What other treatments support regeneration?

What about chiropractic manipulation during prolo?

Adjunctive treatments are often required during the course of regenerative treatment. Chiropractic manipulation, myofascial release, trigger point injections, massage, ultrasound, and electro stimulation all have a place in the course of regeneration. Athletic and traumatic injury, as well as degenerative osteoarthritis, can cause cervical, lumbar, costovertebral, and sacroiliac instability. Stabilization of these joints through treatment of ligamentous laxity is the primary goal of regenerative therapies. Unlike muscle tissue, exercise cannot build, strengthen, or repair ligaments or tendons. Prolotherapy injections have been shown to increase the size of tendons and ligaments up to 40%, and to increase their tensile strength by as much as 200%. Often, vertebral segments immediately above and below the hyper mobile segments are fixated or subluxed, and specific mobilization of these segments will support regeneration. Fixated segments force the adjacent unstable ligaments to overcompensate and become more unstable, over stretched, and lax. These patients are routinely referred back to their treating chiropractic physician for manipulative therapies when facet fixation is contributing to the disability. Manipulation of the specific hypermobile and unstable segments during the course of prolotherapy may be contraindicated.