What is Prolotherapy?  Prolotherapy is the term to describe the original and most basic solution used in regenerative injection therapy where a combination of dextrose (sugar) and local anesthetic (at Vitalia, we typically add a vial of German homeopathic medicine as well). This solution is injected with a thin needle at the site where the injury is – typically at the attachment points of ligaments & tendons as well as inside joint spaces. It is the presence & action of the needle combined with the stimulating ingredients that simulate an injury (micro-trauma). This then incites a cascade of tissue repair using the body’s own natural healing abilities.

What is Platelet Rich Plasma?  Platelet Rich Plasma is your own blood, concentrated. It is prepared by taking a blood draw then spinning it in a centrifuge, drawing off the part that is the most rich in platelets, then spinning & concentrating it again. The remaining golden serum is free of red blood cells and contains a very high number of growth factors, also known as cytokines. It is these cytokines that stimulate the healing regeneration of collagen tissue (tendon, ligament, fascia etc) & bone.

Does it hurt?   The treatment is surprisingly well tolerated. Local anesthetic is used liberally in the solution and the doctor’s skills are exemplary, both of which greatly minimize discomfort. After the anesthetic wears off the treated area may be more sore than usual for a day or so. 

How long is the recovery time? Most patients can expect to be back to their normal level of activity in 2-3 days, although athletes will be requested to scale back the intensity for a time, depending on the condition and it’s extensiveness. 

How many treatments will I need?  Occasionally, one treatment is sufficient for mild cases, but most frequently treatments are done in a series, 4-6 weeks apart. Typically the doctors will treat 3-4 times in succession, then wait a few months to assess progress. Treatments may then continue, depending on the findings.  

Are the Regenerative Injections covered by insurance?  Prolotherapy, PRP and stem cell injections are non-covered services. Trigger point injections may be covered by your carrier. The doctor’s time (history taking, examination, rehab & exercise/home care instruction etc) is billed to your insurance. Note, if you have a high deductible, you have the option of paying out of pocket, for which we will happily extend to you a 15% time of service discount (which would apply also to a payment plan).   

How much does it cost?  Treatment costs vary depending on the area of the body being treated. Please call the office at 206-729-6100 for a detailed estimate.

Do I need an xray, ultrasound, MRI first? If you already have images please bring them in! Otherwise the doctor will order the imaging if necessary. Also, it is highly advised that you bring in copies (or grant access to a portal) of any lab tests from the past few years. In addition, please either bring in a full list of your nutritional supplements and prescription medications or ideally, put them all in a bag or box and bring them all in!

What can I expect at my first visit?  At your first visit the doctor will perform a thorough physical exam and make treatment recommendations. Please wear comfortable clothing and allot 60-90 minutes or so for your first appointment, 45-60 minutes for follow-up sessions. 

I need to change my appointment, what do I do?  Please email hello@vitaliahealth.com or call Melissa at 206.729.6100. You must give 24 hours notice to avoid a $50.00 fee.

Where do I park? There is a large lot directly in front of our building & spaces are generally readily available. The rate is $1/hour and is paid until 4pm on weekdays. Remember your stall # then pay at the green kiosk in front of the 1800 building (no need to put the receipt on your dash) or via the PayByPhone app.

Can I pay my bill online? Yes! And we offer a monthly payment plan if necessary. 

What forms of payment do you accept?  We accept cash, checks all major credit and debit cards, Venmo & Zelle.