Part of the meniscus along its border blends into the connective tissue of the joint capsule/ligament. The blood supply in the connective tissue allows the edge of the meniscus to heal a lot better than the part located more centrally in the joint. Prolotherapy is, in my opinion, not a great option for large tears located inside the joint.
PRP and stem cell therapies are still being investigated, and are usually cost prohibitive. I’m a fan of prolotherapy, (I coauthored my own case study which you can find on PubMed by searching for “micro perforation prolotherapy”) but it’s usefulness is limited. Once again, it needs to be properly performed in a carefully selected patient. It helped decrease ligament laxity in my case, but did nothing to repair the intraarticular disc, which is the equivalent of the meniscus in the knee.
Of course, this is anecdotal and I’m not a doctor, so it would be best to talk to your doctor about your options. [/quote]
Wow, I can’t believe I discovered you’re the patient in that article haha. I got slammed by a wave while on vacation last July and suffered a class I ac joint sprain in my left shoulder as diagnosed by X-ray and MRI. It wasn’t particularly painful and I was back to lifting weights within about 3 weeks, but I still have a very slight bump over the joint either from some laxidity in the ligaments or residual inflammation that hasn’t gone away yet and some clicking/popping in the joint with certain movements. For example if I perform a lateral raise motion in with my arm in roughly the scapular plane I get a repeatable click in that shoulder.
During the course of my research I’ve talked to many people who have suffered this injury including Eric Lilliebridge who suggested I get a PRP injection as this was effective for him. I also came across your article on pub med and really liked the science behind it because it seems like microperforation type prolotherapy has been effectively used in knee ligament surgeries for a while. From my reading it seems this would be a cheaper and possibly more effective alternative to a stem cell or prp treatment.
I was worried about Alvin Stein’s poor reviews online, but actually talking to you, the person from that study, makes me feel better. I tried to read the links posted to your website from back in 2010 on this thread, but they no longer work. I’m located in Texas, do you happen to know of anyone who offers this type of therapy out this way?