Prolotherapy or Regenerative Injection Therapy (RIT) stimulates the repair of damaged or injured joints. Prolotherapy is not for everyone, but should be considered in all cases of joint and ligament damage or even chronic pain. At WellVitality, Dr. Koganow uses the Hackett Hemwell technique for safer injections that are easier to tolerate for a range of chronic pain.

Prolotherapy injections:

  • Stimulate & Repair Degenerated Tissue
  • Have a 85-90% success rate
  • Result in Permanent Improvement for Chronic Conditions.

Prolotherapy can successfully treat the following chronic conditions:

  • Post Injury/Trauma
  • Fibromyalgia
  • Sports Injuries
  • Overstretch injuries
  • Elbow pain
  • Shoulder pain
  • Headaches

  • TMJ (jaw) pain
  • Tendonitis
  • Arthritis Pain
  • Loose Joints
  • Rib pain
  • Neck pain
  • Low back pain

  • Leg pain
  • Herniated Discs
  • Sciatica
  • Hip pain
  • Knee pain
  • Ankle pain
  • foot pain

Prolotherapy is a minimally invasive injection technique using a simple solution of dextrose and lidocaine (a local anesthetic). This solution is introduced to the torn tendon, ligament, or damaged joint capsule. From there your own body does the rest of the work.

Tendons and ligaments have a very limited blood supply if at all, and thus their ability to heal is severely limited due to lack of immune response at the location of the injury. This can cause chronic weakened ligaments and joints which could result in chronic pain and degeneration in that joint or even other parts of the body. Prolotherapy initiates the body’s immune response to the site of injection to help regenerate the damaged cartilage, ligaments or tendons.

The goal of Prolotherapy is permanent healing for areas of chronic pain caused by damage to ligaments and tendons.

Unlike NSAIDS, cortisone shots, arthroscopy, joint replacement surgery or other surgeries, Prolotherapy encourages your body to heal itself by initiating healing inflammation in the area, rather than suppressing it or removing the damaged tissues surgically.

When you damage a joint or structure to your body, it initiates a cascade that will try to heal that area. This we call inflammation. It is not the inflammation that is causing the pain per say, but rather the damage to the nerves and tissues.

Medication and treatments that suppress this natural inflammation address the pain only in the short term and do little to heal the tissues in the long term. In fact, cortisone treatments can over the long term cause more tissue damage, leading to further disability and pain.

Three to six treatments for a given area is about the average, though it may be as few as two or as high as 10 treatments in three to six week intervals.

The therapy requires an injection in the affected area which is generally accompanied by some discomfort; this varies from patient to patient. A local anesthetic is used to numb the area prior to treatment and most patients tolerate treatments very well.

There is always a risk anytime a needle is used to penetrate the skin. Complications are rare; however, since it is a procedure with some risk to the patient, all patients are asked to read and sign a consent and waiver form prior to the procedure.

Some patients report improvement of their chronic pain in as little as two weeks; others may not receive benefit until further treatments occur. Improvements may continue for up to three years after the last treatment. Each patient is different and your results will be unique to you.

Generally, one may return on the same day as your treatment unless your job puts stress on the affected area. Stiffness and soreness can be expected as the healing process begins. Do not take anti-inflammatory medicines following the treatments as this will interfere with the process.