at a time. Furthermore, the solutions had contradicting ingredients; Chris was being treated with dextrose Prolotherapy, but with the addition of kenalog, a steroid that actually decreases the body’s inflammatory response.
When Dr. Hauser treated Chris for the first time, he performed 60 injections to his left lower back and 25 injections to the left thoracic. Dr. Hauser used a Prolotherapy solution consisting of dextrose, procaine and sarapin, and sodium morrhuate, a cod liver oil extract that further increases inflammatory response. When Chris returned four weeks later, he told us that both areas had improved by 50%. In a single comprehensive treatment, he experienced more healing and relief than over a year of minimal injection treatments. After seven treatments over a nine-month period Chris had made a complete recovery no longer required Prolotherapy.
We believe in the power of Prolotherapy to heal chronic pain, sports injuries, arthritis pain and more. If you are currently being treated unsuccessfully by a Prolotherapy physician we urge you to examine the method and solutions he or she uses. Consider a trip to Caring Medical for multiple Prolotherapy options for your chronic pain.
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