The Stages of Healing After an Injury

The stages of healing after an injury are as follows:


1. INFLAMMATORY STAGE: Occurs during the first week. There is increased blood flow, swelling, and discomfort as the healing process begins. Immune cells remove damaged and unhealthy tissue from the treated area.


2. FIBROBLASTIC STAGE: Starts about day three and continues for six weeks. Swelling and pain begin to subside. New blood vessels form with an improved blood and nutrient supply. Tissue repair cells (fibroblast) form new collagen, repairing the injured and unstable tissue.


3. MATURATION STAGE: Continues from six weeks to 18 months. New blood vessels mature. The tissues now become stronger with more organized and healthy fibers. Pain subsides. Collagen density and tissue strength increases. When the injured areas are injected with a Prolotherapy solution, a reaction begins, re-starting the three stage healing process described above. Studies have shown that the strength of the injected ligament can increase up to 40% above normal. Pain and muscles spasms decrease as stability increases. If during the three stages of the healing process, anti-inflammatory drugs (NSAID), ice and or immobilization are used to reduce pain and inflammation, complete and normal healing will be inhibited.   Most people are taught that inflammation is bad and don’t realize that, without inflammation, no healing will occur. Unfortunately, most physicians, when they see a patient with an injury immediately want to decrease the inflammation with elevation, ice and anti-inflammatory medication such as Advil, Aleve, etc. The end result is poor healing with weak loose joints and ligaments.



Proliferative therapy strengthens the joints, ligaments, and tendons, and decreases the pain by stimulating the body’s own repair and healing process. There is no covering up the pain as tissues heal naturally and become stronger, without forming scar tissue. Several treatments spaced apart by about two to six weeks are usually required to get the full benefits. Each treatment builds on the previous until the desired outcome is obtained. The procedure itself is a safe procedure when performed by a trained and highly skilled physician who has in-depth knowledge of anatomy and experience using this injection technique. Proliferative therapy does not “cure” every painful condition, nor always eliminate 100% of one’s pain. The vast majority of the patients who receive Proliferative therapy (usually two to ten sessions) will receive at least 50% relief of their pain. Many even report complete resolution of their pain after a series of treatments. It is also important to know that Proliferative therapy treatment only strengthens tissues. No structure is weakened like when using cortisone and no scars are formed. Chronic problems do not occur overnight and they do not heal that way either.

Cutting Edge Technology.

Dr. Dieguez also offers Orthobiologic treatments such as Autologous Adult Cell therapy, Plasma Rich in Platelet injections and Proliferative therapy, as a non-operative alternative of many conditions such as painful  joints, ligament and tendon injuries such as rotator cuff tears, plantar fasciitis, tennis elbow, golfer's elbow, and other ligaments and sports injuries.

The autologous cells therapy and Plasma rich in platelets are obtained from the patient’s own blood, bone marrow, so there is no risk of allergic reaction or disease transmission. We do not manipulate the cells in any way and the entire procedure is done as outpatient on the same day as this is the only way that can legaly be done in the US. You walk in and in an hour or two you walk out! There is no down time!



                                                                               PROLOTHERAPY        CORTISONE

Strengthens bone                                                                Yes                        No

Strengthens tendon-bone Attachments                              Yes                        No

Strengthens muscles                                                            Yes                        No

Strengthens and rebuilds ligament tissue                           Yes                        No

Leads to progressive and harmful arthritic changes           No                         Yes

Suppresses the immune system                                           No                          Yes  

Inhibits growth hormone                                                      No                           Yes                    

Inactivates Vitamin D                                                            No                           Yes

Inhibits calcium absorption in the digestive tract                No                          Yes