Office-based chemical procedures for tendons

Caroline Schepker*, Xiaoning Yuan, Zachary Bailowitz, Christopher Visco

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Prolotherapy is an injection-based treatment that seeks to induce tissue healing and repair through the introduction of irritating solutions into soft tissue structures. Modern practice of prolotherapy is conventionally aimed at addressing various musculoskeletal complaints including pain, instability, and laxity attributable to either overt or microtrauma within supporting connective tissue structures. Prolotherapy is distinct from other regenerative techniques in that its injectate lacks a biologic agent. Mild-to-moderate evidence exists for the use of hyperosmolar dextrose solutions to address ligamentous injuries, osteoarthritis, and tendinopathy; however, injection protocols are heterogenous, and a unifying consensus on best practice for various conditions has not yet been established.

Original languageEnglish
Title of host publicationTendinopathy
Subtitle of host publicationFrom Basic Science to Clinical Management
PublisherSpringer International Publishing
Pages347-353
Number of pages7
ISBN (Electronic)9783030653354
ISBN (Print)9783030653347
DOIs
StatePublished - 9 Jun 2021

Keywords

  • Dextrose
  • Injection therapy
  • Instability
  • Joint pain
  • Laxity
  • Prolotherapy
  • Regenerative medicine
  • Tendinopathy
  • Tendinosis
  • Tendon

Cite this