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Questions for Dr. Kennedy
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Pain after prolotherapy
Posted by: Jillian
Date: January 23, 2002 2:43 AM

I have been treated three times with prolotherapy for a herniated disc. Its been two weeks since the last treatment and I have incredible back pain and am wondering if this could be from the inflammatory response. How long does that phase usually last? This is the first time my back is worse since the injections.

RE: Pain after prolotherapy
Posted by: Ron Kennedy, M.D.
Date: January 23, 2002 4:17 AM

There is typically a painful inflammatory phase after prolotherapy, but not always. It typically resolves faster in younger people and slower in older folks. There is no formula for determining how long it will last in a particular person. Naturally, one would not want to have more prolo until the inflammation from the last treatment is fully resolved. Of course, your pain may be from the herniation rather than the prolo. I usually treat herniation with IV colchicine and aim for resolution before beginning prolotherapy.



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