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SORRY FOR MY ENGLISH
Quick guide for semi self administered Prolotherapy.
I have slap on my left and bankart tear on my right shoulder. I had arthroscopic surgery done on my right shoulder about 7 years ago but it didnt help at all. After going through years without any success with physiotherapy, rehab, active release, cortisone and hyaluronic shots, I decided to give a shot on prolotherapy. I have medical background as a rehab specialist but in country where I am residing currently, prolotherapy is unknown and I couldnt persuade ANY OF my colleagues( orthopedic and sports medicine docs) to try prolo on my both shoulders. They simply suggested me to get either useless cortisone injection or surgery. So i had to prepare everything with a bit of help from my girlfriend( SHE DID INJECTION). Until today I did total 4 sessions of prolotherapy and I feel 30% of improvement. This guide here might help someone who has same problem as I do. If you can find a good prolotherapist in your area, go for it. But if you cant find one as I do then this will guide you through.
PLEASE DO IT AT YOUR OWN RISK. I AM NOT RESPONSIBLE FOR ANY OF THINGS MIGHT HAPPEN DURING SELF ADMINISTERED INJECTION.
For each shoulder you will need about 50ml of injection. These are what you need:
+5 of 10ml syringes with 32 gauge and at least 2-3 inch long needles.
+1 amp of 5ml:0.1g lidocaine hydrochloride
+1 25ml 50% sterile dextrose water
+1 15ml 0.9 % saline water
+1 1ml insulin syringe with a needle for Mixing HGH on 10ml syringe and use it later for lutalyse injection.
+ one pair of medical gloves
+ alcohol swaps for cleaning
+ cotton balls
+ gatorade or any of electrolyte drink
1 amp of 5ml vitamin c injection
4-5ui of HGH or 100 mcg of IGF-1 for the best result
1 amp of vitamin B complex
0.4-0.5 mg of lutalyse or cloprostenol sodium
On above list, ones with + signs cant be left over.. they are must for prolo and ones without + signs you might need them for faster healing process.
Now each syringe, you will put 5ml of 50% dextrose, 3 ml of 0.9% saline, 1 ml of lidocaine, 1 ml of vitamin c, 0.2 ml of vitamin b complex and 1ui of Hgh.
IF You want to go without vitamin b and C then 5 ml of dextrose, 4ml of saline and 1ml of lidocaine per syringe is ok.
You ll have total 5 syringes of 10ml.
You ll need someone to do injection.
Try to read " injection techniques in musculoskeletal medicine" as a reference.
You or your buddy can practice injection technique on pork belly with 10ml of water on syringe. Try multiple times until you get used to it.
Try double tap technique. so in stead of putting all the needle in one time, try to jaB in two motions. it will decrease pain. First time, jab one inch of needle and rest on second time. then push about 1ml of water on pork belly. practice until you become good at it. then Throw away syringe and needle that you used for practice. You can watch prolotherapy video on youtube. observe how they do inject in two motion in stead of putting needle all the way in one time. It should be done fast.
Now it is time for real time prolo.
put on medical gloves.
Clean the injection site with alcohol or wound cleanser.
Inject about 1ml of prolo each time on posterior side of shoulder, concentrate on insertion of rotator cuff tendon and posterior side of glenohumeral area.
That is about 30 jabs(30ml total) on posterior side of shoulder.
Do about 10ml on side of deltoid. concentrate on boarder line of glenohumeral joint area instead of muscle.
Last 10ml, do it on anterior side of shoulder, specially on biceps tendon and anterior capsule area. It might be easier if you use insulin needle on anterior side of shoulder.
If you have a slap, do 20ml on anterior, 10 ml on side and 20ml on posterior.
If you have bankart or rotator cuff injury, do 30 ml on posterior 10 on side and 10 on anterior.
DO NOT WORRY TOO MUCH ABOUT WHERE YOU ARE INJECTING IT. MOST IMPORTANT PART IS INJECTING INFLAMMATORY AGENTS INTO SITES OF INJURY AND SURROUNDING STRUCTURES TO CAUSE HEALING PROCESS.
Clean up using alcohol swaps whenever you see blood. You will see some blood since jabbing 50 times.
Once you are done with all 50ml. using insulin syringe and needle , inject about total 0.4mg of lutalyse on minimum 4 sites of shoulder, usually 0.1mg each site on anterior,side and posterior area of shoulder. Injecting lutalyse will cause more blood circulation and swelling to the injection sites thus causing better healing process. You ll need some access to bathroom for next two hours since lutalyse cause some unwanted side effects. Drink plenty of water or gatorade( any electrolyte drink). Read about lutalyse before you decide to do it with prolo. You might get some severe side effect. But i had very mild one.
Immediately put hot pack on injection site for next 20 minutes once you done with all the injections..
If you have both shoulder problem, do one side on alternative week. If you do both side at one time, it ll be too much for your body to handle.
Things to avoid:
Any anti inflammatory medication including glucosamine and fish oil.
No caffeinated drink 2 hours before and after prolo.
Do not take TB-500 at least 5 days prior prolo.
Supplement for faster healing
2gm of vitamin C per day
Mega dose of Multivitamin( I take about 2-4 pills of centrum)
Plenty of protein
ZMA
Plenty of sleep
Goof luck guys.
Quick guide for semi self administered Prolotherapy.
I have slap on my left and bankart tear on my right shoulder. I had arthroscopic surgery done on my right shoulder about 7 years ago but it didnt help at all. After going through years without any success with physiotherapy, rehab, active release, cortisone and hyaluronic shots, I decided to give a shot on prolotherapy. I have medical background as a rehab specialist but in country where I am residing currently, prolotherapy is unknown and I couldnt persuade ANY OF my colleagues( orthopedic and sports medicine docs) to try prolo on my both shoulders. They simply suggested me to get either useless cortisone injection or surgery. So i had to prepare everything with a bit of help from my girlfriend( SHE DID INJECTION). Until today I did total 4 sessions of prolotherapy and I feel 30% of improvement. This guide here might help someone who has same problem as I do. If you can find a good prolotherapist in your area, go for it. But if you cant find one as I do then this will guide you through.
PLEASE DO IT AT YOUR OWN RISK. I AM NOT RESPONSIBLE FOR ANY OF THINGS MIGHT HAPPEN DURING SELF ADMINISTERED INJECTION.
For each shoulder you will need about 50ml of injection. These are what you need:
+5 of 10ml syringes with 32 gauge and at least 2-3 inch long needles.
+1 amp of 5ml:0.1g lidocaine hydrochloride
+1 25ml 50% sterile dextrose water
+1 15ml 0.9 % saline water
+1 1ml insulin syringe with a needle for Mixing HGH on 10ml syringe and use it later for lutalyse injection.
+ one pair of medical gloves
+ alcohol swaps for cleaning
+ cotton balls
+ gatorade or any of electrolyte drink
1 amp of 5ml vitamin c injection
4-5ui of HGH or 100 mcg of IGF-1 for the best result
1 amp of vitamin B complex
0.4-0.5 mg of lutalyse or cloprostenol sodium
On above list, ones with + signs cant be left over.. they are must for prolo and ones without + signs you might need them for faster healing process.
Now each syringe, you will put 5ml of 50% dextrose, 3 ml of 0.9% saline, 1 ml of lidocaine, 1 ml of vitamin c, 0.2 ml of vitamin b complex and 1ui of Hgh.
IF You want to go without vitamin b and C then 5 ml of dextrose, 4ml of saline and 1ml of lidocaine per syringe is ok.
You ll have total 5 syringes of 10ml.
You ll need someone to do injection.
Try to read " injection techniques in musculoskeletal medicine" as a reference.
You or your buddy can practice injection technique on pork belly with 10ml of water on syringe. Try multiple times until you get used to it.
Try double tap technique. so in stead of putting all the needle in one time, try to jaB in two motions. it will decrease pain. First time, jab one inch of needle and rest on second time. then push about 1ml of water on pork belly. practice until you become good at it. then Throw away syringe and needle that you used for practice. You can watch prolotherapy video on youtube. observe how they do inject in two motion in stead of putting needle all the way in one time. It should be done fast.
Now it is time for real time prolo.
put on medical gloves.
Clean the injection site with alcohol or wound cleanser.
Inject about 1ml of prolo each time on posterior side of shoulder, concentrate on insertion of rotator cuff tendon and posterior side of glenohumeral area.
That is about 30 jabs(30ml total) on posterior side of shoulder.
Do about 10ml on side of deltoid. concentrate on boarder line of glenohumeral joint area instead of muscle.
Last 10ml, do it on anterior side of shoulder, specially on biceps tendon and anterior capsule area. It might be easier if you use insulin needle on anterior side of shoulder.
If you have a slap, do 20ml on anterior, 10 ml on side and 20ml on posterior.
If you have bankart or rotator cuff injury, do 30 ml on posterior 10 on side and 10 on anterior.
DO NOT WORRY TOO MUCH ABOUT WHERE YOU ARE INJECTING IT. MOST IMPORTANT PART IS INJECTING INFLAMMATORY AGENTS INTO SITES OF INJURY AND SURROUNDING STRUCTURES TO CAUSE HEALING PROCESS.
Clean up using alcohol swaps whenever you see blood. You will see some blood since jabbing 50 times.
Once you are done with all 50ml. using insulin syringe and needle , inject about total 0.4mg of lutalyse on minimum 4 sites of shoulder, usually 0.1mg each site on anterior,side and posterior area of shoulder. Injecting lutalyse will cause more blood circulation and swelling to the injection sites thus causing better healing process. You ll need some access to bathroom for next two hours since lutalyse cause some unwanted side effects. Drink plenty of water or gatorade( any electrolyte drink). Read about lutalyse before you decide to do it with prolo. You might get some severe side effect. But i had very mild one.
Immediately put hot pack on injection site for next 20 minutes once you done with all the injections..
If you have both shoulder problem, do one side on alternative week. If you do both side at one time, it ll be too much for your body to handle.
Things to avoid:
Any anti inflammatory medication including glucosamine and fish oil.
No caffeinated drink 2 hours before and after prolo.
Do not take TB-500 at least 5 days prior prolo.
Supplement for faster healing
2gm of vitamin C per day
Mega dose of Multivitamin( I take about 2-4 pills of centrum)
Plenty of protein
ZMA
Plenty of sleep
Goof luck guys.
