Quick answer: Prolotherapy Doctors Near Me affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Book online, or call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
Prolotherapy Doctors Near Me relates to foot pain — typically caused by overuse, footwear, or biomechanics. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Relieve Chronic Foot Pain with Prolotherapy Treatment
— Prolotherapy Doctors Near Me
Strengthen your joints and promote long-term tissue regrowth with Michigan’s leading podiatrists specializing in advanced regenerative medicine.
Schedule an AppoinmentWhat a Podiatrist Can Do For YOU!
Prolotherapy injections can be an effective alternative to cortisone injections and steroid injections. The benefit is that there is less medicine side effects, but the solution can still stimulate the healing from chronic inflammatory conditions in the right circumstances. Book a no obligation consulations with our podiatrists to see if this can benefit you!
Prolotherapy Doctors Near You
Prolotherapy injections can be an effective alternative to cortisone injections and steroid injections. The benefit is that there is less medicine side effects, but the solution can still stimulate the healing from chronic inflammatory conditions in the right circumstances. Book a no obligation consulations with our podiatrists to see if this can benefit you!
What is Prolotherapy?
Prolotherapy is an alternative treatment that involves a series of injections. These injections will introduce a sclerosing agent (which causes inflammation) to the affected tendons and ligaments. This sclerosing agent will cause temporary low-grade inflammation. Inflammation produces new connective tissue such as collagen that strengthens your ligaments and tendons, which are loosened. This results in pain relief. Prolotherapy is also known as proliferation treatment or regenerative injection therapy.
Does Prolotherapy Work?
Musculoskeletal pain broadly refers to pain affecting your bones, joints, ligaments, muscles, and tendons. Tendon and ligament pain is due to instability or laxity of the connective tissue around it, which can be a chronic problem. Various treatment options vary with the cause of your pain and the location. In the case of chronic tendon or ligament pain where your pain has not responded to conservative measures like physical therapy and prescribed exercises, prolotherapy can be helpful. The treatments usually consist of several sessions. Since it involves a relatively large area to be treated, it cannot be done completely in a single session.
Prolotherapy injections are most likely to benefit the pain in;
- Your knees
- Ankles
- Elbows
- Lower back at the sacroiliac joint
Although it works for ligament and tendon pain, it is not meant to be used in bony pain or nerve-related pains, and it is not used to treat arthritis or muscular pain.
Research has shown that prolotherapy provides significant improvement in pain and other symptoms while improving mobility and function. But, how exactly prolotherapy works has not been proven yet.
What Are The Prolotherapy Side Effects?
As long as your doctor is an expert in prolotherapy with training and experience, you need not worry as it is likely to be safe. But, since it involves injecting a substance into a joint, ligament, or tendon, there may be potential side effects.
These include;
- Bleeding
- Pain and stiffness following the injection
- Risk of infection
- Allergic reactions to the substance being injected
- Swelling
- Bruising
Other rare side effects include nerve, tendon, ligament damage, spinal headache, and spinal cord injury. Please discuss the benefits and risks of prolotherapy with your doctor before you decide to go ahead with it.
Dextrose Prolotherapy
Dextrose prolotherapy involves injecting a sugar solution as a sclerosing agent into a joint or ligament, where injury or damage occurs.
Dextrose prolotherapy will help to;
- Reduce the pain and stiffness
- Improve the mobility or function of the joint
- Improve the strength of the ligament or tendon
Experts say that sclerosing agents like dextrose can stimulate new tissue growth and improve your body’s natural healing process. The irritant solution not only contains dextrose (D-Glucose) but also may contain combinations of zinc, manganese, human growth hormone, phenol, or glycine. A small amount of this irritant solution is injected into the painful and degenerated sites such as ligaments, tendon insertions, joints, and adjacent joint spaces.
Dextrose concentration ranges from 12.5% to 25%. Because dextrose is water-soluble and is a normal constituent of blood, it is considered an ideal proliferant. Therefore, it can be injected safely into multiple sites, even in large quantities.
How Fast Does Prolotherapy Work?
Now that you decide to go for prolotherapy injections, naturally, you may want to know how long it takes for prolotherapy to kick in. Well, if you want very quick results, you will be disheartened. Usually, it may take around 4-6 weeks to notice an improvement in your condition. Although some patients will experience pain relief and improvement in their symptoms, it needs repeat prolotherapy injections for the healing process to complete.
Prolotherapy Healing Stages
There are three stages of healing and restoration induced by prolotherapy:
- Inflammation
- Proliferation
- Tissue remodeling
When injected, the cells at the injection site get dehydrated because dextrose is hypertonic. This leads to local tissue trauma. The injected proliferate will mimic your natural healing process. Tissue damage starts an inflammatory process that attracts inflammatory cells like granulocytes and macrophages. This will trigger the release of growth factors and collagen deposition. The cells will start increasing, and healing will be promoted.
The new connective tissue which was formed will be strengthened by tissue remodeling. With time joint stability will increase, and the pain will reduce while improving the function.
The mechanism of action behind prolotherapy is not completely understood. Although the US FDA has approved dextrose as an injection, it is not yet approved for prolotherapy. However, it is being used for many years by medical specialists for prolotherapy.
Trusted by Thousands Across Michigan
Real Relief, Real Results
“I searched for prolotherapy doctors near me and found Balance Foot & Ankle Specialist. The team explained the treatment clearly and made me feel comfortable every step of the way. My foot pain has improved, and I can walk longer without discomfort.”
— Michael R., Michigan
“After months of foot and ankle pain, I visited Balance Foot & Ankle Specialist in Michigan for prolotherapy. The care was professional, and the treatment plan felt personalized. I finally feel confident being active again.”
— Sandra L., Michigan
“Finding a trusted prolotherapy doctor near me was important, and Balance Foot & Ankle Specialist exceeded my expectations. The staff was knowledgeable, patient, and focused on long-term relief—not just a quick fix.”
— David P., Michigan
“Finding a Michigan podiatrist home visit was a huge relief for our family. Balance Foot & Ankle Specialist provided compassionate care right in our home, which made the entire experience stress-free and comfortable. The doctor was professional, patient, and thorough.”
— Linda M., Michigan
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When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Township clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Township
Frequently Asked Questions
What is prolotherapy?
Prolotherapy is a non-surgical treatment that helps stimulate the body’s natural healing response. It is commonly used to treat chronic joint, ligament, and tendon pain by strengthening weakened or injured tissue.
What conditions can a prolotherapy doctor treat?A prolotherapy doctor may treat conditions such as chronic foot and ankle pain, ligament instability, plantar fasciitis, Achilles tendon pain, arthritis-related discomfort, and certain sports injuries.
Is prolotherapy painful?Most patients experience mild discomfort during the injection, followed by temporary soreness. This usually resolves within a few days and is often managed with rest and post-treatment care instructions.
How many prolotherapy sessions are needed?The number of sessions varies depending on the condition and severity of pain. Many patients require a series of treatments spaced weeks apart for optimal results, as recommended by their doctor.
How do I find a trusted prolotherapy doctor near me?Look for a licensed medical professional with experience in prolotherapy and musculoskeletal care. Reading patient reviews and choosing a clinic like Balance Foot & Ankle Specialist can help ensure safe, effective treatment.
When should I consider seeing a prolotherapy doctor?You may consider prolotherapy if chronic pain has not improved with conservative treatments such as rest, physical therapy, or orthotics, and you want a non-surgical option to support healing.
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We work with most major insurance providers and offer affordable options for self-pay patients. Contact us anytime for coverage verification.
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Call to Check Your CoverageOur board-certified podiatrists specialize in foot and ankle care.
Meet Your Prolotherapy Doctor in Michigan
Dr. Tom Biernacki, DPM
Provides comprehensive foot and ankle care for patients in Howell and Bloomfield Township, focusing on accurate diagnosis, effective treatment, and long-term mobility.
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Dr. Carl Jay,
DPM
Delivers trusted general podiatric care, helping patients manage foot and ankle pain, injuries, and chronic conditions with plan tailored to your foot types.
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Dr. Daria Gutkin, DPM
Offers attentive foot and ankle care for a many conditions, emphasizing preventive care and patient education to support healthy, active lifestyles.
Book NowFind a Trusted Prolotherapy Doctor Near You
Get expert, non-surgical pain relief from experienced prolotherapy doctors at Balance Foot & Ankle Specialist. Convenient care in Michigan to help you move comfortably again.
Schedule Your Prolotherapy Consultation(810) 206-1402
Related Treatment Guides
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
- Bunion Treatment
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentPros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
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Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
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Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
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In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your prolotherapy doctors near me, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Michigan patients: any injection-based treatment plan starts with an in-person foot and ankle examination. Our podiatrist near me page shows both Michigan offices, the conditions treated, and what a first visit involves.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
What is prolotherapy and how is it used for foot and ankle conditions?
Prolotherapy (proliferative injection therapy) is a regenerative injection treatment that uses an irritant solution (typically dextrose/glucose) to stimulate the body's natural healing response in injured tendons, ligaments, and joints. The irritant triggers a controlled inflammatory response, attracting growth factors and initiating tissue repair. For foot and ankle conditions, prolotherapy is used for: plantar fasciitis (especially chronic cases failing standard treatment), Achilles tendinopathy, ankle ligament laxity and chronic ankle instability, midfoot ligament injuries, peroneal tendon issues, and tarsal tunnel syndrome. Sessions typically consist of multiple injections per visit, with 3–6 treatment sessions spaced weeks apart. At Balance Foot & Ankle in Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208), we provide regenerative treatments — call (810) 206-1402.
How does prolotherapy differ from cortisone injections for foot pain?
Prolotherapy and cortisone injections have opposite mechanisms: cortisone is anti-inflammatory — it rapidly reduces pain and swelling but does not repair damaged tissue; with chronic use it can actually weaken tendons and ligaments. Prolotherapy is pro-inflammatory — it intentionally triggers an inflammatory response to stimulate repair of damaged tissues. Prolotherapy typically requires multiple sessions before improvement, while cortisone provides rapid relief. For chronic degenerative conditions (chronic plantar fasciitis, tendinosis rather than tendinitis), prolotherapy may provide more durable improvement because it addresses tissue healing rather than just suppressing symptoms. At Balance Foot & Ankle, we select the appropriate injection treatment based on the diagnosis and chronicity of each patient's condition — call (810) 206-1402.
What evidence supports prolotherapy for plantar fasciitis?
Evidence for prolotherapy in plantar fasciitis is growing: multiple randomized controlled trials have compared dextrose prolotherapy to cortisone injections or saline for plantar fasciitis. Studies generally show: comparable or superior pain reduction to cortisone at 6–12 months; more durable results at 1 year (while cortisone effects often diminish by 6 months); low risk of plantar fascia rupture (a risk with repeated cortisone); and good safety profile. A 2019 systematic review and meta-analysis concluded prolotherapy produces significant improvements in pain and function in plantar fasciitis. It is particularly promising for chronic cases (>6 months duration) that have failed standard conservative treatment. Balance Foot & Ankle in Howell and Bloomfield Township provides evidence-based plantar fasciitis treatment — call (810) 206-1402.
Does prolotherapy hurt and how many sessions are needed?
Prolotherapy injections cause more discomfort than cortisone because the irritant solution itself is somewhat painful, and multiple injection sites are treated per session. Most patients describe it as 2–5 on a 10-point pain scale during injection, with soreness for 2–7 days afterward as the inflammatory response occurs. Local anesthetic is often mixed with the solution or applied topically before injection to reduce discomfort. Treatment protocols vary: most foot and ankle prolotherapy series involve 3–6 sessions spaced 3–6 weeks apart. Improvement is gradual — many patients notice meaningful improvement after the 2nd or 3rd session. Some patients respond fully; others benefit from additional sessions. Balance Foot & Ankle evaluates individual response and adjusts treatment — call (810) 206-1402.
How do I find a qualified prolotherapy doctor for foot problems?
Finding a qualified prolotherapy provider for foot conditions: seek a podiatrist, orthopedic surgeon, physiatrist (PM&R physician), or sports medicine physician with specific training in prolotherapy and musculoskeletal injection technique. The American Association of Orthopaedic Medicine (AAOM) and Hackett Hemwall Foundation offer prolotherapy training and maintain provider directories. Experience with ultrasound guidance improves accuracy of injections. Ask specifically about their volume of foot and ankle prolotherapy — foot anatomy requires specific expertise. Balance Foot & Ankle in Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208), MI provides regenerative injection treatments for foot and ankle conditions — call (810) 206-1402.
Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.



