Prolotherapy

The proliferation therapy, also known as sclerotherapy or prolotherapy, English: stimulated ligament repair (SLR ), a method from the field of Neuraltherapien in which irritating substances ( " Proliferantien " ) such as concentrated sugar solution are injected under the skin, to promote healing of connective tissue. First publications date from the 1930s. There is little scientific evidence for the effectiveness of the method at each painful disorders of the musculoskeletal system, such as in tennis elbow. For chronic back pain, there is probably no benefit. On the other hand, the injections are not completely safe. Wide acceptance has not reached the method.

Mechanism of Action

From Users of alternative medicine is postulated that overburdened collagenous bands in hypermobile joints and spine sections cause painful radiations ( referred pain by Hackett ). The over movable sections should also tend to have blockages. The proliferation therapy is to strengthen the ligaments and stabilize.

Procedure

The relaxation of a segment are palpated by an experienced examiner in the proliferative therapy, the affected band are identified by functional tests and pressure pain. X-ray or MRI scans to exclude other diagnoses are occasionally required. To confirm the assignment of the pain to the affected bands, analgesic test injections can be done first. Then the actual treatment solution, for example concentrated glucose solution was injected ( Glucose 40%) together with a local anesthetic (e.g., mepivacaine ) in or on all bands on the movable segment. At intervals of 1-2 weeks, a total of about three treatments are carried out.

Before and after the proliferation syringes should be taken of the user of this method does not consider pain killers, because this would cancel out the desired stimulus. During the series of treatments the patient should be accompanied krankengymnastisch, but without mobilizing ( segmental loosening ) exercises. Tense and tense muscles can be relaxed, the vortex should not be moved.

Sources and References

  • "Joint ligament relaxation Treated by Fibro - osseus proliferation ", Second Edition. George S. Hackett, Charles C. Thomas, Publisher, Illinois, USA 1957
  • "Handbook of proliferation therapy - therapy concepts in instability of the spine and peripheral joints ," Dr. J. Weingart, Haug Verlag 2002, ISBN 3-8304-7150-5
  • Therapeutic process in alternative medicine
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