Why Prolotherapy Results May Not Be Seen Immediately
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Prolotherapy in its ability to cure chronic pain is completely dependent on the Prolotherapist treating completely the injured structures. This means that all the injured structures are treated with a strong enough solution to heal the area in a reasonable peroid of time.
We find that most people are cured of their pain with three to six Prolotherapy sessions. If by the sixth Prolotherapy session a person has not had significant improvement, we search for another cause of their pain like infection or allergy.
People who are receiving 30 or 40 Prolotherapy sessions to cure their chronic pain are paying a lot of money that they wouldn't have to pay if they went to a physician who utilizes stronger Prolotherapy solutions then they are receiving and/or did more shots per visit.
In general with the Hackett/Hemwall/Hauser technique of Prolotherapy, a good rule of thumb in regard to the number of injections per area is 10 to 20 for an extremity (knee, ankle, shoulder) and anywhere from 30 to 60 for the neck, back, or thoracic spine.
Another reason a person gets inadequate Prolotherapy is that there was inadequate inflammation with the Prolotherapy treatment. Remember the body only heals by inflammation. In some people stronger Prolotherapy solutions are needed to get an adequate inflammatory reaction after the treatment. Until a person gets the injured structures completely treated with Prolotherapy with a strong enough solution, the person has not failed Prolotherapy. It is important that after a Prolotherapy session, that a person feels stiff for at least one to two days. If the stiffness after the treatment only lasts a few hours, then the immune reaction to the treatment most likely will not be enough to regenerate the connective tissue needed for healing. In such a situation there are two options. Figure out why the person has a poor immune response by doing metabolic, nutritional, and hormonal testing, or use a stronger Prolotherapy solution. Physicians who have a lot of experience doing Prolotherapy may have ten different solutions they use depending on the individual case.
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