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Why Does Prolotherapy Require Many Injections?

Why Does Prolotherapy Require Many Injections?

Dr. Ross Hauser discusses the Hackett-Hemwall technique of Prolotherapy, and why he practices giving these types of Prolotherapy injections to patients we see at Caring Medical for chronic pain and sports injuries.




Video Transcription

Why do you choose to use so many Prolotherapy injections at each visit?

You have to realize that I was trained at, and eventually took over the practice of Gustav Hemwall and many people feel that at the time he was the world expert in Prolotherapy. He simply had the most experience with Prolotherapy. He found that the best way to treat a joint or a structure was to give a lot of individual injections and he used a lot of different Prolotherapy solutions.

Let’s just think about it. Say you had an MRI, and it showed a rotator cuff tear but really your shoulder had bothered you for years. The likelihood that the only structure injured in your shoulder joint is just that one specific tendon tear is very doubtful. If you’ve had pain for many years it’s probable that it’s many structures that are injured within your shoulder. Most Prolotherapy doctors see chronic pain, people who have had the pain for years; they’ve seen many, many doctors. To say that there is one little area that is causing all this massive amount of pain is very naive.

If someone has neck pain, back pain, or shoulder pain, when I typically see them it’s generally diffused. The person has a wide area that is painful. Even when you examine such an area, typically the person is tender all over. That means, to me, that it’s a diffused process. I choose to perform Prolotherapy, as other Hackett- Hemwall Prolotherapy doctors do, by giving a lot of individual shots, to make sure that all of the individual structures that are possibly causing the pain are covered. As I often tell patients, I will treat you as I would want to be treated. If I had a shoulder problem, I would want a lot of Prolotherapysolution injected into my shoulder, I would want a lot of structures treated. Worst case scenario, if somebody over treated me; all that means is that my tendons, ligaments and structures are just going to be stronger than normal. As an athlete, which I am, that’s not a bad thing, that’s a good thing. For many reasons I prefer to give a lot of injections with a lot of Prolotherapy solution with every treatment.

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