Dr. Christopher Kozura performs Prolotherapy for his patients who need this type of healing treatment, following assessment and diagnosis with a specific condition that prolotherapy is used for. For certain treatments, Dr. Christopher Kozura will use ultrasound guidance of needle to enhance therapeutic outcomes.
What is Prolotherapy? Prolotherapy is a highly effective method of treating chronic joint pain and dysfunction as well as ligament laxity, chronic tendon disease (tendonosis) and/or pain at the bone attachment of tendon or ligament (enthesis) by stimulating healing in damaged tendons, ligaments and other forms of connective tissue.
Classified as Regenerative Injection Technique (RIT) because an injection of natural solutions, not steroids (but sometimes in steroids like testosterone and human growth hormone are used but not in our practice) is directed at the injured ligament or tendon site to “regenerate” or stimulate the growth of healthy, strong tissue. It is a safe, cost-effective, scientifically proven.
What kind of pain or injuries can Prolotherapy help with? The most commonly treated pain is “arthritis or inflammation of joint,’’ but pain in any capacity outside of an acute injury is a candidate for this therapy. Arthritis is a large category of painful joint diseases, and the type that responds best to prolotherapy is osteoarthritis.This type of arthritis is also known as degenerative joint disease and develops from a joint being overstretched, torn or used repetitively. Ligaments hold bone to bone and create the stability for a joint to move without pain or inflammation, but when the ligaments—cable like structures—are weakened, they allow the joint to wobble, thus creating stress on all the joint structures and ultimately wear and tear along with weakness and pain.Osteoarthritis is characterized by stiffness, usually feels better with movement, has a deep ache sensation, will respond to anti-inflammatory medicine for a while and treatments such as massage and manipulation only feel better for a short period of time after performed to area.Another reasons for treatment with prolotherapy include post-injury pain.When an injury doesn’t correctly heal, there is irregular matrix of tissue or irregularity of the weaving of tissue back together, the body laid down and pain fibers in it that continue to fire.Prolotherapy helps to regenerate this area too.
Prolotherapy can help you if you have:
Ligament strain caused by poor posture or poor technique while doing any activity or practicing any sport.
Ligament not healing properly (Prevention of ligament healing caused by a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen taken for pain relief after an injury used chronically. NSAIDs inhibit some of the early chemical reactions in the inflammatory phase, particularly the production of prostaglandin E2. A lower prostaglandin level means fewer macrophages attracted to a wound. This inhibits the cascade of events that leads to proper healing of connective tissue.)
Decrease in collagen production in the inflammation and granulation phases of wound healing and tissue repair caused by inadequate protein intake or protein that is redirected to repair vital organs after a major accident or trauma.
Decrease in the blood supply to the injured tissue and in the quality of the repair process caused by smoking.
How does it work? Prolotherapy stimulates the body’s natural healing response by small injections of dextrose (corn sugar) at the site of the bone where the ligament grows, known as the fibro-osseous junction (Enthesis). As the fluid is released, and small holes in the ligament-bone junction are made, the body starts creating the wound healing. We have all sprained our ankles, and immediately felt the heat, seen the swelling and noted the throbbing sensation. This process is how the body will repair the over-stretched ligaments. With a good healing system, and no interference (anti-inflammatory medications, ice or prolonged immobility), the ankle will heal with little notice. This is the same process we use for prolotherapy—we recreate the injury, and give the body all it needs to heal. Obviously, we restrict the use of anti-inflammatory medications and ice.
Is Prolotherapy covered by insurance? Most health plans do not currently support the healing of the tissues with this regenerative injection therapy.
5122 25th Ave NE Seattle WA 98105 (206) 524-5088 fax (206) 524-5089 through 12/31/18