Hello, I’m Dr. Hong, an orthopedic surgeon.
Among those watching this video, I went to the hospital because I was sick, and I’m sure some of you have been advised to get an injection of Prolo at least once or have already been given it several times. I also give prolo injections when needed in an outpatient setting, but despite the fact that the price of prolo injection treatment is never cheap, there are many people who do not know how this treatment works and what parts of the body it is good for, and there are many people who receive treatment blindly. .
In addition, in some hospitals, this prolotherapy is When as if it were a cure for everythingBecause there is also, you can’t help but be more confused.
So in this video ‘Expensive injections, let’s get it right!’In the first part of the tutorial, I will explain in detail how the treatment for Prolo Injection is performed and who will benefit from such treatment.
First of all, you should know what prolotherapy is. Basically Prolotherapy is a treatment method that restores damaged ligaments and tendons.no see.
Ligaments are attached between bones and play a role in stabilizing the joint. Tendons are the parts that connect muscles to bones and are responsible for moving joints. These ligaments and tendons can be damaged for a variety of reasons. You may be injured by falling or twisting. In some cases, degenerative damage is caused by stretching and wearing out over a long period of time.
However, if the damaged ligaments and tendons are restored to their original state, there will be no symptoms such as pain or discomfort.
However, ligaments and tendons do not have good blood circulation, Fibroblasts, which are essential for tissue regeneration, are very lacking.Because of this, the joint is often used in an incompletely restored state that does not heal well as it was originally.
In this case, instability occurs secondary to the joint area in charge of the damaged ligament and tendon area. It can cause chronic pain.
Prolo treatment restores these incompletely repaired ligaments and tendons to their original state. Treatments to reduce chronic painno see.
So, I’ll show you how Prolotherapy restores ligaments and tendons. When you think of injection therapy, what comes to mind the most? ‘Steroid injection’it would be
Steroids quickly reduce inflammation in our body, so as the inflammation is reduced, the pain caused by it is also reduced, and it is the principle of treatment.
treatment with prolotherapyis this Opposite to steroid injectionsno see.
Inflammation occurs by injecting a substance that stimulates the ligaments and tendons that have been damaged for a long time, and various cellular activities occur in our body to eliminate this new inflammation. These cellular activities also reduce inflammation, but at the same time Restoring weakened ligaments and tendonswill also be together.
This picture shows the three stages of recovery when our body is damaged.
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These three steps proceed in order. These three steps must precede the previous step, but the next step proceeds. If you temporarily increase inflammation by stimulating the ligaments or tendons that have been unsafely recovered with Prolo injection, our body can reduce the inflammation. inflammatory reactionwill start.
And as time passes and the inflammation diminishes, the process of regeneration of ligaments and tendons begins as the proliferative phase begins to repair the damaged area. after that As it goes through the remodeling phase, the ligaments and tendons recover more completely.can be.
So, in what cases should I be treated with this kind of prolotherapy for good results?
As I said before, prolotherapy is a treatment for areas that are not recovering well. Rather, it is a treatment method that causes inflammation and aids recovery.no see. Therefore, good results can be obtained by treating the areas with chronically damaged ligaments and tendons that do not recover well.
For example, caused by using the elbow for a long time, tennis elbowme golf elbow and People who often sprain their ankles.
In addition, the ligaments and tendons of joints such as the shoulder, knee, and finger have been injured for a long time, but they do not recover well. If you have chronic pain, this prolotherapy is very effective.can be days.
However, if you look at the advertisements for prolotherapy, it is said that it is effective for herniated discs and knee arthritis. In fact, there are a lot of people who are receiving treatment with prolotherapy for knee or back pain. In this case, the treatment you must know is that prolotherapy is a treatment that restores weakened ligaments and tendons, not a treatment that regenerates the cartilage of the knee or regenerates a damaged disc.
If so, why “It doesn’t even restore the knee cartilage and disc, so do you treat it with this kind of prole?” The reason is that the knee cartilage and lumbar disc in our body are mostly degenerative damage caused by long-term use.
If the joint wears out and gets damaged by using it for a long time, it puts excessive strain on the ligaments and tendons around the knee or lower back, and if this part is chronically damaged, it can be another cause of pain.
So, prolotherapy for knee arthritis or herniated disc is to strengthen the ligaments or tendons around the joint to reduce the pain caused here.
Therefore, structurally damaged cartilage or discs cannot be regenerated with prolotherapy, but other treatment methods must be used in parallel to see better results. So, considering various aspects such as the principle and cost of this treatment, I will tell you what kind of patients I think are helpful for prolotherapy.
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In case of a sudden injury, our body is in the process of normal recovery, so it can heal itself to some extent without prompt treatment with prolotherapy. So at least right after the injury If you say that there is no improvement in symptoms even after 3 or 4 weeksIn this Consider prolotherapyYou can try it.
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As I said before, prolotherapy restores ligaments and tendons. It is not a treatment method that restores other cartilage or discs.
That is why in these degenerative diseases, when I was treated with Prolo, I paid a lot of money and got several injections, but there are many cases where the treatment effect is less than I expected. So, rather than having too high expectations from the beginning, think of it as one of the treatment methods that control my symptoms like other treatments, and if you do not get completely better with this treatment, but your symptoms improve a little “I need to strengthen the muscles around my back and knees by doing exercise in parallel, so that my symptoms can improve.” If you go to treatment with this mindset, I think you will get better results.
So, let’s see what drugs are used to treat prolotherapy. There are a lot of different drugs out there.
basically Very high concentration of glucose, about 15%second useI will do Nowadays, there are cases where various substances other than high concentration of glucose such as DNA, collagen, stem cells, and PRP are used. Although the recovery principle for each component is slightly different, the basic principle is the same as prolotherapy.
The drugs used for prolotherapy do not contain any drug ingredients, such as steroid injections, but help the damaged area to recover. Use of substances that are harmless to the human bodyBecause this A very big advantage is that there are few side effects from injection drugs.no see.
then What are the advantages of prolo injections? Not necessarily!
The main drawback is that the injection is temporary. that may cause more painIt is. As I said before, injection treatment in the damaged area temporarily causes more inflammation, so this inflammation goes into the proliferative phase. The pain may be temporarily worse for 3 to 5 days. Another disadvantage is the need for multiple injections.
It would be nice if the damaged ligaments and tendons recover completely once they become inflamed, but in fact, such cases are very rare.
In order to completely recover the damaged ligaments and tendons, it is necessary to create a process that causes inflammation and recovery by giving continuous stimulation. You should receive at least 3 to 4 injections at weekly intervals.
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Since it is an uninsured treatment that is not covered by health insurance, the price for each treatment may vary slightly at each hospital, and in general, Disadvantages of being expensiveThere is.
And there are a few things to keep in mind when receiving treatment with this prolo.
FirstLaw got a shot of prolo, he said he was sick You should never take painkillers. You should take an antipyretic analgesic such as Tylenol.
The principle of prolotherapy is to create a process that causes more inflammation so that our body can repair itself. If you take an analgesic and anti-inflammatory drug because it hurts after an injection, it may interfere with treatment because the inflammatory reaction period that occurs in the first place is not produced well. So, if you have been treated with Prolo and have discomfort due to pain, you should take an antipyretic analgesic, not an analgesic and anti-inflammatory.
SecondAfter injection treatment, that you need to rest for a few daysno see.
The inflamed area due to prolo injection is bound to be temporarily weakened. In this case, if you use it forcibly, it may cause more pain, and it may adversely affect the treatment because it gives excessive stimulation to the temporarily weakened ligaments and tendons. Therefore, if you have been treated with prolotherapy, it may be helpful to use as little as possible and get enough rest.
If you pay attention only to these points, I think you will be able to see a very good effect in prolotherapy.
In this video, we learned about prolotherapy, which is one of the most expensive treatments used recently. Although it is expensive and has various drawbacks, if you do not like injections that contain drugs such as steroids, and you are looking for a self-healing treatment method, I think this prolotherapy is one of the best options.
Today’s video is here. If you have any questions, please leave them in the comments below and I will try to answer them as quickly as possible. Then I’ll see you in the next video.
This copyright-protected content was produced with permission from the YouTube channel Dr. Hong (OS Dr.Hong).
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