By Dr. Michael Henry
In the realm of pain management, the choice between undergoing surgery and exploring alternative treatments is a big decision. Prolotherapy (‘Prolo’), a non-surgical regenerative technique, is a promising alternative to traditional surgical interventions for certain conditions.
But when does Prolo become a viable alternative to surgery?
Understanding Prolo: Prolotherapy, short for "proliferative therapy," involves the injection of a solution, containing dextrose and a local anaesthetic, into damaged or weakened connective tissues such as ligaments and tendons. This stimulates a controlled inflammation response, triggering the body's natural healing mechanisms.
Over time, this promotes tissue repair, strengthening the area, reducing pain, and most importantly, improving function. Prolo is performed in Canada by Physicians and Naturopathic Doctors who have undertaken training in Regenerative Injection Therapies, and are used most successfully when performed under Ultrasound guidance.
When to Consider Prolo:
Mild to Moderate Tissue Damage: Prolo can be very effective for mild to moderate ligament or tendon injuries, such as sprains or strains. If surgery seems excessive for your condition, prolotherapy is a less invasive alternative.
Chronic Pain: When chronic pain is your main concern and surgery comes with significant risks, Prolo can be explored. Conditions like ankle sprains, tennis and golfer’s elbow, MCL sprains, osteoarthritis, and rotator cuff injuries are just a few of the conditions that may benefit from the regenerative effects of Prolo.
Preventive Care: Prolo can act as a preventive tool for people at risk of joint instability or recurring injuries. Athletes, in particular, can use Prolo to strengthen and stabilize vulnerable joints before more serious issues arise.
Contraindications to Surgery: Certain conditions or individual preferences can make surgery a less favourable option. Prolo offers a gentle and effective approach that avoids the complexities and risks of surgery, when used appropriately. Make sure you’ve been properly evaluated and been given all your options, including the risks and benefits, before making a decision.
Conservative Care Recommended by your Doctor/Surgeon: When your medical professional has recommended against surgery, after careful evaluation through a complete history, physical exam, and imaging, and they instead recommend rest and recovery through physical rehab, Prolo becomes a viable option. When used alongside a personalized rehab plan (that includes physical therapies, nutrition optimization, and lifestyle modifications), Prolo really shines as a recovery tool.
Benefits of Choosing Prolo:
Minimally Invasive: Prolo involves injections into the target tissue, eliminating the need for surgical incisions and reducing the risks of infections and other complications.
Faster Recovery: Recovery time with Prolo is often faster than post-surgical recovery periods, allowing you to return your regular activities in short order. Multiple treatments are usually needed to maximize the benefits of Prolo, however most regular movements can be maintained between treatments.
Faster Access to Treatment: Surgical wait times in Canada can vary, but in some cases you can be waiting months for your operation. Prolotherapy is often accessible through different Medical and Naturopathic Clinics, providing you immediate options.
While Prolo presents a compelling alternative to surgery, it's essential to consult with a qualified medical professional to determine if it’s suitable for you.
Your severity of injury, overall health, and individual preferences should be considered before making a decision. As with any medical treatment, an individualized approach is crucial to achieving the best possible outcomes and this is the fundamental principle of Naturopathic Medicine.
Prolotherapy stands as a viable alternative to surgery for those with mild to moderate tissue injuries, chronic pain, preventive needs, or contraindications to surgical procedures. With its minimally invasive nature, faster recovery times, and fast access to treatment, Prolotherapy is a promising option for those seeking a full recovery without the complexities of surgery.
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