About Prolotherapy offers the following resources for those wanting to explore prolotherapy further...
Hip labral tear – Acetabular labrum
A torn acetabular (hip) labrum is a common sports injury which can quickly, and unnecessarily, land an athlete on the surgical table. The labrum is a smooth ring of fibrocartilaginous tissue that provides hip joint stability for the head of the femur. When this tissue is damaged, a person may experience clicking, pain, or weakness in the hip. But some people have no distinct symptoms.
The labrum has a poor blood supply, which makes a tear or injury difficult to treat with traditional approaches, such as pain medicine or rest. These particular recommendations have very little long term appeal, especially for an active person who does not want to take mediation long term. Physical therapy may also be recommended for rehabilitation. While physical therapy can help the surrounding muscles, it does nothing to help repair the labrum itself and little to prevent further instability of the hip joint. Consequently, labral tear cases are quickly referred to surgeons for potential surgery to try and repair or remove the damaged tissue. Surgical intervention involves risks, as well as extended time off for rehab. This is not an ideal option for an athlete who wishes to return to the game quickly. The surgical prognosis is often guarded as to if the athlete would be able to return fully to his or her sport, especially if labral tissue is removed.
Prolotherapy injections for labral tears
Comprehensive Prolotherapy provides a non-surgical alternative for people who want to remain active and do not wish to have extended time off for recovery or undergo the surgical risks. Prolotherapy injections for a torn hip labrum are done to bring the necessary growth factors and healing properties for repair. The treatment course may involve utilizing Platelet Rich Plasma along with the traditional dextrose Prolotherapy. Platelet Rich Plasma, or PRP, involves the concentration of platelets from a quick blood draw, which are then injected at the site of the labral tear. This autologous injection method delivers a concentrated dose of growth factors to an area that otherwise can have too poor of a blood supply to heal on its own. Depending on the severity of the tear and the overall health of the person, using Prolotherapy to treat hip labral tears, typically involves three to eight treatments, given in one-month intervals. Fitness level can be maintained between treatments, as exercise is recommended, but specific sport and cross training recommendations, along with any limitations, would be discussed with the treating Prolotherapy physician.