categorized in the medical field as Regenerative
medicine is exactly what it sounds like: promoting regeneration of
tissue. It involves
the use of natural substances
that stimulate your body to heal an injury rather than using surgery to
or replace your injured ligaments or joints.
growing medical specialty has been around since the 1950’s and has
a huge fan-base with professional athletes since it is a great
surgery and requires little to no down-time.
Podiatry is one of the few
offices in the Tampa Bay area which offers this service to patients and
been using Prolotherapy for over 7 years.
treatment offered at Advanced Podiatry and
involves a series of specialized injections which stimulate an
response initiating healing in an area of injury.
You may suffer from plantar
ligament, tendon injuries or arthritic joints and take medications such
Advil or have attempted steroid injections which may only provide
relief. While most
positive responses to these standard conservative treatment options,
patients continue to have pain or repeat injuries.
When these options fail, most
recommend surgery as the final treatment option.
believe Prolotherapy is an excellent
alternative to steroid injections and surgery!
Although surgical services are
provided by our
doctors, we understand
the reluctance that you may have about surgery.
Most surgeries require down-time
time off work, and surgery
always has a risk of complications afterwards.
During your initial consultation,
will perform an exam and
evaluate standard conservative treatment options prior to discussion of
since it is most often used after initial conservative efforts have
minimal relief. However,
often used as a first line treatment for those patients who would like
treatments are often used
in combination with musculoskeletal laser and custom arch supports or
performed in the office. No
sedation or anesthesia is required except
for use of cold spray and a small amount of local anesthesia to numb
in the area of the injection. The
Prolotherapy injection consists of a specially prepared mixture of all
substances including dextrose and an anesthetic solution that is
the area of interest (i.e. plantar fascia, ligament or joint). To enhance accuracy,
ultrasound is used to
visualize guidance of the injection right into the area of interest. Once the
Prolotherapy solution has been
injected, the body will begin to create an inflammatory response to the
solution and sends growth factors and other cells that promote healing
area. The new
tissue laid down in the
previously injured area produces increased stability and strength to
tendon, joint or ligament.
have discomfort 1-3 days after the injection.
Depending on the area being
are sometimes placed in a
walking boot to provide stability and decrease motion at the injection
optimal healing; however, other times Prolotherapy works best when the
allowed to move and enhances the healing cascade.
Your doctor will discuss which is
you during your consultation. Most patients will have an injection 1-2
apart for a total of 4-6 injections.
Below is a
list of foot
and ankle problems that have shown
great response to Prolotherapy. If
from chronic pain in your foot or ankle and have not responded well to
conservative treatment or are reluctant to have steroid injections or
are likely excellent candidate for Prolotherapy. Almost any type of
or arthritic pain can be improved with its use, and there are rarely
contraindications, adverse effects or complications.
for Prolotherapy :
sprains/strain – ankle instability due to
previous sprains or ligament tears
tendinitis or tendinosis- inflammation
of the Achilles tendon or degeneration of the tendon from old injury or
painful, arthritic joints
fasciitis- inflammation of the plantar
pain in the ball of the foot
inflammation of the tissue that
swelling of bursa sac (pillow-like
structure) when enlarged can cause pain, redness and swelling beside a
ankle, Achilles, recurrent sprains
relief options that allow you to truly
heal and return to your activities quickly. Call
Advanced Podiatry today for a
consultation about your foot or ankle pain and see if Prolotherapy is