Dr Mo Private Clinic  Private GP Norwich GP Expert Witness

Prolotherapy is a novel injection treatment where a dilute dextrose (sugar) solution is injected into an affected area.

 

It is thought to work by stimulating a local tissue response and modulating pain pathways in affected structures. Thus it can be used in chronic non-inflammatory conditions such as chronic tendonitis or mild to moderate osteoarthritis, where inducing inflammation is desirable.

 

However it is not recommended for acute inflammatory conditions where further inflammation is not desirable, such as acute arthritis, bursitis, tendinitis, gout, rheumatoid arthritis or for a complete rupture of a tendon.

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Advantages are it is a naturally occurring substance in the body, and does not involve steroids or blood products.

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But as it is a relatively novel technique, its exact mechanism of action and overall effectiveness are not yet fully established, and while some clinical studies suggest potential benefit in selected conditions, outcomes cannot be guaranteed.

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Although an injection may improve symptoms, more commonly it provides partial relief, and a course of injections may be required. The likelihood of benefit also depends on the severity of the underlying condition — the more advanced the problem, the less likely the injection is to be effective, and in some cases it may not help at all. Where this is the case, alternative treatment options, imaging, or specialist review may be recommended, and we will help guide you accordingly.

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We will discuss whether prolotherapy is appropriate for your condition and advise on alternative treatment options where relevant.