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Prolotherapy for Osteoarthritic Knees

Report by Dr Peter Baratosy.

Prolotherapy is defined as “an alternative therapy for treating musculoskeletal pain that involves injecting an irritant substance (as glucose) into a ligament or tendon to promote the growth of new tissue.” (Merriam-Webster Medical Dictionary).

This definition can be extended to the treatment of osteoarthritic joints by injection the prolotherapy glucose solution directly into the joint. Used mainly for knee joints as the knee joint is very easily accessible!

Osteoarthritic Knee pain is very common and is a cause of much morbidity. It has a compounding effect as people with painful knees cannot exercise which can lead to obesity and other health issues. Also note that obesity can put extra pressure on the knees and cause more wear and tear. People with painful knees can be prevented from getting out and about and can become socially isolated.

The usual treatments include: -

1/ Medication

  • Conventional – non steroidal anti-inflammatory agents, analgesics – e.g. paracetamol.

  • Un-conventional – anti-inflammatory herbs – e.g. Curcumin, Boswelia, Ginger, also glucosamine, and chondroitin

2/ Physical therapies

  • Conventional – physiotherapy

  • Un-conventional – chiropractic, osteopathy. Also we can include Acupuncture into this group.

3/ Injection therapies

  • Conventional – steroid injections