Immediately following the procedure, the affected joint may feel worse before beginning to feel better. The treatment may result in a temporary increase in pain with mild swelling and stiffness. A post-injection pain flare during the first 72 hours after the injections is common. Most patients with pain flares experience diminution of pain in 5–7 days after injections, regular activities can be resumed at this time. However in most cases, the discomfort passes fairly quickly and if needed pain also be reduced with pain relievers such as Paracetamol, Panadol or other prescribed medication. Anti-inflammatory drugs, such as aspirin, Ibuprofen or Nurofen, are not recommended for pain relief, because their action suppresses the desired inflammatory healing process produced by the prolotherapy injections.
A typical treatment program involves several sessions over the course of three to six months. However, the intervals can vary and may be more frequent, or take longer, depending on the specific condition and severity of the area being treated, as well as the particular protocol. Typical intervals between treatments are every three to six weeks, with an average interval of once a month, for a total of three to six treatments. Most patients will notice improvement after two treatment sessions. However, if the improvement is not seen by then, reassessment of the patient will be done and treatment will be adjusted.
You will be asked during the period of the treatment and follow up to keep an accurate record of your progress to compare to your starting point.
The final outcome of the treatment and extent of improvement varies from one patient to another depending on type and severity of the condition, age, etc…