The sacroiliac joint (SIJ) can become dysfunctional through trauma and/ or pregnancy. The mechanism involves direct or repetitive microtrauma to the buttocks/ lower back. Treatment with specialised physiotherapy alleviates the problems in ~ 80% of cases. The remainder may respond to prolotherapy (hypertonic glucose injections into the dorsal intra-osseous ligament (DIOL) after multiple injections.
Platelet rich plasma (PRP) is under investigation as a therapeutic injectate in a growing number of applications. Its production commonly involves proprietary materials and proprietary centrifuges. Manual PRP production has been described but training efficacy has not been demonstrated. A method to manually produce high quality PRP quickly, inexpensively and consistently, that is easily mastered, would afford the opportunity …
By Donna D. Alderman, DO, Robert W. Alexander, MD, DMD, FICS, Gerald R. Harris, DO, & Patrick C. Astourian, MS, PA-C ABSTRACT Prolotherapy is a proven technique for resolving musculoskeletal pain, but can have limitations if tissue damage is too severe. Platelet Rich Plasma (PRP) Prolotherapy offers a physiologic tool in some of those cases, but this too may more »
ABSTRACT Objectives: Background for use of autologous adipose tissue as a source of adult progenitor (stem) cells for use in Prolotherapy. Present a means of lipoaspiration to harvest adipose-derived mesenchymal stromal cells (AD-MSC) and the stromal vascular fraction (SVF) for use in Prolotherapy and regenerative medical applications by non-plastic surgeons. Design: Explain the patented super luer-lok and more »
By Gary B. Clark, MD, MPA Visions of Regenerations to Come “Sometime between the years 1934 and 1936, a random patient with a random disease visited a random doctor and for the first time in recorded human history had a better than 50:50 chance of benefiting from the encounter.” –Anonymous The above-cited quotation still lies sequestered more »
By Ross A. Hauser, MD & Marion A. Hauser, MS, RD ABSTRACT This article provides the JOP reader with some basic information about Platelet Rich Plasma, also known as PRP. PRP as a Prolotherapy proliferant has become increasingly popular in the pain management field. The basic tenants of PRP preparation and use in the Prolotherapy field are discussed. more »