Does it work?
Most physicians like to see evidence of any medical therapy before they embrace or promote it. This is the world of research, which is often not clear cut but at least gives us guidance about what works and what doesn't. Recently we met up with a colleague in BC who is studying the effect of prolotherapy for TMJ or temporomandibular joint syndrome, aka painful jaw. The study is on-going and won't be published for at least a year, but the results thus far are very promising. Most of the patients who were in the non-prolotherapy arm of the study opted to have prolotherapy after their involvement in the study was complete, as they hadn't benefited from the "blinded saline" injection to the same extent as the "blinded dextrose" group. This shows that the proliferative effect of concentrated dextrose into damaged joints is effective, leading to healing and of course less pain - our goal! We have updated the research section of the website, and for your interest and information you can look at these studies near the top of the Links page. Some of the researchers are Jack Taunton, well-known Vancouver sports injury clinic physician, Dean Reeves, "father" of prolotherapy research collation, and David Rabago (and the late Jeff Patterson) of the University of Wisconsin, home of the Hackett Hemwall Patterson Foundation whose teaching of prolotherapy is first class. We have met several of the researchers in the world of prolotherapy and they are enthusiastic about this simple, elegant and effective treatment.
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Jannice is a family physician with an interest in the treatment of pain. Anything to help the process is added to this blog.