Prolotherapy on Shoulder

I don’t remember the pain from prolotherapy for very long because the relief of pain from the chronic problems I have had in different areas come so quickly. My latest treatment for my right shoulder is an excellent case in point. I don’t remember the shots hurting so much during the first 24 hours. I know that the pain is not pleasant, but this time the pain seemed deep. I almost regretted the treatment.

And then after more than 6 months of not being able to sleep on my right side, the following night I did just that. The pain from the shots had subsided and the pain from the chronic injury was also subsiding. Who wouldn’t trade 24 hours of pain to relieve pain that had been near constant for more than 6 months.

It has now been almost a month since that treatment and I don’t really remember how bad either pain was. I do know that my shoulder feels a lot better though. There is no doubt in my mind that prolotherapy works wonders.

Prolotherapy for Achilles Heel Third Visit

It has been several months since my last injections into the achilles heel area of my right foot and lately I have been in considerable pain. Of course, some days are worse than others and it always seems to be the case when I go for the injections that the pain is not as bad as on other days. Perhaps hat is to make me think twice about having the prolotherapy treatment.

Of course once the injections begin there is no thinking twice. At the moment the needle is piercing a sensitive spot, even though it has been numbed with lidocain, it is not pleasant. In that moment the idea that this will hopefully eliminate the chronic pain in the foot goes away and there is instant regret. Within seconds my thoughts return to the idea that it is worth any and all fleeting to return to the pre-injury pain free days, and it all is worth it.

In order to find the right spots for the injection, the doctor presses hard on different places in the area around the most sensitive spot. Interestingly enough I am surprised to find that I have a number of sensitive spots other than the obvious ones at the insertion point where the achilles tendon enters at the bottom of the back of my foot. There are a number of sensitive spots moving up the tendon and even on the front of the ankle as well. The most sensitive spot is to the outside of the heel, where my foot rests as I press the accelerator on the car.

I lie on my back as the doctor cleans and then numbs the entire area with many shots of lidocain. These shots are with small needles and are just below the skin, so while they are not comfortable, they are not really painful either. Except the one into that sensitive spot on the side of the heel. Yowzer! We then 8-10 minutes for the medicine to work numbing the entire area.

One of the assistants said to me when I entered, “You love this stuff, don’t you?” I had to tell her that although I have had many shots, I do not like them. I like the healing they bring. “But if it was going to work, it would ahve already worked,” she says. I disagree, noting that there are many injuries that prolotherapy has already helped heal, and that I am working on the others hoping for the same relief and healing.

Still on my back, the doctor begins the prolotherapy injections into the different parts of my ankle and heel. The medicine has done its work and the area is numb so there is not that much pain from the needles. In some spots, I can feel the medicine as it is injected right on the bone where the ligament is attached. However when he injects the most sensitive spot it feels like there has been no numbing at all. The pain is intense, but the shot is quick and it passe quickly. Again, my thoughts return to the benefits and the healing that will come.

Because he has injected the area before and it is not yet healed, the doctor decides to use a stronger prolotherapy solution of 25% glucose instead of 15%.  This “medicine” is meant to stimulate the body to heal itself and to strengthen the ligaments in the area, so I assume a stronger solution merely causes more inflammation which brings more healing.  I am looking forward to that. I have been limping for months and the idea that pain can be cured is enticing and will worth any short term apin I might have had to endure during this visit.

I take a pain killer before bed the next morning there is not that much pain. There is always some pain the day after prolotherapy injection as the holes made by the needles are each a small wound that takes a few days to heal. I’ll limp a little today and by tomorrow I should be walking normally. And then… I’m looking forward to complete healing of the heel and foot..

Peter A. Fields, MD, DC

Dr. Peter Fields


Prolotherapy in Santa Monica, CA

Pacific Prolotherapy & Medical Wellness Center
1919 Santa Monica Blvd, Suite 220
Santa Monica, CA 90404
(310) 453-1234

Peter A. Fields, MD, DC combines cutting-edge western medicine with a blend of natural methods to provide the most effective and least invasive path to healing and continued wellness.

Dr. Fields is one of a handful of physicians in the nation with both medical and chiropractic degrees. He integrates conventional medicine, chiropractic and state-of-the-art holistic therapies. Dr. Fields first attended the Los Angeles College of Chiropractic. After graduating from there, Dr. Fields had a private practice in Santa Monica, CA. In addition to chiropractic, Dr. Fields provided natural and holistic medicine to his patients. After eight years in practice, Dr. Fields decided to attend medical school to further his education.

Dr. Fields is a graduate of American University of the Caribbean Medical School. Following medical school, he trained in a three year residency program in Family Medicine at the University of Oklahoma in Lawton. This was a new residency program and Dr. Fields was their first graduate. In his last year of residency, Dr. Fields was elected Chief Resident. Upon graduation, he returned to Santa Monica to begin private practice.

His practice integrates a holistic approach to medicine including natural alternatives to prescription drugs, Prolotherapy, bio-identical hormones, structural analysis, anti-aging medicine, nutritional counseling and more. Dr. Fields has extensive training in Prolotherapy. He is an active member of the Hackett-Hemwall Foundation, an organization that is dedicated to Prolotherapy teaching and education. He volunteers his time and services to the Foundation as an instructor of Prolotherapy. He annually travels with them to Honduras and Mexico to provide Prolotherapy to those with limited medical access and to teach other physicians Prolotherapy.

Dr. Fields is Board Certified in both Family Medicine and Chiropractic.

He is a member of the following organizations:

  • American Academy of Anti-Aging Medicine (A4M)
  • International Hormone Society (IHS)
  • American College for the Advancement of Medicine (ACAM)
  • American Association of Orthopedic Medicine (AAOM),
  • Several Chiropractic Organizations.

Dr. Fields is also an active athlete and triathlete and has completed over 50 triathlons. He has completed seven 70.3 Ironman races which includes a 1.2 mile swim, 56 mile bike and a 13.1 mile run. Dr Fields did two of these races, plus several smaller distance triathlons, in each year from 2005 to 2007. He also enjoys other sports such as tennis, skiing and scuba diving. Dr. Fields is an official sponsor of the Los Angeles Triathlon Club.

George J. Pasquarello, DO

Prolotherapy Dr. in East Greenwich, RIProlotherapy in Rhode Island

East Greenwich Spine and Sport
1351 S. County Trail Suite 100
East Greenwich, RI 02818        (401) 886-5907

George J. Pasquarello, DO specializes in ProlotherapyPlatelet Rich Plasma Injections, and Neuromusculoskeletal and Osteopathic Manipulative Medicine

Dr. Pasquarello is one of the top experts in the world on injection therapy and other cures and pain management techniques. He lectures at the state, national and international level to physicians, hospital staff and students on the application of Osteopathic Manipulative Medicine, Myofascial Pain and Trigger Point Injection, Prolotherapy, Platelet Rich Plasma Injection and Chronic Pain Management. He is actively involved in clinical research and has several publications on osteopathic manipulation, prolotherapy and the conservative management of chronic pain. He is a co-author of the textbook Principles of Prolotherapy.

He attended the University of New England College of Osteopathic Medicine in Biddeford, Maine  and served a one year Anatomy/Osteopathic Principles and Practices Undergraduate Teaching Fellowship prior to graduation in 1993. He completed an AOA rotating internship at UMDNJ Kennedy Memorial Hospitals in New Jersey and a residency in Osteopathic Manipulative Medicine at UNECOM and Brighton Medical Center in Portland, Maine.

He is Board Certified in Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine and holds a Certificate of Competency in Osteopathy in the Cranial Field. He was conferred the degree of Fellow of the American Academy of Osteopathy in 2002.

He has served on the Board of Trustees for the Rhode Island Society of Osteopathic Physicians and Surgeons since 2004 and as its President for 2010-2012. He serves on the Board of Trustees for the American Academy of Osteopathy and was the 2009-2010 President. He has previously served on the American Osteopathic Board of Neuromusculoskeletal Medicine, the Maine Osteopathic Association Board of Directors, as Chief of the Section of Osteopathic Manipulative Medicine at Mercy Hospital in Portland, Maine and as President of the UNECOM Alumni Association. He served as Director of the Neuromusculoskeletal Medicine Residency and Co-director of the FP/NMM Residency at UNECOM from 1998-2003.

He is the Director of East Greenwich Spine & Sport where he practices Neuromusculoskeletal and Osteopathic Manipulative Medicine. He previously worked as an Associate Professor of Osteopathic Manipulative Medicine at University of New England College of Osteopathic Medicine and as a clinical specialist at Maine Spine and Rehabilitation and University Healthcare from 1996-2005.

He holds academic appointments at University of New England College of Osteopathic Medicine as a Clinical Associate Professor of Osteopathic Manipulative Medicine and at Brown Alpert Medical School as a Teaching Associate in Family Medicine. He is on the staff of Kent Hospital and Memorial Hospital.

He was awarded the Maine Osteopathic Association Physician of the Year Award in 2004 and Young Physician of the Year Award in 2000. He was awarded the University of New England Residency Program OMM Attending of the Year Award in 2000, 2002 and 2003. He was inducted into the AOA Mentor Hall of Fame in 2008.


Finding a Prolotherapy Doctor Near You

While prolotherapy has been used for more than 75 years to treat injuries and pain related to ligaments and tendon damage in every joint and almost every part of the body, the number of prolotherapy doctors is still relatively small. Our latest research shows that there are approximately 500 doctors doing prolotherapy in the United States.

One of the best ways to find a prolotherapy doctor near you is to look at our list of prolotherapy doctors. You could also do a Google search for “prolotherapy doctors near [your town]” But ultimately how do you know if the doctor you find knows how to perform the injections properly? As with any medical decision, you will need to do some of your own research to make that decision.

The best way to do the research is by looking on to read about the treatments from a patient’s perspective. Choose the joint or area that you are considering having treated and read about this patient’s experience. Prolotherapy injections stimulate growth and strengthening of ligaments wherever the needle touches the bone and the “medicine”, which is mostly sugar, is injected. Thus, areas such as the lower back will need many, many injections during each treatment. Two or three dozen shots into the lower back would probably be the minimum for the treatment to stimulate the proper growth in the area. In contrast prolotherapy treatment in the neck might only take a dozen  shots depending on the injury.

So, your first question about your treatments that you should ask your doctor is how many shots he anticipates you will need. Understanding that every patient is different and responds differently, most people will find substantial relief from chronic pain or total healing in one to six visits, with most being in the 1-3 range depending on the severity fo the problem. To stimulate your body to grow and heal will require many injections at each of those visits. So make sure your prolo therapy doctor is experienced enough and is prepared to treat you with as many shots as it takes.