Injection Therapy

View how to take control of Joint Pain - Joint Solutions PDF

Regenerative Injection Therapy with Plasma & Stem Cells

  • Repair tears, bring elasticity to fascia and soft tissues, and increase extensibility of collagen fibers
  • Diminish inflammation and pain in Osteoarthritic joints, Muscle strains, weakness and spasms
  • Help repair Tendon/Ligament tears and ruptures
  • Assist in the gradual and progressive decompression and regeneration of Joint Cartilage, Nerves affected by Impingement, Bulging and Herniated Discs in the spine (Back Pain).


Rejuvenation and Regeneration of Skin (face, stretch marks, acne scars, surgical scars, hands, neck, decollete area, ...), to diminish appearance of wrinkles, to thicken and revitalize the skin, to restore volume in areas that have lost it.

Neural Therapy Injections

  • Remove blockages from the brain and the Nervous System (Central, Autonomic and Peripheral nervous systems)
  • Offer great Pain Reduction
  • Dilate blood vessels and Detoxify the body
  • Jump start the defense system of the body
  • Release restrictions, adhesions and neuro-chemical interference fields
  • Enhance congruency, communication and healing in the whole body


Prolozone Injections: Injections of Ozone (3 molecules of Oxygen together)

  • Nourish areas of deficiency, congestion and weakness
  • Increase the body's circulation, oxygenation
  • Modulate the immune system and boost the homeostatic and self-regulating mechanisms of the body
  • Support the adrenal glands and enhance vitality, mood and well being
  • Diminish Joint Pain and to promote Regeneration of Cartilage in the joints
  • Slow down brain damage and improve memory, concentration and learning capabilities
  • Help the body counter-act infections and jump start the defenses of the body

Prolotherapy with Plasma

and other Natural Regenerative Factors (Hackett-Hemwall technique)

A big goal we are pursuing by thickening the connective tissues to improve stability, is the decompression and normal suspension effect that strong, tensile ligaments, muscles and tendons could exert over normal and healthy joints. When this decompression / suspension effect is gradually and progressively re-established, the super delicate and sensitive neural and vascular structures that have been compressed or damaged by traction injuries, will have a chance to be relieved of the ongoing and recurrent tears and torsions, and the abnormal and traumatic forces they could have been enduring for some time.

1. Benefits of Prolotherapy Injections:

There are 3 main benefits of Prolotherapy (Proliferative) Regenerative Injections:

  1. Increased joint stability
  2. Healing of damaged, inflamed and torn structures (sprains/strains) and Regeneration of Connective Tissues
  3. Enhanced Safety and Functionality

Diminished pain and better Dynamic Posture and/or Postural Alignment, are great side effects that usually come as a result of the former three benefits.

I would like to confirm that despite holding a risk of localized infection, localized temporary numbness/tingling, and/or local bruising, all injections are performed within a clean and safe environment, striving for excellent and compassionate care, and observing Clean Needling Techniques and Universal Precautions at all times.

Depending on patient's healing objectives, the most recommended frequency of care is 3 series of Prolotherapy Injections, spread about 3 weeks apart from each other. if there is proper nutrition and no adverse external forces (trauma, surgery, accidents, poor postural alignment, etc); the newly established cell diversification, enhanced tissue production, and regeneration of injured tissues will continue happening with a stronger influx of vitality and increased circulation for approximately 12 to 18 months. Then the cell production and tissue growth will normalize and continue to regenerate from this new level of support.

* All injections are applied observing Clean Needle Techniques and Universal Precautions.


2. Nutritional Recommendations Before and After Prolotherapy Injections:

* It is recommended not take any Anti-Inflammatory medications 3 days before and after the Prolotherapy injections.
It is recommended to use Ginger root (in tea, smoothies or meal preparation) and Curcumin with Bioperene (Turmeric root, powder or capsules) for a safe, modulated and natural Anti-Inflammatory effect.

You may want to increase the dosage of Mineral and Vitamin Supplements you are taking to enhance Collagen production, tissue regeneration and to strengthen your immune and circulatory systems and your healing abilities. The most important Vitamin supplements to aid in Collagen regeneration and Tissue Repair are: Vit C 1,500 to 2,000 mg/ on to two time per day up to bowel tolerance. (Vit C in high dosages may cause temporary loose stools), Vit A (at least 100,000 to 200,000 IU per day and Vit D3 (4,000 to 8,000 IU per day.(IU means International Units).

It would be preferable to avoid adding Calcium supplements to your our diet, as many Calcium formulas may be contributors to hardening of tissues and secretions, and inducing "calcification and hardening of the arteries". Supplements containing Silicon, Vit D, spinach, kale and cruciferous vegetables (very high in natural Calcium) are more effective for repair and growth of connective tissues, hair, nails, skin, ligaments, tendons, cartilage, muscles and bone regeneration, and may help diminish Osteopenia and Osteoporosis.

Digestive Enzymes taken with every meal, and Probiotics morning and/or night on an empty stomach, will also help the body's ability to absorb nutrients and regenerate, greatly.

  • Patients are encouraged to eat naturally fermented foods and alkalinizing diets, with lots of Green Leafy Vegetables.
  • Avoid drinking carbonated sodas. Sodas are extremely acidic (with pH of about 2.4 to 3) and, because they cause the normal pH of the body to diminish and become acidic, they tend to induce marked lashing out of important alkalinizing minerals from the bones and connective tissues to re-establish normal alkaline pH (7.4-7.6).
  • Application of Warm Epsom Salt Compresses is highly recommended 3 to 5 times a day for about 7-10 min at a time, for at least the first 3 to 5 days after the injection procedure, in order to help the body with re-absorption of excess tissue growth and remodeling of callus formation and newly formed collagen and specific connective tissue. Epsom Salts also modulate the inflammatory response and enhance patient's comfort, offering greater ease of movement promptly after procedure.

3. What to Avoid Before and After Prolotherapy Injections:

  • Heavy work loads, heavy physical exercise, heavy lifting, twisting or reaching for at least 5 days after Prolotherapy Injections.
  • Excess exposure to Heat (cooking, saunas) and too much heat and sun exposure (to prevent dehydration and heat stroke) for at least 1 or 2 days after the injection procedure.
  • Getting in and out a bath tub. Safety and Fall Prevention are the issue here, since you may not have enough strength, stability and/or proprioceptive (positional sense) or mechanoreceptive (pressure - contact) sensation, to pull/push yourself and get in and out safely, and without causing damage to the tissues being treated.
  • Ice / Prolonged Cold application. The body uses at least 70% of its energy to keep us warm. Think about the cells being inoculated and implanted in a new area as "Baby Cells". A baby may not respond that well to cold, but would prefer nice warmth and heat.
  • * To learn more about the uses of the different kinds of Prolotherapy Injections, it may be beneficial to read the PDF "Joint Solutions", located below the pictures, on the Right Upper corner of the "Injection Therapy Services" page at .


    "It is highly recommended and the patient's responsibility, to consult with your treating Medical Doctor (MD or DO), about their acceptability of these Proliferative procedures, indications for your condition, and nutritional suggestions."


    By removing the red blood cells (highly inflammatory and much less regenerative) and white blood cells, we are concentrating the amount of platelets in the plasma. Platelets have the highest concentration of growth factors to give the order for collagen repair and new collagen formation on all the connective tissues and differentiated stem cell activation.

    I have been practicing injection therapy for Esthetic purposes and to provide Pain Relief, since January 2004, and despite having a great interest and expertise in the area of skin rejuvenation and skin tightening procedures (skin of face, neck, hands, decollatte area, hands, buttocks, thighs, stretch marks, scars, burns, ...), one of he most extensive training I have been pursuing, is on the Hackett-Hemwall Orthopedic Prolotherapy style.

    Hackett-Hemwall encourages us to apply the PRP solution and other sclerosing and/or regenerative solutions (like dilutions of Dextrose, Vit C, Vit B12, Ozone [O3] and other nutraceuticals - natural nutrients) to every affected periosteal ligament attachment and the tendino-fibrous attachments that are debilitated / strained and/or that, after being treated, could markedly enhance healing, functionality, weight support and stabilization of the joint.

    In the Hackett-Hemwall protocol, pain relief is a desirable side effect that usually happens once the tissues start healing, the joint is more stable and patient recovers more functionality; however, the main goals of Prolotherapy (Regenerative Injection Therapy) are increased stability, functionality and safety.

    Depending on how old an injury is, the extent of the injury, patient's age, nutritional challenges, structural misalignments / compensations, surgical/dental/ trauma history and present healing capabilities, in some cases, not all of the pain may go away.

    However, with a proper course of PRP applications, even with any disadvantages and misalignments some people may present; most patients usually report an improvement between 75% to 90% or greater in their level of activity, strength and functional capacity. The patient then gains "extra time" to work on recovering their strength again, correcting their postural misalignments and challenges, and improving any co-factors in their life style that could benefit their long term improvement and desired relief.

    There are inexpensive and expensive kits of plasma available on the market, and as in almost everything in life, it may be better to get an excellent quality product, even if it implies a little higher investment in our health. In my clinical practice, I have found that if the PRP products are of excellent quality, the normal and enhanced tissue regenerating activity usually continues for at least a year and a half (15-18 months) and even beyond. The only known and significant reason why a patient may not experience a marked rate of long lasting improvement, strengthening and relief, is when new trauma is introduced, or when there is underlying recurrent micro-trauma which could be happening, because of faulty structural patterns and skeletal misalignment; organ ptosis / prolapse and adhesions between viscera; or torsion / traction / straining of blood vessels and nerves.

    Most of my patients who received a full and successful course of regenerative injections, usually come back after a year and half to two and a half years, to get a boost in their joints or skin, mainly for prevention and for continued 'enhanced tissue regeneration'.

    A normal course of PRP Prolotherapy to promote the highest level of regeneration, stabilization, improvement of function and diminished pain, is about 3 to 4 injections applied within a 2 to 3 month period (injections are spaced between 2 to 4 weeks apart depending on prognosis, improvement and mutually agreed 'Patient-Doctor goals'). Some patients do really well with one or two PRP applications; however, with the experience I have accrued practicing Hackett-Hemwall Prolotherapy since 2007, I have found that, because of the recurrent nature of their micro-trauma and new trauma, most competitive athletes and people with very demanding lifestyles and heavy duty work, prefer to have 4 to 6 injections within a period of 4 months, to really thicken their connective tissues, provide more stability and prevent new injuries.

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