Prolotherapy (proliferative therapy)
Also known as ligament and tendon reconstruction therapy, and fibro-osseous injection therapy, is a recognized orthopedic procedure that stimulates the body’s natural healing processes to strengthen joints of spine and limbs weakened by traumatic or over-use injury.
When ligaments or tendon attachments are stretched , torn, or fragmented, joints become hypermobile and painful. Traditional approaches with surgery and anti-inflammatory drugs often fail to stabilized the joint and relieve this pain permanently.
Prolotherapy creates a healing inflammatory reaction that stimulates injured tissue cellular repair mechanisms and activates body’s production of stem cells and growth factors that are shuttles to the site of injury.
Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new fibrous tissues, resulting in permanent stabilization of the joint.
Back on the tennis court!
Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years! Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!
4 years of arthritic thumb pain.
It is like years have been erased since I had my last prolotherapy injection. The swelling and pain has disappeared. I am able to easily do the downward dog yoga position without any discomfort and I no longer ask for assistance with opening jars. I cannot recall the last time I grimaced at the wheel of the car while driving wishing the pain in my thumb joint would go away. It is difficult to imagine all the pain that I once had now that it is gone. I have highly recommended Dr. Kaplan’s Osteopathic Wellness program to friends who suffer from arthritis. I have tremendous respect for Dr. Kaplan and his commitment to wellness. I have been more than pleased with the care and surprised by the generous amount of time that he is able to commit to his patients.
Believer in Prolotherapy
Then I met Dr. Kaplan. After three Prolo Therapy treatments, I’m thrilled to report that I feel substantially better. The chronic pain is gone. My back feels stable for the first time in many years. Additionally, Dr. Kaplan’s bed-side manor, during the injections, was superb. The combination of Dr. Kaplan and Prolo Therapy has been the best thing to happen to my back in the past 35 years. I am a believer in Osteopathic Wellness Center of WNY, Dr. Kaplan and Prolo Therapy.
Paul Weber testimonial
Torn ribcage ligament.
One and a half years of chest pain.
I was in severe pain. Simple daily tasks were basically impossible. I tried massage therapy, physical therapy and chiropractic care with no relief. My quality of life was severely impacted. I could barely do anything; something as small as helping my wife carry in groceries was painful. It was extremely difficult as I was very active prior to this injury. Dr Kaplan informed me that I had torn a ligament connecting my left ribs to my sternum as a result of repetitive physical work. I received an injection of a concentrated sugar solution into the torn ligament with a procedure called prolotherapy from Dr Kaplan and began to feel immediate relief. I can now do all the physical things I have been avoiding for over a year. This
treatment has changed my life.
Life improving with each treatment.
In 2013 I was in an accident involving a tractor trailer and suffered from tissue damage to various parts of my body. I had chronic pain in my shoulder, swelling and chronic pain in my ankle, severe pain in the cervical area of my neck and nagging pain in my lower back. After 1 year of physiotherapy it was suggested I seek surgical help.
After only 2 treatments of prolotherapy, my shoulder has improved beyond my expectations. The pain has subsided considerably and I am no longer plagued with the severe aching. Also my range of motion is now 100%. I had a third treatment just yesterday and expect to have no pain soon. On my next visit we are going to address my neck and spinal injuries. I can't begin to describe how the pain affected not only my quality of life but also those around me. I feel very grateful to have found Dr Kaplan and his staff as I see my life improving with each treatment.
Diagnosed and treated when others couldn’t.
Prior visits to a hand specialist were ineffective and no options for treatment were offered except 2 rounds of X-rays (which kept coming back "still not broken") and the instruction to return in a month if it still wasn't better!
Dr. Kaplan performed an ultrasound and was able to diagnose the tear. And after a prolotherapy treatment, I am finally getting better!
Saved my trip to Europe.
A shout out to my favorite Dr!
Dr. Kaplan is the one that helped me to recover from my injury last spring. Last visit was the day before my trip to Europe. If I hadn't received such good care, I know my trip would have been affected!
This year as I start my journey to great health. Once again, Dr Kaplan is helping me through some heel issues so that I can keep going! I cannot recommend this practice highly enough!!!!!
Prolotherapy/sclerotherapy has been used successfully as early as 500 B.C. when Roman soldiers with shoulder joint dislocations were treated with hot branding irons to help fuse the torn ligaments in the shoulder joint. Advances in medicines greatly improved on this process, and led to the modern techniques of strengthening the fibrous tissue rather than producing scarring to fuse tissues. In 1926, a group of physicians met with great success using injection therapy to treat hernias and hemorrhoids. Earl Gedney, D.O., a well-known Orthopedist, decreased his surgical practice and began to inject joints with these newer injectible medicines in the 1940s and 1950s. Also, in 1950, George Stuart Hackett, M.D., wrote a book on injection therapy. His work is still used today in training physicians. In the years since this early work, techniques and medications have advanced to move from a scarring or fusing effect to a strengthening effect, which restores the weakened joint to its original level of stability, without loss of flexibility and function.
Hippocrates described vein sclerotherapy around 400 B.C. using “slender instruments of iron” to treat varicose veins causing vein ulcers. Injection sclerotherapy of veins was first reported in 1623, and modern forms of injection sclerotherapy for varicose veins and similar diseases has been performed since the early 1900’s. Refinements and clinical study over the past few decades have dramatically improved our understanding of vein sclerotherapy, and improved the results.
In a Journal of Complimentary Medicine in 2012, Dr Rabago and others published results of benefits of Prolotherapy injections containing Dextrose (concentrated sugar solution) for moderate to advanced osteoarthritis of the knee. The outcomes were compared to saline (sterile water) and physical therapy alone. The results were far superior for Prolotherapy in reduction of pain and improvement of function when compared to the other two interventions.
Dr Yeland and others published a study on benefits of Prolotherapy for chronic low back pain in a 2004 publication of the Spine journal.
Patients had on the average fourteen years of pain. Prolotherapy injections consisted of Dextrose/ Lidocaine and were compared to Saline alone. There was 50% improvement in both pain and function in the Prolotherapy group.
In 2014 at an annual Prolotherapy conference, Dr Young Kim, a Korean orthopedic spine surgeon reported his experience with 24 patients with severe cervical and low back pain and spinal nerve compression. He used a combination of PRP and Prolotherapy. He also reported greater then 50% improvement of pain and function.
In many cases there was a significant reduction of spinal cord compression after treatment: