In this article we will present three non-surgical treatment options for chronic ankle pain. Prolotherapy, Platelet Rich Rich Plasma Therapy, and Stem Cell. In this retrospective observational study of chronic unresolved ankle pain, Hackett-Hemwall dextrose prolotherapy helped promote a. The ankle is the joint where the human foot and leg meet, consisting of a complex network of bones, ligaments, tendons and muscles. The ankle is strong.

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Ankle and Foot Treatment with Prolotherapy – Journal of Prolotherapy

It went like this initially. Acute plantar foot pain or symptoms associated with acute trauma. No adverse events following prolotherapy for management of Achilles tendinopathy were reported in any of the studies included in our analysis.

To compare the effectiveness of eccentric loading exercises ELE ; based on Alfredson protocol, with prolotherapy used alone and in combination for painful AT. Patients who received prolotherapy for their unresolved ankle pain in the years to at the charity clinic were called by telephone and interviewed by a data collector D.

Hauser R, Feister W. For plantar fasciitis, there are a couple of concurrent treatments that are helpful. Results A total of studies were identified through electronic search.

Also, check the calcaneo-cuboid ligament 1 cm proximal and above the fifth metatarsal prominence laterally. Fortunately they have come to us for treatment with Prolotherapy! Ankle arthritis can be set up by repeated severe sprains and the ensuing instability. Please review our privacy policy.

The ankle is a small but important joint. Ankle pain can range from mild aching to more severe sudden pain that includes swelling and inflammation and inability to bear weight.


Adverse events were also reported.

Dextrose Prolotherapy Injections for Chronic Ankle Pain

Prolotherapt Book Publishing; Other Types of Pain. This systematic review identified eight studies that reported on the effectiveness of prolotherapy for treatment of lower-limb tendinopathies and fasciopathies and found that there is limited evidence to support prolotherapy for the treatment of these pathologies.

Tech Reg Anesth Pain Manag. Prolotherapy to this area is extremely effective.

Singer K and Jones D. This decreases tension on the plantar fascia and is effective in relieving pain this will prolotheraapy, however, heal the plantar fasciitis by itself. Randomized prospective double-blind placebo-controlled study of dextrose prolotherapy for knee osteoarthritis with or without ACL laxity.

Effect of prolotherapy on cellular proliferation and collagen deposition in MC3T3-E1 and patellar tendon fibroblast populations. When a person injures the ankle, for instance, injured ankle tissue releases substances that attract the immune system to the injured area.

Dextrose Prolotherapy Injections for Chronic Ankle Pain

Fatality after injection of sclerosing agent to precipitate fibro-osseous proliferation. Autologous platelet rich plasma versus dextrose prolotherapy for the treatment of chronic recalcitrant plantar fasciitis. LS conceived the study, conducted the initial literature search, performed the statistical analysis and prepared the draft manuscripts.

It is an increasingly popular regenerative injection technique for treatment of a wide range of musculoskeletal pathologies [ 3 ]. Randomized, prospective, placebo-controlled double-blind study of dextrose prolotherapy for osteoarthritic thumb and finger joints: Conclusions This systematic review identified eight studies that reported on the effectiveness of prolotherapy for treatment of lower-limb tendinopathies and fasciopathies and found that there is limited evidence to support prolotherapy for the treatment of these pathologies.

Ankle and Foot Treatment with Prolotherapy

This is a fairly common condition. Of the studies that were reviewed, only a small proportion were randomised controlled trials, with the majority of studies employing a prospective case-series design using a relatively small sample size and no control or usual care group.


Recent evidence also suggests prolotnerapy prolotherapy injections may be an effective treatment for painful traction apophysitis pathologies through treatment of associated tendinopathy; such as patellar tendinopathy associated with Osgood-Schlatter disease [ 37 ]. Additional files Additional file 1: DeLee J and Drez D. All five studies included in this review Lyftogt [ 30 ]; Lyftogt [ 31 ]; Maxwell et al.

Outcome measures including the Foot Function Index FFI and VAS pain were recorded at baseline and the final treatment consultation, with a follow-up telephone interview conducted a mean of Dorman reported that very few adverse effects were found following prolotherapy injections and of these, the majority of serious complications were overwhelmingly in areas of the body outside the lower limb [ 38 ].

The results of this review found limited evidence anmle prolotherapy injections are a safe and effective treatment for Achilles tendinopathy, plantar fasciopathy and Osgood-Schlatter disease, however more robust research using large, methodologically-sound randomised controlled trials is required to substantiate these findings.

To determine the efficacy of autologous PRP compared with prolotherapy in participants with chronic recalcitrant plantar PF.

Standardised mean differences SMD for improved pain after prolotherapy vs comparator intervention for plantar fasciopathy, Osgood Schlatter disease and Achilles tendinopathy. Ankle ligaments are one of the most commonly sprained ligaments in the body. Pain SMD calculations of the results reported by Topol et al.

Journal of Neurology, Orthopedic Medicine and Surgery.