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| Prolotherapy |
| What is prolotherapy? Prolotherapy is a treatment where a solution, most commonly dextrose, is injected into unhealthy ligament, tendon, 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 is then formed 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) Plantar Fascitis (heel pain) Chronic ligament sprains Arthritis (knee, great toe, fingers) What to expect? Your skin will be numbed with lidocaine as for a usual cortisone injection. A solution of dextrose will be injected. 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 3 weeks for up to 12 weeks before evaluation for success. Link for more information: www.drreevesonline.com NY Times News Article, August 7, 2007 Consent Form After Care Instructions |

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