TREATMENT · REGENERATIVE MEDICINE

Prolotherapy

Helping your body repair injured joints, ligaments, and tendons naturally.

If you’ve been living with persistent joint, tendon, ligament, scar tissue, trigger point or tender point pain—and rest, physical therapy, medications, or steroid injections haven’t provided lasting relief—prolotherapy may offer another path forward.

WHY PATIENTS CHOOSE BURNS FAMILY WELLNESS

How Prolotherapy Works

Prolotherapy, short for proliferative therapy, is a regenerative injection treatment that stimulates your body’s natural healing response. Rather than simply reducing inflammation or masking pain, the goal is to encourage the repair of injured ligaments, tendons, and other connective tissues so they become stronger over time.

A small amount of an irritant solution—often combined with a local anesthetic—is injected into the injured area to trigger the body’s natural healing process. Over time, this can help improve stability, reduce pain, and restore function.

CONDITIONS WE TREAT

Is Prolotherapy Right for Your Condition?

If you’re dealing with chronic tendon, ligament, or joint pain, prolotherapy may be one option to help stimulate healing and improve function. During your consultation, Dr. Burns will evaluate your condition, discuss the available treatment options, and help you decide whether prolotherapy, PRP, or another approach is most appropriate for your goals.

Prolotherapy may be appropriate for a variety of chronic ligament, tendon, and joint conditions, particularly when pain has persisted despite conservative treatment.

  • Tennis elbow

  • Golfer’s elbow

  • Rotator cuff injuries

  • Frozen shoulder

  • Plantar fasciitis

  • Knee osteoarthritis

  • Trigger points

  • Chronic ankle sprains

  • SI joint instability

  • Chronic ligament injuries

  • Tendinopathies

  • Certain overuse injuries

  • Scar tissue

  • Tender points

During your consultation, we’ll determine whether prolotherapy is an appropriate treatment for your specific condition and whether another regenerative option, such as PRP, may provide a better outcome.

As with any regenerative treatment, results vary based on the condition being treated, the severity of the injury, and your body’s natural healing response.

 

TREATMENT COMPARISON

Prolotherapy, PRP, and Corticosteroid Injections: What’s the Difference?

Treatment How it Works Primary Goal Expected Outcome
Prolotherapy Uses mild irritant (often dextrose) to stimulate the body’s natural healing response. Stimulate healing and strengthen injured ligaments, tendons, and connective tissues. Longer-term improvement as tissues heal and become stronger.
PRP Uses concentrated platelets from your own blood to deliver growth factors that support tissue repair. Accelerate healing and regeneration of damaged tissues. Longer-term improvement by enhancing the body’s natural repair process.
Corticosteroid Injections Uses medication to reduce inflammation and suppress the body’s inflammatory response. Provide temporary pain relief by decreasing inflammation. Often provides short-term symptom relief but does not repair damaged tissue.

All three can be used for acute and chronic soft tissue injuries, tendinopathies, and osteoarthritis, but research shows clear differences over time. During your consultation, Dr. Burns will help determine which treatment is most appropriate based on your diagnosis, goals, and the available evidence.

THE EVIDENCE

What Does the Research Show?

Research suggests that regenerative treatments such as prolotherapy and PRP generally provide longer-lasting improvement than corticosteroid injections for many chronic tendon, ligament, and joint conditions. While steroid injections can provide faster short-term relief, they do not repair damaged tissue and their benefits often diminish over time.

PRP has shown the strongest and most consistent long-term results for certain conditions, particularly knee osteoarthritis. Prolotherapy remains an effective, more affordable regenerative option that can provide meaningful pain relief and improved function for many patients.

  • Rotator cuff tendinopathy: Both prolotherapy and PRP outperform steroids for long-term pain relief and improved function — especially beyond 24 weeks and at long-term follow-up.

  • Tennis elbow and plantar fasciitis: Prolotherapy often provides better long-term outcomes and fewer side effects than steroids, performing as well as extracorporeal shockwave therapy (ESWT) in many studies.

  • Chronic soft tissue injuries: Prolotherapy shows results comparable to PRP and corticosteroids for pain and function, with strong safety and good tolerance.

  • Knee osteoarthritis: Prolotherapy improves pain and function compared to exercise alone and may outperform both hyaluronic acid and steroid injections. PRP, however, shows the most consistent and durable improvement — outperforming all other injection types at six months or longer. Current guidelines rank PRP highest for sustained results.

YOUR VISIT

What to Expect

Before Treatment

✓ We will review your medical history, answer your questions, and walk you through what to expect.

✓ Eat a healthy, nutrient-rich diet during the week leading up to your procedure to support your body’s healing response.

✓ Avoid anti-inflammatory medications (NSAIDs such as ibuprofen, naproxen, or meloxicam) and smoking for at least 48 hours before treatment. If you have questions about your medications or supplements, please contact us beforehand.

Day of Your Visit

Wear comfortable clothes which allow easy access to the injury site, if possible.

✓ Please arrive on time so we have adequate time for your evaluation and treatment.

✓ We will review your symptoms, examine the treatment area, and take vital signs, if appropriate.

✓ The targteted areas(s) will be injected with the prolotherapy solution with local anesthetic.

✓ Most procedures are completed in approximately 30 minutes.

Early Recovery

Eat as healthy as possible for the week following the procedure.

Limit alcohol and avoid smoking.

✓ Some patients notice temporary pain relief from the local anesthetic immediately after the procedure. Mild soreness, warmth, swelling, or stiffness are not common but may develop over the next day or two as your body’s healing response begins.

✓ There is usually no downtime – but avoid strenuous activity for at least 1 day (or as I advise based on your individual case).

Longer Recovery

✓ Full benefit for tissue repair may take 3-6 months or more, particularly for tendon/ligament or more chronic injuries.

✓ Aftercare usually includes fascial release, lymph therapy, physical therapy, guided strengthening, and other individualized rehab protocol. Dr. Burns will help with referrals or recommendations, as needed.

✓ Avoid NSAIDs (which may interfere with healing) and other anti-inflammatories such as Alpha lipoic acid, Ginger, Turmeric, Boswellia, Pycnogenol, Omegas, Low Dose Naltrexone (LDN).

✓ Though hormone support is anti-inflammatory if dosed correctly we want you to continue this medication (pregnenolone, DHEA, estrogen, cortisol, testosterone, progesterone) per your provider.

MEET YOUR PHYSICIAN

Meet Dr. Burns

Dr. Burns is a doctor of osteopathic medicine with a background in biomedical research and functional medicine. She specializes in osteopathic manipulative therapy with a focus on fascia, movement, and the body’s natural healing capacity.

Dr. Burns believes in asking “why” and addressing root causes – not just symptoms.

Burns Family Wellness Care serves patients who value thorough, holistic care in a welcoming environment.

INVESTMENT

Transparent Pricing

Per Joint or Soft Tissue Area

$200

ℹ️ Payment is collected after your appointment. 5% for CC payments. Alternative is check.

Frequently Asked Questions

Prolotherapy is often considered for patients with chronic tendon, ligament, or joint pain who have not experienced lasting improvement with more conservative treatments. During your consultation, Dr. Burns will evaluate your condition and determine whether prolotherapy is an appropriate option or whether another treatment may be more beneficial.

Both prolotherapy and PRP are regenerative treatments, but they are not always used for the same situations. The best option depends on your diagnosis, the severity of the injury, your goals, and other individual factors. Dr. Burns will review the available evidence and help determine which treatment is most appropriate for your specific condition.

Because prolotherapy works by stimulating your body’s natural healing response, treatment is typically focused on one joint, one ligament, or up to four trigger points during a single session. During your consultation, Dr. Burns will determine the safest and most effective treatment plan based on your condition and goals.

Depending on the condition being treated, prolotherapy may be one option to improve pain and function before considering more invasive treatments. During your evaluation, Dr. Burns will discuss whether regenerative treatment is appropriate for your specific situation.

Prolotherapy has been shown to have a strong safety profile when performed appropriately. As with any injection procedure, there are potential risks and side effects, which Dr. Burns will review with you before treatment so you can make an informed decision.

READY TO TAKE THE NEXT STEP?

Let’s talk about whether Prolotherapy is right for you.

Schedule a consultation to discuss your goals, determine whether Prolotherapy is the right option for you, and create a personalized treatment plan.