How Prolotherapy Works

• Dextrose (12.5 – 20%) and procaine (1%) are injected.
• A purposeful and mild inflammation response occurs.
• Growth of new tendons and ligaments begins.
• New tissue is up to 40% stronger than the original tissue.

Dextrose makes the solution more concentrated than blood, acting as a strong proliferant and procaine is an anesthetic. Other things may be added such as hyaluronic acid or Vitamin B12 (methylcobalamin) depending on the type of injury.

Most people require 4 – 6 injections administered every 2 – 3 weeks over the course of several months. Dr. Riddle will advise patients based on their individual situation.

Swelling, pain, and stiffness may occur, but should subside within a couple of days. It is important not to use an anti-inflammatory medication such as ibuprofen afterwards since it will counteract the repair work and healing of damaged tissue fibers.