Prolotherapy | An Alternative Approach to Pain Treatment


  • Dr. David Pawsat of The Center for Optimal Health offers Prolotherapy treatments for chronic pain due to damaged or weak tendons, ligaments, and joints as an alternative to traditional approaches.
    The following are answers to commonly asked questions about Prolotherapy. Please do not hesitate to call our office at 517-324-9400 if we can answer additional questions or to schedule your first treatment.

    What is Prolotherapy? 

    How does Prolotherapy work?
    What are some of the common conditions that respond well to Prolotherapy?
    Is the treatment permanent? 
    What is in the solution that is injected?
    Is the Prolotherapy treatment painful?
    Can Prolotherapy help everyone?
    How often do I need treatments?
    What is the cost of Prolotherapy treatments?


    What is Prolotherapy?


    Phototherapy | An Alternative Approach to Pain Treatment Prolotherapy is a well-established orthopedic procedure that stimulates the body’s innate ability to strengthen damaged or weak ligaments, tendons and joints.  "Prolo" is short for proliferation; the treatment is considered “Prolo”therapy because it causes proliferation (growth, formation) of new ligament or tendon tissue in areas where they have become weak.

    Weak ligaments and tendons are often times the cause of much pain and joint damage. When these weak tissues are treated with Prolotherapy they become stronger.  Stronger ligaments or tendons cause joint and muscle function to improve.  Improved function means less pain.

    Traditional approaches, such as surgery, physical therapy or anti-inflammatory drugs, often fail to stabilize the joint or provide lasting relief from pain. Prolotherapy directly addresses the cause of the instability by strengthening and healing stretched, torn, or fragmented ligaments and tendons. 

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    How does Prolotherapy work?


    Precise injections are made directly into the damaged ligaments, tendons or joints. This creates a mild, controlled inflammatory response that stimulates the body’s natural healing mechanisms. This process promotes new fiber growth and tightening. 

    What are some of the common conditions that respond well to Prolotherapy?

    • Many spine and neck conditions  (i.e. sacral torsions, spinal misalignment)
    • Headaches
    • Degenerative joints
    • Torn ligaments and cartilage
    • Knees, elbows, shoulders (i.e. rotator cuff tears, tennis elbow)
    • Feet and ankles (i.e. chronic sprains, Achilles tendonitis, plantar fasciitis)
    • Fibromyalgia
    • TMJ

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    Is the treatment permanent? 

    The benefits of Prolotherapy are generally regarded as permanent. By restoring structural integrity to the ligament and joint, the relief from pain and dysfunction can be permanent. Pain sometimes recurs episodically, but is usually less severe, and more easily treated with a single injection.

    What is in the solution that is injected?

    Prolotherapy injections contain anesthetic agents and natural substances (such as sugar water and Lidocaine) which stimulate the healing response.

    Is the Prolotherapy treatment painful?


    Most patients find the pain from treatments to be minimal; however, some pain from the injection can be expected.  For up to three days following a treatment one may experience some aching, swelling and stiffness. The discomfort passes rapidly and can be reduced with Tylenol.

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    Can Prolotherapy help everyone?


    The vast majority of patients can be helped by Prolotherapy. Each patient must be evaluated thoroughly with a patient history; physical exam, and if needed X-ray or laboratory tests.  This evaluation will be done in the initial consultation. After the initial evaluation Dr. Pawsat will determine whether you are a candidate for Prolotherapy.


    How often do I need these treatments?


    Treatments to the same area are scheduled anywhere from weekly to every 6 weeks.  As a treated area heals treatments can be scheduled farther apart.

    What is the cost of Prolotherapy treatments? 

    During an initial consultation the patient will be evaluated thoroughly with a history; physical exam, and if needed X-ray or laboratory tests. Prolotherapy may be administered during this initial evaluation. The initial consultation along with the initial treatment will cost $265.00.

    Some people are relieved with one treatment, while others require a number of treatments. If further treatment is required cost will range from $195.00 to $225.00, depending on the number of areas being treated.

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    For More Information about Prolotherapy:

    Both of these websites, www.getprolo.com or www.prolotherapy.com offer a general source of information about prolotherapy with links to informative articles and studies.   Please do not hesitate to call our office at 517-324-9400 if we can answer additional questions or to schedule your first treatment.