Regenerative Injection Therapies

Dr. Mark LaBeau diagnoses the cause of joint and muscle pain and offers regenerative injection therapies to eliminate pain and improve movement. This injections do not use steroid therapies such as cortisone. Call for an appointment with Dr. LaBeau today.

PROLOTHERAPY

Prolotherapy (Proliferative Therapy) is a recognized Non-Surgical orthopedic procedure that stimulates the body’s healing processes to strengthen and repair injured and painful joints and connective tissue. Prolotherapy has the ability to address the cause of the instability, repair the weakened sites and produce new collagen tissue, resulting in permanent stabilization of the joint. Anti-inflammatory or other pain relievers only act temporarily & surgery is more risky and fails to stabilize the joint and relieve pain.

The original and most commonly used form of Prolotherapy consisting of Procaine and a Dextrose solution (D50W).

PROLOZONE THERAPY (Hi Octane Prolotherapy)

PROLOZONE therapy is a second generation Prolotherapy consisting of Procaine, Colloidal Silver, Methyl B12, and Homeopathic anti-inflammatory solution along with Ozone.

Like Prolotherapy, Prolozone Therapy is designed to cause moderately severe pain lasting typically 12 to 24 hours.  You are to avoid Aspirin and other anti-inflammatory medications, like Ibuprofen.  Dr. LaBeau prescribes pain medication like Vicodin, if desired, which does not interfere with the healing process.

Dr. LaBeau will typically initially recommend a trial of 4-6 injections done 2-4 weeks apart.  Typically, multiple points, tailored to the individual, are injected in an area such as a joint or area of the back for optimal results.  Up to 2 areas of the body can be done at a time, but a longer office visit is required when injecting to areas.  To further facilitate healing Dr. LaBeau also recommends myo-fascial soft tissue therapy to be done throughout the treatment process.

In fact, with each injection the natural healing process continues for the next 6-8 weeks just like with an injury.  With each injection there is a cumulative effect!

WHAT IS PROLOTHERAPY?

Prolotherapy (Proliferative Therapy) is a recognized Non-surgical orthopedic procedure that stimulates the body’s release of Growth Factors to strengthen and repair injured and painful joints and connective tissue. It is based on the fact that when ligaments or tendons (connective tissue) are stretched or torn, the joint they are holding destabilizes and can become painful. Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new collagen tissue, resulting in permanent stabilization of the joint. Once the joint is stabilized, pain usually resolves. Traditional approaches with surgery have more risk and may fail to stabilize the joint and relieve pain, and anti-inflammatory or other pain relievers only act temporarily.

HOW DOES PROLOTHERAPY WORK?

Prolotherapy works by stimulating the body’s release of Growth Factors which are powerful hormone like proteins that repair and lay down new tissue in the weakened area. This is done by a specifically directed injection to the injury site, stimulating the body to go into a reparative mode. The inflammatory response which is created by the injection encourages growth of new, normal ligament or tendon fibers, resulting in a tightening of the weakened structure. Additional treatments repeat this process, allowing a gradual buildup of tissue to restore the original strength to the area.

WHAT IS THE SOLUTION THAT IS INJECTED?

Prolotherapy injections contain natural substances that stimulate the production of Growth Factors that create a healing response, as well as local anesthetic agents to help with the pain of the injection. Traditional formulas include ingredients such as dextrose, saline, sarapin, or pumice along with either procaine or lidocaine. In the last several years newer formulas include Sodium Morrhuate from fish oil, Colloidal Silver, Vitamins, and Homeopathic solutions.  Each treating physician tailors the selection of the appropriate formula according to the patient’s need.

IS PROLOTHERAPY TREATMENT PAINFUL?

Any pain involving an injection will vary according to the structure or joint treated, the choice of solution, and the skill of the physician administering the injection. The treatment results in moderately-severe pain with mild swelling and stiffness lasting 12-48 hours. The discomfort usually passes fairly quickly and can also be reduced with pain relievers such as Tylenol or other prescribed medication depending on your pain threshold. Anti-inflammatory drugs, such as aspirin and ibuprofen, are not recommended for pain relief because their action suppresses the desired inflammatory healing process produced by the Prolotherapy injections.

CAN PROLOTHERAPY HELP EVERYONE?

Each patient must be evaluated thoroughly with patient history, physical exam and radiological or ultrasound exam. When indicated, laboratory work, should be ordered or evaluated prior to treatment. With this information, your physician can evaluate your potential success with this therapy. Success depends on factors which include the history of damage to the patient, the patient’s overall health and ability to heal, and any underlying nutritional or other deficiencies that would impede the healing process. In appropriate patients, Prolotherapy has a high success rate.

WHAT AREAS OF THE BODY CAN BE TREATED?

Areas/problems treated include: Low back or mid-back pain including degenerative disc disease and sacro-iliac joint instability/dysfunction, neck pain, knee pain, knee meniscal tears, wrist or hand pain, osteoarthritis, shoulder pain including rotator cuff tears, elbow pain including golfers or tennis elbow, foot pain including plantar fasciitis, ankle pain or instability, hypermobility, osteitis pubis, IT band syndrome, piriformis syndrome, temporal mandibular joint syndrome (TMJ), or other musculoskeletal pain or injury. Some areas or problems can be more challenging than others, and it is therefore important to be evaluated by a physician trained and experienced in this procedure so that an accurate assessment and treatment plan can be given.

HOW OFTEN DO I NEED THESE TREATMENTS?

Treatment intervals vary depending on the specific problem and severity of the area being treated, as well as the protocol of the physician. Typical intervals between treatments are every two to six weeks, with an average interval of once a month, for a total of four to six treatments. However this can vary and may be more frequent, or take longer, depending on the condition being treated.

WHAT'S THE SUCCESS IN TREATMENT FOR PROLOTHERAPY?

The anticipated rate of success depends on a number of variables, including the patient’s history and ability to heal, and the type of solution used. In patients with low back pain, studies have shown a 70% to 85% of patients experience improvement with Prolotherapy (compared to studies showing a 52% improvement with back surgery). Many research studies done over the years show a high success rate when Prolotherapy is used for various ligament, tendon or joint pain/injuries.

HOW LONG HAS PROLOTHERAPY BEEN AROUND?

Prolotherapy/sclerotherapy has been used successfully as early as 500 B.C. when Roman soldiers with shoulder joint dislocations were treated with hot branding irons to help fuse the torn ligaments in the shoulder joint. Advances in medicines greatly improved on this process, and led to the modern techniques of strengthening the fibrous tissue and creating new, normal collagen, rather than producing scarring to fuse tissues.

Hippocrates described vein sclerotherapy around 400 B.C. using “slender instruments of iron” to treat varicose veins. Injection sclerotherapy of veins was first reported in 1623 while modern forms of injection sclerotherapy for varicose veins, hernias and hemorrhoids has been performed since the early 1900’s.

Earl Gedney, D.O., a well-known Orthopedist, decreased his surgical practice and began to inject joints in the 1940s and 1950s, and spent the rest of his life researching and publishing on the subject. Also, George Hackett, M.D., wrote a book on this injection therapy, with Gustav Hemwall MD adding to that publication in the 1950’s. Both Gedney and Hackett’s work is still used today in training physicians. In the years since this early work, techniques and medications have advanced to move from a scarring or fusing effect to a strengthening, regenerative effect, which restores the weakened joint to its original level of stability, without loss of flexibility and function.

HOW IS PROLOTHERAPY RELATED TO PROLOZONE, PRP, STEM CELLS OR NEWBORN GROWTH FACTORS?

Advances in Regenerative Medicine have made the use of more advanced formulas possible for even more enhanced healing. Ozone added to the Prolotherapy cocktail known as Prolozone therapy adds to the inflammatory stimulation of Growth Factors as well as being anti-microbial which effectively benefit infected joints. Platelet Rich Plasma (PRP) derived from the patient’s own blood provides available circulating Plasma cells and Growth Factors to enhance healing. Stem Cells derived from either one’s bone or fatty tissue can directly repair damaged tissue, but healing can be limited do the current level of one’s own health. Fetal Umbilical Growth Factors on the other hand have the potential of providing a robust level of healing being obtained from healthy women undergoing a scheduled C-Section.

WHAT IS PROLOZONE THERAPY?

Prolozone Therapy is a technique that combines the principles of neural therapy, Prolotherapy, and ozone therapy. It involves injecting combinations of procaine, anti-inflammatory medications, homeopathics, vitamins, minerals, proliferatives, and ozone/oxygen gas into degenerated or injured joints, and into areas of pain.

WHAT CAN YOU EXPECT AFTER YOUR INJECTION? - PROLOZONE

The first 45-60 minutes after an injection you may feel a sense of fullness and there may be some slushy noises in the joint. It is important to keep some gentle motion in the joint for the first hour without excessive stress on the joint.  Avoid any regular exercise for the next 72 hours to allow for healing.

During the first 24-48 hours you may experience moderate-severe pain in the area of injection. This will best be controlled with the application of ice at the injection site for 15 minutes. Alternating applications of ice and heat may also help. Avoid   use of over the counter non-steroidal anti-inflammatory drugs such as (ibuprofen, naproxen-sodium, aspirin or acetaminophen) use of these products will inhibit the healing process that the inflammation promotes.

After 24 hours, joint support with such agents as Glucosamine, MSM, and Turmeric are important to take during the injection process to control inflammation naturally as well as promote and maintain healthy connective tissue. Increasing intake of Vitamin C 1000-3,000 mg is also recommended for collagen support.

Most people will experience some reduction in pain, an improvement in stability and increased range of motion in the first 48 hours. During the first week some discomfort may return this is normal and is likely due to increased motion and use.

Dr. LaBeau will typically initially recommend a trial of 2-4 injections done 2-4 weeks apart.  Typically, multiple points, tailored to the individual, are injected in an area such as a joint or area of the back for optimal results.  Up to 2 areas of the body can be done at a time, but a longer office visit is required when injecting two areas.

It is vital to your success that recommendations concerning activity levels recommended by Dr. LaBeau are adhered to. Improper or over strenuous activity may inhibit the healing process or result in re-injury. Please remember your body is in the healing phase it is not yet completely healed.  In fact, with each injection the natural healing process continues for the next 6-8 weeks just like with an injury.  With each injection there is a cumulative effect!