Welcome to Prolotherapy

Alfredo Lopez del Castillo, M.D.                718-966-8120

Dr. Castillo, a board certified pain management specialist has 33 years of experience in the field of pain management.  If you are suffering from back pain, neck pain, herniated discs, sciatica, chronic pain in the knee, ankle, shoulder, elbow, etc., you deserve an experienced pain management specialist.  If your pain prevents you from enjoying life, it is time to see Dr. Castillo.

Having practiced as a surgeon, family practitioner and anesthesiologist, Dr. Castillo is able to analyze the patient’s pain from many view points.  His broad experience has led to innovative methods that are renowned for successful results.

With his extensive medical background and experience he is able to evaluate patient’s pain problem and offer the best treatment specific to the condition.   He has practiced prolotherapy since 1991 and has restored the quality of life of thousands of patients.  For patients suffering from severe low back pain with sciatica or neck pain, Dr. Castillo offers epidural injections to alleviate the severe pain.

 

Still with knee pain after arthroscopy?

Did you have arthroscopy for your chronic knee pain but did not obtain any relief?  Or you had some degree of relief  but still with some pain and disability?  Do you still need a knee brace to lessen the pain when you stand or walk?  Are you still not able to resume your favorite sports like tennis, bowling, baseball, golf, running or jogging?
The most likely reason why people do not get relief from their knee pain after arthroscopy is because the real cause of the chronic knee pain is the weakened or torn tendons and ligaments supporting the knee.  You can diagnose it yourself.  Press your thumb or knuckle on the inside of your knee beginning just above the knee to the lower part of the knee.  If it is really painful then the tendons and ligaments are most likely torn.  Here’s the good news.

There is a revolutionary treatment called prolotherapy which is proven to be 80% effective in the treatment of torn or weakened tendons and ligaments.  Tendons and ligaments have poor blood supply.   Prolotherapy increases the blood flow to these tissues and stimulates the healing process.

This was started by Dr. George Hackett, an orthopedic doctor in 1939.  He treated more than 1600 patients and found prolotherapy to be more than 80% effective in the treatment of torn ligaments and tendons.  There was a scientific study at the Samsun Medical Clinic and University of California in San Diego published in the Journal of Spinal Disorders in 1993 which showed prolotherapy to be more than 80% effective in the treatment of  torn tendons and ligaments.

Done by a doctor experienced in prolotherapy, it is simple, safe and very effective.  Before you, your family and friends consider surgery, you should check out prolotherapy.

Chronic elbow pain

Chronic elbow pain happens when an acute elbow injury does not heal properly.  Acute elbow injury occurs following a backhand swing of tennis racquet or any activity that requires the upward motion of the wrist such as hammering. This causes a tear of the tendons on the outside of the elbow.  If not treated properly, the elbow pain becomes constant especially aggravated by playing tennis or any upward motion of the wrist.

When you do not obtain any relief from various treatments including physical therapy medications, acupuncture, etc, it is time to check out prolotherapy.  This is a revolutionary treatment of torn tendons proven to be 80% effective.  A scientific study done at the Samsun Medical Clinic and University of California at San Diego was published in the Journal of Spinal Disorders in 1993 which showed that prolotherapy was effective in 80% of patients with torn ligaments and tendons.

Prolotherapy increases blood flow to the torn tendons and ligaments and stimulates healing of the damaged tissues.  Done by an experienced doctor, this is a simple, safe and very effective treatment.  Before you, your family and friends undergo surgery for chronic elbow pain, you should check out prolotherapy.

Acute elbow pain

Acute elbow pain follows an injury to the tendons on the outer part of the elbow.  This may occur following a backhand tennis swing of the racquet  or any activity that requires upward motion of the wrist such as hammering.  This maybe followed by swelling and pain.  The swelling occurs because the body tries to splint the the torn tendons so that they do not get worse.

The best way to treat this is to use an electric heating pad around the injured tendon for about an hour or two for about one week.  This will increase the blood flow to the damaged tendon and will hasten the healing.  In addition, a brace around the elbow would be very helpful because it will prevent further tear on the tendons.  Avoid anti-inflammatory medications such as advil or motrin.  Inflammation is the body’s way of initiating healing of tissues.  Tendons have very poor blood supply and full healing takes about two months.

Since you have to use your elbow constantly, wear the brace 24 hours a day for maximum benefit for at least three weeks.  Afterwards, wear the elbow brace everytime you play tennis or work using upward motion of the wrist.

 

Chronic ankle pain

Chronic ankle pain is the result when the acute ankle injury is not treated properly.  The ankle becomes unstable with or without pain and becomes prone to more ankle injuries.  Ankle injuries commonly occurs when the foot goes inward.  The ligaments connecting the bottom of the outside leg bone (fibula) to the heel bone (calcaneus) is lax or partially torn.

If you have not obtain relief from various treatments and this is now going on for several months, it’s time to check out prolotherapy.  Prolotherapy is revolutionary treatment proven to be 80% effective.  This was started in 1939 by Dr. George Hackett, an orthopedic surgeon who treated about 1,600 patients and had more than 80% success.

A scientific study done at the Samsun Medical Clinic and University of California in San Diego published in the Journal of Spinal Disorders in 1993 showed that prolotherapy was effective in more than 80% of torn tendons and ligaments.  This treatment increases blood flow to the torn tendons and ligaments and stimulates the healing process of the damaged tissues.

Done by an experienced doctor, it is simple, safe and very effective.  There is no downtime involved on  your part.  Check out prolotherapy before you or your family and friends undergo surgery for chronic ankle pain

Acute ankle injury and pain

Ankle pain usually begins when someone twists the ankle the wrong way.  This is followed by swelling and pain.  The usual remedies that people are advised to do are to put ice and take anti-inflammatory medications such as motrin or advil. They may also be told by their doctor to put an ace bandage around the ankle for a few days.  In most cases the ankle swelling goes down, the pain goes away and the person resumes normal activity within a week or two.

However, in some cases, the ankle injury is so bad that there is massive swelling, severe pain and the person is not able to put any weight at all on that ankle.  This means that the ligaments supporting the ankle are torn.  Usually, the ligaments are not torn completely but partially.  The ligaments have very poor blood supply and full healing takes at least two months provided it is treated properly.

The massive swelling around the ankle is nature’s way of splinting the ankle so the torn ligaments do not get worse.  If you reduce the swelling by using ice, you are working against nature.  Anti-inflammatory medications hinders the body’s healing.  Inflammation is the body’s way of beginning the healing process.  If not treated properly, the ligaments does not heal properly and the ankle becomes a weak ankle or unstable ankle with associated pain.

To support the body’s way of healing the ankle, it has to be immobililzed for at least 6 weeks through the use of ankle splints.  Do not take anti-inflammatory medications.  Preferably, use crutches in the beginning to avoid putting weight on the damaged ankle.  If the ankle injury is treated this way, there is a very good chance that the ankle will heal properly and the person will regain normal function without pain.

 

Persistent shoulder pain even after cortisone injection

Did you have cortisone injection for your chronic shoulder pain?  If you have no relief or only partial relief lasting for a few days, then your shoulder pain is most likely due to the weakened or torn tendons and ligaments around the shoulder.  This is a very common cause of chronic shoulder pain but frequently misdiagnosed.

You can diagnose it yourself.  Press your thumb or knuckle to the front and back of your shoulder.  If it hurts a lot, then it is very suggestive of torn or weakened tendons or ligament.

There is a revolutionary treatment called prolotherapy proven to have more than 80% success in treatment of torn tendons and ligaments.  There is a scientific study at the Samsun Clinic and University of California in San Diego published in the Journal of Spinal Disorders in 1993 which showed prolotherapy to have more than 80% success. Prolotherapy increases blood flow to the torn tendons and ligaments and stimulate the repair of the damaged tissues.

Done by doctors well experienced in prolotherapy, it is a simple, safe and very effective treatment.  When you have one or even two cortisone injections and shoulder pain keeps coming back, then consider prolotherapy.

Persistent shoulder pain after arthroscopy?

Did you have arthroscopy for your chronic shoulder pain?  Does the pain persists even after extensive physical therapy following arthroscopy?  Do you have limitation of your shoulder range of motion?

A good possibility for the persistent pain and limitation of range of motion are torn tendons and ligaments of the shoulder. With your thumb or finger, press on the front  and back of your shoulder.  If it is painful, it is very suggestive that the tendons or ligaments are torn.

Tendons and ligaments are fibers like the fibers of a rope.  When the fibers are frayed or damaged, it causes the nerve endings within them to be stretched causing pain.  Tendons and ligaments support your shoulder joint and enable your shoulder movement.  If they are damaged, they cause pain.

There is a revolutionary non-surgical treatment called prolotherapy which is proven to be 80% effective in the treatment of torn ligaments and tendons.  It increases the blood flow to the damaged tissues and enhances healing.

There is a scientific study done at the Samsun Medical Clinic and University of California at San Diego that was published in the Journal of Spinal Disorders in 1993 which showed prolotherapy to be more than 80% effective.

Done by a doctor experienced in prolotherapy, it is a simple, safe and very effective.  When this problem affects the quality of your life, it is time to consider prolotherapy.

 

 

Recurrent shoulder pain

Do you have shoulder pain that recurs from time to time?  Does this lasts a few days or even weeks?  Does it recur when you reach for something or lift something heavy?  Does this affect your golf or tennis or doing any activities?

This is most commonly due to a weakened or torn tendon and possibly ligament in the shoulder.  The body normally tries to heal this.  However, it takes two to three months before the tendon or ligament becomes really strong provided you rest it.  That is not easy to do considering you use your shoulder in almost all your activities.

There is a revolutionary non-surgical treatment called prolotherapy which is proven to be 80% effective.  This treatment increases blood flow to the torn tendons or ligaments and enhances the healing process.  There is no down time.  You can continue to do your normal activities while undergoing treatment.

There is a scientific study done at the Samsun Clinic and University of California at San Diego and published in the Journal of Spinal Disorders that showed prolotherapy to be more than 80% effective.

Done by a doctor well experienced in prolotherapy, this treatment is simple, safe and very effective.  When this recurrent shoulder pain affects the quality of your life, then it is time to consult with a doctor experienced in prolotherapy.

Unstable or wobbly knee?

Does your knee feel unstable or wobbly when you walk or climb stairs?  Does this prevent you from walking normally?  This is usually due to the weakened tendons and ligaments supporting the knee.

The knee joint consists of the thigh bone (femur) sitting on top of the main leg bone (tibia).  In between them is is a circular ring of cartilage (meniscus) like a washer acting as a cushion so that the thigh bone does not come in contact directly with the leg bone. This joint is supported by ligaments and tendons all around the joint.  When these ligaments and tendons are strong, it allows the normal movement of the knee joint.

When some of these tendons or ligaments become weakened or torn, the support of the knee becomes weak and the knee becomes unstable on motion.  If you use a good knee brace and the knee feels stable, this means that the ligaments and tendons are weakened.  The brace is now acting as an addditional support of the knee joint.

There is a revolutionary non surgical treatment called prolotherapy which is proven to be 80% effective in the treatment of weakened or torn tendons and ligaments.  There was a scientific study at the Samsun Medical Clinic and University of California at San Diego published in the Journal of Spinal Disorders in 1993 which showed that prolotherapy is effective in 80% of cases.

Done by an experienced doctor, it is a safe, simple, very effective and no down time is required. Why continue to suffer from unstable knee when you have a good chance of getting back to normal?  Not only does your knee becomes stable, it would feel stronger without the knee brace.  With your stable knee, you would be able to walk for long periods without any problem.

Bone on bone knee arthritis

There are people who are suffering from very bad knee pain from “bone on bone arthritis”.  Pain is most likely due to the bone rubbing on bone.  Synvisc injection into the joint may offer some relief.  If the relief does not occur after the injection or if the relief is very temporary, then it is time to look for other causes before knee replacement.

Another cause of chronic pain in the knee where the x-ray shows bone on bone is a weakened or torn ligament and tendon supporting the knee.  Press your knuckle on the inside of your leg from above the knee to below the knee.  If it is painful, then it is very suggestive that the pain in the knee is due to the torn or weakened tendon or ligament.  You should consult with a doctor who is experienced in prolotherapy.

Prolotherapy is a revolutionary treatment proven to be effective in treating torn or weakened tendons and ligaments.  It has  helped many people with bone on bone arthritis of the knee but the cause of the pain is the weakened or torn tendon and ligaments.  Done by an experienced doctor, it is safe, simple and very effective.

A scientific study done at the Samsun Medical Clinic and University of California at San Diego was published in the Journal of Spinal Disorders in 1993 which showed more than 80% success rate with prolotherapy.  It is definitely worth trying before knee replacement.

 

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