Prolotherapy injections involve the injection of an irritant around the injured site to create a minor inflammatory response, which initiates a healing response to the damaged tissues.  A local anaesthetic is mixed with Dextrose (Glucose) and injected at sites of pain.  It is hypothesised that prolotherapy injections lead to a response that creates new collagen fibres strengthening ligaments and resolving pain.  Prolotherapy is useful in a treatment plan for ankle ligament injuries, ligament pain associated with bunions, osteoarthritic pain at the big toe joint and insertional tibialis posterior tendon pain, among many other conditions.  Neural prolotherapy is a form of prolotherapy where a lower concentrated glucose is injected along the course of a symptomatic nerve resulting in pain reduction.  Being an injection therapy, this method is not for everyone.  However, we have other alternate methods that can help your pain.