Have a question about prolotherapy?
If you have a question regarding prolotherapy and you would like to ask Dr. Gladstein. You can do so below. You never know, your question might even make it to Dr. Gladstein's website.

What is prolotherapy?
Prolotherapy (proliferative therapy), also known as ligament reconstructive therapy, is a recognized orthopedic procedure that non-surgically stimulates the body's natural healing processes to strengthen joints weakened by trauma or arthritis.

It is important for ligaments and tendons to be strong because they ensure bones and joints are properly held together. Joints weakened when ligaments and tendons are stretched, torn, or fragmented become hypermobile and painful.  Traditional approaches with anti-inflammatory drugs and surgery often fail to stabilize the joint and relieve pain permanently.

Prolotherapy directly addresses the cause of instability and repairs the weakened sites, resulting in permanent stabilization of the joint.  When precisely injected into the site of pain or injury, prolotherapy creates a mild, controlled inflammation which fuels the body to create new tendon or ligament fibers, resulting in a strengthening of the weakened structure.  When the joint becomes strong, pain will be relieved. (1)

Prolotherapy can also be used to treat joint hypermobility -- the inappropriate hinging of a joint – which causes excess movement, creating painful friction. Prolotherapy can help your pet heal him or herself in a simple and non-surgical way. It is useful for pets suffering from:

  • Arthritis
  • Hip Dysplasia and hip laxity and pain (DJD)
  • Anterior Cruciate injury (ACL) - ligament injury
  • Neck pain- back pain – spinal stenosis
  • Intervertibular disc disease
  • Chronic tendonitis- Elbow dysplasia
  • Sprained ankles and wrists
  • Partially torn tendons-anywhere in the body
  • Ligaments and cartilage

Dr. Gladstein often administers laser therapy as an added approach to help cure various ailments. It is particularly useful with geriatric dogs, especially when more invasive methods are not practical.

How does it work?
Prolotherapy uses natural proliferating agents and lidocaine to help your pet heal. The solution is injected into the afflicted ligament or tendon where it attaches to the bone. The solution increases the blood supply and flow of nutrients, which helps the tissue repair itself, stabilizing the joint and relieving pain.

It is important that prolotherapy be performed by a qualified practitioner. Dr. Gladstein has studied prolotherapy techniques with the renowned prolotherapists Dr. Roger L. DeHaan, and Dr. Scott Greenberg.

How long does it take?
Each pet responds differently to prolotherapy. On average, prolotherapy yields a positive response in one to three treatments. Some pets may require more sessions.

How can prolotherapy help my pet?
Prolotherapy is a non-surgical way to heal pets with chronic joint pain. It rebuilds and repairs injured connective tissue so that your pet can once again lead an active, pain-free, life.

Is prolotherapy a good alternative to surgery?
Yes. In many cases of knee injury, for instance, Prolotherapy can restore joint stability. Also, since prolotherapy is non-invasive, no painful and arduous physical rehabilitation is necessary.

What are some of the ailments that might be treated with prolotherapy?

  • Arthritis
  • Hip Dysplasia and hip laxity and pain (DJD)
  • Anterior Cruciate injury (ACL) - ligament injury
  • Neck pain- back pain – spinal stenosis
  • Intervertibular disc disease
  • Chronic tendonitis- Elbow dysplasia
  • Sprained ankles and wrists
  • Partially torn tendons-anywhere in the body
  • Ligaments and cartilage

Is it painful? How will my pet react?
Prolotherapy treatment is not considered a painful technique though some nervous or sensitive pets may need to be sedated or anesthetized prior to receiving their treatment. Following the treatment there may be some discomfort or soreness for a day or two. This is usually only at the injection site. It is advised that pets rest and perform minimal exercise for the next 24-hours until they fully recuperate.

Is it safe?
Prolotherapy is one of the safest therapies available when practiced by a competent prolotherapist. Side effects are rare. (The most typical side effect is temporary bruising and pain at the injection site.)

Dr. Gladstein - cutting edge therapies
Dr. Gladstein combines prolotherapy with the administration of “A Cell”(2). This is similar to stem cell repair, and can be administered in order to repopulate areas of ligaments and tendons that have degenerated beyond partial tears. Dr. Gladstein also administers acupuncture, electro-stimulation, ultrasound, and chiropractic/massage therapies to pets.

When surgery is necessary, rehabilitation with physical therapy is also necessary
Physical rehabilitation exercises can greatly and rapidly improve your pet’s health after surgery. If your pet undergoes surgery it is important that he or she begins physical therapy as soon as possible. The timely commencement of therapy engenders a shorter rehabilitation and recovery period by diminishing muscle atrophy and scar tissue formation. Rehabilitation is much more than putting a pet in an underwater treadmill; it is important that your pet have a wellness program specifically tailored to his or her unique physical limitations.

Footnotes:
From www.drmagaziner.com, the website of Dr Scott Greenberg, who has been performing prolotherapy on humans for more than ten years. Dr. Gladstein studied extensively with Dr. Greenberg to learn his successful techniques.

ACell’s MatriStemTM is a natural three-dimensional extracellular matrix (ECM) which provides an optimal environment for the body to regenerate site specific tissue. The body’s own progenitor stem cells migrate and attach to the MatriStemTM ECM which provides everything cells need to grow and regenerate, including different types of collagens and growth factors. ACell’s MatriStemTM products also contain naturally occurring anti-bacterial, anti-inflammatory and analgesic properties which facilitate healing.

“A Cell” are attenuated cells taken from a pig bladder. These cells accelerate and proliferate tendon growth. For more information, please see www.acell.com.

 
Dr. Babette Gladstein's Biography - Acupuncture - Ultrasound - Chiropractic & Massage - Dog Care - Prolotherapy - Laser Therapy
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Dr. Babette Gladstein, VMD : New York, NY