Dr. Mark Filidei is an Internal Medicine physician practicing Integrative Medicine and is the Director of Integrative Medicine at the Amen Clinics.
Prolotherapy is a nonsurgical treatment that relieves musculoskeletal pain by strengthening and tightening ligaments and tendons around affected joints. Ligaments and tendons are tough, fibrous bands of tissue that connect bone to bone and bone to muscle. As long as they are strong and taut, they keep joints stable and properly aligned, allowing for smooth, pain-free movement. When they become injured, weak, or lax, the resulting misalignment impinges on nerves and blood vessels and causes pain. Lasting relief can be obtained by restoring the integrity of these supporting structures, returning things to their proper positions, and taking pressure off sensitive tissues.
This therapy, which requires special training that few conventional physicians have undertaken, involves injections of a mildly irritating solution into the painful area. This triggers the body's natural healing response and promotes the proliferation of new collagen, which is the building block of ligaments and tendons. As these structures become thicker and stronger, the pain subsides, the range of motion returns, and cartilage degeneration slows down.
Some of the patients treated at Amen Clinics have noted significant relief after a single prolotherapy treatment. However, it usually takes several sessions to achieve lasting pain relief and a return to normal function.
Platelet-rich plasma (PRP) is a powerful therapy that relieves pain and facilitates recovery from all types of acute and chronic injuries, such as sprains, strains, arthritis, and degenerative joint disease. PRP harnesses the healing power of platelets—components in the blood that initiate and regulate tissue repair—by delivering concentrations of the body's own platelets directly to damaged or degenerated areas.
PRP treatment at Amen Clinics involves removing a vial of a patient's own blood and spinning it in a centrifuge to separate out the red blood cells, plasma, and other components. This produces a very small amount of concentrated platelets (5--10 times the amount in whole blood) in a little plasma (the clear, liquid part of the blood). The patient's PRP is then placed in a syringe and injected into the affected area, which is numbed beforehand to make the injection more comfortable. A single injection to each site is all that is usually needed, although some patients require more, spaced out over time.
Over the next few weeks, the regeneration process that PRP turns on becomes evident, with often dramatic improvements in pain, range of motion, function, and quality of life.
#regenerativemedicine #prp #plateletrichplasma #prolotherapy #chronicpain #painmanagement
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