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3977 Kingsway
Burnaby, BC
Canada V5H 1Y7
Office:  (604) 439-1230
Email:  drsantos@shaw.ca

Therapies › Ultrasound Guided Prolotherapy

Dr. Santos has treated hundreds of patients using his prolotherapy protocol. Dr. Santos will use ultrasound to exam the joint as well as guide the needle for accurate placement of the solution. Success with prolotherapy is quite high, over 85%. Patients typically experience a resolution of their pain after 1-4 treatments.  Treatment is performed every 4-6 weeks and improvement in pain should be experienced after each treatment.We use ozone and dextrose in our prolotherapy solutions and combine the treatment with PEMF. Platelet rich plasma therapy may also be recommended in stubborn cases. 

Cure chronic pain with Prolotherapy

Prolotherapy involves the injection of an "irritant" solution into the area where ligaments are weak and/or damaged. Over the next few days, cells called "macrophages," literally big eaters, are attracted into the area by the presence of this irritant solution. Once they arrive, these macrophages pick up the irritant solution and carry it away for disposal (they are the garbage men of the body). As the macrophages are finishing their job, the body sends in "fibroblasts," literally connective tissue builders, to lay down fibrous tissue wherever they detect damage to connective tissue such as ligaments.

Studies demonstrate it effects marked improvement in 92% of cases and, if properly administered, does not violate the first rule of medicine: do no harm. These claims cannot be matched by standard medical/surgical treatment methods.

What is prolotherapy?

In prolotherapy treatment, a substance is injected using a slender needle next to the site where soft tissue (ligament, tendon, muscle, fascia, joint capsule) is injured or has torn away from the bone. Dr. Santos will use ultrasound to guide the needle into the damaged area.

The substance used in the injection is a natural irritant agent. Examples include:

  • Sugar (dextrose or glucose)
  • Platelet Rich Plasma
  • Ozone
  • The agent is typically used with a local anesthetic (lidocaine or procaine).

Prolotherapy involves a series of injections, reportedly ranging from 3 to 10, depending on the condition and the individual being treated. The injection series may cover 3 to 6 months with injections at 4 to 6 week intervals.

What are current indications for prolotherapy?

There are currently no treatment guidelines or protocol for prolotherapy. It is most commonly used for patients with back, shoulder, hip and knee pain caused by chronic ligament and tendon sprains and strains. Some physicians do use it as a first-line therapy.

What is the cost?

The cost will vary on the number of joints treated. The cost will range from $100 to $150

 What are the possibleside effects of prolotherapy

Possible side effects may last a few days include:

  • Swelling
  • Soreness
  • Allergic reaction