Prolotherapy with PRP treatment for shoulder pain
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- เผยแพร่เมื่อ 7 พ.ค. 2013
- Danielle Steilen-Matias, MMS, PA-C performs Comprehensive PRP Prolotherapy for a patient with chronic shoulder pain due to recurring shoulder dislocations and a labral tear. If you have questions for Danielle about your case, please email us directly at info@caringmedical.com or call us at 239-308-4773.
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Caring Medical Florida is located in Fort Myers, Florida in the US. We treat patients who travel to our center from all around the globe, however, we do not treat all cases. If you are looking for our team to review your case and possibly see you in our center, you can contact us through www.caringmedical.com, call us at 239-308-4773, or email info@caringmedical.com.
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We wish you the best of health. Thanks for watching!
*DISCLAIMER: As with any medical treatment, no guarantees or claims of cures are made as to the extent of the response to treatment that every person experiences. The video represents only the featured person/people’s experience or opinion. Every therapy/treatment has patients who experience varying levels of success and failure. Results may not be the same from patient to patient, even with a similar diagnosis, as the body’s internal status is unique to each individual patient.
That’s looks great. All fine done without even using an ultra sound.
We do often use ultrasound to guide our treatments!
My dr just recommended this, I’ve had cortisone shots done before and my arm was hurting for about 3 days, some of the worst pain I had since my injury and this one looks to be about as much fun but after some research I think this might help with the chronic pain better, my other injection only lasted about a month, much less than the supposed 6 months of pain relief I was told I would have. So fingers crossed
My prolotherapist is using prozolone. But not as comprehensive at treating my bicep tendonitis and nerve irritation. I have had two injection therapies so far and much improvement. I have had bicep tendonitis for just short of 3 months now. Pain is more achy stiff pain than hot searing pain.Still some nerve irritation bit not as much. But amazing treatment l am seeing on this video. Very precise and professional.
So l had three sessions of prolotherapy now in the uk. It has helped. But it has not been a cure for my shoulder impingement. Still have scapula tightness aswell. I have done nearly four weeks of prescribed exercise but seems to have increased the pain and stiffness. Awaiting to have a scan done on my shoulder and arm. But l see the far superior treatment in Caring Medical that is lacking in the uk. I see that Danielle treated 90% more of the shoulder structures than l had done and l think that is key to her success. Rarely is it just one part of the shoulder as it is all interconnected. Thankyou Danielle, your treatments are far more advanced. Prescribed exercise is not helping either.
Thank you for the kind words Colin. Unfortunately, we hear this from a lot of our patients from the UK. We are praying for complete healing of your shoulder!
Hi Tony, Great questions! The average number of treatments for any given area is 3-6. Prolotherapy works to strengthen and rebuild damaged ligaments/sprained ligaments. You may want to check out some of our other videos on our channel which address more about dextrose Prolotherapy, ligaments, scar tissue, etc.. in greater detail. Also, if you have questions specifically about your case and coming in for an appointment, please email us directly to discuss privately. Take care for now.
Never seen or heard of this being done without guidance of ultrasound. I hope she's really good
Hi MrMojo, Thanks for the observation. Hackett-Hemwall Prolotherapy was originally done without ultrasound guidance. It is anatomically guided, meaning the practitioner uses anatomical landmarks to guide where the injections need to go. We do use ultrasound in our practice every day for both diagnostic and treatment guidance. Another form of guidance is fluoroscopy which we use in our office. Depending on the case and joint being treated, there can be a variety of preferred techniques to guide the injections. We discuss this in some other videos, including this one: th-cam.com/video/5iloAVNSXm8/w-d-xo.html Hope it helps in any way. Wish you all the best in health!
Hi Tony, Thanks for the honest post. Yes, getting Prolotherapy can be painful. But for a couple minutes of flinching compared to living with chronic pain and disability for years, surgery, pain pills, etc.. our patients prefer this treatment. For some, there are oral meds to take the edge off . But most people do not need to take anything, such as this patient who was actually laughing during part of the treatment (can be seen in the video) while carrying on with the PA and RN in the room. :)
Hi doctor I had prp for supraspinatus tendinopathy when do you recommend to do rehab expercises(physical therapy )
How many session for an average ligament injury?
How does this treatment work physiologicaly om sprains?
Ligamenys have low blood supply, does this treatment break scar tissue?
Hi Danielle;
Two questions;
1) Can you use PRP or Prolotherapy in more than one location during a session (ie. both shoulders, or one shoulder; one hip) or does this effect the immune system by limiting the ability to heal optimally?
2) Does the use of PRP require an ultrasound for locating the specific injury or can it be used more generally, or does this depend on the type of injury?
Where can I find a medical facility in NJ that will do PRP therapy?
Is PRP and prolotherapy used for tears/strains to the subscapularis and supraspinatus muscles? If anyone with those injuries has personal testimonials that this procedure worked for them, any feedback is much appreciated!
How painfully is .. I’m thinking to get this done on my ac join
How many cc's of PRP did you use on the shoulder? How many PRP injected sites?
How many cc's of regular prolo? Why less PRP than regular prolo?
Hi redtroika, these are detailed questions that can change from patient to patient as far as if all the PRP is used in the joint or additionally around the joint, or if it is divided among two joints, etc... Comprehensive dextrose Prolotherapy is always the base of what we do because we want to treat the whole joint, not just do a one or two shot PRP treatment that does not help with the overall joint stability. What we try to show in all of our video examples is that there are many injections done, not just a few, and follow the traditional Hackett-Hemwall technique. Take care.
Do you use some kind of guide to see where you are injecting the therapy? rx or ultrasound ?
Hi Vanessa - great question! We do use ultrasound when treating some patients, however the decision to use ultrasound guidance is based on the needs of the individual patient and is not a rule for all!
How long will these injections last for the pain? 1 week, a month? 🤷🏻♀️TIA for your reply....👍🏼☺️
Hi McCrister, Prolotherapy stimulates the body to repair the area for the long-term. The tissue repair happens over the weeks and months following treatment and stays that way unless a new injury happens. It is not like a drug that would wear off. It's combined with exercise, good posture, healthy habits, etc for maximum efficacy and the person just goes on to have a normal life. The body has amazing healing capabilities, it just needs the right stimulus and environment.
Caring Medical Regenerative Medicine Clinics Thank you for your prompt reply...Really appreciated! 🙏🏼❤️🙂
Hi, can u please tell me, does it work for migraine headache..? can i take this treatment foe my headpain..?
Hi Goku KN- Thanks for the question, yes, that is probably the number one reason patients see us in our head and neck center. We specialize in Prolotherapy for the cervical spine. You may want to check out more of our cervical instability videos or webinars in our playlists. th-cam.com/video/Hi8Xb8SK0RQ/w-d-xo.html
Our team would be happy to review your case in more detail as well, if you wanted our team to see you here for help. Take care.
Has anyone had any success repairing a grade 2 ligament fracture to AC joint with this procedure?
Hi Danger Pig, are you referring to a ligament tear or a bone fracture? If this is something you are dealing with and would like us to review your case and imaging reports in more detail, we'd be happy to help and see if you sound like a good candidate for our clinics. We help a lot of different types of shoulder conditions, including ligament and tendon tears and post-fracture pain. Wish you all the best in health.
What is the average price for this type of therapy?
+Juan Lopez Hi Juan, Prolotherapy ranges in the hundreds of dollars (versus thousands), depending on the area being treated. Our prices are all listed on our website: www.caringmedical.com. Please feel free to reach out to us from there and we'll get to know more about your case and see how we can help you. Thanks for your question.
I don't have pain but alot of popping (maybe nerve damage/inflamation) would PRP help with the popping / instability?
Hi Oscar- Good question. Most of the time PRP by itself is just done to a specific area where there is a tear or into the joint, and dextrose Prolotherapy is the solution that is more peppered through the ligaments that hold the joint together to try and stabilize it and overcome that popping/instability aspect. We do not use PRP as a standalone solution because most often patients have situations like what you're describing, there is an underlying instability that is the cause. If you feel that you'd like our team to potentially see you here in our center in Fort Myers, FL as a patient, you're welcome to reach out to us directly. We wish you all the best in healing your shoulder!
What is the cost for the Prolotherapy & PRP?
It really depends on the area of treatment but PRP added to any area is $600 - we have our pricing and services available on our website if you'd like to look there for more specifics caringmedical.com/for-patients/pricing-and-payment-policies/
You said the patient had a labrum tear but injected most of the prp right into the AC joint. If I have a labrum tear, will injecting right into the joint work? If not, what equipment is needed to target the larbum? Is ultrasound enough or you also need X-ray and contrast etc.
Hi Raw, Yes, good question, we do use ultrasound in many labral tear cases during the exam as well as during treatment. It is not just a matter of injecting the PRP though, and we discuss this in more detail in some other videos, but tearing the labrum also means the other structures around the labrum have been affected, for any force great enough to tear the labrum would indicate. So, treating the surrounding structures is important for the overall stability of the shoulder as well.
Why are u not using an ultrasound imaging cos i think you are only supposed to inject that in the exact area where the damaged is located.
Hi Ed M, Thanks for the question. We do use ultrasound and fluoroscopic guidance in our practice every day as well. There are a variety of Prolotherapy methods that we demonstrate them in our videos. The oldest and most widely used method of Prolotherapy uses anatomical landmarks, which is what is being done here. Take care, Ed M.
Lady you need to use ultrasound way better for the patient
Hi Vic Vidal, Thanks for sharing your opinion on that. PA Danielle is excellent with ultrasound and uses it for many treatments. This is just an example of a treatment done via anatomical landmarks only. Wish you all the best in health.
Can you mix prolotherapy with prp or do you have to wait weeks apart ? Say 1or 2 weeks apart
Hi Christopher, As in this treatment in the video, the traditional dextrose Prolotherapy solution and PRP solution are being done together.
Ouch
ouch hate niddles sucks if that's what I need done 🙄😩
Hi Eliseo, Thanks for the honest comment. We understand. No one likes needles. It can be painful to get a comprehensive Prolotherapy treatment, versus a single shot, but the good part is most people do better at handling it than they thought. Our patients feel the results are worth a couple minutes of the treatment, especially if it can save them from surgery, restore their function, and eliminate the daily pain that they live with (as the consequences of living in chronic pain are far-reaching). Wish you all the best and if you would like our team to review your case and see if you are a good candidate for our clinics, we'd love to help you!
This looks too painful
Ikr😑
Looks like torture.
When I saw her never even bother to aspirate before injecting the solution, I just immediately stop watching the video. Scary!
wtf!!!!
Brutal
കുത്തി കുത്തി ചോര വരുത്തി പാടില്ല
What a butcher.
To graphic for me. She injected him like he will become a human strainer.
That looks painful I’m 😅about to have my prp injection in two weeks
Hi Sonny!! It is definitely uncomfortable but not unbearable. Think about why you are doing it - wishing you the best of luck and praying for your healing!