RPTMC - Regional Pain Treatment Medical Center, Orange County, CA

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Regional Pain Treatment Medical Center, Inc.

Goals Of Treatment

Prolotherapy

Epidural InjectionWhat is Prolotherapy?

Prolotherapy is also known as "proliferation therapy" or "regenerative injection therapy." ("Proliferative Injection Therapy") involves injecting an otherwise non-pharmacological and non-active irritant solution into the body, generally in the region of tendons or ligaments for the purpose of strengthening weakened connective tissue and alleviating musculoskeletal pain.

It is thought to do so by re-initiating the inflammatory process that deposits new additional fibers to repair a perceived injury. Once strengthened, the weak areas no longer send pain signals.

Prolotherapy involves the injection of an irritant solution into an area where connective tissue has been weakened or damaged through injury or strain. Many solutions are used, including dextrose (a sugar), lidocaine (a commonly used local anesthetic), phenol, glycerine, or cod liver oil extract. The injection is given into joints or tendons where they connect to bone. The Injected solution causes the body to heal itself through the process of inflammation and repair. The process may result in as much as 30-40% strengthening of the connective tissue.

Is Prolotherapy something new?
Prolotherapy has been around since at least the 1950s, but most doctors reluctance to use different methods limited its acceptance. Recently, it has experienced a rise in popularity. Even our distinguished former Surgeon General, C. Everett Koop MD. has been treated with great success.

Is Prolotherapy safe?
It is safe, non-toxic and effective in most patients with chronic soft tissue pain. Our pain doctors are highly trained and experienced to assure the greatest safety.

Why does Prolotherapy work?
The theory behind Prolotherapy is that chronic soft tissue pain is the result of tears in the tissue, especially where it attaches to the bone. The periosteum is very pain-sensitive tissue, so weakened tissues and unresolved tears or sprains continue to produce significant pain. The solution used in prolotherapy produces an inflammatory response, which is followed by formation of new blood vessels and increases in collagen structure. The result is stronger tissue and reduced pain.

What kinds of medicines are used in Prolotherapy?
The Injections consist of hypertonic ( Proliferant ) solutions, such as Dextrose, Glycerol, Sarapin and Phenols, mixed with Local Anesthetic. No steroids. Do Prolotherapy Injections hurt? Well yes, but reproduction of the pain is an indication that the medicine is being deposited in the correct location. Some patients tolerated it very well, others less so. Your doctor mixes a numbing local anesthetic, which takes effect in a few short minutes, so it usually feel great right afterwards.

How often do I need Prolotherapy treatment?
Depending on the Pain Diagnosis and the extent of the pain, typically three to six sets of injections at intervals of 2 to 3 weeks are required. Sometimes the use of X-Ray guided Techniques are needed to reach the exact source of the pain.

Does Prolotherapy really work?
A careful examination and knowledge of Referral Pain Patterns is key to success. Success rates of 80% to 90% are reported when injections are performed by Doctors trained in diagnosis, patient selection, and appropriate technique. Prolotherapy can be considered for chronic pain conditions, such as chronic low back pain. Nearly 90% of acute back pain complaints resolve within 6 to 8 weeks with standard conservative treatment and do not require additional evaluation or specialized treatment.

What else should one do to increase the effectiveness of Prolotherapy?
Increase mobility and exercise as instructed, use a good nutritious diet, use your pain medicine as needed, and receive Prolotherapy or other treatments as prescribed.

Where else can we learn about Prolotherapy?
An Internet search using "prolotherapy" as the key word reveals a tremendous number of sites, as well as postings on pain-related message boards about prolotherapy-both for and against. The American Osteopathic Association and the American Association of Orthopaedic Medicine are excellent resources. Remember that Internet information is sometimes misleading, so use caution.

What specific conditions is Prolotherapy good for?
It is specific for back sprains and subluxations, for facet arthropathies, and for sacroiliac joint subluxations. The cervical spine responds better than the lumbar spine. This is probably a result of lumbar disc fissures that underlie chronic low back pain that are diagnosed due to poor response to prolotherapy or by Discogram. Prolotherapy is best for chronic back pain, non-discogenic, which is the 10% that does not resolve. Prolotherapy can be very useful in strains and sprains to the shoulders and limps. Prolotherapy should be performed only by physicians with expertise in this method.

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Fullerton, CA 92835

295 Imperial Hwy, Fullerton, CA
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