The Prolotherapy solution I use is very simple:
* 9ml 25% glucose
* 1ml 1% lignocaine
This results in a solution of 22% glucose and 0.1% lignocaine
* 1% lignocaine is used for anaesthetising the skin if necessary.
A more powerful solution was developed by Ongley after researching 200 solutions on rabbit ligaments. It has a combination of glucose, glycerine and very weak phenol. The glucose and lignocaine solution has the advantage of incredible safety.
In a survey of 95 practitioners using prolotherapy on an estimated 495,000 patients since the 1950s (344,000 in the low back, 98,000 in other areas of the spine, and 27% had peripheral joint treatments) there were 66 minor complications including 14 allergic reactions and 29 pneumothoraces, 2 of which needed chest tubes. There were 14 major complications which needed hospitalisation – this included the 2 cases of pneumothorax with chest tube) or transient or permanent nerve damage. No deaths or major paralyses were reported. (Dorman 1993 J Orthopaedic Med;15:49-50)
For doctors with experience in musculoskeletal medicine and orthopaedics, please try it on a simple area eg chronic sprained lateral ankle ligaments. 0.5cc to the tender insertions of the ligaments on the fibula and calcaneus. In 1-3 treatments there should be a great improvement. I urge you to do a workshop as there is a wealth of technique that can be learned in the more complicated areas, especially how to inject safely without using imaging.
For further information on our services, please contact us on (02) 4937 5177.