Prolotherapy

Joseph P. Mullane, MD

Sports Medicine & Family Medicine located in Hamilton and Robbinsville, Hamilton Square, NJ

Prolotherapy is ahead of other joint pain treatments in that it works by promoting permanent healing and strengthening for joints. At his private practice in Hamilton Square, New Jersey, Joseph Mullane, MD, takes advantage of his background with prolotherapy to treat back and joint pain. He has used the treatment since 2006 and has experience working with athletes at local schools and universities. To see if prolotherapy is the right approach for your joint pain treatment, call the office located near the Hamilton and Robbinsville neighborhoods, or request an appointment online today.

Prolotherapy Q & A

What is prolotherapy?

Prolotherapy is a non-surgical treatment that offers lasting pain relief rather than masking the symptoms of various types of damage affecting your joints. Like other treatments in its class, prolotherapy is particularly effective because it takes advantage of the repair systems already at play in your body. 

During a prolotherapy treatment, Dr. Mullane carefully injects a mixture of local anesthetic and concentrated dextrose, a natural irritant, directly into the source of the pain. It might sound counterintuitive to introduce an irritant into the joint, but the irritant simply stimulates your body’s natural healing and repair process. The local anesthetic provides near-immediate numbing.

As a result of prolotherapy, your tissues begin to grow new ligament or tendon fibers to strengthen the targeted joint and give lasting relief from pain. Dr. Mullane works with you to make a treatment plan that suits your case, usually recommending regular prolotherapy sessions every 2-6 weeks until the damage fully heals. 

What can prolotherapy treat?

Prolotherapy primarily treats tendon and ligament damage from overuse, acute injuries, or degenerative conditions. It also relieves pain stemming from within the joint’s capsule and not the ligaments and tendons controlling it.

A few common injuries and conditions treatable with prolotherapy are:

  • Degenerative disc disease
  • Osteoarthritis
  • Facet syndrome
  • Whiplash injuries
  • Sprains and strains
  • Chronic tendinitis


Injuries and degenerative conditions like these can occur in any joint in the body. Dr. Mullane frequently treats pain in the low back, neck, knees, elbows, and hips using prolotherapy, and often recommends manual therapies like joint or spine mobilization to complement the injections and improve your outcome. 

What should I expect after prolotherapy?

Though prolotherapy often leads to permanent, significant improvements in the way your joints feel and function, you might not detect improvements right away. You might experience some mild swelling and stiffness right away after your session. 

As you undergo multiple sessions, you notice some improvement each time. Your joints become stronger and more stable in the process, so you can ease back into the activities you enjoy.

How should I prepare for prolotherapy?

Dr. Mullane makes sure you know what to expect on your day of treatment, including any steps you should take before you arrive at the office. He takes X-rays or other imaging tests to assess the damage and makes sure prolotherapy can effectively target and treat it. 

If you’re a good candidate, there isn’t too much you need to do to prepare for your appointments. For optimal results and to make sure you’re comfortable, Dr. Mullane recommends eating a hefty meal shortly before each round of injections. If you take any blood thinners, you must avoid them for at least 2-3 days before a prolotherapy procedure. 

To learn more about prolotherapy and how it can heal the damage affecting your joints, call Joseph Mullane, MD, or request an appointment online today.