Microtenotomy / prolotherapy
What is 'microtenotomy with prolotherapy'?
Percutaneous needle microtenotomy is an ultrasound-guided treatment for chronic tendon disorders and shows promising results. This treatment can be applied for various indications such as Achilles tendonitis, heel spurs (plantar fasciitis), jumper's knee (patellar tendonitis), and tennis elbow.
The mechanism of action involves targeted, repetitive puncture of the inflamed tendon under ultrasound guidance to cause local microbleeds. This, among other things, releases growth factors via the released platelets, which convert the chronic non-healing tendonitis into a fresh wound with a greater chance of healing. Platelets not only play a role in blood clotting but also a key role in the healing process of damaged tissues such as tendons. In most cases, a harmless glucose solution (dextrose) is injected simultaneously, so-called 'prolotherapy', which promotes the process.
Procedural course
After disinfection and local anesthesia of the skin, the tendon is punctured with a fine needle under ultrasound guidance and then treated. The procedure takes an average of 20 minutes.
Risks
It is a very safe procedure that usually does not cause any complications. In rare cases, the following complications may occur: local bruising, infection, or tendon tear. In the exceptional case that you develop a fever or pronounced local swelling, please contact your GP or visit the emergency department to rule out an infection. Please inform us in advance if you are taking blood thinners.
After treatment
You can go home shortly after the treatment. It is not recommended to drive the car yourself, because you may experience discomfort from the treated limb. In the first days or sometimes a few weeks, there may be more pain than there was before the treatment. You can use painkillers (paracetamol) and cool with ice. During the first week after treatment, you should not put too much strain on the limb. You may resume normal activity and physical therapy after one week. If you still experience residual complaints after 6 to 8 weeks, it is possible to repeat the treatment. In this case, you must request a new referral letter/prescription from your GP or specialist.
