Arthrofibrosis and Prolotherapy
We had a patient came in because they called another Prolotherapy office and the Prolotherapy doctor didn’t want to treat their arthrofibrosis. Arthrofibrosis is a term that can be broken down to ‘arthro’ meaning joint and ‘fibrosis’ meaning scarring; thus, arthrofibrosis means a joint is full of scar tissue. In such a situation, the person has a tremendous decrease in range of motion of the joint(s) involved. In this patient it involved the fingers.
The real need is to prevent arthrofibrosis. Arthrofibrosis generally starts as some joint stiffness and pain, while the person still has full range of motion of the joint. In this situation often Prolotherapy is curative. So please, please, do not let that nagging shoulder pain of yours continue and wait until you can’t raise your arm above your head to come for Prolotherapy. If you do,the Prolotherapy doctor will tell you that you need Prolotherapy plus an aggressive course of physiotherapy to release the scar tissue. Frozen Shoulder or arthrofibrosis of the shoulder generally starts as a simple Rotator cuff tear or strain, but don’t be fooled, any minor injury can turn into a nightmare if not treated correctly.
If a person has a totally solid joint, what we do at Caring Medical is fill the joint with procaine and try to expand the joint from the inside. In the above scenario, I recommended that the client buy a paraffin bath. A couple of times per day she will put her hands in the bath which will warm up her hands tremendously. Scar tissue is much more pliable when it is warmed. She will then do her best to break up the scar tissue. The Neural Therapy or procaine injections into the joint will also help stretch the tissue.
What would I do if I had arthrofibrosis? See my local Prolotherapy doctor and get an evaluation for an assessment. I would get the most appropriate injection technique and do some aggressive physiotherapy.