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Joint repair.
A clearer path
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Prolotherapy at CCIM

Prolotherapy is an injection technique used at CCIM to stimulate healing and regeneration in joints, ligaments, and tendon-to-bone attachments.

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The knee, layer by layerAn anterior educational view of the knee. The femur sits above the tibia, with the smaller fibula alongside. Cartilage, collateral ligaments, the patella and tendon attachments are drawn as separate vector layers.

See the process, step by step.

The knee, layer by layerAn anterior educational view of the knee. The femur sits above the tibia, with the smaller fibula alongside. Cartilage, collateral ligaments, the patella and tendon attachments are drawn as separate vector layers.

Explore the bones, cartilage, ligaments and tendon attachments together.

Knee shown as an educational exampleMap the tender areas: joint and tendon-to-bone attachment.

Map the tender areas

The clinician examines the painful region and marks the specific areas selected for treatment.

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  1. The clinician examines the painful region and marks the specific areas selected for treatment.

  2. The skin over the treatment area is numbed with lidocaine before the prolotherapy injections begin.

  3. The solution is injected into the selected joint, ligament, tendon, or tendon-to-bone attachment.

  4. The needle tip and injected solution promote an acute inflammatory response, triggering the immune system to heal the area and regenerate cartilage and ligaments.

  5. Stiffness for two to five days is expected, followed by a gradual healing process leading to lasting healing. Smaller joints generally need fewer treatments; larger joints may require more.

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Before an injection, locate the source

Evaluation may combine a detailed physical examination, CCIM's Structural Alignment Assessment, and a review of X-ray or MRI findings. The aim is to identify the structures that need attention before planning treatment.

  1. 01Detailed physical examination
  2. 02Structural Alignment Assessment
  3. 03X-ray review when relevant
  4. 04MRI review when relevant

Where CCIM considers prolotherapy

CCIM uses prolotherapy for degenerated joints and for non-healing areas of ligament, muscle, and tendon that commonly contribute to chronic pain. These tissues may heal more slowly than bone because their blood supply is more limited.

A regenerative tradition

A method developed for repair

Prolotherapy is an ancient technique that became a mainstream scientific medical practice in the 1950s through the work of Drs. Hemwall and Hackett.

Explore the treatment regions

  • Fingers
  • Wrist
  • Elbow
  • Shoulder
  • Ribs
  • Hip
  • Knee
  • Ankle
  • Feet
  • Occiput
  • Neck
  • Back
  • Low back
  • Sacroiliac joints

Solutions selected for a proliferative response

Dr. DV uses dextrose and selected hormones—including growth hormone, testosterone, and progesterone—as proliferative agents. The treatment plan is chosen through the clinical evaluation.

Hormone and pharmaceutical treatments may also be useful for people in pain when selected through the clinical plan.

2–5

days of expected stiffness

Gradual healing follows this initial period. Smaller joints generally need fewer treatments; larger joints may require more.

Repair + reintegration

Structural Alignment Yogatherapy

CCIM pairs joint-repair care with Structural Alignment Yogatherapy when appropriate and describes the combination as a modality to resolve pain for good. Clinical yoga is applied to medical problems, with Elaina customizing total-body reintegration and realignment work around the individual.

The goal is to optimize structural and psychospiritual alignment, resolve pain, enhance self-knowledge, and cultivate an experience of coherent harmony.

Structural, energetic, and psychospiritual assessment occurs through an Integrative Alchemy clinical evaluation.

The CCIM prolotherapy library

Explore Dr. DV’s overview, treatment demonstrations by body region, and patient perspectives.

Experiences from the joint-repair path

“Finally found a physician who truly cares about the welfare of his patients. Because of Dr. DV's help, I started functioning much better and the chronic pain I was suffering from was under control. Thank you for everything.”
Erin DreibelHavre de Grace, Maryland2011
“I have become a strong believer in prolotherapy injections. Dr. DV recommended and gave me three sets of injection treatments to my right shoulder because it was popping out of place three to four times a day, causing a lot of pain and discomfort. After my injection treatments I no longer have the pain and discomfort.”
William GreenBaltimore, MarylandPatient of Dr. DV's since February 2011

Looking for platelet-rich plasma?

PRP is a distinct regenerative treatment at CCIM. Explore it separately to understand how its source material and treatment approach differ from prolotherapy.

Explore PRP at CCIM

Start with a comprehensive consultation

Your first visit gives the CCIM team time to understand the pattern of pain, examine the structures involved, review prior imaging, and map an individualized path forward.

Start with a consultation