T E AC HI N G T E C H N I Q U E S
Prolotherapy Injection
Technique of the Elbow
Rodney S. Van Pelt, MD
P
rolotherapy injections into and around the elbow
produce very rewarding results with a 90% success
rate at eliminating or greatly reducing pain. We
will first review some elbow anatomy.
The Prolotherapy technique of injecting the lateral proliferant may be augmented with sodium morrhuate.
elbow involves first having the patient sit on the edge of Depending on the solution used, at least 1cc of solution
the exam table with the elbow bent, the palm resting on is utilized at the common extensor tendon attachment at
the thigh. Next the lateral epicondyle is identified and the lateral epicondyle. Typically the supra-condylar ridge
solution is peppered here. While the normal dextrose and radial head are also tender and these are injected
Prolotherapy solution can be utilized, if needed, the with the same solution. (See Figure 2.) It is important not to
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TEACHING TECHNIQUES: PROLOTHERAPY INJECTION TECHNIQUE OF THE ELBOW
Figure 3. Injectionofthemedialepicondyle.
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