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Caring Medical
& Rehabilitation Services
715 Lake Street, Suite 600
Oak Park, Illinois 60301
708.848.7789 Phone
708.848.7763 Fax



SPORTS INJURIES
Rate of Healing

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Unfortunately for most, one treatment of Prolotherapy is not sufficient to cause enough growth of ligament and tendon tissue to permanently eliminate the chronic pain or sports injury. The typical young athlete requires about two or three treatments. We adults who are not lean, mean, fighting machines typically require anywhere from four to eight treatments. The inflammatory response typically occurs over a four to six week period, therefore most Prolotherapy physicians see patients for re-evaluation every four to six weeks. Athletes often do not have six weeks to wait for their next treatment. The athlete will tell the doctor something along these lines,"Doctor, the PGA tour starts in six weeks. I need to be healed by that time." In such an instance, the athlete may be treated weekly or every other week.

There is usually a step-wise progression of healing after Prolotherapy for the person who receives Prolotherapy every four to six weeks. The anesthetic in the solution used during Prolotherapy sessions often provides immediate pain relief. The pain relief may continue, after the effect of the anesthetic subsides, due to the stabilizing of the treated joints because of the inflammation caused by the Prolotherapy injections. This pain relief normally continues for a few weeks after each treatment.

Between the second and fourth weeks, the initial stabilization induced by the Prolotherapy subsides, and because the initial growth of ligament tissue is not complete, some of the original pain may return during this 'window period' of healing. The patient is typically seen for follow-up four to six weeks after the treatment so progress can be accurately assessed, avoiding evaluation during the 'window period.' Prolotherapy is performed every four to six weeks because most ligaments and tendons heal over this time frame.

As the healing progresses, the number of injections required per treatment usually decreases. The pain generally continues to diminish with each treatment until it is completely eliminated, often after four to eight sessions.

In some cases, athletes or other chronic pain patients will not experience pain relief after their first or second Prolotherapy treatment.

For more on Prolotherapy.

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