Due to COVID-19, our offices are temporarily closed.
We hope to be able to see patients on or about the 15th of April.
Dr. Franchi is still providing COMPLIMENTARY CONSULTATIONS to determine if you are a candidate for Prolotherapy.
To make an appointment for mid April or later, please call the office at 781-306-0015.
You can find out if you’re a candidate and obtain a better understanding of where we might be able to help you by checking out our video library or calling the office to set up a time to communicate directly with Dr. Franchi and he will personally advise you whether or not prolotherapy is your best treatment option.
Your initial orthopedic examination is billed to your Insurance Company.
You are responsible for your first visit co-pay. However, your Prolotherapy treatments are not covered by Insurance. We will assist you in pursuing reimbursement from your insurance company by providing you a copy of your medical records when you submit your paper work. We prefer payment at the time of service and we do accept personal checks as well as all major credit cards.
Injuries that cannot be treated with Prolotherapy include Herniated Disks, Spinal Stenosis, Carpal & Tarsal Tunnel Syndrome, Morten’s Neuroma, or Fibromyalgia (Nerve Entrapment Syndrome). In addition, Prolotherapy will not work for a most torn meniscus that is not on the periphery.
However, because we are a full-service orthopedic practice, we do treat everything noted here – as well as many other conditions – with a variety of other modalities.
In addition, we are happy to provide second opinions. Further, if we are not able to help you, we will refer you to the most appropriate physician to treat your condition.
Dr. Franchi Discusses Conditions He Does Not Treat
Yes they do. But only for a few minutes. I use a combination of 50% dextrose solution and 2% lidocaine. Once the lidocaine takes affect the patient should be pain free for about 1 to 2 hours. Then a lesser pain will return for up to a day then gradually disappear.
While some other physicians utilize the multiple injection technique, I do not use it with my patients. Therefore, my prolotherapy treatments are less painful and just as effective.
Often there is more than one cause to pain which is overlooked. For example, the diagnosis of lower back pain is complex and often there is more than one cause for your pain – and sometimes the secondary cause can be overlooked.
For instance, often people are told they have lower back pain from a herniated disk, however, their symptoms don’t match the findings of the MRI. This is most commonly found with SacroiIliac Instability which can be treated with prolotherapy.
Another common misdiagnosis – people are told their symptoms are from a meniscus or a labral tear when the real cause is underlying arthritis. This is most common with shoulders, knees, and hips. If this is the issue, it can be treated with prolotherapy.
In both these examples, surgery will not help and, in fact, can do more damage.
For these reasons, we are happy to provide second opinions.
Dr. Franchi Discusses Second Opinions
In the hands of an experienced practitioner it is very safe. The needles are not placed near any vital structures of the body.
The only side effects that we have recorded were a transient rash and transient local numbness.
That depends upon the individual. But usually, somewhere between 3 and 5 injections are required.
Yes, there is no problem being able to drive a car after you receive treatment.
We can still do the injections with just 50% dextrose. We can numb the skin with a freezing solution of acetone.
You can take Tylenol. If that doesn’t work we will provide you with a small amount of narcotic pain medication.
Prolotherapy was slow to catch on in the medical profession because the use of dextrose (sugar) has always been associated with placebo. In this case, it is the active ingredient. Physicians on the west coast first rediscovered this treatment and it is growing in popularity nationwide. We are proud and confident to be bringing it to the New England area.
If possible we do encourage our patients to bring someone with them for the initial consultation so that all questions get asked, answered, and remembered as well as possible. Having someone with you for your initial consultation is a good idea for all of our patients.