Prolotherapy Manila is a pioneering comprehensive healthcare facility that aims to provide long-lasting relief from pain that affects the knees, ankle, neck, back, and shoulders using Prolotherapy, a regenerative injection therapy that is proven effective in treating arthritis and sports-related injuries without invasive surgeries.
Specialising in the treatment of recurrent shoulder and patellar dislocation, collateral ligament sprain, Achilles tendinitis, chronic ankle pain, tennis & golfer’s elbow, meniscus tear, partial ACL tear, and retrocalcaneal bursitis, Prolotherapy Manila commits to delivering highly effective treatment using modern and state-of-the-art technologies while providing each patient with technical competence and undivided attention. With over 14 years of experience, the clinic has helped thousands of patients by repairing, strengthening, and stabilising their joints not just for pain relief but also to help them get back to their healthy, active lifestyle as soon as possible.
Prolotherapy Manila is conveniently located at SM Megamall Building in Mandaluyong City, Metro Manila, Philippines. It is part of Clinica Manila, also known as Ambulatory Healthcare Institute, Inc, the pioneering comprehensive healthcare facility in a mall. It is 20 minutes away from Manila’s international airport and is walking distance to world-class hotels, international restaurants, and business district.
A board-certified orthopaedic and spine surgeon with over 11 years of experience, Dr. Benigno Nino Pujalte specialises in the treatment of degenerative conditions and sports-related injuries including patellar dislocation, shoulder instability, ligamentous laxity, Chondromalacia, Barre-Lieou Syndrome, as well as neck and low back pain. With the goal to provide long-lasting pain relief, he offers Dextrose Prolotherapy, Autologous Blood Injection, Prolotherapy Regenerative Injection Treatment, Viscosupplementation (Hyaluronic Acid Injections), Intra-Articular/Intra-Lesional Steroid Injection, and Platelet-Rich Plasma Injection.
Autologous Blood Injection (ABI)
Prolotherapy Manila now offers one session of the Autologous Blood Injection (ABI) pain management technique, which can be used as part of the treatment for tendinopathy. While relatively a novel procedure, an ABI is becoming increasingly popular -- thanks to its efficacy and safety. By taking blood from the patient’s own body and administering it in the affected area, a single session of ABI is often enough to stimulate an inflammatory response and therefore jumpstart the natural healing process of the body. The inflammatory response is triggered by the blood that is injected into the affected area; since this blood is also taken from the patient’s own body, there is little risk of complications.
Autologous Blood Injection (ABI) - 2 Sessions
An Autologous Blood Injection or ABI is an adjuvant therapy that assists in the healing of damaged tendons. It is commonly used as part of the treatment plan for injuries. Although only developed recently, an ABI has shown good result in encouraging injured tendons to heal completely. It works by injecting blood, which is taken through a routine blood testing procedure, into the affected area. The blood is mixed with a local anesthesia before administration. Some discomfort and bruising are normal after the procedure, so patients are advised to use ice packs and take over-the-counter pain relievers. An autologous blood injection requires two sessions, with an interval of a month in between. Prolotherapy Manila currently offers this treatment for those who require effective but nonsurgical treatment for chronic pain caused by tendinitis.
Dextrose Prolotherapy (Right Knee)
Prolotherapy is an effective regenerative injection procedure that repairs tendons, ligaments, and joints that suffer from tears and strain. Prolotherapy Manila offers this treatment in the form of Dextrose Prolotherapy, which is especially beneficial for those who suffer from chronic pain in the right knee. As a non-traditional pain management approach for knee osteoarthritis, dextrose injections have been linked to significant pain relief, improvement in function, and reduction of stiffness as compared to the results of saline injections and other self-care remedies. For right knee repair and pain management, a Prolotherapy program typically involves 15 to 20 injections administered each month for a total of three to four months, depending on the severity of the condition.
Platelet Rich Plasma (PRP) - 2 Sessions
A Platelet-Rich Plasma injection or PRP is an alternative therapy that can accelerate the healing of wounds and damaged soft tissues such as tendons, ligaments, muscles, and joints without the need for surgery. This procedure does so by harnessing the ability of activated platelets, or platelets with concentrations higher than baseline, to stimulate healing. Prolotherapy Manila now offers platelet-rich plasma injection therapy for patients who are suffering from chronic tendon pain, acute ligament, muscle injuries, post-surgical pain, fractures, and arthritis. The length of treatment will depend on the specific problem being treated, but in most cases, two sessions are enough to bring complete results. Each session lasts less than an hour, with the first 15 minutes after taking the blood spent allowing the platelets to separate. The procedure should be followed by six weeks of rest, after which the patient’s condition will be re-evaluated to monitor the results.
Platelet Rich Plasma (PRP) - Per Session
The body is designed to transport platelet cells to the injured body part to begin and speed up the healing process. In PRP (platelet-enriched plasma) injection, these platelet cells are delivered directly to the affected site to hasten healing through its different growth factors such as insulin, epidermal, vascular endothelial, and connective tissue. This orthopedic non-operative procedure, which is used for sprains, ACL injuries, tears, and inflammation, entails drawing blood, which is then placed in a centrifuge to separate components. The platelets are then enriched before they are injected. It may take around three visits and several injections before the desired results are achieved.
Prolotherapy Regenerative Injection Treatment (Left Knee)
Prolotherapy regenerative injection treatment for the left knee is an effective way to manage chronic pain without surgery. Chronic or recurrent pain in the left knee can be caused by small tears in the ligaments, tendons, and joints in the area. When left untreated, these tears do not completely heal, causing pain to fluctuate or last for a long time. This incomplete healing process makes the joints unstable, and over time, degenerative changes may occur and lead to osteoarthritis of the left knee. Prolotherapy regenerative injections work by stimulating an inflammatory response, which is a natural and critical part of the healing process, to make sure the ligaments and tendons will heal completely and naturally. Prolotherapy Manila now offers this non-invasive treatment to those who do not want to undergo surgery but wish to find relief from their chronic left knee pain.
Prolotherapy Regenerative Injection Treatment (Neck Area)
Prolotherapy Regenerative Injection treatment is a pain management option made available by Prolotherapy Manila to those who suffer from chronic pain in the neck area. Since the neck has a lot of tendons and ligaments, it can easily get strained, resulting in lasting pain. This regenerative injection is highly promising because it can bring about complete healing by repairing the damaged tissues. The main benefit of this procedure is that it takes advantage of the body’s natural ability to heal by stimulating the formation of new blood vessels and therefore strengthening the injured tissues. A lot of patients also prefer to try this technique because it is non-surgical and significantly less invasive, but is safer and more natural than anti-inflammatory pain medications and injections.
Steroid Injections (Intra-Articular / Intra-Lesional)
Intra-Articular and Intra-Lesional Steroid Injections are adjunctive therapies that can be used in the management of rheumatic problems. Both treatments work by injecting steroid mixed with local anesthetics to the inflamed joints. The goal of the procedure is to encourage physiotherapy while controlling inflammation. Both intra-articular and intra-lesional steroid injections are effective at helping treat musculoskeletal conditions such as tennis elbow, golfers elbow, frozen shoulder, patellar bursitis, bicipital tendinitis, osteoarthritis, and rheumatoid arthritis. Its only limitation is that the intra-articular injection should not proceed if there is an active infection in the joints or in the surrounding area. Intra-articular and intra-lesional steroid injections are both available at Prolotherapy Manila.
Viscosupplementation is a procedure that involves the injection of hyaluronic acid into a joint, particularly the knee joint. It is an effective adjunctive treatment for the management of pain related to osteoarthritis of the knee. Aside from providing pain relief, viscosupplementation also helps restore the normal function of the affected knee without surgical methods. Viscosupplementation offers patients another alternative to consider when pain relievers, physical therapy, and corticosteroid injections have failed to work. Viscosupplementation works by lubricating the bones with the naturally occurring joint fluid called the hyaluronic acid, which comes with a gel-like consistency. Once applied to the joints, the substance allows smooth movement and absorbs contact shock, thus relieving pain. It is normal to feel some pain, swelling, and warmth after the injection, and this can be relieved with an ice pack. Patients, however, are advised not to engage in strenuous physical activity within the first 48 hours after the injection. Prolotherapy Manila now offers this pain management technique, which also promises long-term effects that can last for several months.