After Your Prolotherapy Treatment

After your injection treatment and the local anesthetic has worn off, there will be some stiffness and soreness in the region treated. There may also be fullness and swelling in the area due to the volume of proliferative solution injected. Hematomas (deep bruising) are common and are considered to enhance the release of tissue growth factors at the site of injection. Remember, the injections trigger an inflammatory reaction, which starts the tissue bonding process and stimulates the migration of tissue repair cells (fibroblasts) to the affected area. The enzyme Bromelain may be used to reduce swelling during this phase if necessary (3 capsules 4X daily, between meals).

For the first six hours you may apply an ice pack or a pack of frozen peas to any painful area, but after that only apply heat. Heat will increase circulation and promote healing. Only use ice if absolutely necessary.

Between 2- 14 days you may experience a “peak” reaction, when the severity of the pain is worse than before treatment. This is due to the inflammatory process and is actually a good sign. The “peak” is followed by a progressive easing of pain as the healing process continues. By your second treatment, pain is usually less than it was originally, and the trigger points will be less tender when you are re-examined prior to your next prolotherapy injections.

Start gentle stretching the same day as your treatment, and begin moderate exercise the next day. Continue to exercise daily.

It is essential that you discontinue all anti-inflammatory drugs, including Ibuprofen (Advil, Motrin), Naproxen (Aleve), Aspirin (continue 81 mg Aspirin if prescribed for your heart) and other NSAIDS. These drugs actually suppress normal tissue repair processes and inhibit collagen synthesis.

Eat nutritious foods; avoid alcohol, sugar, and saturated fats.

Avoid chiropractic treatments to the spinal areas treated. If manipulative treatments are necessary, contact the office and you will be evaluated.

In summary:

You may use ice for the first 6 hours, then switch to heat. only. Heat is preferred
Do not take anti-inflammatory drugs.
Stretch and exercise daily.
No heavy lifting for 4 weeks (limit 10 lbs).
No adjustments to the area treated.
Eat nutritious foods, avoid alcohol.

If you have questions, call the office at 503 636-2734.

Revised November 2006