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|New Jersey Prolotherapy
|Dr. Silberman specializes in regenerative injections, prolotherapy injection
therapy for joint, tendon, muscle, nerve and ligament injuries. Dr. Silberman
trained under one of the pioneers in the field of regenerative medicine, Dr. Brian
Shiple, while a fellow at the Crozer Chester Medical Center Sports Medicine
What is prolotherapy or prolo?
Prolotherapy or prolo is a treatment where a solution, most commonly dextrose, is
injected multiple times and in multiple locations into unhealthy ligament, tendon, muscle or
joint to stimulate a local inflammatory response. Your body then induces a healing
response through its own production of growth factors and other nutrients. New tissue
may form where it was once damaged.
"Prolo" is short for proliferation and is derived from 'proli' which means to regenerate.
Pharmaceutical companies are currently developing growth factors for injection.
Conditions Dr. Silberman may treat with Prolotherapy:
Tennis Elbow (lateral epicondylitis), Tears and Tendonosis
Rotator Cuff Tendonosis and Rotator Cuff Tears
Patella or Quadriceps Tendonosis and Tears (jumpers knee or runners knee)
Achilles Tendonosis, Achilles Tears
Plantar Fasciitis or Fasciosis (heel pain)
Hamstring and Quadriceps and Gastrocnemius Calf Muscle Tears
Chronic and Acute ligament sprains
Osteochondral cartilage joint injuries
What to expect?
Your skin will be numbed with lidocaine as for a usual cortisone injection. A solution of
dextrose will be injected in multiple sites. A local reaction will occur whereby you may
be sore for a day or so. Pain medication may be prescribed. The process may be
repeated every 2 weeks for up to 6 to 8 weeks before evaluation for success.
What is the cost of prolotherapy?
The cost of one prolotherapy injection therapy is $250. It is not covered by insurance.
Is prolotherapy for everyone?
No. I have seen many athletes and patients come from other locations treated with
prolotherapy, ozone, stem cells, and/or PRP when they should not have been treated
with these out of pocket treatments. Be wary of web site testimonials as they do not
Other injection therapies that Dr. Silberman may discuss with you:
Cortisone - covered by insurance
Viscosupplementation (Synvisc) - covered by insurance
PRP or Platelet Rich Plasma Therapy - not covered by insurance
Lipoaspirate or Bone Marrow Aspirate Stem Cell Injection - not covered by insurance
Tenotomy or Percutaneous Needling - covered by insurance
Nerve Blocks - covered by insurance
Botox - sometimes covered by insurance
Prolotherapy: Under-Recognized Treatment for Osteoarthritis Pain
Consent Form After Care Instructions
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