At Long Island Spine Rehabilitation Medicine, our dedication to nonsurgical pain management and restoration of function has led us to explore and offer a broad spectrum of treatment methods, including Prolotherapy. Through experience, we have become more and more convinced that our original premise was correct: doctors have to be open to complementary and innovative approaches to medicine, alongside traditional care, since responses to treatment differ widely from person to person. 

While one patient’s spinal or musculoskeletal condition may be majorly improved by physical therapy or various therapeutic injections, another patient with the same problem may be resistant to these treatments. This is why our practice offers so many options. If you are suffering pain and difficulty with mobility, why not make an appointment with one of our doctors to discuss the hope-inspiring possibilities?

What is Prolotherapy?

Prolotherapy is a newer regenerative medicine technique that uses an injectate of sterile dextrose solution to promote healing for a variety of musculoskeletal conditions. This solution essentially contains sugar and water, so no chemicals or steroids are involved.  Prolotherapy works to jumpstart the body’s own repair mechanism  and thus is a relatively low-risk procedure. We use Prolotherapy most often for disorders and injuries to tendons and various joint derangements and degenerative conditions. Prolotherapy injections are done with ultrasound-guidance to ensure the appropriate structures are accurately targeted. 

Before and After Prolotherapy

As with all medical procedures, we will have a consultation to discuss if Prolotherapy is right for you. There are certain contraindications to prolotherapy including active infections and gout. Due to the proliferative repair mechanism of action of Prolotherapy, it is recommended that you avoid NSAIDs for one week prior to the injection and for one week following your injection. Other medications such as blood thinners and tylenol can be continued. 

The most common side effects of Prolotherapy include injection site soreness and pain limited to several days following the procedure. In most cases, we recommend starting Physical Therapy 1-2 weeks after the injection. It may take a few weeks to start to feel the benefits of Prolotherapy. If you have relief from the injection, the procedure can be repeated in the appropriate clinical scenarios. 

Conditions Treated with Prolotherapy

Musculoskeletal conditions we can treat with Prolotherapy include:

-Hip, Knee, Shoulder, Ankle Osteoarthritis

-Medial and Lateral Epicondylitis (Tennis and Golfer’s elbow)

-Greater Trochanteric Pain Syndrome (Hip bursitis)

-Rotator Cuff Pathologies

-Plantar Fasciitis

-Achilles Tendinopathy

-And more


A consultation with Long Island Spine Rehabilitation Medicine spine and sports medicine specialists may be a life-changing experience. We know all too well how miserable it is to live with pain. That’s why we have committed ourselves to relieve our patients’ suffering by all means possible. Give us a call and come in to discuss whether Prolotherapy is the proper treatment for you.