Back on the tennis court!
Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years! Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!
Guy Sadkin, Williamsville
4 years of arthritic thumb pain.
It is like years have been erased since I had my last prolotherapy injection. The swelling and pain has disappeared. I am able to easily do the downward dog yoga position without any discomfort and I no longer ask for assistance with opening jars. I cannot recall the last time I grimaced at the wheel of the car while driving wishing the pain in my thumb joint would go away. It is difficult to imagine all the pain that I once had now that it is gone. I have highly recommended Dr. Kaplan’s Osteopathic Wellness program to friends who suffer from arthritis. I have tremendous respect for Dr. Kaplan and his commitment to wellness. I have been more than pleased with the care and surprised by the generous amount of time that he is able to commit to his patients.
Believer in Prolotherapy
Then I met Dr. Kaplan. After three Prolo Therapy treatments, I’m thrilled to report that I feel substantially better. The chronic pain is gone. My back feels stable for the first time in many years. Additionally, Dr. Kaplan’s bed-side manor, during the injections, was superb. The combination of Dr. Kaplan and Prolo Therapy has been the best thing to happen to my back in the past 35 years. I am a believer in Osteopathic Wellness Center of WNY, Dr. Kaplan and Prolo Therapy.
Paul Weber testimonial
Torn ribcage ligament.
One and a half years of chest pain.
I was in severe pain. Simple daily tasks were basically impossible. I tried massage therapy, physical therapy and chiropractic care with no relief. My quality of life was severely impacted. I could barely do anything; something as small as helping my wife carry in groceries was painful. It was extremely difficult as I was very active prior to this injury. Dr Kaplan informed me that I had torn a ligament connecting my left ribs to my sternum as a result of repetitive physical work. I received an injection of a concentrated sugar solution into the torn ligament with a procedure called prolotherapy from Dr Kaplan and began to feel immediate relief. I can now do all the physical things I have been avoiding for over a year. This
treatment has changed my life.
Life improving with each treatment.
After only 2 treatments of prolotherapy, my shoulder has improved beyond my expectations. The pain has subsided considerably and I am no longer plagued with the severe aching. Also my range of motion is now 100%. I had a third treatment just yesterday and expect to have no pain soon. On my next visit we are going to address my neck and spinal injuries. I can't begin to describe how the pain affected not only my quality of life but also those around me. I feel very grateful to have found Dr Kaplan and his staff as I see my life improving with each treatment.
Diagnosed and treated when others couldn’t.
Prior visits to a hand specialist were ineffective and no options for treatment were offered except 2 rounds of X-rays (which kept coming back "still not broken") and the instruction to return in a month if it still wasn't better!
Dr. Kaplan performed an ultrasound and was able to diagnose the tear. And after a prolotherapy treatment, I am finally getting better!
Saved my trip to Europe.
Dr. Kaplan is the one that helped me to recover from my injury last spring. Last visit was the day before my trip to Europe. If I hadn't received such good care, I know my trip would have been affected!
This year as I start my journey to great health. Once again, Dr Kaplan is helping me through some heel issues so that I can keep going! I cannot recommend this practice highly enough!!!!!
Prolotherapy (proliferative therapy), also known as sclerotherapy, ligament reconstruction therapy, and fibro-osseous injection therapy, is a recognized orthopedic procedure that stimulates the body’s natural healing processes to strengthen joints weakened by traumatic or over-use injury. Joints when ligaments or tendon attachments are stretched , torn, or fragmented, become hypermobile and painful. Traditional approaches with surgery and anti-inflammatory drugs often fail to stabilized the joint and relieve this pain permanently. Prolotherapy, with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new fibrous tissues, resulting in permanent stabilization of the joint. Prolotherapy can also be used to treat varicose veins, spider veins, hemorrhoids, other vascular abnormalities and other similar conditions.
How does Prolotherapy work?
With a precise injection of a mild irritant solution directly on the site of the torn or stretched ligament or tendon, prolotherapy creates a mild, controlled injury that stimulates the body’s natural healing mechanisms to lay down new tissue on the weakened area. The mild inflammatory response that is created by the injection encourages growth of new ligament or tendon fibers, resulting in a tightening of the weakened structure. Additional treatments repeat this process, allowing a gradual buildup of tissue to restore the original strength to the area. Injection of varicose veins and other similar abnormalities creates a mild inflammatory response causing them to contract so that they become smaller or even vanish.
What is in the solution that is injected?
The prolotherapy injections contain anesthetic agents and natural substances which stimulate the healing response. There are numerous substances, and each treating physician tailors the selection of substance according to the patient’s need.
Is the Prolotherapy treatment painful?
Any pain involving an injection will vary according to the structure to be treated, the choice of solution, and the skill of the physician administering the injection. The treatment may result in mild swelling and stiffness. The mild discomfort passes fairly rapidly and can be reduced with pain relievers such as Tylenol. Anti-inflammatory drugs, such as aspirin and ibuprofen, should not be used for pain relief because their action suppresses the desired inflammatory process produced by the injection.
Can Prolotherapy help everyone?
Each patient must be evaluated thoroughly with patient history, physical exam, X-ray exam, and full laboratory work up before treatment will be administered. With this information, your physician can evaluate your potential success with this therapy. Success depends on factors which include the history of damage to the patient, the patient’s overall health and ability to heal, and any underlying nutritional deficiencies that would impede the healing process.
Who administers Prolotherapy?
Physicians who administer this form of therapy are trained by The American Osteopathic Association of Prolotherapy Regenerative Medicine. Postgraduate training is a prerequisite before treating any patient with a medical orthopedic problem, vein problem, or other condition which might benefit from prolotherapy.
What areas of the body can be treated?
This form of therapy can be used to treat dislocation of the joints, knee pain, shoulder pain, Temporal Mandibular Joint dysfunction, Carpal Tunnel Syndrome, and disc problems at any level of the spine. The therapy affects only the area treated and does not cause any problem in any other area. Spider veins, abnormal or bulging veins and other similar conditions can be treated on the legs, feet, hands, arms, breast, face, and most other areas.
How often do I need these treatments?
The treatments should be administered every one, two, or three weeks, as determined by your treating physician. Vein treatments are usually scheduled four or more weeks apart.
What’s the rate of success in treatment?
The anticipated rate of success depends on a number of variables, including the patient’s history and ability to heal, and the type of solution used. In patients with low back pain with hypermobility, 85% to 95% of patienst treated experience remission of pain with this form of therapy. In comparison, the Journal of Bone and Joint Therapy reports on a 52% improvement in patients treated surgically for disc involvement. Varicose veins can usually be 90% to 100% eliminated. Spider veins can usually be improved 70% to 90%.
Is this form of therapy really new?
Prolotherapy/sclerotherapy has been used successfully as early as 500 B.C. when Roman soldiers with shoulder joint dislocations were treated with hot branding irons to help fuse the torn ligaments in the shoulder joint. Advances in medicines greatly improved on this process, and led to the modern techniques of strengthening the fibrous tissue rather than producing scarring to fuse tissues. In 1926, a group of physicians met with great success using injection therapy to treat hernias and hemorrhoids. Earl Gedney, D.O., a well-known Orthopedist, decreased his surgical practice and began to inject joints with these newer injectible medicines in the 1940s and 1950s. Also, in 1950, George Stuart Hackett, M.D., wrote a book on injection therapy. His work is still used today in training physicians. In the years since this early work, techniques and medications have advanced to move from a scarring or fusing effect to a strengthening effect, which restores the weakened joint to its original level of stability, without loss of flexibility and function.
Hippocrates described vein sclerotherapy around 400 B.C. using “slender instruments of iron” to treat varicose veins causing vein ulcers. Injection sclerotherapy of veins was first reported in 1623, and modern forms of injection sclerotherapy for varicose veins and similar diseases has been performed since the early 1900’s. Refinements and clinical study over the past few decades have dramatically improved our understanding of vein sclerotherapy, and improved the results.
Prolotherapy is an injection of a solution that creates microscopic injury to the tissue injected and stimulates body’s immune system to heal the injured region. Prolotherapy solutions vary. High concentration dextrose (sugar solution) and PRP (platelet rich plasma) are frequently used alone or in combination.
In a Journal of Complimentary Medicine in 2012, Dr Rabago and others published results of benefits of Prolotherapy injections containing Dextrose (concentrated sugar solution) for moderate to advanced osteoarthritis of the knee. The outcomes were compared to saline (sterile water) and physical therapy alone. The results were far superior for Prolotherapy in reduction of pain and improvement of function when compared to the other two interventions.
Dr Yeland and others published a study on benefits of Prolotherapy for chronic low back pain in a 2004 publication of the Spine journal.
Patients had on the average fourteen years of pain. Prolotherapy injections consisted of Dextrose/ Lidocaine and were compared to Saline alone. There was 50% improvement in both pain and function in the Prolotherapy group.
In 2014 at an annual Prolotherapy conference, Dr Young Kim, a Korean orthopedic spine surgeon reported his experience with 24 patients with severe cervical and low back pain and spinal nerve compression. He used a combination of PRP and Prolotherapy. He also reported greater then 50% improvement of pain and function.
In many cases there was a significant reduction of spinal cord compression after treatment: