Ingredients in the Prolotherapy Injections

prolotherapy works 150x150 Ingredients in the Prolotherapy InjectionsSome Prolotherapists use mild chemical irritants, such as phenol, guaiacol or tannic acid, to trigger the healing process. These substances attach themselves to the walls of the cells wherever they are injected and cause the irritation that stimulates the body’s reactive healing process. Others prefer to use chemotactic agents, primarily sodium morrhuate, a fatty acid derived from cod liver oil.

Some Prolotherapists use the dramatic sounding “osmotic shock agents,” which are actually simple compounds like dextrose and glycerine. These ingredients are the most commonly used in the arsenal of proliferants and are extremely safe and water-soluble. They are easily absorbed by the body after having their initial desired effect. They work by causing cells to lose water, leading to cellular dehydration and then inflammation with its subsequent stimulation of the healing cascade.

Besides these general differences in the injections, the specific combinations of chemicals and substances used are as varied as the “schools” of Prolotherapy using them.

Some practitioners add co-factors, such as the antioxidant mineral manganese, zinc sulfate, or a combination of glucosamine sulfate and chondroitin sulfate which is believed to aid in the repair of arthritic joints. Some have preference for other co-factors believed to increase the efficacy of the compounds they are used with.

The above methods of Prolotherapy work in different ways to motivate the body to heal itself through a variety of natural responses—the end result is the same: To cure pain by building new tissue and stabilizing the joints.

What about Ozone gas and other growth factors?
Ozone gas I am told from my collegues who use it is a very good proliferate when used in Prolotherapy. I haven’t found that it (Prolozone) works anybetter than regular Prolotherapy, nor have I found that growth hormone when added to the injections works any better than the simple dextrose prolotherapy which works 80-90% of the time.

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Written by Dr. Marc Darrow, M.D.

To Learn More Call 1-800-REHAB10. As one of the leading prolotherapy practicioners, Dr. Marc Darrow, M.D. developed the Prolotherapy Institute to educate patients, their caregivers and the medical community about the benefits of Prolotherapy. Dr. Marc Darrow is a Board Certified Physiatrist specializing in Physical Medicine and Rehabilitation. He is also an Assistant Clinical Professor at University of California School of Medicine, Los Angeles, where he trained, and teaches Prolotherapy to the doctors in their residency training.

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  1. [...] collagen through a series of injections, not of collagen, but of mild chemical or natural (such as dextrose-sugar) irritants, which stimulates the immune system’s healing mechanism to produce collagen [...]



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Prolotherapy, PRP, AGE MANAGEMENT MEDICINE, and other modalities mentioned are medical techniques that may not be considered mainstream. As with any medical treatment, results will vary among individuals, and there is no implication that you will heal or receive the same outcome as patients herein. There could be pain or substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.
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