What is Prolotherapy?


Prolotherapy is a treatment for ligament or tendon injuries.  Prolotherapy causes new growth of weak ligaments and tendons. Ligaments have many nerve endings so a person may feel pain in areas where ligaments are damaged or loose. Also, when ligaments and tendons become damaged or over-stretched, bones no longer fit well together. This makes the muscles work harder and can cause spasms and pain.  

Prolotherapy is useful for many types of musculoskeletal pain including.  

How does it work?

Prolotherapy treatments inject a solution containing a local anaesthetic and dextrose (sugar) into joints, ligaments or tendons to stimulate tissue repair with a controlled and localized inflammatory response.

Prolotherapy is recommended to be combined with the following for the best response:

  • Treatment of myofascial pain, such as Intramuscular Stimulation (IMS) or Trigger Point Injections (TPI)

  • Physical therapy and movement

  • Lifestyle changes such as increased activity, a healthy diet and good sleep

First you need an assessment to confirm treatment is suitable for you.

Most people require 4-8 treatments, and treatments are usually administered every 2-6 weeks. The number of sessions required depends on your goal, the injury, the area, and how fast your tissues heal.

What does treatment involve?

How much does it cost?

Prolotherapy is not covered by MSP, the provincial health insurance plan.    

Total prolotherapy fees depend on the the areas to be treated and extent of injury involved.  Please ask your physician for an estimate of the total cost of treatment for your condition. 

Prices are based on the following: 

$400     Prolotherapy Assessment  

$400     Each Non-Spine Prolotherapy Treatment, per area 

$800     Each Spine Prolotherapy Treatment

Note:  Most people need an assessment plus 4-8 treatments per area.

Some extended health plans and other insurers may cover the cost of treatment. Please check with your insurer to find out if you are covered.

Possible side effects?

Risks mainly depend on the injected areas. Your doctor will discuss these risks with you. Side effects may include:

  • Stiffness and soreness

  • Bruising and swelling

You might experience fever symptoms in the first day after the procedure.  Rarely, severe pain with fever past 24 hours may be due to infection and is usually treated with antibiotics. 

Nerve block trigger point injection Myofascial release Ketamine infusion Lidocaine infusion Prolotherapy Regenerative therapy Botox Stellar ganglion nerve block Medial branch block SIJ block Joint block Ultrasound guided pain procedures