Elbow Pain Treated with Prolotherapy

Hackett-Hemwall Dextrose Prolotherapy for Unresolved Elbow Pain

Ross Hauser, MD, Hauser M, Hollan P. Hackett-Hemwall dextrose prolotherapy for unresolved elbow pain. Practical Pain Management. October 2009;14-26.


In this retrospective pilot study at an outpatient charity clinic in rural Illinois, Hackett-Hemwall dextrose prolotherapy helped reduce pain and stiffness and clinically improved the quality of life in people with unresolved elbow pain.

Chronic elbow pain is a common condition affecting 15% of the population at any one time.1 Lateral epicondylitis (tennis elbow) is the most common form of elbow pain and the most common reason patients with elbow pain come to a physician’s office.2 It is usually an overuse injury. Elbow injuries in sports with overhead or repetitive arm actions are frequent and often severe. Epicondylitis is an acute injury that results in inflammation and is usually the result of large valgus forces with medial distraction and lateral compression. Epicondylosis develops over a longer period of time from repetitive forces and results in structural changes in the tendon.3 Other diagnoses for elbow pain include olecranon bursitis, biceps tendinitis, ulna and radial collateral ligament sprain, and degenerative arthritis.

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