This information relates to prolotherapy of ligaments, tendons and joints.
What is Prolotherapy?
What is the idea behind Prolotherapy?
Sprains, strains or tears of ligaments and tendons often do not repair well, probably because of the more fibrous nature of these tissues and the lower amount of blood flow that they receive. Most of the joints in the body rely on having the opposing bones held tightly against each other to work properly. In a joint, loose tissues can let the bones move too far which can cause damage inside the joint or muscle spasm and overuse as the muscle fibres try to control the poor movement patterns.
A good analogy is to think of a joint like a garden gate with two hinges. If one hinge is loose or broken, you can imagine the other being under extra pressure, becoming loose itself, twisting and perhaps allowing parts of the structure to bang together. Ligaments are permanently damaged when stretched too far, and this point of no return is found at only about 4% longer than the normal maximum length. So an ankle sprain, for example, doesn’t have to push you too far past normal before the damage to one of these ‘hinges’ can cause an unstable joint.
For a long time, we have known that bodies heal by way of inflammation – as this is how the body activates the healing cells and sends them to the injured area. It was thought that in a long term, chronic injury, this process went on too long, or lost its way somehow. Interest in prolotherapy has increased since it has become recognised that many conditions that we thought of as chronic inflammatory conditions were found to not actually be inflamed when examined after tissue biopsy. It now seems that the problem is more that the healing period is too brief for these kinds of injuries as the inflammatory cells are mostly gone after 10 to 18 days.
The wide spread use of anti-inflammatory drugs may in fact worsen outcomes if taken after an injury by dampening this process too early, delaying and retarding healing. It also stands to reason that anti-inflammatory drugs are not the ideal choice if the condition causing pain is not an inflammatory one.
Prolotherapy triggers a mild and temporary inflammatory response. The blood flow to the area increases and healing cells arrive in the blood. Prolotherapy may also play a role in the secretion of tissue growth factors that aid in the body’s ability to identify and replace damaged tissue.
What is injected during a prolotherapy treatment in Brisbane?
There are a number of different solutions that are used in different practices. At this clinic, we use glucose and local anaesthetic. The glucose is sourced from a sterile bag intended for use as an intravenous (I.V.) fluid – something you might have be given in hospital if you became severely dehydrated. Although prolotherapy deposits only a small amount of the mixture into the soft tissue or joints, an I.V. bag of fluid is intended to be able to be plugged into a vein, where it will go directly to your brain and all of your tissues and organs. Obviously, it is also safe to eat glucose, which is a simple sugar. What makes this simple, harmless substance useful for injection therapies is that is doesn’t usually end up in concentrated amounts in a soft tissue of joint. When it does, the body responds by launching its repair mode and sweeping in to clean up this new ‘injury’.
The second part of the mixture is plain lignocaine, as used by the dentist etc. This is mixed in partly for the numbing effect but also because the local anaesthetic polarises tissue cells with the result that the cell walls become more permeable allowing nutrients in and waste out more easily.
What can prolotherapy in Brisbane be used for?
These are some of the conditions that Prolotherapy in Brisbane can treat:
- Achilles tendon issues
- Plantar fasciitis
- Sprained ankle
- Tibialis posterior tendon injuries
- Morton’s neuroma
- Osgood Schlatter’s Disease
- Shin splints
- Knee, ankle or foot joint osteoarthritis
- Persistent pain due to overuse of muscles, tendons or ligaments
- Medial knee pain
- Lateral buttock pain
A recent Australian study: Effectiveness and safety of prolotherapy injections for management of lower limb tendinopathy and fasciopathy: a systematic review. Lane Sanderson and Alan Bryant. Journal of Foot & Ankle Research. 2015; 8: 60
- Collated 203 studies, including 8 randomised controlled trials with prolotherapy injections for Achilles tendinopathy, plantar fasciopathy and Osgood-Schlatter disease.
- Found that prolotherapy is effective in both reducing pain and improving function
- None of the 200+ studies reported a negative or non-significant outcome
- Found equal or superior short and long term results when compared to exercise programs and PRP injections.
- No adverse events following prolotherapy injections were reported in any study .
If you think that you have a condition in your foot, leg or knee, that would respond to prolotherapy treatment in Brisbane please call Walk Without Pain to arrange an assessment. Alternatively, Book Online 24/7, here.
Everybody experiences some form of injury at some point in their life. For those that recover perfectly without any side effects, that is incredible and what we all wish for. However, for thousands of people, there are long-term side effects felt as a result of damage to the nerves in the foot. While regular physiotherapy can bring about results, there is an alternate option available to those that wish to address the root cause of the problem directly, which is referred to as prolotherapy for feet.
Here at Walk Without Pain, we prioritise pain relief and, in delivering prolotherapy, we have seen fantastic results for our clients over the past few years. With over 87 years of combined experience, our team of prolotherapy doctors in Brisbane are as well-informed in all matters related to the foot as is possible. All of our staff also continue to build upon their knowledge by attending over 50 hours of training per year to ensure that we possess a combined comprehensive understanding of the most modern techniques, treatments and solutions available to the Australian public.
A Virtually Pain-Free Prolotherapy Solution In Brisbane
Sceptics that have tried countless podiatrists in the past may be surprised by the results our team can achieve, and while you may be ready to throw in the towel and simply live with the pain you endure every day, rest assured that until you have met with our team and allowed us to treat your condition, there is still hope that your discomfort can be eliminated.
Prolotherapy is fast becoming a popular choice for those with foot issues. Those that have experienced success from this treatment have noted a variety of positive changes, which include:
- Improved function of their foot or feet. While mobility may have been affected in the past, this can receive a boost and enable greater ability to move independently and without pain.
- Decreased pain is the primary area that those that have undertaken the services of Brisbane’s prolotherapy doctors.
- The elimination or a significant reduction in the collection of watery fluid in tendons, which means a reduction in swelling.
- Connective tissue improvements with regards to the architecture of collagen in tendons.
The process itself is virtually pain-free. A weak glucose solution is injected using very fine needles beneath the skin and once the correct area is targeted, pain reduction can be felt immediately. There is no need to an anaesthetic, given the superficial nature of the injections and so it is a relatively stress-free, simple process.
A More Mobile Future With Prolotherapy For Feet
Here at Walk Without Pain, we use neural prolotherapy for feet in Brisbane to treat a wide range of conditions, including:
- Shin splints
- Achilles tendon injuries
- Cuboid syndrome
- Calf muscle strain
- Knee pain
- Bunion pain
- Morton’s neuroma
- Osteoarthritic pain
- ITB syndrome
- Medial/lateral ankle pain
- Runners Knee and Jumpers Knee
There are many more ways that this treatment can be used to relieve pain. So if you are in need of relief and wish to avail of the expertise of the best team capable of administering prolotherapy in Brisbane we encourage you to get in touch with us today here at Walk Without Pain.
Bookings can be made right here on our site 24/7 and given the fact that we comfortably see up to 180 people per day, you are assured of a short wait if any, before our podiatrists set out to address the problem that has held you back for long enough.
We look forward to your visit and doing our utmost to enable you to Walk Without Pain again.