Interventional Orthopedics of Washington

Otoño Silva, MD

Physiatrist specializing in Orthopedic Regenerative Medicine located in Bellevue, WA


You know that chronic stress can lead to disease and disability, but did you know that acute stress can sometimes help you heal? Prolotherapy is a unique injectable treatment that stimulates a healing response in soft-tissue such as tendon or ligament by creating acute stress or irritation at the site. If you have acute or chronic joint pain or soft-tissue injuries, contact Interventional Orthopedics of Washington today to find out if prolotherapy is right for you.

Prolotherapy Q & A

What is prolotherapy?

Prolotherapy (also known as proliferative therapy) is an alternative treatment that’s been in use since at least the 1930s. Prolotherapy is one of the earliest forms of regenerative medicine and works by stimulating your body to heal itself. Dr. Silva administers prolotherapy by injecting your soft tissues with a solution made from one or more of the following ingredients:

  • Dextrose — a form of sugar
  • Saline — salt water
  • Ropivicaine anesthetic
  • Plasma
  • And more

Dr. Silva uses ultrasound or x-ray guidance to direct prolotherapy precisely into injured tissues.

How does prolotherapy stimulate healing?

The prolotherapy solution and injection technique acts to create a micro injury to tendons and ligaments. This causes a mild inflammatory response that stimulates your body to repair the injured tissues. This can reduce pain, improve chronic inflammation, and stabilize joints by tightening ligaments.

What conditions can prolotherapy treat?

Prolotherapy can be used to repair and regrow damaged tendons and ligaments and thereby stabilize joints and reduce or eliminate pain.

Dr. Silva can recommend prolotherapy to treat common conditions and injuries including, but not limited to:

  • Degenerative disc disease
  • Osteoarthritis
  • Rotator cuff tears
  • Neck and back pain
  • An unstable ankle
  • Tennis elbow
  • Plantar fasciitis

You might need a series of 3-6 treatments to significantly rebuild tissues. Dr. Silva recommends leaving at least one to 2 weeks between each treatment.

When you have a sprain, strain, or joint pain, Dr. Silva conducts a thorough physical exam to determine the source of your pain. He might need to make ultrasound or other imaging studies to determine if you’re a candidate for prolotherapy. Based on his findings, he designs a treatment that’s best for you.

To find out if you can benefit from treating your soft-tissue and joint injuries with prolotherapy, contact Interventional Orthopedics of Washington today by phone or using the “Book Appointment” button.

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