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• How does it work?
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  • What conditions respond to it?
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WHAT CONDITIONS RESPOND TO PROLOTHERAPY?

Based on their review of the literature, the Florida Academy of pain medicine feels that prolotherapy is indicated in the following conditions:

1. Chronic pain from ligaments or tendons secondary to sprains or strains.

2. Pain from overuse or occupational conditions known as“Repetitive Motion Disorders,” i.e. neck and wrist pain in typists and computer operators, “tennis” and “golfers”elbows and chronic supraspinatous tendinosis

3. Chronic postural pain of the cervical, thoracic, lumbar and lumbosacral regions.
   

4. Painful recurrent somatic dysfunctions secondary to ligament laxity that improves temporarily with manipulation.  Painful hypermobility and subluxation at given peripheral or spinal articulation(s) or mobile segment(s) accompanied by a restricted range of motion at reciprocal segment(s).

5. Thoraic and lumbar vertebral compression fractures with a wedge deformity that exert additional stress on the posterior ligamento-tendinous complex.

6. Recurrent painful subluxations of ribs at the costotransverse, costovertebral and/or costosternal articulations.

7. Osteoarthritis of axial and peripheral joints, spondylosis  (pain in the spine) and  (slippage of one vertebra over another).

8. Painful cervical, thoracic, lumbar, lumbosacral and sacroiliac instability (instability of the spine or the sacroiliac joints because of loose ligaments) secondary to ligament laxity.

9. Intolerance to NSAIDs, steroids or opiates. (Side effects to NSAIDs steroids or opiates)
   

Linetsky FS, Botwin K, Gorfine L, et al. PositionPaper: Regenerative injection therapy (RIT) effectiveness and appropriate usage. The Florida Academy of Pain Medicine. May 24, 2001. http://www.aaomed.org/library/documents/RIT_Position_Paper_052301.pdf.