The beauty of prolotherapy is that it is a natural technique that stimulated the body by providing a little assistance to the body’s own healing mechanisms. Notice that I said a little assistance, because often that is all that is needed for the body to heal itself. Other measures such as surgery, joint replacements, and powerful pain medications interfere with the body’s own healing mechanisms and additionally are more traumatic, more dangerous, more expensive and often require long periods of rehabilitation and expose the patients to dangerous and debilitating complications.
The basic technique in prolotherapy consists in injecting a proliferative/irritating solution of homeopathic ingredients such as dextrose (sugar water), along with saline solution and local anesthetics, to stimulate the proliferation and regeneration of the target tissue, such as ligament and tendons to accomplish healing and long lasting relief of the discomfort. This causes an inflammatory response at the injection site that signals your body own stem cells, chondroblast, fibroblast and other cell to proliferate and produce new connective and other tissues to repair and strengthen the affected area tendon and ligaments. For this injection to work, they have to be precisely placed at the junctions of bone and ligaments and bone and tendons. These points are called Ah Shi point in acupuncture and have been used for thousands of year in acupuncture for the treatment of painful conditions. These are points in the body with very marginal blood supply and precisely for that reason nutrients do not easily get to these tissues and waste products are not removed and when injury occurs in these areas they do not heal well if at all. We need to help them heal with prolotherapy.
The tendons and ligaments in our body provide stability to our joints and structure to our body. They are not like muscles or rubber bands that have the capability to go back to their original shape. These tendons and ligament when they get stretched out they stay stretched out. This leads to what is called ligamentous laxity, i.e. loose ligaments. Now we have loose ligaments holding bone together and this leads to unstable joints that do not function properly and feel like they are sloshing around and may lead to clicking sounds. This looseness of the joints leads to bone grinding, damage of the cartilage and pain. Additionally in an attempt to stabilize loose joints, the surrounding muscle may go into spasm and this may cause additional pain.
Studies done using knee ligaments of animals have shown that injecting proliferant solutions on five subsequent sessions over a six week period, increased ligamentous mass by 44%, ligamentous thickness by 27% and ligament-bone junction strength by 28%. This is another piece of evidence that prolotherapy is effective. This repair of loose and damaged ligaments and tendons is the desired result of prolotherapy.