Why Would You Choose Prolotherapy Over A Cortisone Injection?

A podiatrist delivering an injection to the forefoot

Plantar fasciopathy, Achilles tendinopathy, shin splints and Mortons neuromas are all common conditions we see at JS Podiatry. While cortisone injections have been a traditional approach for managing these conditions once they have become chronic, an alternative but just as effective treatment known as prolotherapy has gained attention for its potential benefits.

Prolotherapy, also referred to as regenerative injection therapy, involves the injection of a natural irritant solution into the affected area. This solution is typically a sugar-based substance mixed with local anaesthetic, which stimulates the body’s natural healing processes. In contrast, cortisone injections deliver a powerful anti-inflammatory medication to the site of pain. So, why would someone consider prolotherapy over cortisone injections for chronic plantar fasciopathy, Achilles tendinopathy, shin splints or Mortons neuromas? Here are a few reasons:

  1. Addressing the Root Cause: Prolotherapy aims to promote tissue repair and strengthen the affected area, potentially addressing the root cause of the pain. Cortisone injections, while providing temporary pain relief from inflammation, do not treat the underlying cause, and do not address the tissue degeneration or damage.

  2. Long-Term Healing: Prolotherapy is believed to support long-term healing by stimulating the body’s natural healing mechanisms. In contrast, cortisone injections may offer temporary relief but do not necessarily contribute to long-term healing.

  3. Reduced Risk of Tissue Damage: Cortisone injections pose a risk of tearing the affected structures and further weakening of already damaged tendons, ligaments, and fascia. They are often associated with muscle wasting in the feet. Prolotherapy, on the other hand, is designed to promote tissue repair and strengthen the affected area.

  4. Potential for Repeat Injections: While cortisone injections are often limited in frequency due to the risk of tissue damage; prolotherapy may be repeated as needed to support ongoing healing and pain relief. It’s important to note that individual responses to these treatments may vary, and consulting with a qualified podiatrist is essential in determining the most suitable treatment plan for each patient.

A podiatrist in gloves giving an injection into a patient's foot

Prolotherapy presents a potential alternative to cortisone injections for individuals seeking long-term healing and pain relief. By addressing the root cause and promoting natural healing processes, prolotherapy offers a distinctive approach to managing chronic podiatric conditions.

Book in with one of qualified podiatrists to find out more if prolotherapy is suitable for you! Find out more below

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