Prolotherapy

Ligament laxity, or looseness, can allow excess joint movement. When this contributes to pain or a sense of giving way, prolotherapy may be considered with the goal of improving joint support and stability.

Potential benefits include less pain and more comfortable walking, lifting or exercise. Treatment may not help.

The diagnosis guides where the solution is placed. A plan may involve a joint, a tendon or ligament attachment, or several related sites.

Dr. Coon uses examination and relevant imaging to select the target. When ultrasound is used during treatment, it provides a view of the needle and nearby structures.

Therapeutic options may include rehabilitation, activity changes, medication, further testing or watchful waiting with reassessment. A surgical opinion may be appropriate when the diagnosis calls for it.

Corticosteroid can provide temporary symptom relief in selected situations. Its risks depend on the tissue and frequency of use, including potential effects on tendons or cartilage. Dr. Coon is cautious about recommending corticosteroid or surgery before weighing other appropriate options. He will explain when either may serve your goals so you can make an informed decision.

An unclear treatment target, a concern outside the practice’s scope or a health factor that makes a procedure unsafe may call for a different plan. Dr. Coon will explain the next step.

Temporary pain, stiffness or bruising can follow prolotherapy. Other possible risks include bleeding, infection, allergic reaction and injury to a nearby nerve or blood vessel.

Dr. Coon reviews medications, allergies, infection risk, bleeding concerns and other health factors before recommending treatment. Diabetes and medicines that affect bleeding or inflammation may require additional planning. Do not change medicines on your own.

Soreness can affect more than one site when several tendon or ligament attachments are treated. Dr. Coon will explain how to manage soreness and adjust exercise and the demands placed on the treated tissues.

Your aftercare instructions will include when to contact the clinic and a plan to reassess your progress.

Your evaluation lasts an hour and costs $400. Dr. Coon explains the separate procedure fee and any included follow-up before scheduling. Payment is due before or at the time of your visit or procedure. NOVA Regen is a self-pay practice and does not bill insurance.

See fees, insurance and payment options.

Dr. Coon will help you define goals you can assess, such as walking, gripping or exercising with less pain, and set a time to review your response.

If those goals are not being met, he will review the diagnosis, treatment target and other therapeutic options with you before recommending another procedure.