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This is increasingly being used to treat women with chronic pain associated with PGP. It seems to work well for women whose pelvis can be realigned and pain-free, but as soon as they return to normal activities of life, the pain returns. This is often due to a true instability at the pelvic joints where the ligaments have been overstretched. Ligaments are different to muscles, and once overstretched, often cannot return to their normal length.
Prolotherapy works by injecting a sucrose solution into the ligaments, which causes a local inflammatory reaction, which then causes the ligaments to tighten up. This is described as being a painful procedure. It is usually given as a course of three, monthly, sets of injections.
Many of the women who have received this treatment are reporting good improvements in their symptoms with a reduction in pain and increase in stability. The best results are in women who have had their pelvis realigned just before the injections, as the pelvis is in the best possible position for the ligaments to hold it in. If this has not been done, women have reported disappointing results.
Prolotherapy is not currently available on the NHS, therefore there is a significant cost implication to trying this treatment, and it is seen as an option to try when other treatments have failed to maintain an improvement.
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