Prolotherapy to relieve joint pain
July 1 2017

 Injections of a sugar solution may help relieve knee pain and stiffness related to osteoarthritis. Dextrose prolotherapy has been practiced for several decades but is still considered an alternative therapy. Dr. David Rabago, an assistant professor of family medicine at the University of Wisconsin School of Medicine and Public Health in Madison thinks one possible answer is that the injections trigger a healing response at the point of the injection. David Rabago, M.D., assistant professor, family medicine, University of Wisconsin School of Medicine and Public Health, Madison; Neil Roth, M.D., orthopedic surgeon, Lenox Hill Hospital, New York City; May/June 2013, Annals of Family Medicine.

Can J Rural Med. 2014 Winter. The occasional prolotherapy for lateral epicondylosis (tennis elbow).

Osteoarthritis
Ann Family Medicine. 2013. Dextrose prolotherapy for knee osteoarthritis: a randomized controlled trial. Prolotherapy is an injection therapy for chronic musculoskeletal pain. We conducted a 3-arm, blinded (injector, assessor, injection group participants), randomized controlled trial to assess the efficacy of prolotherapy for knee osteoarthritis. Prolotherapy resulted in clinically meaningful sustained improvement of pain, function, and stiffness scores for knee osteoarthritis compared with blinded saline injections and at-home exercises.

Anesth Pain Medicine. 2015. The Effects of Prolotherapy With Hypertonic Dextrose Versus Prolozone (Intraarticular Ozone) in Patients With Knee Osteoarthritis. Prolotherapy with dextrose and with prolozone result in the same pain relief or functional improvement in patients with mild to moderate KOA.

Emails
Q. I read about your research on different sites on the internet and I thought you could be interested in knowing about Dr. Reeves who practices and lives in Kansas City. I am a patient of Dr. Reeves, I will be receiving my first prolotherapy injections next week. Dr. Reeves is an authority on this topic, he is a dedicated health care professional and I have a lot of respect and admiration for him. Prolotherapy as you know is still considered an alternative method, but it is used widely on athletes with excellent results. I thought I forward this to you so that you can spread the word about prolotherapy. I think that more people should know about it and that more should be done so that insurance companies would cover the cost for the injections.

I am currently having prolotherapy for my knee. My doctor has told me to avoid over-the-counter anti-inflammatories, such as aspirin and ibuprophen, as these interfere with the treatment. Joint Power Rx product contains boswellia, which I have read is an anti-inflammatory. I believe some of the other herbs included in Joint Power are anti-inflammatories as well. I would like to take a supplement formula that will complement the prolotherapy process. Would Joint Power be appropriate, or would that not be advisable because of the anti-inflammatories that are included in it?
   A. This is a good question and there is no easy answer. Some of the ways the anti-inflammatory herbs work is different than the way the NSAIDs work.