Institute for Healing Arts Research : Director, Andrew Kochan, M.D.
Clinical Specialties: Prolotherapy


  1. Patients usually experience 2 to 3 days of increased pain after prolotherapy injection treatment. Some patients have little or no pain, while others have pain that can last for a week. Having pain for 2 to 3 days means that the tissue has been stimulated adequately and indicates a good response to the procedure.
  2. To help with the pain after the procedure, apply ice to the affected area and/or take non-anti-inflammatory pain medication (Tylenol, Tylenol w/ Codeine, Vicodin, etc.). It is a good idea to stay active and not lie down for long periods, as this will just increase swelling in the tissue. For your convenience, gel cold packs are available for purchase in the office.
  3. To maximize the healing potential of prolotherapy, nutritional supplementation is recommended. The best combination of supplements is one that is individualized depending on the patient’s metabolic type, but a good quality multivitamin along with a supplement containing specific collagen precursors is adequate until metabolic typing is done. Please ask Dr. Kochan or Ray for more information.
  4. Avoid taking aspirin, ibuprofen, or other non-steroidal anti-inflammatory drugs for pain after prolotherapy, as they will suppress the desired response in the tendons and ligaments we are treating.
  5. Avoid vigorous exercise unless this has been discussed and approved. Activities are not restricted except for sudden movements, jerking or sharply compressive movements, such as jumping.
  6. Taking an occasional aspirin for cardiac reasons is OK.
  7. If you are receiving periodic manipulation treatment by a chiropractor, ask him/her to avoid forceful methods if possible. Consultation with your chiropractor or physical therapist can be arranged at your request.
  8. Please call the office if you have any questions or if you believe that you are having side effects from your treatment.
  9. Please keep a written record of the duration of soreness and report any unusual or interesting symptoms following the procedure. Before your next visit try to evaluate whether or not the last treatment has helped you. Has your pain been reduced? Are you able to function better?

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