Valley Rehab & E.M.G.
Just Say No to Pain

Valley Rehab & E.M.G.

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Where a Pain-Free Life Is Within Your Reach

Valley Rehab & E.M.G. has been assisting people for over 20 years to naturally relieve pain and restore the body towards a healthier, pre-injury state.


If you have tried “everything” without success, or have been told that surgery or drugs are your only options, call us. If you are seeking an alternative method to deal with the aftermath of an injury to bone, muscle, ligament, tendon, or nerve, call us.


Prolotherapy and PRP may be the answer you seek to relieve pain by assisting the body to heal itself. Our highly trained staff will be happy to speak with you to discuss your treatment options.

Frequently Asked Questions

What is prolotherapy? Is it the same as sclerotherapy?


Prolotherapy, known at first as ‘sclerotherapy,’ originated in the Chicago area during the 1880’s as a treatment for inguinal hernia without surgery. Back pain doctors saw the good results that the hernia doctors were getting and tried this new method with success. Because of its clear clinical benefits, and with a patient-reported “Good to Excellent” treatment outcome rating of over 82%, its use has greatly expanded since the 1960’s in the United States of America, Canada, and now worldwide.


Sclerotherapy, also known as “scar therapy”, is an obsolete word because “causing scarring” was thought to be the way this treatment worked. The name was changed in the 1950’s to ‘prolotherapy’ because research showed that the new tissue which was being proliferated (stimulated) was normal connective tissue (all filaments arranged in parallel lines), not the jumbled haystack of a fibrous scar. Today, the word sclerotherapy only applies to varicose vein treatment.

Can prolotherapy work with chiropractic or physical therapy?


Prolotherapy has become a favored treatment to heal pain conditions of the musculoskeletal system without drugs or surgery. Because prolotherapy triggers healing of damaged joints, tendons, and ligaments, it is an ideal complement to chiropractic (which strives to maximize bony alignment and mobility), physical therapy (strives to maximizing strength and motion), acupuncture (strives to correct CHI energy flow errors), and massage (strives to maximize endorphin release and movement of extracellular fluids) treatments. It is not necessary to stop other treatments in order to have prolotherapy. In fact, often the best outcomes are had by combining treatments.

How does prolotherapy work?


The current thinking is that the ‘proliferant’ (material injected) causes the cells in the immediate area around the injection site to release ‘growth factor’ proteins. These attract the body’s repair cells (fibroblasts, osteoblasts, macrophages) to that place, to make new collagen protein matrix. These proteins also attract stem cells of the mesenchymal type to begin creating whole new cells to populate the new collagen matrix.

What is prolotherapy made of?


The most common mixture in use today contains dextrose, lidocaine, and saline. However, prolozone and PRP are growing in popularity, along with mesenchymal stem cells isolated from bone marrow or from superficial fat.

How is prolotherapy done?


The doctor determines from your history, pain drawing, radiology, and his physical examination exactly which tissue structures are likely to be damaged and be responsible for your pain and disability. For instance, elbow pain often arises in damaged annular and radial-collateral ligaments.


Skin is cleansed and a small amount of anesthetic is injected under the skin over the treatment zone; this looks and feels like a mosquito bite. Then, the deeper injection is done using a very thin needle, delivering a few drops of solution in each of several target spots (“droplet injection technique”).


There is numbness for three more hours from the anesthetic, followed by a period of aching for 24-36 hours.

What conditions do we treat?


Joints normally move smoothly, without pain, noise, or locking. The muscles, tendons, and joint capsules should be strong and not cause pain during or after use.

Prolotherapy has the capacity to treat almost any damaged area (“pain-generator”) of the musculoskeletal system. It can also treat any of the following conditions:

  • Lower Back Pain, Discs, Sacroiliac (S-I), and Associated Joint Instability
  • Knee Pain, Torn Ligaments, Meniscus Tears, “Water on the Knee”
  • Neck Pain, Headaches, and Migraine
  • TMJ (Jaw Joint Noise, Locking, Pain)
  • Arthritis of Hand, Wrist, and Fingers

  • Arm and Elbow Pain
  • Shoulder Injury and Pain
  • Hip Pain and Arthritis
  • Leg, Foot, and Ankle Injuries and Swelling
  • Plantar Fasciosis/Heel spur

Such injuries can come from any source (not just car crash or sports) and at any stage of life. Oftentimes, old injuries come back to haunt us decades later. They still can be treated. Older people can be treated and do well, despite the general belief that “oldsters” don’t heal as well as younger folk.

Call us at (509) 927-4252 to find out which treatment is right for you. You may also visit our clinic in Spokane Valley, Washington. We look forward to seeing you!