What is the usual Prolotherapy procedure?

The usual Prolotherapy technique requires delivering a small volume of proliferant solution to the injured ligament or tendon using the following procedure:
  1. The patient may receive a preparatory skin test for allergy to Procaine™ and other constituents of the proliferant solution.
  2. The patient may receive a pre-therapeutic dose of a non-anti-inflammatory analgesic.
  3. The patient may need manual realignment.
  4. The physician positions the patient, examines, and demarcates the injured ligament – minimal clothing will be moved aside or removed.
  5. The physician anesthetizes the injection sites.
  6. The physician will inject the proliferant solution into the injured ligaments or tendons at their bony attachment sites.