Please do not apply ice for the first 7 to 10 days following your prolotherapy treatment.

  • Anti-Inflammatories: DO NOT USE any prescription over-the-counter anti-inflammatory medications (NSAIDs) such as: Aspirin, Motrin, Advil, ibuprofen, Aleve, Naprosyn, naproxen, Voltaren, diclofenac, meloxicam, Mobic or Celebrex while undergoing prolotherapy treatments and for 12 weeks following prolotherapy treatments.

  • Prednisone, cortisone, or any other oral corticosteroid medications must be discontinued for at least 4 weeks following prolotherapy treatments. If necessary because of another medical condition please discuss with our clinic.
  • It is okay to continue baby aspirin 81mg.
  • Check with your doctor if you need to discontinue any of these prescribed medications.
  • If another doctor would like to put you on a new medication or if you are not sure if the medication should be taken please send us a portal message.
  • After 10 days, you may apply ice to the injection site for 20 minutes every 2-3 hours.
  • Keep injection site clean, dry and covered with a Band-Aid for 12 to 24 hours after your procedure. You may shower at anytime.
  • You may experience an increase in pain due to your immune system being hyperstimulated. This is a good sign that the prolotherapy is working. This is a positive inflammatory response. Soreness is to be expected with these procedures. This may take up to a week after the injection to settle down.
  • If you are sore within a few hours of the injection you may begin using Tylenol 1000 mg every 8 hours as needed, unless otherwise instructed differently. If you still have pain after a week that is not improving please send us a portal message and give us an update.
  • Please send us a portal message if you develop drainage from the infection site bleeding or fever. If you are feeling severely sick please do not hesitate to go to urgent care or the emergency room.
  • You may experience localized swelling and bruising at the injection sites that may take up to 2 weeks to resolve.
  • We recommend beginning physical therapy as soon as possible following the prolotherapy procedure. Do not dry needle a treated area during prolotherapy treatments. We prefer cupping, massage, stretching of the area, and myofascial release.

  • Avoid repetitive exercise heavy lifting until otherwise directed to do so to avoid injuring the areas that are getting treatment.

Remember that your body can take many months to heal. Your injury is complex. Commit to the process in order to reach your goal of decreased pain!