• Where is your pain?
  • Headaches
  • Temporomandibular Joint
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  • Sacroiliac Joint Pain
  • Hip Pain
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  • Foot & Toe Pain
  • Plantar Fasciitis
  • Achilles Tendonitis
  • Osteoarthritis
• What is prolotherapy?
• How does it work?
• Is prolotherapy for you?
  • What conditions respond to it?
  • When should you avoid it?
  • What are the risks?
  • What are the benefits?
  • How long does it last?
• How much does it cost?
• Schedule an appointment
• Testimonials
• Consent forms
  • Prolotherapy
  • Shoulder research project
• References from medical literature
  • Prolotherapy
  • Steroids
  • Anti-inflammatory
  • Glucose injections
• The Caveman Diet
• About Dr. Bertrand

STEROID REFERENCES

Articles like these show how steroid injections can interfere with the healing process and are, in the end, no better than anti-inflammatory medications.

Wan Nar Wong M., Nei Tang Y., Kwong Man Lee S., Sai Chuen Fu B., Pui Chan B. Kai Ming Chan C. Effect of Dexamethasone on Cultured Human Tenocytes and Its Reversibility by Platelet-Derived Growth Factor J Bone Joint Surg Am. 2003;85:1914-1920.

Wan Nar Wong M., Nei Tang Y., Chuen Fu, S., Man Lee K, Ming Chan K.Triamcinolone Suppresses Human Tenocyte Cellular Activity and Collagen Synthesis   Clinical Orthopaedics And Related Research 2004 Number 421, pp. 277–281

Wan Nar Wong M., Yin Nei Tang Y Kwong Man Lee S.,  Sai Chuen Fu B.,    Glucocorticoids suppress proteoglycan production by human tenocytes  Acta Orthopaedica 2005; 76 (6): 927–931 927
Stovitz, S.D., Johnson, R.J., NSAIDs and Musculoskeletal Treatment, What Is the Clinical Evidence the Physician and Sportsmedicine - vol 31 - no. 1 - january 2003

Kennedy J, Willis RB: The effects of local steroid injections on tendons: a biomechanical and microscopic correlative study. Am J Sports Med 1976;4:11-21

Sun R, Gimbel HV, Liu S, et al: Effect of diclofenac sodium and dexamethasone on cultured human Tenon’s capsule fibroblasts. Ophthalmic Surg Lasers 1999; 30(5):382-388.

Arrel B., Goodyear Smith F., Corticosteroid injections for painful shoulder: a meta-analysis. 512 March 2005 British Journal of general practice, volume 55, pages 224 -228

Alvarez CM, Litchfield R., Jackowski D., Griffin S., Kirkley A. A prospective, double-blind, randomized clinical trial comparing subacromial injection of dexamethasone and Xylocaine to Xylocaine alone in chronic rotator cuff tendinosis. 2, February 2005, American Journal of sports medicine, volume 33, pages 255 to 262

White RH, Paull DM, Fleming KW Rotator  cuff tendinitis: comparison of subacromial injection of a long acting corticosteroid versus oral indomethacin therapy.  3 June 1986, Journal of rheumatology, volume 13, pages 608 – 613

Vecchio PC, Hazelman BL, King RH.  A double-blind trial comparing subacromial methylprednisolone and Lignocaine in acute rotator cuff tendinitis.  8 August 1993, British Journal of rheumatology, volume 32, pages 743 – 745