Apr 23, 2025
Arthritis affects over 58 million adults in the United States alone, making it a leading cause of disability and pain. Traditionally, treatment options have focused on symptom management through medications, physical therapy, and, in severe cases, joint replacement surgery. However, recent advances in regenerative medicine are changing the landscape of arthritis care by offering promising, non-surgical alternatives that aim to repair and restore damaged tissues.
In this post, we’ll explore the latest regenerative medicine techniques used to treat arthritis, how they work, and why they’re generating excitement among physicians and patients alike.
Understanding Arthritis and Its Impact
Arthritis is not a single disease but a term that covers more than 100 different types of joint conditions. The most common forms are osteoarthritis (OA) and rheumatoid arthritis (RA):
- Osteoarthritis is a degenerative joint disease where the cartilage that cushions bones wears down over time.
- Rheumatoid arthritis is an autoimmune condition where the immune system attacks the synovial lining of the joints, causing inflammation and tissue damage.
Regardless of the type, arthritis often leads to joint pain, stiffness, decreased mobility, and a diminished quality of life.
Why Patients Seek Non-Surgical Options
Joint replacement surgery, while effective, comes with risks: infection, blood clots, lengthy recovery periods, and even the potential for implant failure over time. Many patients are not ready—or suitable candidates—for surgery and seek less invasive options to manage symptoms and improve joint function.
That’s where regenerative medicine steps in.
What Is Regenerative Medicine?
Regenerative medicine harnesses the body’s natural healing mechanisms to repair or replace damaged tissues, including cartilage, ligaments, tendons, and even bone. These treatments aim to not only reduce symptoms but also to slow or potentially reverse the progression of arthritis.
The most promising regenerative therapies for arthritis include:
- Platelet-Rich Plasma (PRP) Therapy
- Cell-Based Therapy
- Prolotherapy
Let’s break down each of these innovative techniques.
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Platelet-Rich Plasma (PRP) Therapy
PRP therapy involves drawing a small amount of the patient’s blood, processing it to concentrate the platelets, and then injecting this platelet-rich plasma into the affected joint.
How It Works:
Platelets contain growth factors that help stimulate tissue regeneration and reduce inflammation. When injected into an arthritic joint, PRP can:
- Promote cartilage healing
- Decrease pain and stiffness
- Improve joint function
Clinical Evidence:
Studies have shown PRP can be more effective than corticosteroids or hyaluronic acid injections in relieving knee osteoarthritis symptoms. Results are typically seen within weeks and can last for several months or even over a year.
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Cell-Based Therapy
Stem cells are undifferentiated cells capable of transforming into various tissue types, including cartilage. In arthritis treatment, mesenchymal stem cells (MSCs) are commonly harvested from a patient’s bone marrow or adipose (fat) tissue and injected into the joint.
How It Works:
Once inside the joint, stem cells can:
- Stimulate repair of damaged cartilage
- Modulate inflammation
- Recruit other cells to aid in tissue regeneration
Clinical Evidence:
Early studies have reported significant improvements in pain, mobility, and cartilage thickness following stem cell injections. While more research is needed to establish standardized protocols, the outlook is encouraging—especially for early to moderate osteoarthritis.
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Prolotherapy
Prolotherapy is a regenerative injection technique that involves injecting a natural irritant—often a dextrose (sugar) solution—into the joint or surrounding ligaments and tendons.
How It Works:
The solution triggers a localized inflammatory response, prompting the body to send healing cells to the area. Over time, this can strengthen connective tissues and stabilize the joint.
Who It’s For:
Prolotherapy is particularly effective for patients with joint instability, ligament laxity, or early-stage arthritis. It’s less commonly used for severe osteoarthritis but can still play a role as part of a broader regenerative plan.
Benefits of Regenerative Medicine for Arthritis
- Minimally Invasive: Most procedures are outpatient and involve little to no downtime.
- Reduced Dependence on Medications: Patients may rely less on NSAIDs, opioids, or corticosteroids.
- Slowed Disease Progression: Some therapies show the potential to halt or even reverse cartilage loss.
- Improved Quality of Life: Many patients report enhanced mobility, reduced pain, and greater participation in daily activities.
Important Considerations
Not a One-Size-Fits-All Solution
Regenerative therapies work best in the early to moderate stages of arthritis. They may not be as effective for patients with advanced joint deterioration.
Costs and Coverage
These treatments are often not covered by insurance and can range from a few hundred to several thousand dollars per session. However, many patients find the cost worthwhile for the benefits they experience.
Choose a Qualified Provider
It’s essential to seek care from physicians who specialize in regenerative medicine and follow best practices for safety, preparation, and delivery. Improper technique or unregulated products can result in complications.
The Future of Arthritis Treatment
Regenerative medicine is rapidly evolving. As research deepens and technology advances, these therapies may soon become mainstream components of arthritis care. Clinical trials are underway to determine long-term outcomes, best candidates, and optimal treatment protocols.
What’s exciting is that these approaches shift the paradigm from merely managing symptoms to actively promoting healing—a revolutionary step for the millions living with arthritis.
Final Thoughts
If you’re struggling with arthritis pain and looking for alternatives to surgery, regenerative medicine offers a promising path forward. From PRP to stem cells and beyond, these innovative techniques can help restore joint health, improve function, and reduce your reliance on medications.
Always consult a qualified healthcare professional to determine which therapy, if any, is right for you. With the right approach, living well with arthritis is not only possible—it’s becoming increasingly probable.
Interested in learning more about regenerative treatments? Talk to a regenerative medicine specialist or rheumatologist to explore your options based on your specific type of arthritis and stage of progression.
Nov 5, 2021
Prolotherapy, also known as proliferative therapy, is a treatment used to boost the body’s own natural healing capabilities to reduce inflammation, stimulate proliferation of injured tissue and relieve pain.
This is a minimally invasive therapy that involves injection of natural solutions to the injured tissue to stimulate healing. The main ingredient in the injection is dextrose, a sugar solution, which acts as an irritant to the body. The body reacts to the dextrose by stimulating repair and activating its natural healing abilities. The patient experiences relief as the injured tissue strengthens and heals.
What Conditions Can Prolotherapy Treat?
Prolotherapy can be used to treat any number of orthopedic conditions including:
- Osteoarthritis
- Ligament sprains
- Ligament laxity
- Tennis elbow
- Tendinopathy
- Sacroiliac joint ( SI joint) dysfunction
- Achilles tendinopathy
What Does Prolotherapy Entail?
Your physician will first complete an appropriate clinical evaluation and diagnostic testing to determine if you are a good candidate for prolotherapy. The procedure is a minimally invasive procedure performed in a medical clinic using local anesthesia. You may be asked to discontinue anti-inflammatory medications 3-5 days prior to the procedure. The procedure is performed using ultrasound or fluoroscopic guidance for precise localization of target and delivery of the solution. A small needle is used to inject the prolotherapy solution to the injured area using imaging guidance. Depending on the extent of the injury, a series of injections performed a few weeks apart may be needed for a successful treatment. You will be asked to take it easy for a few days and return to normal activity and exercises after 3-5 days. The procedure is very well tolerated with no downtime.
How Effective is This Type of Therapy?
Prolotherapy is a proven treatment that has been in use for more than 80 years and is practiced by physicians around the world. A review in the US National Library of Medicine of the National Institutes of Health evaluated 32 studies on dextrose prolotherapy for chronic musculoskeletal pain. It concluded that “dextrose prolotherapy has been demonstrated to be efficacious and should be considered as a treatment for pain and dysfunction associated with chronic musculoskeletal conditions, particularly tendinopathies and osteoarthritis.”[i]
A good review of prolotherapy treatments can be found here and here.
To learn more about SDOMG and how they have successfully utilized prolotherapy for more than three decades, fill out the form below:
Drs. Mary A. Ambach and Chris Rogers of San Diego Orthobiologics Medical Group have successfully treated hundreds of patients with prolotherapy and other cell-based treatments for more than three decades. Their state -of- the- art facility in Carlsbad offers the most advanced Regenerative Medicine treatments in San Diego with the highest level of safety and efficacy.
[i] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938120/
Feb 11, 2021
It may seem counterintuitive, but sometimes regenerative medicine specialists may purposely irritate the tissues in the joint to achieve the ultimate goal of relieving joint pain.
Using irritation to obtain pain relief sounds counterproductive. But in regenerative medicine, when an irritant solution like dextrose (sugar water) is injected into the joint, it actually triggers new tissue growth ultimately leading to long-term reductions in inflammation and pain.
The procedure is known as prolotherapy. It is a non-surgical treatment that can naturally strengthen the joint and lessen pain.
Is Prolotherapy New?
Prolotherapy is one of the first regenerative treatments to gain popularity. Modern-day prolotherapy was developed in 1937 by Dr. Earl Gedney, an osteopathic physician, and surgeon who used it to treat his own thumb injury. It is now practiced by physicians around the world to treat a number of conditions, including ligament laxity and osteoarthritis. It can provide pain relief to patients suffering from pain in the knees, shoulders, hips, ligament and tendon injuries, and SI joint.
This non-surgical treatment delivers a targeted sugar solution to the injured area which acts as an irritant and spurs the body’s own natural healing processes to strengthen and repair damaged tissues. As the supporting tissues get stronger, the joint becomes more stable, inflammation is reduced and the pain abates.
What to Expect from Prolotherapy Treatments
Prolotherapy is performed on an out-patient basis. After a thorough medical history, physical examination, and imaging tests as appropriate, the regenerative medicine specialist will determine if your condition will benefit from prolotherapy. The injection is performed using fluoroscopy (digital x-ray) or ultrasound guidance for precise delivery of the solution to the target region.
The extent of the injury will dictate the course of treatment. Multiple targeted injections may be required in each session and a series of sessions every 1-2 weeks may be necessary.
For patients suffering from joint pain, prolotherapy is a safe, natural, and non-invasive way to provide pain relief and treat the underlying injury.
Drs. Christopher Rogers and Mary A. Ambach have successfully treated thousands of patients with prolotherapy and platelet-rich plasma therapy. San Diego Orthobiologics Medical Group’s state-of-the-art facilities offer patients on-site processing and preparation of their customized treatments.
Nov 13, 2020
We all know that sugar is an important ingredient in baking and cooking, but did you know that it also has important medicinal purposes? The simple sugar, dextrose, can be dissolved in solution and given intravenously to treat dehydration or administer medications.
In orthopedics, physicians use dextrose, which is a natural form of glucose, to promote the normal growth of cells and tissues. Proliferative therapy, commonly referred to as Prolotherapy, involves the injection of dextrose and water to the site of an injured tendon, ligament or joint to stimulate healing. It facilitates the restoration of strength and stability in these tissues.
The solution is prepared at varying concentrations of dextrose, combined with a local anesthesia to minimize discomfort. The concentrated dextrose serves as an irritant and triggers mild inflammation to jump start the natural healing process. Prolotherapy, when used in lower concentrations, has been shown to help nerve pain by blocking nerve pain impulses. It can be combined with natural homeopathic solutions to provide immediate relief to joint, nerve and other soft tissues.
Prolotherapy has been used to treat chronic musculoskeletal conditions for more than 80 years. It was developed by Dr. George Hackett in the 1950’s and represented a major step forward in identifying ways in which the body could heal itself naturally.
Conditions Treated with Prolotherapy
Prolotherapy can reduce pain and inflammation and improve healing in patients suffering from a number of orthopedic conditions, including:
- Tendinopathy
- Joint sprains or laxity
- Sacroiliac joint dysfunction
- Ligament sprains
- Osteoarthritis
- Plantar fasciosis
- Sports injuries such as tennis elbow or golf elbow
Prolotherapy is an Out-Patient Procedure
As opposed to oral medications that must work their way through the body’s systems to reach their intended target, prolotherapy is a targeted treatment that involves the injection of the medication directly to the injured body part. This is done using imaging guidance in the form of fluoroscopy (x-ray) or ultrasound. There is no incision, no major recovery time and no need for lengthy rehabilitation. The entire procedure takes less than an hour. There may be mild swelling or bruising for the first few days, however most patients are able to resume their normal activities the next day. To optimize healing and strengthening, patients are prescribed physical therapy and encouraged to maintain a healthy diet to ensure a successful outcome.
Drs. Christopher J. Rogers and Mary A. Ambach of San Diego Orthobiologics Medical Group together have successfully treated thousands of patients with regenerative therapies such as prolotherapy for more than three decades. They are published authors and cell therapy researchers. Their facility in Carlsbad contains the most advanced Regenerative Medicine technology in San Diego and offers same- day treatments with the highest level of safety and efficacy.
https://www.healthline.com/health/dextrose
Jun 2, 2020
What is Prolotherapy?
Prolotherapy (short for proliferative therapy) stimulates the body’s natural healing factors to strengthen and repair injured joints, ligaments and tendons. This minimally invasive procedure is used to address a number of musculoskeletal conditions including:
- Back pain due to degenerative disc disease, sacroiliac joint instability, facet joint syndrome and nerve pain
- Neck pain due to arthritis or whiplash injury
- Knee pain caused by osteoarthritis, meniscal tears or sprains
- Arm and shoulder pain as a result of arthritis, rotator cuff tendon tears, golfer’s elbow, tennis
- elbow and chronic tendonitis.
Studies have shown that 85 to 95 percent of patients with back pain experience improvement with prolotherapy. [i] Additional studies have also shown prolotherapy is successful for various ligament, tendon or joint pain/injuries, including knee arthritis. The Annals of Family Medicine reported that a randomized controlled trial of prolotherapy in patients with knee osteoarthritis resulted in clinically meaningful sustained improvement of pain, function, and stiffness.[ii]
How It Works
Prolotherapy stimulates the body’s natural healing mechanisms to produce new tissue. Using fluoroscopic (x-ray) guidance, the physician injects a mixture of local anesthetics and dextrose (a sugar-based solution) directly to the injured area. The dextrose works as an irritant to kick start the body’s natural healing response and encourages the growth of normal ligament and tendon fibers. This results in long-term healing and pain relief. In some cases, the treatment is repeated with the goal of restoring strength and stability without loss of flexibility and function. As the body heals the pain subsides, in most cases, permanently.
Prolotherapy, when used in lower concentrations, has also been shown to help with nerve pain by blocking nerve pain impulses. This can provide immediate pain relief to joint, nerve and soft tissue injuries.
For patients with advanced injury or degeneration, prolotherapy can be combined with Platelet Rich Plasma (PRP) and autologous (from the same person) adult regenerative cells to boost the regenerative process. Every formulation is specifically targeted to the patient’s unique needs.
Is Prolotherapy Safe?
In contrast to many medical treatments that may provide only temporary benefits, prolotherapy is a safe treatment that offers long-term relief.
Prolotherapy is an in-office procedure performed under local anesthetic. There is no hospitalization required, nor the need for extended rehabilitation. Most patients are able to resume their daily activities immediately. Even those who require additional treatments are likely to enjoy significant pain relief after just one treatment.
Like every other medical intervention, the success of prolotherapy can be impacted by the patient’s overall health as well as any underlying nutritional or genetic deficiencies that might make healing more difficult. It is important to talk with your doctor about the best methods to optimize your health and healing potential.
Dr. Christopher J. Rogers and Dr. Mary A. Ambach of San Diego Orthobiologics Medical Group are leaders in the field of regenerative medicine and have been performing prolotherapy with great success for decades. They serve as faculty members and lecturers at national and international medical conferences and serve on the board of directors for several regenerative medicine organizations. They have published scientific papers in the medical literature and are dedicated to excellent patient care and advancing the field of regenerative medicine.
Resources:
[i] https://prolotherapycollege.org/what-is-prolotherapy/
[ii] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3659139/
