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● ARIZONA
PHOENIX
Fred Arnold, DC, NMD


SCOTTSDALE
Michael Cronin, N.D.
David Tallman, DC, NMD.


TEMPE
Robb D. Bird, NMD


TUCSON
Jorge B. Cochran, ND.NMD

● ARKANSAS
Merl B. Cox, D.O.

BRITISH COLUMBIA
Christoph Kind, N.D.

CALIFORNIA
ANAHEIM AREA
Hanson Wong, M.D.
Howard Rosen, M.D.

AUBURN
Rodney Van Pelt, M.D.

BAKERSFIELD
Payam Kerendian, D.O.


BEVERLY HILLS
Behzad Emad, M.D.
Payam Kerendian, D.O.


CLOVIS
Kevin Wingert, M.D.

FOLSOM
Michele Raithel ND

GARDEN GROVE
Howard Rosen, M.D.

GLENDALE
G. Megan Shields, M.D

IRVINE
Allan Sosin, M.D.

Los Angeles
Donna Alderman, D.O.
Marc Darrow, M.D
Hanson Wong, M.D.


Los GATOS
Joshua M, Donaldson, N.D.

Marin County
Paul Handleman, D.O.
John Monagle, NMD


Monterey
Howard Rosen, M.D.


SAN DIEGO
Andrew Kulik, D.O.

Gary Matson, D.O.

SAN FRANCISCO EAST BAY
Donna Alderman, D.O.

SAN FRANCISCO NORTH BAY
Paul Handleman, D.O.
John Monagle, NMD


San Ramon

Richard I. Gracer, M.D.


SANTA BARBARA
Allen Thomashefsky, M.D.


SANTA CRUZ
Joshua M, Donaldson, N.D.

SANTa monica

Peter Fields, M.D.,D.C.

SANTa
ROSA
Justin Hoffman, NMD

Temecula
Edward A. Venn-Watson, M.D.

UKIAH AREA
Rodney Van Pelt, M.D.

● COLORADO
BOULDER
Gary Clark, M.D.


BROOMFIELD

Christopher J. Centeno, M.D.
John R. Schultz, M.D.


COLORADO SPRINGS
Mary Harrow, D.O,

DENVER
Joel A. Berenbeim, D.O.
Thomas Ravin, M.D.

FORT COLLINS
Mark Kelley, N.D. LAc

LITTLETON
Jo Ann Douglas, M.S.,D.O

PARKER
John A. Littleford, D.O.

STEAMBOAT SPRINGS
Jon Freckleton, D.O.

● CONNECTICUT
AVON
Valley Sports Physicians & Orthopedic Medicine
Paul Tortland, D.O.
Albert Kozar

WEST REDDING

Perry M. Perretz, D.O.

● DELAWARE
SOUTHERN NJ
Scott R. Greenberg, M.D.
SOUTHERN PA
Brian J. Shiple, D.O.

● FLORIDA
ORLANDO AREA
Nelson Kraucak, M.D.


ORMAND BEACH
Hana Chaim, DO

Clearwater
Felix Linetsky, M.D.

PACE
Sheila Mohammed, M.D.

PLANTATION
Alvin Stein,M.D.

SARASOTA/TAMPA BAY
Mark Walter, M.D.
Wellington Chen, M.D.
Matthew Burks, M.D.

TAMPA BAY AREA
Felix Linetsky, M.D.
Robinson Family Clinic

● GEORGIA
WARNER ROBINS
E. Glynn Taunton, D.O.

MARIETTA
Robert C. Shuman, M.D.

Arnold Weil, M.D.

● HAWAII
HAIKU
Kevin Davison, N.D.

HILO

Liza Maniquis-Smigel, MD

Honolulu, Hawaii
Liza Maniquis-Smigel, MD

● ILLINOIS
CHICAGOLAND

Ross Hauser, M.D

PEORIA
Yibing Li, M.D.
Jay Harms, M.D.

WESTERN ILLINOIS
Anwer Rasheed, M.D.

● INDIANA
CLARKSVILLE
Steven M. Johnson, D.O.

LAFAYETTE

Carolyn G. Kochert, M.D.

Mishawaka
Mark S. Cantieri, D.O.,

● IOWA
CLINTON
Anwer Rasheed, M.D.
IOWA CITY
John Macatee, DO.
WEST DES MOINES
Jacqueline M Stoken, D.O

● KANSAS
KANSAS CITY AREA

K. Dean Reeves, M.D.

TOPEKA
Doug Frye, M.D.

● KENTUCKY
LOUISVILLE
Steven M. Johnson, D.O.

● LOUISIANA
NEW ORLEANS AREA
Thomas K. Bond, M.D.

● MARYLAND
Rockville
Ingrid Gheen, M.D.

● MASSACHUSETTS
MALDEN
Albert V. Franchi, M.D.
WORCESTER

Jon Trister, M.D.

● MICHIGAN
EAST LANSING
David Pawsat, D.O.
Howell

Jerald Gach, DO
SHELBY TWP
Robert Krasnick, M.D.
Southfield

Jerald Gach, DO
WARREN

Robert Krasnick, M.D.

● MINNESOTA
EXCELSIOR/Menahga
Mark T. Wheaton, M.D.


MINNETONKA
George H. Kramer, M.D.


● MISSOURI
KANSAS CITY
Edward McDonagh, D.O

ST. Peters
Michael J. Adams


● MONTANA
HAMILTON
Mark Kelley, N.D. LAc

● NEVADA
CARSON CITY

Alfred N. Grimes, M.D.


RENO
Andrew C. Wesely, M.D.

● NEW JERSEY
BLAIRSTOWN
Walter R. Grote, D.O

CENTRAL NJ
Edward Magaziner, M.D.

WAYNE/NORTH NJ
Robert Kramberg, M.D.

SOUTH NJ/
PHILADELPHIA
Scott R. Greenberg, M.D.
(Cherry Hill)

Joseph P. Mullane, M.D.
(Hamilton)


Brian J. Shiple, D.O.
(Springfield PA)

● NEW MEXICO
Albuquerque

R. Dean Bair, D.O.

James E. Baum, D.O.
SANTA FE
James E. Baum, D.O.

Jonas R. Skardis, DOM

● NEW YORK
B
ALDWIN
Pandu Tadoori, M.D.

BUFFALO AREA
Timothy L. Speciale, D.O.
BROOKLYN
Neil Raff, MD, CNS
David Zirkitev, P.A.
EAST MEADOW

Christopher Calapai, D.O.

FLUSHING
Neil Raff, MD, CNS
GOSHEN
Irwin Abraham, M.D.
HICKSVILLE
David Borenstein, M.D.

MANHATTAN
Irwin Abraham, M.D.
Richard Ash, M.D.
David Borenstein, M.D.
John H. Juhl, D.O.
Robert Kramberg, M.D.
NEW YORK METRO AREA
Perry M. Perretz, D.O.
Edward Magaziner, M.D.
Scott R. Greenberg, M.D.
ORANGE
Neil Raff, MD, CNS
ROCKLAND
Neil Raff, MD, CNS
WESTMINSTER
Neil Raff, MD, CNS

● NORTH CAROLINA
ASHEVILLE AREA

Stephen Blievernicht, M.D.
Huntersville
Dr. Mark Hines

● OHIO
AKRON/CANTON
Vladimir Djuric, M.D.
BLUFFTON

L. Terry Chappell, M.D.
CENTERVILLE
Rick Buenaventura, M.D.
CINCINNATI
Michael J. Bertram, MD

Elizabeth Woolford MD
TOLEDO AREA

Jay W. Nielsen, M.D.

● OKLAHOMA
BROKEN ARROW
Shirley J. Welden, M.D.

● OREGON
ASHLAND
Allen Thomashefsky,M.D.
EUGENE
Thomas Peterson, M.D.
HILLSBORO
Kevin C. Wilson, N.D.

LAKE OSWEGO

Noel S. Peterson, N.D.

MEDFORD
Carl Osborn, D.O.
OREGON CITY
Joanne Gordon, ND,MS,PT

PORTLAND

Rick Marinelli, N.D.

Chiaoli Lu, ND. LAc. DAOM.
Patrick Chapman, N.D.
Joshua David, N.D.
REDMOND
E. Payson Flattery, D.C.,N.D.
SALEM
Donald McBride, Jr, ND


● PENNSYLVANIA
BALA CYNWYD
Harvey Kleinberg, D.O.
BETHLEHEM
James F. Frommer, M.D.
ELKINS PARK
Kab S. Hong, M.D.
JEANNETTE
Martin P. Gallagher, M.D., D.C.
MEADVILLE
Paul Peirsel, M.D.
PITTSBURG

Paul S. Lieber, MD
SOUTHERN NJ - PA
Scott R. Greenberg, M.D.
Allan Magaziner, D.O
Edward Magaziner, M.D.
SPRINGFIELD
Brian J. Shiple, D.O.
WOMELSDORF
Peter J Blakemore, D.O,

● SOUTH CAROLINA
GREENVILLE/SPARTANSBURG 
Robert Schwartz, M.D.
CHARLESTON
Marc N. Dubick, M.D.
MOUNT PLEASANT
Patrick Lovegrove, D.O.

● TENNESSEE
BRENTWOOD
Mark L. Johnson, M.D.
CLARKSVILLE
Rafael Prieto, M.D.
JACKSON
Marcus E. Meekins, M.D.
MEMPHIS
Marcus E. Meekins, M.D.
NASHVILLE
Mark L. Johnson, M.D.

● TEXAS
AUSTIN
Mihnea Dumitrescu, M.D.

David K. Harris, M.D.
Brad Fullerton, M.D.
DALLAS
Michael Ellman, M.D.

DENTON
Carlos J. Garcia, M.D.
FORT WORTH
Gerald Harris, DO
Dennis E. Minotti II, D.O
David E. Teitelbaum, D.O.
HOUSTON
Robert Battle, M.D.
Adam Weglein, D.O
HOUSTON AREA

Joseph G. Valdez, M.D

John P. Trowbridge
Shaun Lehmann, M.D.
Curtis Fandrich, D.O.
MESQUITE
Michael Ellman, M.D.
PARIS
Gregg Diamond, M.D.
Norberto Vargas, M.D.
PLANO
Michael Ellman, M.D.
RICHARDSON
Gregg Diamond, M.D.
Norberto Vargas, M.D.

SAN ANTONIO
Annette M. Zaharoff, M.D.
SHERMAN
Gregg Diamond, M.D.
Norberto Vargas, M.D.
SUNNYVALE
Gregg Diamond, M.D.
Norberto Vargas, M.D.



● UTAH
PARK CITY
Harry Adelson, N.D.
Kenneth Hurwitz, M.D.
SALT LAKE CITY
Harry Adelson, N.D.
E. Alan Jeppsen
SPANISH FORK
David Taylor Roberts, M.D

● VERMONT
WINOOSKI
Jonathan E. Fenton, D.O

● VIRGINIA
ALEXANDRIA
Robert H. Wagner, M.D.
BLUEFIELD
Lenny Horwitz, DPM
FAIRFAX
Mayo Friedlis, M.D.
McLEAN
David Wang, D.O.

VIRGINIA BEACH
Lisa Barr, M.D.

● WASHINGTON
ISSAQUAH
Jena Schliiter., M.D.

SEATTLE AREA
Richard A. Sandler, M.D.
JoAnna Forwell, N.D.

Adam R. Geiger, N.D.

● WASHINGTON, D.C.
Ali Safayan, M.D.
● WEST VIRGINIA
MORGANTOWN

Nori Onishi, D.O.


● WISCONSIN
EAU CLAIRE
Deborah Raehl, DO

WAUWATOSA
Neal Pollack, D.O.

MILWAUKEE
William J. Faber, D.O.
 

WHY GET PROLOTHERAPY?
DONNA ALDERMAN, D.O.
 

When you become a physician, you take the Hippocratic Oath. The first rule of the Hippocratic Oath is "First of all, do no harm." This is why Prolotherapy appealed to me as a physician. I was a doctor at a famous HMO. After learning Prolotherapy, however, I went into private practice. Patient after patient came to the office with foot pain, knee pain, shoulder pain, back pain, sports injuries, you name it. I probably knew more than the average doctor in regards to musculoskeletal injuries, but I was still at a loss as to how to cure the pain. I helped the pain in many cases, but cures were seldom. You see, I had studied to be an osteopathic family physician because I wanted to be able to help not only medical problems, but musculoskeletal complaints as well. Though I had learned manipulation and state-of-the-art rehabilitation techniques, there were many chronic pain patients whom I just was not able to get better.
 

Osteopathic physicians (D.O.s) receive the same medical education as M.D.s, and hold equivalent licenses to practice medicine. However D.O.s receive extra training in the musculoskeletal system. Osteopathic physicians can prescribe medications, but are also skilled in musculoskeletal adjustments which enhance skeletal alignment and optimize circulation. For many people this combination is very appealing.
 

When a person with chronic pain came into my office, I would make sure they were in proper alignment using such treatments as manipulation. Physical therapy was usually prescribed to improve the chances of healing the injuries and improving their strength. If a patient failed to respond to the usual modalities, I felt helpless. Because of my belief that a physician should "Do no harm," I was reluctant to prescribe pain killers or send someone for a surgical consult unless it was a clear-cut case of a surgical need (this is extremely rare). The statistics on musculoskeletal surgical procedures helping people never impressed me. I have seen too many drug addicts accidentally created by physicians. Because of this I cannot encourage someone in that direction. I have also seen people go into kidney failure from Anti-inflammatory medication, so I cannot advocate that method of treatment. I was getting discouraged because I would continually hear, "Doctor, it’s better but the pain is still there..." or, "Doctor, why does my joint click?" or, "Doctor, am I ever going to get better?" I began to dread picking up a chart and seeing the diagnosis of knee pain (see Prolotherapy research paper) or back pain. That is, until I learned about Prolotherapy. Now I look forward to these cases, because I can help them with Prolotherapy.
 

Curing Chronic Pain versus Covering Up Chronic Pain

Prolotherapy is a minimally invasive, tremendously safe therapy that stimulates the body’s healing mechanisms. In that sense I believe it is a natural treatment. (Pain comes from) tears in the ligaments commonly referred to as sprains, where tears in the tendons are called strains. Ligaments connect the bones together, providing stability to the joints. Tendons connect the muscles to the bones and move the joints. When ligaments and tendons are injured they hurt. Typical treatments available to the patient including cortisone shots, ice, and anti-inflammatories just cover up the pain, so the patient feels better temporarily. (Feeling better) the patient then cannot sense further (damage to their ligaments) because the cortisone shot is covering up the pain. This just makes the injury worse.
 

Prolotherapy can remove the source of the pain, rather than covering it up, because it helps the ligaments heal. Ligaments were always an enigma to me and I could never figure out why, on the cadavers and anatomical drawings, they always appeared white. When I started studying Prolotherapy, it all made sense. Ligaments have a deficit in their ability to heal because they have a poor blood supply. Because they have a poor blood supply, and because they are rich in nerve endings, they are white in color. Muscles, on the other hand, appear red in color because of their plentiful blood supply. This is why muscle injuries heal quickly and are almost never the source of chronic pain or athletic injuries.
 

For those with a chronic pain injury, Prolotherapy essentially turns the chronic injury into an acute one by activating the immune system at the site of the injury. After the Prolotherapy treatment is given, an increase in the blood supply to the area occurs which brings nutrients and immune cells to heal the area. Prolotherapy not only strengthens weak joints, some studies have shown it can continue to increase the strength in a joint above normal. (Liu, Y. et al. An in situ study of the influence of a sclerosing solution in rabbit medial collateral ligament and its junction strength.)
 

At a Prolotherapy conference, Dr. Gustav Hemwall, the world’s most experienced Prolotherapy doctor at that time, was asked the question, "Why don’t more people do Prolotherapy if it is so effective?" Dr. Hemwall calmly and accurately answered, "Because it’s too simple."
 

There you have it. What is simpler than finding an area that is painful, where the ligament attaches to the bone, and injecting it with a solution that will cause the ligaments to regenerate and strengthen? I hear all the time from patients that the orthopedist required x-rays in order to properly diagnose their problems. What ever happened to examining the patient? The fundamental basis for all healing is listening and examining. Rarely are x-rays and MRIs ordered in the Prolotherapy doctor’s office because they are just not needed.
 

The exact location of the pain is often found by simple palpation. By palpating the point where the ligaments attach to the bones (the fibro-osseous junction) and eliciting a positive jump sign," the patient and doctor feel confident that the exact site has been found. Prolotherapy to that exact painful area is then done. If the correct area is injected with enough proliferant-containing anesthetic, the patient will have immediate pain relief.
 

(Article is excerpt and edited from Prolo Your Sports Pain Away, Donna Alderman contributor)
 

Prolotherapy
Information and Research
Prolotherapy
Prolotherapy
How Does Prolotherapy Work?
Why Does Prolotherapy Work?
How Prolotherapy Helps?
Indications - Contraindications
Introduction to Prolotherapy
Why Get Prolotherapy?
What is Prolotherapy?
How Does Prolotherapy Work?
Are You A Prolo Candidate?

Ligament Reconstruction
How Safe Is Prolotherapy?
Finding a Prolotherapy doctor
When Prolo May Not Work
20 Questions - Prolotherapy
The History of Prolotherapy
Curing Chronic Pain
Sclerotherapy?
Turning to Prolotherapy
Prolotherapy and Chronic Pain
Proof Prolotherapy is Working
Creating Collagen
How To Support Treatment

· Platelet Rich Plasma PRP

Prolotherapy and Inflammation

Prolotherapy In The News
 


Prolotherapy
Videos Online

Prolotherapy to the knee
Back and Spine treatments
Shoulder treatments

· Prolotherapy Information sites

The Journal of Prolotherapy


Prolotherapy Research at
The Journal of Prolotherapy




 

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A medical testimonial is intended to represent that everyone will obtain the same favorable results from a given therapy. Getprolo.com disclaims any such intention. 

Prolotherapy is a medical technique. As with any medical technique, results will vary among individuals. Prolotherapy injections may not work for you and as with all medical procedures there are risks involved. These risks should be discussed with a qualified health care professional prior to any treatment.

This Prolotherapy information is offered for educational purposes only. Do not act or rely upon the information on this website without seeking independent professional medical advice. 

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