Vancouver Prolotherapy + Sports Medicine

Sports Medicine

I have been involved in athletics my whole life, from competitive gymnastics to rock climbing to running with my dog, so recuperating from sports injuries and optimizing performance is of peak importance to me. The way athletes strive for improved health every day is motivational, and I love being a part of their journey.
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Read below about some of the services I offer that are catered towards athletes.
Find out more about my personal experience with prolotherapy here.
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Prolotherapy:

Prolotherapy, also known as Regenerative Injection Technique (RIT), is a treatment in which dextrose (combined usually with lidocaine and saline) is injected into joints, ligaments and tendons to stimulate collagen and connective tissue repair. Dextrose promotes the body’s own ability to heal chronic injuries by initiating a controlled and localized inflammatory response.
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Connective tissues such as cartilage, ligaments and tendons generally heal poorly after injury due to their low blood supply. The patient is left with chronic pain, ligament laxity or joint instability due to incomplete healing.
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Prolotherapy is ideal for any musculoskeletal pain, sub-acute or chronic sports injury, or for a joint or connective tissue that heals poorly after an accident or surgery. Most patients require 3-6 treatments, and treatments are usually administered every 2-6 weeks.
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This treatment offers permanent results and is an excellent alternative to surgery for ligament repair or joint replacement. I am passionate about prolotherapy because it has minimal (if any) down time, and helps people get back on their feet doing the things they love!
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Some common conditions that are treated are:

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A proper diagnosis is required by a qualified physician to determine whether prolotherapy is indicated for you. To set up an assessment, click here.
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Prolotherapy For Active Teens

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Many teenagers and young adults suffer from sports-related injuries. If left untreated, not only can these injuries interfere with their athletic performance, they can also lead to chronic joint instability and early development of osteoarthritis.
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Conditions in teens that are commonly treated with prolotherapy include: ACL tear, MCL tear, medial meniscus tear, Osgood Schlatter’s disease, fallen foot arches, Achilles tendonitis or Achilles tendon tear, patellar tendinitis/Jumper’s Knee, rotator cuff tear, and AC (acromioclavicular) separation.
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A proper diagnosis is required by a qualified physician to determine whether prolotherapy is suited for your teen. To set up an assessment, click here.
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How do I know if prolotherapy is indicated for me?

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If you have joint pain, arthritis, ligament laxity or joint instability from an accident, sports injury, or wear and tear, prolotherapy is indicated for your condition. You may experience popping, grinding, aching or clicking within the joint, or a joint that ‘catches’ or ‘gives out’. If your have swelling or fluid effusion around the joint, this may be a sign of instability leading to friction and chronic inflammation of the tissues. This instability can be treated with prolotherapy injections.
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Some people who experience temporary relief from massage or chiropractic adjustments, yet it doesn’t last, or the adjustment doesn’t seem to ‘hold’, will benefit from prolotherapy treatment.
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An easy way to assess whether your pain could be relieved by prolotherapy is if you experience ‘cocktail party/theatre syndrome’. This type of condition is described as a worsening of joint pain if you have been standing still for a long time (such as while mingling at a cocktail party). If you sit down, the pain lessens; however if you stay seated for too long (such as at a theatre), you become uncomfortable again and experience a worsening of the pain or aching.
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The reason for this is that when you are standing, the muscles surrounding the unstable joints in your back or leg become tense in order to stabilize the joint by taking over the work for the weak ligaments. When you are seated, your muscles relax and the weak ligaments have to do the job of stabilizing the joint.
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You may find that your aching is worse first thing in the morning, but improves with walking, movement and light exercise. Throughout the day, you may find that you are constantly changing your position to avoid pain. If, however, you exercise too hard, this will also precipitate pain, aching or throbbing in the joint, and tension in the surrounding tissues as your muscles tense up to ‘guard’ the weak joints.
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If you find that wearing a brace, tensor bandage, or supportive shoe helps your condition, this may also be a sign of joint instability that can be permanently treated with prolotherapy. The brace adds temporary extra support to a weak joint, while prolotherapy can initiate your body to heal the damaged tissues.
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Joints that have been injected with cortisone or treated surgically without positive and lasting results can also be treated with prolotherapy.
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Prolotherapy FAQ

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q. Does prolotherapy hurt?

a. Because prolotherapy involves injections, it can be painful. Before the treatment begins, the area is ‘frozen’ with superficial injections of anaesthetic (lidocaine) to minimize the discomfort of the prolotherapy injections. Lidocaine is also included in the prolotherapy solution, so that a small amount of anaesthetic is introduced to every tender spot that is injected. The freezing lasts approximately 1 hour.

q. What if you have an allergy to one of the components in the prolotherapy solution?

a. Dextrose, a common ingredient used for prolotherapy is often derived from corn. Dextrose should not be used in patients with a corn allergy. Although allergic reaction to dextrose is rare, it is best to avoid use of dextrose in these cases. An alternative to dextrose is sodium morrhuate, however sodium morrhuate is derived from cod liver oil and cannot be used in patients with allergy to fish.

q. How long do the effects of prolotherapy last?

a. Prolotherapy is intended to be a lasting treatment in which the cartilage, ligaments and tendons are repaired permanently. If the joint is reinjured after it has been treated successfully with prolotherapy, further treatments may be required. Studies have shown increased proliferation of connective tissue within and surrounding the joint for up to 3 months after the treatment, and once this healthy tissue is layed down, the effects are lasting.

q. Do I need to do special exercises for prolotherapy to work?

a. Exercises to strengthen the muscles around the joint may be helpful when recovering from an injury. Sometimes, exercises, stretches, or adjunct treatments are recommended depending on the case, however these are not necessary for prolotherapy to work.

q. Are exercises and stretches necessary to maintain results from prolotherapy and lasting joint health?

a. Movement, strengthening and light stretching are all necessary for joint health. Exercise increases synovial fluid within the joint, keeping joint surfaces smooth and well-lubricated. Walking, swimming, jogging, yoga, and qi gong are activities that will keep joints functioning optimally late into life. Stay within your comfort zone to avoid injury, and don’t over-stretch as a strained ligament will not return to it’s original length without treatment.

q. Should I avoid any medications if I wish to be treated with prolotherapy?

a. Avoid all COX inhibitors / NSAIDs (non-steroidal anti-inflammatory drugs) as these drugs will interfere with the healing of connective tissue and interfere with the positive effects from the prolotherapy. Some common examples of such drugs are: Aspirin, ibuprofen, naproxen, celecoxib (Celebrex), and diclofenac. Please also be aware that some drugs such as Midol contain NSAIDs. If you are experiencing pain, you may use Tylenol/acetaminophen.

q. How much down-time is there after each treatment?

a. Unlike a surgery, there is virtually no down-time after prolotherapy. You will likely experience some tenderness after the injections, which may last for 1-7 days on average. It is recommended that you keep to light exercise only for the first 3 days after a treatment.

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Hyaluronic Acid Injections

 

We are very happy to report that we are now carrying Durolane cross-linked hyaluronic acid.  The Durolane injection is administered by Dr Wilson, and provides relief from painful osteoarthritis with a single treatment.  Durolane is only available by doctor’s prescription, but now that we are carrying Durolane in stock, you can have the injection without visiting the pharmacy.

Durolane is an injectable gel, composed of cross-linked, stabilized hyaluronic acid, an important component of synovial fluid/joint fluid.  This fluid acts as a cushion or shock-absorber within the joint, allowing the joint to move freely, and protecting the bone and cartilage surfaces from wear and tear.

Osteoarthritis is considered a degenerative joint disease which develops and progresses slowly over time.  Wear and tear on joint surfaces wear away at the cartilage, and bone surfaces become uneven and pitted.  An osteoarthritic joint lacks sufficient synovial fluid, as the joint “dries out” and the joint space narrows.  Osteoarthritis is a common condition and onset begins in the 30’s and 40’s.

Hyaluronic acid, the vital ingredient within Durolane, is an important component of your joint space.  In a normal joint, hyaluronic acid is broken down and replaced over time; however, in an osteoarthritic joint, hyaluronic acid is broken down much quicker than the body is able to replace it.  Without hyaluronic acid, the joint loses its cushioning and those who suffer from osteoarthritis complain of joint pain, a “bone on bone” sensation, and limited range of motion.

Durolane is a safe, non-animal derived hyaluronic acid that haslow risk for complications, side-effects, or allergic reaction.  There are no contraindications to Durolane treatment.  Durolane effectively relieves pain and restores joint function for up to six months, with a small subset of patients reporting benefits at 9 months.  The Durolane injection is repeated every 6 months for maintenance.  Many people facing joint surgery get relief from hyaluronic acid injections, and are able to avoid the surgery altogether.

Durolane is approved for treatment of osteoarthritis of the knee, ankle, hip, finger or toe.  Durolane is also recommended to relive joint pain after arthroscopy, within 3 months following the procedure.

What To Expect:

1.  If you are a new patient, book in for a Sport Medicine Initial Consult.  If you are an existing patient of Dr Wilson, book in for a regular Follow-Up Appointment.  This appointment will involve an assessment, discussion of your condition and medical history, and explanation of the procedure.  If you are ready and if Durolane is indicated for you, the procedure can be performed right away at this appointment.

2.  The procedure will involve landmarking the site of injection, sterilizing the area, freezing with anaesthetic, followed by the single Durolane injection.

3.  Following the procedure, the freezing will wear off within 30-60 minutes.  You will be able to walk normally or drive home.  No icing or medications are required following the procedure.

4.  It is recommended to avoid strenuous activity for 2 days after the injection.  Any activity such as jogging, tennis, hiking, etc that place stress on the joint should be avoided for 2 days.  Transient symptoms such as mild pain, swelling or stiffness may occur for up to a week after the injection.  Temporary bruising at the injection site may occur in some patients.

 

 

Trigger Point Injections

Trigger point therapy involves injections into areas of muscular tension and overstimulation via the nervous system to relax the trigger point and break the cycle of neuronal stimulation, tension, and pain.

These points, often referred to as “knots”, are very painful and create patterns of pain referral and neurological symptoms such as numbness and tingling.

Trigger points can be injected with anaesthetic, Traumeel, or Spascupreel or a combination of the three, and are an excellent adjunct to acupuncture, massage therapy or chiropractic adjustments to reduce pain and prevent your trigger points from coming back once the structural and postural elements have also been corrected.

 

 

Intravenous Vitamins

An intravenous vitamin injection is the fastest way to get high doses of vitamins into your cells, and offers the best absorption. Typically, a blend of calcium, magnesium,  zinc, selenium, B vitamins, and vitamin C is administered. IV vitamins and minerals can improve energy, stamina, performance, and immune function. These injections are not just for athletes as  many people can benefit from a vitamin boost, including patients with chronic disease, couples looking to conceive, and those with chronic fatigue or fibromyalgia.

  • Meyer’s IV: Basic combination of vitamins and minerals
  • Immune IV: Complete combination of vitamins and minerals to support the immune system during stress, before or after travel, and during illness
  • Athlete IV: Vitamins, minerals and electrolytes, catered to athletes in training or recovering from an event, injury or surgery.
  • Vitamin C IV: IV bag containing vitamins, minerals and high-dose vitamin C to support the immune system before or after surgery, during cancer therapy, or during chronic infection.
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