FAQs: Regenerative Injection Therapy / Prolotherapy / PRP

Prolotherapy injections contain substances and formulations are tailored for each patient including local anesthetic agents to help with the pain of the injection. Typical formulas can contain dextrose (sugar water), saline, lidocaine, B12 or Platelet Rich Plasma (PRP).
Injections can be uncomfortable, however anesthetic like lidocaine is used to decrease pain levels. Pain can vary by regions of injection but is often quite manageable for most individuals and often passes quickly after treatment. The focus of training for Dr. Norris is safe and effec-tive injections that includes attention to reducing pain with skilled injections. Following injec-tions, Tylenol can be used to manage any pain. Anti-inflammatory medications, such as aspirin and ibuprofen, will suppress the proper healing response and are not recommended following Prolotherapy injections.

The number of treatments that will be needed depends on the type of condition, severity and overall health of the individual to support an optimal healing response.

Prolotherapy: Typically 3-6 sessions of Prolotherpy and average are needed. Some conditions can respond with 1-2 sessions.

Platelet Rich Plasma (PRP): The average number of treatments are 2-4 treatments. We find that one PRP treatment is equal to roughly 3 prolotherapy treatments. Treatment outcomes are dependent on the health of the individuals platelets. Each patient will have a different level of health resulting in varying outcomes between patients.

  • Acute joint injuries
  • Chronic joint pain
  • Chronic headaches
  • Arthritis
  • Knee pain
  • Torn meniscus
  • Wrist and hand pain
  • Low back pain
  • Sacroiliac joint pain (acute or chronic)
  • Degenerative Joint and Disc Disease (DJD)
  • Rotator Cuff Injuries
  • Labral Tears (shoulder and hip)
  • Sprained ankles
  • Tennis/Golfer’s Elbow
  • Unstable Joints
  • Fibromyalgia
  • Severely herniated disks
  • Chronic myofascial pain syndromes
  • Central spinal stenosis
  • Complete rotator cuff tears
  • Frank surgical conditions
  • Pain from cancer
  • Pain from autoimmune disease

When ligaments and tendons are stretched they cause pain. Regenerative Injection Therapies, including Prolotherapy and PRP, helps to reduce ligament laxity and repair cartilage, collagen and regenerate the joint to reduce ligament laxity and reduce pain.
Simply put, these therapies help to regenerate the tissues.

Cortisone is temporary and damaging to the tissues. Cortisone short term reduces inflammation but long term it disintegrate or breaks down the joint tissues. Many of you out there have failed to get long term relief from cortisone injections and know the damaging effects of these injections.

Prolotherapy and PRP depend on the body’s ability to heal to heal the injured tissues. The injections act as the source of stimulation for the healing process to occur. If someone’s health is overburdened with inflammation, hormone imbalances, chronic disease or nutritional deficiencies the body will not be able to respond to the injections as well.

We highly encourage that patients optimize their health prior to seeking Regenerative Injection Therapies (RIT). If you are needing help starting this journey into better health, Dr. Norris can help navigate you to an appropriate physician to address your health concerns.

Insurance plans do not typically cover prolotherapy treatments. Costs vary depending on area of treatment and type of treatment. Individual treatment regimens are chosen for the individual patient. The number and type of treatments will vary according to individual needs.

Typically price ranges for Regenerative Injection Therapy:

Prolotherapy: $250-300/joint, $450 for bilateral joints

Platelet Rich Plasma (PRP): $600-800/joint