Prolotherapy uses sugar based solutions and various other injectables, which are injected into the ligament or tendon where it attaches to the bone. This causes a localized inflammation in these weak areas, which then increases the blood supply and flow of nutrients and stimulates the tissue to repair itself.
The area where the ligament attaches to the bone or other structures is injected with a proliferant. Normally 15% Dextrose (sugar) mixed with Lidocaine, a local anesthetic. The proliferant solution causes a local reaction or inflammation. The body reacts by laying down collagen that in turn becomes new ligament or tendon tissue. We apply local anesthetics to numb the area to reduce the discomfort of the procedure. The patient may be a little sore for a day or so, but this usually goes away. The injection process is repeated every 2-3 weeks. Patients should not expect results for about 6 weeks. After that the patient will notice the pain level diminishing. The good thing about prolotherapy is that the results are more of a permanent nature. You may need a "booster" injection every year or so after the initial series. If prolotherapy is administered correctly by a trained medical practitioner and the patient is chosen well, there is a 80-90% chance for the chronic pain sufferer to becoming pain free and for most people to have significantly less pain.