Frequently Asked Questions

Below are some frequently asked questions and their generalized answers. As always, realize that each patient is different and the below information is considered “average”. If you don’t find the answers you need below please feel free to contact us with any other questions you may have.

1What does PRP/Prolotherapy treat?
Ligaments which connect bones together may become stretched and torn. Tendons that attach muscles to bone can also become torn. The capsule surrounding joints may become loose and also contribute to pain. All of these may be strengthened and “tightened”, reducing “play” in the joints, arthritis, and bonding the clicking or popping structures in a way that is much more functional and normal. Cartilage has been shown to be repaired and thickened after a series of Prolotherapy injections.
2Why does PRP/Prolotherapy work when other treatments fail?
As we age, ligaments lose their strength and elasticity, becoming susceptible to injury. Because ligaments have a rich nerve supply, even minor injuries can cause severe pain and dysfunction. These injuries produce chronic pain in the hands, elbows, shoulders, knees etc. Many of these injuries fail to heal properly because of drugs like NSAID’s and cortisone shots, thus becoming a source of chronic pain and dysfunction. Prolotherapy is the only treatment than can reactivate the natural proliferation and healing response, allowing the tissue to regenerate and heal completely.
3Is PRP/Prolotherapy safe?
Using the current PRP/Prolotherapy solutions and techniques, there have been no reported significant side effects of this treatment in over 35 years. The procedure has been used for over 60 years. Those who currently practice PRP/Prolotherapy strive to keep the technique safe by providing educational seminars emphasizing correct technique and solutions.
4How long does it take to know if I will improve with PRP/Prolotherapy?
Patients occasionally experience a great deal of relief after their first injection; most, however, note improvement after 3-4 injections, with the duration of treatment then determined by the rate of progress. Studies suggest a success rate (“greater than 50% improvement in pain level”) of 80-90%.
5How long is an office visit?
Initial consultation is typically one hour. Most PRP/Prolotherapy appointments are approximately 30-60 minutes. If PRP/Prolotherapy is utilized, it takes 20 minutes to prepare the Prolotherapy prior to treatment.
6Will I get PRP/Prolotherapy on the first visit?
Most patients schedule a return office visit for treatment after reviewing and completing consent forms. If the doctor feels that your general health is too poor, he may suggest certain laboratory testing first.
7Do I need my X-rays/MRI’s and old records?
You don’t have to bring your actual x-rays but rather the x-ray/MRI report. Results of recent lab work done in the last three months is also helpful to prevent repetition.
8Can I drive after PRP/Prolotherapy?
Yes, driving is not a problem after you receive PRP/Prolotherapy. You will feel a little stiff, but mobility is not limited. In fact, some movement is helpful after Prolotherapy.
9Can I work the same day as PRP/Prolotherapy?
Yes, you will be capable of working after PRP/Prolotherapy for most jobs. You may not want to work if your work involves standing all day or heavy lifting.
10Does Insurance cover services?
We are not a part of any insurance networks. PRP/Prolotherapy is currently considered investigational by many insurance carriers. San Diego Center for Restorative Medicine does not accept insurance liens, assignments, or any reimbursement from your insurance carrier. Dr. Kalman cannot guarantee any insurance reimbursements. Some services are NOT billable to any insurance company, despite receiving a superbill from the clinic.
11Will I be expected to pay on the date of my appointment?
Payment is due at the time of service. San Diego Center for Restorative Medicine accepts cash, personal checks, and most major credit cards.