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Person clutching knee outdoorsPatient Testimonial from February, 11, 2014:

“I was within 3 months of having surgery on my lumbar region (L2-L5) when I heard about prolotherapy.  The first time I tried it, it worked only partially.  It took care of the pain and stiffness on the left side of my back, but I could still feel a fair amount of pain and stiffness on the right side of the lumbar region.

Each session it got better and better.  Now four months into it, the right side was showing the same positive effects that the left side did right away.  I could move and rotate my torso without pain.

…I can say without hesitation that prolotherapy saved me lots of dollars and tons of time in rehabilitation.”

— David


Dr. Fischer began providing prolotherapy services in his office in 2006 and since has treated hundreds of patients with excellent results. He started his formal training in the theory and practice of prolotherapy at the University of Wisconsin, Madison in the Fall of 2005. His “hands on” experience began in the Spring of 2006 and 2007 during intensive training clinics in La Ceiba, Honduras under the auspices of the University of Wisconsin program. During that time he was able to work with world class authorities in prolotherapy, treating hundreds of patients during the intensive clinics.

A recent patient reports, “I endured a traumatic injury to my right knee several years ago that gave me daily pain (even) after surgery and years’ worth of physical therapy.  After receiving a series of prolotherapy treatments, 95% of my pain is gone.  I have a noticeable increase in stability.”


VIDEO: Prolotherapy on The Doctors TV show


What is Prolotherapy?

Prolotherapy is a technique designed to treat laxity (looseness) of joints due to injury or aging of ligaments and tendons.

Ligaments and tendons are rich in pain receptors. Stretched, lax ligaments cause chronic stimulation of these pain fibers.  This is the underlying cause of many chronic pain syndromes that do not respond to conventional approaches.

This technique triggers an acute inflammatory response in the tendons or ligaments, causing them to thicken and strengthen, pulling the joints and bones back in line.

This is done with a high concentrate solution of dextrose (sugar) which is injected into the weakest point of any of these structures – where ligaments or tendon attach to the bone.

Studies have shown these dextrose injections have no effect on blood sugar and are not a risk for patients with diabetes.

There is an important difference between acute and chronic inflammation.  Chronic inflammation is an underlying cause of most diseases including cancer, arthritis and heart disease.

Acute inflammation is our body’s natural response to infection or injury and promotes healing.  Prolotherapy produces this acute form of inflammation.

Chronic inflammation kills…acute inflammation cures.

The body needs time to heal after each injection, typically three to four weeks apart.

How quickly the body responds depends greatly on individual lifestyle, dietary habits and the severity of the injury.  Smokers, for instance, may not have optimal results.

The benefits can include a marked reduction in pain and increase of function that can last months and years.

The technique of prolotherapy was originally developed in the 1930s and fully developed by Dr. George Hackett in the 1950s.  This elegant but simple technique has grown dramatically in its popularity due to its effectiveness.

Related Articles:

Introduction to Prolotherapy, PRP and Stem Cell Therapy

The New Age of Prolotherapy

Stem Cell Prolotherapy in Regenerative Medicine

Advances in Regenerative Medicine: Platelet-rich Plasma and Stem Cell Prolotherapy for Musculoskeletal Pain

Dextrose Prolotherapy for Knee Osteoarthritis – A Randomized Controlled Trial



Preparing for Prolotherapy

Download Prolotherapy Consent Form
Download Prolotherapy Preparation Form

The day of your appointment you may eat a light meal.  You should avoid eating anything for two hours before the procedure.

If you are to have a neck injection procedure, you will need someone to drive you home after the treatment.

You will want to stop taking aspirin-containing and non-steroidal anti-inflammatory medications (i.e. Ibuprofen, Motrin, Advil, Naproxen and Celebrex) seven days before the procedure.  It is okay however, to take baby aspirin.  You also want to stop anti-platelets agents like PLAVIX and TICLID seven days before your appointment.

If you are taking Coumadin (Warfarin), you should stop taking it four days before the procedure, but only with prior approval of your prescribing doctor.  You must obtain written clearance from your doctor and take a stat blood test for INR on the morning of the procedure.  We must have these test results before the injection. This is only for users of Coumadin.

Following Therapy

Download “After” Prolotherapy Form

To achieve best results, it is recommended that you resume light activities, such as walking, for the first three days after the injection.  Inactivity will decrease optimal results!

After four days, you can slowly resume your normal routines and exercise program as tolerated.

Getting appropriate nutritional support will also help you heal with better results.  This means taking your vitamins, such as:

  •  Zinc, 25 mg twice a day
  • Vitamin C, 500 mg twice a day
  • Glucosamine, 750 mg twice a day
  • Chondroitin Sulfate, 500 mg twice a day
  • Protein intake of at least .75 grams per pound of body weight

All of these can be found in your local grocery or drug store’s supplement aisle.

It is acceptable to take Tylenol or Extra Strength Tylenol, maximum 4 grams per day OR pain medication prescribed by Dr. Fischer.

Do not drink any alcohol when taking Tylenol-based medications!

Do not use anti-inflammatory drugs, such as Aleve, Advil, Motrin, Naproxen, Celebrex, aspirin or ibuprofen as they will stop the beneficial effects from the injection.  This applies to botanical anti-inflammatory medications as well.

Generally, you will need to avoid these during the entire length of the treatment program.  Likely you will not need them after a few therapy sessions.