RITPROLO-DEFINED  

What is Regenerative Injection Therapy

     (RIT)/ Prolotherapy and PROLOZONE®?     


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1. RIT/PROLOTHERAPY AND PROLOZONE  are  methods of treatment that provides Long-term relief from pain.

 

2. Stimulates your body's own natural healing ability.

 

3. Significantly improves functions of daily living and

    restores your quality of life

 


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DEFINITION

MEDICATIONS

CONDITIONS

NUTRITION

QUESTIONS

TREATMENTS

joints

RIT/PROLO & PROLOZONE®

DEFINED

 

INJECTION

MEDICATIONS

 

 

LIST OF

PAINFUL

CONDITIONS

RIT/PROLO

TREATS

Nutrition

DELIVERY

FROM RIT/PROLO

 

PREVIOUS

QUESTIONS

WITH ANSWERS

 

AVERAGE NUMBER

OF TREATMENTS

AND TIME

TYPES OF JOINTS

 


 

DEFINITION OF RIT/PROLOTHERAPY & PROLOZONE®

 

                                                       Regenerative Injection Therapy/(RIT)

Is also known as prolotherapy or sclerotherapy is an interventional pain management technique that repetitively provides a mild neurolytic effect followed by a complex restorative process with biochemically induced collagen regeneration.

 

It is also called Reconstructive Therapy, It is a non-surgical ligament reconstruction that accelerates the rate of cartilage growth. This therapy is effective because it addresses and eliminates the

cause of chronic pain arising from connective tissue such as ligaments, tendons and cartilage.

 

It is an injection technique that has been shown to cause growth of cells and tissue to stabilize

and strengthen weakened joints, cartilage, ligaments and tendons. It rebuilds and strengthens

the complete joint structure even in patients with no cartilage. This therapy may eliminate the

need for joint replacement which usually takes three or more months to recover and

costs thousands. Some  family doctors prescribe pain killers, NSAIDs and Cortisone shots which

offer only temporary relief.

 

The term prolotherapy is derived from the word prolo, short for proliferation, as the therapy

is intended to proliferate tissue growth in the damaged area. This is also called Regenerative

Injection Therapy (RIT), since it is recognized that it extends beyond  the proliferative

stage-now understood as only the second stage of regenerative healing process.

 

The idea behind this therapy dates back more than 2000 years to Hippocrates, who used it to

treat soldiers with injured shoulders. Instead of injections Hippocrates used a hot poker, which

he speared into the shoulder joint, causing and stimulating the body to repair itself

of inflammation.

 

The injection is placed into the damaged ligament or tendon at the point where it attaches to

the bone. The injection produces an inflammation, which increases blood flow, swelling, and

pain. The body then launches a course of repair and healing.

1. The inflammation tricks the body into thinking another injury has occurred, so it sends

    in macrophages, which are cells that ingest and destroy the irritant solution. These cells

    clean up the area.

 

2. The body then sends in fibroblasts, which are cells that help build fibrous tissue. The

    fibroblasts excrete collagen, a protein that makes the ligaments denser and stronger.

   The  stronger ligaments provide more support for the joints and alleviates  the pain.

 

The new Prolotherapy by Dr. Robert Jay Rowen. (March 2009)

 

Prolotherapy has gone to a new and better level of pain relief and joint repair. This is a modification of Prolotherapy that provides outstanding proven results based on case studies.  The new technique was developed by Dr. Frank Shallenberger and is called:

                                                                                   PROLOZONE®

                                      Go to Dr. Shallenberger's website on the Links Page.

 

This procedure uses an oxygen/ozone gas mixture which directs oxidation to the affected painful area.  The affected area is anesthetized with procaine, a local anesthetic, vitamin B12 and folic acid is added to the procaine.  This combination stimulates the DNA of cells to start repairs to the damaged joint and relieves pain at once. Oxygen/ozone is the most critical nutrient for energy production and healing and is the magic ingredient in the new prolotherapy.

 

Dr. Robert Jay Rowan said the meniscus doesn't repair itself because cartilage does not have a

blood supply. It receives is oxygen and nutrients from the synovial fluid that baths the joints.

Nutrition must migrate in through osmosis. Very good results have been obtained by injection

ozone directly into the joint.

 

Ozone is a very active form of oxygen and it  stimulates cartilage growth and can stimulate damaged

articular cartilage back to reasonable function. The meniscus is a piece of cartilage between the

femur and tibia, not on the bone  surface.

 

Another approach is growth hormone which also stimulates cartilage growth.  Combine Ozone,

growth hormone and prolotherapy for joint problems have had  wonderful results according to my

colleagues.

"According to reports I have received, prolotherapy/ PROLOZONE®. has  helped joint mechanics

                                               almost no matter the underlying problem".

 

The ligaments and tendons produced after RIT/Prolotherapy appear much the same as normal tissue, except that they are thicker, stronger, and contain fibers of varying thickness, testifying to the new and on going creation of tissue which stimulates the natural healing process.

 

The injections stimulate blood vessel growth into tissues. This increases oxygen, nutrients

and growth factor delivery to the areas in the joint structure which facilitates healing.

 

In a double blind human study, in which neither the patients nor the researchers knew who were receiving the treatment, 88.5% of those injected with the reconstructive solution (RIT/Prolotherapy) showed improvement and the other study group showed

 0% improvement. It is a very conservative treatment and doesn't remove or replace parts or weakened areas of the body. There are no side effects such as possible blood clots or infection that sometimes occur with joint replacements. There is no downtime, usually the injections are done in the late afternoon and you can return to work or play the next day.

                                                                   (Source : from the internet)


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The Prolotherapy injection consist of the following medications

 

The following medications may be used as a single solution or in different combinations:

Dextrose, utilized in intravenous solutions, when injected into the ligament, produces a temporary

inflammatory response, causing specialized cells called fibroblasts to migrate to the injected site 

and produce new collagen (the protein found in ligaments).

 

Phenol, used in many inject able medications as a preservative to prevent the growth of bacteria,

also induces the growth of new collagen in connective tissue, and has some properties as a

long-lasting local anesthetic. Xylocaine, Marcaine and Lidocaine are local anesthetics.

Sodium morrhuate (a derivative of cod liver oil) stimulates collagen formation.

 

The PROLOZONE® injection consist of the following medications

 

Oxygen/ozone gas mixture instead of the prolo solution. The affected joint is anesthetized with procaine which is a local anesthetic.

B12 and folic acid is added to the procaine and this combination will stimulate the DNA of cells to jump into repair action faster and longer than other treatments.

Oxygen called ozone is the most critical nutrient for energy production and healing. It stimulates the cells to excrete waste material and promotes their ability to repair themselves and the tissues around them.

 

This makes PROLOZONE® a miracle healer as ozone is a powerful stimulant of

cellular growth factors such as Transforming Growth Factor Beta (TGF-B).

The full report can be found in Dr. Robert Jay Rowen's Second Opinion Newsletter March 2009 Vol. XIX NO 3.

              Dr. Frank Shallenberger's website can be found on the LINKS PAGE.


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                            list Of  painful conditions that have been successfully

treated with rit/prolotherapy

 

  •    Chronic pain from  sports, vehicle, home or work-related  injuries

  •    Neck, including (whip-lash), upper and lower Back, sacroiliac joint pain

  •    Shoulder (rotator cuff injury), tennis /golfer's elbow, wrist, hand, osteoarthritis, pain or tendinosus

  •    Hip, groin sprain, knee, foot or ankle pain 

  •    Complex Regional Pain Syndrome (CRPS, RSD)

  •    Degenerative Disc Disease in the neck, upper and lower back

  •    Cervicogenic headaches( coming from the neck)

  •    Myofascial pain syndromes

  •    Pain Persistent After Spine Surgery

  •    Piriformis Syndrome

  •    Sciatica and TMJ

  •    Spondylosis (Spinal Arthritis)

        Chronic pain sufferers may find relief with Regenerative  Injection Therapy (RIT), a treatment

        for injuries or headache, TMJ an other joints of the body. RIT/prolotherapy reduces chronic

        post-traumatic pain and prevents further  degeneration of connective tissue. Pain is a symptom

        and a number one reason people seek medical care. Any part in the human body is

        a potential source of pain. 

 

        Quite often the patterns of referral pain are complex, and it is not unusual that you may have

        more  than one cause of pain. 

       One of the reasons joints break down is osteoarthritis, which causes the cartilage in joints to

       degenerate and wear away. When this happens the joint bones begin to rub against each other

       which results in pain, inflammation and loss of mobility.

 

       Osteoarthritis commonly affects the hands, knees,  hips and feet. A number of factors

       increase  the risk of arthritis:

  •  Injuries early in life

  •  Obesity

  •  Genetics

  •  Imperfections in the cartilage

(Source: Ronald Blankstein, M.D.)


 

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  Nutrition Delivery of RIT/Prolotherapy

  • Prolotherapy stimulates your natural healing process. The injections stimulate blood vessel growth into tissues. This increases oxygen, nutrients and growth factor delivery to the areas. This process along with a  mechanical understanding of the tissues facilitates healing.

  • Each treatment session results in increased deposition of tissue in the needed areas. As a result, the joints continue to become stronger and more stabilized. Thus, the natural functions of the body are regained. Research has shown this therapy is capable of increasing strength and structure of ligaments and tendons 30-40% above normal. The frequency and number of injections depend upon the area, the individual, and the type of dysfunction or damage.

  • As Prolotherapy stimulates blood vessel growth into tissues, a unique opportunity to deliver a variety of essential nutrients to these areas develops. We now know that our Healing Ability, Immune Response, Cardiovascular System  and Metabolism are adversely affected by Nutrient Deficiency. The doctor may advise each patient to follow a healthy diet, refrain from smoking, drinking excessive alcohol and consuming drugs.


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                                                                 QUESTIONS WITH ANSWERS

 

       If I have pain in my back, arm or leg and  have been told that I have a

                        "herniated disc"  will  the treatment work?

       You may have a herniated disc. However herniation may not be the cause of your pain. Pain 

       may come from different sources of "referral pain" such as facet joints, ligaments, tendons,

       bursae, etc. It is essential to have a thorough examination complemented by local

       anesthetic injections to determine the cause of the pain.

 

                                                     Is there an age limit?

      There is no age limit. Teenagers as well as individuals in their 80's have been treated.

      The treatment may not be as effective forindividuals over the age of 65, especially if there

      are other serious medical problems.

 

                                             How long is each appointment?

      Initial evaluation is usually 1 to 1.5 hours in duration. Initial back or neck treatment takes 60 

      minutes, and subsequent treatments require about 30 to 40 minutes.

 

                                           How painful are the treatments?

      They are no more painful than injections you get from a dentist. For people who are

      hypersensitive the treatment may be done in three stages. As in a dentist's office, the skin is

      first numbed with a very tiny needle. Then the rest of  the deep structures are numbed with a

      local anesthetic. Can I take pain pills during the course of treatments? You can take extra

      strength Tylenol every 4 to 6 hours as needed, another pain killer maybe prescribed if

      something stronger is necessary.

 

                                     How much exercise may I do?

      You may start by gradually increasing the difficulty and length of the exercises. One of the most 

      important aspects of treatment is to use your neck, back, arm or leg to improve mobility and

      muscle tone. The exercises will become easier as the impaired tissues are gradually 

      strengthened by the  treatment. You will be shown simple, repetitive exercises for the neck

      or back.

 

      The exercises will help you regain full range of motion and ensure that the new collagen

      stimulated by the injections will become strong.

 

                                   Can I work the same day?

        Some patients prefer to have their treatment late in the afternoon so that they can work

      earlier in the day, before the injection,

      then return to work the next morning. The effects from the local  anesthesia may prevent

      you from driving for a few hours. Therefore, you may have to arrange a ride each time you

      have a treatment.

 

                               How many treatments are needed?

     Experience indicated that up to 80% of patients report significant pain relief and improved

     function after a minimum of 6 to 8 treatments to the lower back or neck.


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TIME AND NUMBER OF TREATMENTS

 

     To effectively cure most chronic pain, RIT/Prolotherapy takes on average three to six

    treatments. While some people receive outstanding results after one treatment, not all patients

    do. Chronic long standing pain or excessive damage to the affected joints

    may require a few visits.

 

    The typical inflammatory reaction with RIT/Prolotherapy generally follows a series of stages

    which occur over many months.

                 

                 The Initial stage - inflammatory stage which lasts about a week.  

                 Second Stage - Proliferative phase (where the word “Prolo” comes from, meaning to

                                             proliferate) which lasts for six weeks.

                 Final Stage - remodeling phase, which can take up to 18 months.  

 

    In regard to RIT/Prolotherapy, it is important to get treatment at about six weeks to maximize

    the effect of the inflammatory and proliferative phases of healing.  When a person gets treated

    more frequently as for the athlete in the middle of his/her season, there is no choice other than

    to use  really strong proliferans (cause more inflammation) so the inflammatory phase and

    proliferative phase are accelerated.   

 

    Without deep sleep, you lose your ability to repair damage to your joints because it is during

    deep sleep that our bodies secret human growth hormone, which helps connective tissues

    regenerate and repair. During deep sleep your body is at its peak repair cycle, and the human

    growth hormone  promotes the absorption of nutrients into your cells and aids healing. The

    result is immune cells are produced which are required for healing process.

 

                           RIT/PROLOTHERAPY WORKS BY INFLAMMATION - DON'T STOP IT!
   

    This means you should not be taking any anti-inflammatory or narcotic medications, which

    inhibit the immune system and inflammation. Tylenol, acetaminophen, muscle relaters, and

    Ultra are okay.  These help decrease pain, but do not inhibit the inflammatory response.  

    Herbs, enzymes and vitamins are also very helpful, but avoid ginger as this inhibits

    prostaglandin synthesis which is needed for proper inflammation.

 
    Do not engage in too much stretching or Yoga as to stretch the
ligaments inappropriately.

    If you are stretching and a joint (such as the knee or hip) is hurting, then you are probably

    stretching the ligament and thus, potentially undoing the Prolotherapy strengthening to the

    ligaments. Light stretching is fine. Certain exercises (those that avoid creating high impact

    or stress on recently treated ligaments) and massage are great after Prolotherapy. These

    loosen muscles without   stretching ligaments.

 
    For the person wanting to maximize the healing after RIT/Prolotherapy, it is essential to eat

    a healthy diet, which  includes up to eight glasses of water per day. The person getting a sugar

    load several times a day is walking around in an immunosuppressed state. The immune system

    is what proliferates the tissue  after RIT/Prolotherapy. So stop eating sugar and junk food

    and start eating healthy. It’s all part of the program. You need the building blocks to build

    new tissue.

 

                                                               (Source : from the internet)

              X-RAY PROOF THAT CARTILAGE WAS REGENERATED AFTER    

             RIT/PROLOTHERAPY   (Source : from the internet)

Click on the HOT BUTTON for a detailed explanation of types of joints, how joints provide movement and the role that cartilage, connective tissues and collagen fibers contributes to each joint structure. An explanation is included of how

RIT/prolotherapy will rebuild and strengthen each joint and relieve pain.


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