Prolotherapy

Dr. Casañas has been extensively trained in prolotherapy which is essentially an injection technique using natural substances that cause the growth and proliferation of new ligament and tendon cells that have become weakened as a result of tautness on the opposite side or some kind of asymmetric derangement.

Dr. Casañas generally uses a super-concentrated sugar solution (which should cause no side effects) for these purposes. In essence, this leads to stimulating the tissue to heal itself and ultimately producing new collagen formation to bind up the dysfunctional tendons and ligaments that have been hurting and otherwise flaccid. Generally those areas are around the axial skeleton, although they may also be located in the peripheral joints as well.

In most instances, physicians may inject an anti-inflammatory substance such as Triamcinolone or some other anti-inflammatory such as would be used in trigger point injections; however, in prolotherapy, the substance utilized is a pro-inflammatory substance which will aid the body in generating itself, but not necessarily ameliorate symptoms, but rather aim for long term cure and strengthening of the tissue. Generally after a patient has tried these types of anti-inflammatory injections to seek acute and immediate relief of pain, and there is considerable long-term dysfunction involved, prolotherapy may be useful. In addition, patients with “failed back surgery syndrome” may also be candidates for prolotherapy. These injections, unlike nerve block injections, are not given directly into the nerve, but rather into the soft tissue structures and do not substitute for proper investigation and surgical referral if necessary for anyone with severe untreated pain.

Patients who can be helped by prolotherapy include those with conditions related to migraines, fibromyalgia, sports injuries, tendonitis, sciatica, herniated disc conditions, bursitis, and back pain in general. Treatment requires a session of injections spaced closely together and repeat sessions that are usually given six weeks apart with a total series of about three sessions.