Utility of Prolotherapy for Upper Extremity Pathology.


Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI. Electronic address: [Email]


Prolotherapy is a method of treatment of painful musculoskeletal conditions whereby a sclerosing agent is injected into an area of tendinosis or osteoarthritis to strengthen and repair painful connective tissue. It is a safe, effective, and relatively inexpensive nonsurgical treatment modality. This article provides a history of prolotherapy, discusses its proposed mechanisms of action, and provides a review of the existing literature on prolotherapy as a treatment for upper extremity pathologies, specifically, hand osteoarthritis, lateral epicondylitis, and rotator cuff disease.


Prolotherapy,hand osteoarthritis,lateral epicondylitis,rotator cuff,