Introduction To Prolopuncture
Prolopuncture is a new form
of Acupuncture that focuses on proliferating cells at the junction of
ligaments, tendons and bones. This
area is called the fibro-osseous junction, and can only be repaired by
fibroblast cells. The needle is
placed against bone in Prolopuncture, which causes a local inflammatory
reaction. The inflammation
releases growth factors, which brings fibroblasts to the area. The fibroblasts are the adult stem
cells for connective tissues.
Whereas anti-inflammatory
injections of steroids would be depriving the injured area of an immune
response, Prolopuncture would be causing an immune response. This could be considered the anti-life
versus pro-life approach.
Prolotherapy is an injection
technique named and developed by Dr. George Hackett, M.D. in the 1950’s. Prolopuncture is basically the same as
Prolotherapy, except the needle is solid and no irritant solution is
injected. The solid needle is
safer to use compared to an injection needle, because it does less damage to
any tissue it passes through. The
beveled tip of an injection needle cuts like a knife, whereas the solid
acupuncture needle has a single, very sharp point that will not cut while being
inserted. Also, since no fluid is
being injected with Prolopuncture, the procedure is safe to use on any age, any
condition, and with any medication.
How Prolopuncture Came To Be
I would like to share a
short autobiographical account of how Prolopuncture came to be.
At Loyola College of
Baltimore, my pre-med studies were very challenging. Biology, chemistry and physics classes were intriguing and
difficult. My little internal
voice kept asking, “When are we going to learn how to heal people?”
During my senior year in
1993, my first semester was spent at Assumption University in Bangkok, Thailand
as a study abroad. Camillian
Hospital in Bangkok allowed me to volunteer and observe different procedures
going on all around the hospital.
It was a great experience.
Watching births, an eardrum operation, bone setting and casting, EKG’s,
and going on rounds with Medical Doctors.
One Doctor, during rounds,
complained of his patients all using herbal medicine. He said it was very difficult to keep track of how well his medications
were working because all of his patients also went to Chinese Herbalists. This sent my mind spinning. After growing up in Connecticut with no
hints of Chinese medicines’ existence, I realized there was a whole field of
medicine I needed to check into.
Wandering around Bangkok,
and especially around Chinatown, I noticed Chinese herbal stores on every
block. I walked into these stores
every chance I got, and was amazed to see the hundreds of different plant and
animal specimens. They were all
precisely prepared and labeled, and were so beautiful. The natural colors reminded me of the
fall foliage in Connecticut. The Herbalists
were always busy putting together formulas from little drawers of a huge
cabinet that would hold all the different medicines. It seemed as though they had memorized what each drawer held
even though there were hundreds of drawers.
The Chinese herbal
pharmacies were always bustling and full of eager patients wanting cures for
every possible ailment.
This discovery of a totally
different form of medicine excited me, and also confused me. I had wanted to be a doctor since I was
ten years old. Now it was my
senior year and time to start applying to schools and studying for the MCAT
test. My inner voice kept asking,
“When are we going to learn about healing?”
At the end of the semester
in Bangkok, we spent ten days in Hong Kong and Guangzhou, China. At the street markets along with
storefronts I saw lots more herbal medicine. The herb shops were more numerous than America’s gas
stations and coffee shops combined, herbal medicine became a true reality for
me.
When I arrived back in the United
States, I went to a bookstore to see if there was anything about Chinese
Medicine. I found a book called The
Complete Book of Chinese Health and Healing, Guarding the Three Treasures,
by Daniel Reid, Shambala Publications, 1994. This book blew me away. I read it constantly, and had read through the entire book
several times over the next few months.
It started a non-stop train that has continued to this present day. Daniel Reid has done a great service to
humanity by writing this book. The
Chinese masters over the last 10,000 years are the true heroes though.
After finding this book, my
simple question as to ‘when will I learn about healing’ was finally
answered. I learned so much about
true healing from Reid’s, The Complete Book of Health and Healing.
At the end of this book,
there was a list of different schools where Chinese Medicine is taught. Now the light truly came on. To the horror of my parents and
friends, I announced that I wanted to learn Traditional Chinese Medicine.
First I had to save money to
start my medical education, so I became an Emergency Medical Technician and
started working for three different professional ambulance services over the
next two years. I bought every
book about Chinese Acupuncture and Herbal Medicine I could find.
Anyone at the ambulance
companies that asked me my interests, never wanted to know about Chinese
Medicine. In fact, they seemed
totally freaked out when I would talk about it. Clearly, this was something I had to keep to myself. So all the books were wrapped in plain
brown paper covers. One of these
books was always with me at work, but I never discussed it with others. Sometimes I would try to strike up a
conversation about Acupuncture, and would be met with silence and eyes wide
open as if I were speaking about satan worship. It was hopeless to talk about it with anyone. So I just kept working and saving
money.
After visiting several
Oriental Medical Schools around the country, I decided to attend Emperor’s
College of Oriental Medicine in Santa Monica, California. The school had a very nice feel,
offered internships in hospitals, and also had a very busy clinic on campus.
So with $10,000 I had saved
over the last couple years and two suitcases, I flew to Los Angeles. There were no family members or friends
for thousands of miles, but Oriental Medicine was quite accepted in Los Angeles
at that time, and I could talk of it freely. It was such a relief to not have to hide my real passion in
life. Within a few weeks I was all
set. I had bought a used car for
$2,000 and found a place to live.
Glendale Adventist Hospital had offered me a Cardiac Monitor Technician/
Unit Clerk/Nurse’s Aide job, and I started classes at Emperor’s College.
The classes were all
fantastic. Each one continued to
answer my initial question, “When will I learn about healing?” Each class was full of useful
information and I loved it all. We
learned about Western Medicine along with Eastern Medicine simultaneously. There were internal medicine classes
from both East and West, along with the Acupuncture, Herbal and Massage
training.
I bought a bright red Yamaha
500cc racing motorcycle, which was perfect for weaving through Los Angeles
traffic. My studying was done at
Venice Beach where I also did lots of T’ai Chi and rollerblading.
During my first year of
school, a classmate was going to study in Shanghai at the Traditional Oriental
Medical School there. I went along
and spent two weeks studying in Shanghai and Hangzhou. It was a great experience, and gave me
a real view of Chinese Medicine.
By the third year my school
internships began. These were done
at the Daniel Freeman Hospital, The UCLA Student Health Center, The Los Angeles
Free Clinic, and the clinic at Emperor’s College. I was performing very safe treatments, all according to
Traditional Chinese Medicine.
During my senior year I won
an essay contest that allowed me to study in Taiwan for two weeks. The trip was sponsored by Qualiherb, a
world class supplier of Chinese herbs.
We went to several hospitals, clinics, herbal factories and research
facilities. I learned so much, and
was very impressed with the health care system in Taiwan. All citizens are given a health card,
which allows them to receive free treatment and herbs at any facility in the
country. When the people arrive at
the hospital, they are asked if they would like Western Medicine, Eastern
Medicine, or both? This impressed
me the most.
By the end of four years in
Los Angeles, my training was complete.
I received all A’s except for two B’s giving me a 3.98 average. Now it was time to enter the real
world.
My parents had retired in
Marco Island, Florida, which was fairly quiet in 2000. Los Angeles has seven schools of
Oriental Medicine and thousands of practitioners, so it did not seem like a
good place to start out. The
logical thing to do was to move to Florida.
So, in the year 2000 I moved
to Florida and became licensed to practice in Florida and California. My first patients were my parents’
friends. I started working as a
Cardiac Monitor Technician at Naples Community Hospital on weekends, which
brought me lots of nurses as patients.
I found an office to work out of, and started teaching Tai Chi classes
at the hospital’s Wellness Center. Whenever possible, I would give talks about
Oriental Medicine at health food stores, yoga studios, and various
organizations who needed a group speaker.
By sticking with it, I
eventually built up a practice and was able to quit my hospital job. My treatments were similar to the ones
I did in Medical School. Very
safe, and included lots of Tui-Na Massage.
In 2002 I had an opportunity
to spend three weeks at the Guangxi Province Hospital in Nanning, China. The Herbal, Acupuncture and Tui-Na
Massage departments were very busy.
Patients were especially lined up at the Herbal department. The Tui-Na Massage department was
second with lots of people filling a large room. There were no walls or even curtains separating
patients. The Doctors wore no
shirts and only a lab coat, and all were covered in sweat. They worked very hard. The Acupuncture department was quiet,
but steady. They dealt with the
more serious pain or internal medicine patients. Most
patients received injections along with the Acupuncture. One man walked in with the hiccups,
which he had had for three days.
The Doctor laid him down and put one needle deep into his wrist area. The man immediately fell asleep and
started snoring. His hiccups were
gone. The Doctors were all so nice
to me, along with the patients. I
observed lots of treatments and was able to treat many patients. Acupoint Injection Therapy was what interested
me most, since Florida had just passed a law allowing us to do injections.
A few months after returning
from China, I was able to take the 60 hour class required in Florida for
Doctors of Oriental Medicine to do injection therapy.
Initially, I only injected
vitamin B12 with an insulin syringe at Acupuncture points. This treatment was actually very
beneficial, and patients loved it.
As a way to get my feet wet, this worked out perfectly.
In 2004, I found out about
something called Mesotherapy. It
was very popular in France. So off
to Paris for research. I expected there to be an easy way to find Mesotherapy
practitioners, but I was wrong.
The only way to find them was to simply walk the streets and look at
placards on the buildings. I
actually had a fantastic time doing this, and really got a feel for what it’s
like to live in Paris. First, I
went to the medical school’s bookstore and bought the two books they had about
Mesotherapy. Interestingly, the
books were in the same section as the Acupuncture books. Then I hit the streets for a week
hunting for Mesotherapists. I stumbled upon three different Medical Doctors who practiced Mesotherapy. I went into these offices to get some information. The
Doctors were very kind to me, and gave excellent advice. One Doctor brought out an orange book
that said ‘Heel’. He said, “This
is what you need to learn about.”
Another Doctor specialized in pain management and showed me her needles
and how she does the injections.
The third Doctor specialized in cellulite reduction and face
rejuvenation. She did not give me
much information but told me about the main Mesotherapy organizations and how
to contact them.
When I returned home from
Paris, I found out more about the company called Heel. It is a homeopathic company in
Germany. They just happened to be
holding a seminar a few weeks later in Florida on Mesotherapy. It was like a miracle.
The teacher, Juan Mendez,
M.D., was such a great guy who has a practice in Caracas, Venezuela. My mind was completely blown by his
Mesotherapy lecture and I have never been the same since then. He taught me how to use homeopathic
injectables, which I had not used at all at that point. This was a whole new world that was
deep and mysterious. Mesotherapy
using homeopathic medicine could really treat everything. There were formulas for every different
symptom under the sun. I was
already very knowledgeable with Chinese herbal medicine, but now a new frontier
was on the horizon.
Along with Mesotherapy, Dr.
Mendez also taught us a great deal about something called Neural Therapy. This type of medicine began in 1905 in
Germany, with the invention of procaine made by a Doctor named Einhorn. Dr. Mendez showed us many different
nerve ganglion injection techniques.
Nerve ganglions are like small brains located throughout the body’s
face, neck and trunk. The nerve
cell bodies are in the ganglion, their axons spread out to the local
tissues. These ganglion injections
were so far over my head at that time.
I really did not understand much of what was said during the whole
lecture. It would take many months
to really absorb the information.
Actually, many years.
So I began buying different
injectable homeopathic formulas and mixing them with vitamin B12. There were treatments for cellulite
reduction, face rejuvenation, pain management, digestive problems, nerve
disorders, emotional problems, and just about everything else. These were the main issues that I
focused upon, however. To this
day, I use the same things that Dr. Mendez taught me at the first lecture.
A few months later I
attended a three day seminar in San Diego, California about Mesotherapy. There were Doctors from all around the
world lecturing each day. Dr.
Mendez was there, and it gave me a chance to learn his material better. Another person who impressed me was Dr.
Alta Smit, M.D. who practices in South Africa. She really helped me to understand the idea of the matrix,
the mesoderm, and how homeopathic medicine treats this region.
The mesoderm is a layer of a
growing fetus that creates all the connective tissues. Science has shown that later in life,
the mesoderm still exists. The
adult mesoderm is a subcutaneous layer that is 4-6 mm under the skin. The mesoderm is interconnected by nerve
endings, blood vessels, and fibroblast cells. This area is also known as the matrix. The nerve endings connect with the underlying
structures of the skin. The
fibroblast cells are like the adult stem cells for connective tissue. The skin, ligament, tendon, and fascia
are all created by fibroblasts.
The fibroblast cells create the matrix of connective tissue, which
consists of collagen fibers, elastin, hyaluronic acid, and supporting
filaments.
Injecting fluid 4-6 mm under
the skin is considered Mesotherapy, no matter what the fluid may be. The first Doctor I visited in Paris
said to me, “Mesotherapy is simple, it’s what you inject that is most important
and difficult to learn.”
It was becoming clear to me
that the mesoderm area just under the skin would always be sore if there was an
injury to the underlying tissue.
For example, if someone had a deep hip injury, just touching the skin fairly
lightly in that area would be quite painful. So the amazing discovery was that the mesoderm is sensitive
and has an inflammatory reaction when the underlying tissue had an inflammatory
reaction. There was communication
going between the mesoderm and the tissues underneath it. Later, I would find out that this is
called the ‘Cutaneo-Visceral Reflex.’
So at this point in my
career, Mesotherapy was my big thing.
Most Acupuncture patients were including Mesotherapy injections with the
treatment, and lots of patients were starting to prefer the Mesotherapy
alone. It was producing great
results in lots of different sorts of cases, and I was very happy with my
practice. I also attended many
more seminars regarding Mesotherapy and homeopathic medicine.
I had taken up dirt biking
on weekends. Motorcycles are a
real passion of mine. I also had a
Honda Gold Wing for longer trips, but my Honda Dual Sport motorcycle let me go
on and off road as I pleased. The
freedom and versatility is so much fun.
One day in December of 2006, after enjoying some fun trails, I was
driving on US 41.
A few miles up the road I had to stop at a red light. In broad daylight, with no warning, a
car struck me from behind. The car
slammed my bike into the truck in front of me and continued to roll over the
bike. I was thrown to the left and
was not run over by the car luckily.
It happened so fast, I just
could not believe someone could be so stupid. Rage filled my body, but I was so hurt and lying on the
ground, that I could not act upon it.
My low back, left hip, knee and ankle took the most damage. I did not have any health insurance, so
when the ambulance showed up, I refused service.
After getting a ride to my office, I immediately set to work on myself. First, I set up several syringes full of Traumeel, which is
a homeopathic medicine for injuries, mixed with vitamin B12. My entire left low back, hip, knee,
ankle, and leg in general were in a terrible spasm and it was very
painful. Mesotherapy injections
were done in all the main painful areas.
After performing the injections on myself, it was time to do Acupuncture.
Little did I know it, but
this was the dawn of a new era for my medical practice. For the first time, I was doing
Prolopuncture. Up until that
point, I never touched the bone with my Acupuncture needles. If a needle did touch the bone, it
freaked me out and I immediately withdrew it. In my training, the teachers and clinic supervisors had never told me to reach the bone
with needles. But my leg was so
swollen and painful, I knew drastic measures were in order. As I started doing the Acupuncture, the
relief came when the needle reached the bone.
Before long, I had 300
needles in my knee area alone which, were all touching the bone or were inside
the knee joint. I went through box
after box of needles. After hours
of doing the Acupuncture on myself, I put herbal plasters all over my back, hip
and leg. By that time it was
evening and I got a ride back home.
I took an Epsom salt bath, which felt great.
This routine of doing
Mesotherapy, hundreds of Acupuncture needles down to the bone, patches, and
Epsom salt baths became a daily ritual for me. This is because the leg would go back into spasm every day. It is natural to have such tightness
when a traumatic injury is sustained.
Our nervous system is just trying to protect the joints. I did all the treatments myself, and never missed a day of
work. For the first two weeks I
had to use crutches all the time, because it was too painful to put any weight
on the leg. T’ai Chi was my main
form of physical therapy, and every day the leg was performing better and
better.
What I was realizing through
my treatments, was that all fear should
be left aside. The needles
needed to be placed at the MOST painful spots and also had to reach the bone in
order to reach the spasms.
The muscles would twitch when the root of the pain was reached, and then
the nervous signal would be released.
Afterwards came the muscle lengthening and pain relief. This is the essence of Trigger Point
therapy. Later I would find out
that the famous Doctor Janet Travell, M.D. who wrote, The Trigger Point Manual, was actually trained in Neural
Therapy in Germany. So the whole
idea of trigger points and releasing the autonomic nervous signals is actually
Neural Therapy. The Mesotherapy
from France was named by Dr. Pistor, M.D., who was also trained in Neural
Therapy in Germany. In Neural
Therapy, the same Mesotherapy technique is called, ‘Segmental Therapy’. In the 1950’s, because of World War II,
Doctors who were trained in Germany would find political resentment regarding
German techniques, so these techniques were renamed to “Trigger Point Therapy”,
and “Mesotherapy”.
Everything I was doing could
all be traced back to Neural Therapy from Germany. The main difference is that Neural Therapy also included the
injection of procaine, a mild anesthetic also known as Novacaine. Back at that time, though, all I knew
was that the deep Acupuncture to the bone was what I needed and was what
worked.
By the late Spring I was
feeling much better and returned to playing in table tennis tournaments and
riding my street motorcycle. A few
months later I bought another dirt bike and was back on the trails. There was still a great deal of pain in
my low back, hip, knees and ankles, but I struggled through it. The pain was very tiring, however, and
my limitations were always apparent.
At a seminar, sitting with my Teacher at lunch, we discussed our pains and injuries. He told me how much Prolotherapy had helped him and I was very curious.
I had heard of Prolotherapy
from a Massage therapist who said it helped her back and knee pain. When she told me it involved causing
inflammation with an irritant injection, I immediately rejected the idea and
thought it was nuts. Everything
that had been taught to me in school and through the media pointed to
inflammation as the ‘Bad Guy’. My
whole goal in practice at that point was to stop inflammation. But now my Teacher was telling me how
great Prolotherapy is. So I asked
him if he could treat my pain and explain more about Prolotherapy in the
process.
He said many people were
asking him to hold a Prolotherapy class and that he would let me know about
it. By March of 2007, my Teacher
had put together a class that was certified by the state of Florida and gave us
continuing education hours. I was
thrilled.
The first class was a bit
scary for me, I drove up to toward Tampa the night before so as not to be
late. Unfortunately, all the
hotels and motels were full in the whole area. I had to sleep in my truck. I arrived looking
a bit rough, but it all turned out great.
We started learning about
the mechanism of Prolotherapy. The
area where ligament and tendon tissue melds into bone is called the
‘fibro-osseous junction’. This
area is filled with sensitive nerve endings, but is too dense for a good blood
supply. The fibro-osseous junction
is often injured during traumatic injuries or through overuse, but the lack of
blood vessels does not allow the area to heal. This leads to chronic pain. The nerve endings tell the brain about the problem, but
without blood, the body can never reach the area with a good immune
response. Therefore, the number
one rule in Prolotherapy is that the needle tip MUST be touching bone in order
to perform an injection. After
treating my motorcycle accident injuries, this made perfect sense to me. It also gave me lots of confidence in
Prolotherapy because I knew the only way to get rid of deep pain was to touch
the bone.
With Prolotherapy, not only
do we touch the bone with the needle tip, but then we inject an irritant
solution to cause inflammation.
The main irritant used is Dextrose, which is corn sugar. The dextrose is considered an osmotic
irritant, because it causes dehydration.
When the local cells become dehydrated, they eventually become injured
and some contents spill out from the cell membrane. When the inner contents from the cell contact the nerve
endings in the fibro-osseous junction, the immune systems is tricked into
thinking that a major injury has occurred. This causes inflammation.
Inflammation is the only
tool our body has to repair itself.
Without inflammation, we would all die. Any little cut or wound would never heal if it did not first
have an immune response with inflammation.
The inflammation generally
lasts a few days, never more than seven.
During this time lots of lymphatic fluid and blood floods the area. A fibrin clot is produced which acts as
a patch along with being the framework for the new tissue to build upon. Macrophage cells and lymphocyte cells
clear away toxins and damaged tissue while releasing growth factors. The growth factors are the chemical
signal that brings adult stem cells to the area. An immature cell capable of reproduction and repair is
called a “- blast” cell, and is an adult stem cell. For connective tissue, the Fibroblast does the repair
work. For bone it is the
Osteoblast. For cartilage, it’s
the Chondroblast. During the next
four to eight weeks, these cells create their respective tissue at the area of
inflammation. After that, the
tissue remodels for several months and becomes strong.
With Prolotherapy, the main
cells that are proliferated include the Fibroblasts for ligaments and tendons,
and Chondroblasts for cartilage repair.
The cartilage lies inside of joints, so this requires that the dextrose
solution be injected directly inside the joint. Prolo is short for Proliferate. Prolotherapy is a pro-life treatment that actually
rejuvenates the joints.
For this first class, we
focused on the hip, knee, ankle and foot.
These are the safest areas to treat, and were perfect to start
with. I observed Dr. Swihart doing
Prolotherapy to many hips, knees, ankles and feet during the clinical portion
that day. We also watched videos
of these treatments being done. I
was able to treat someone’s hip, and had my own hip injected. The treatment was surprisingly easy to
receive. A month later, there was
a tremendous improvement as far as strength and flexibility in my treated
hip. I had truly become a
Prolotherapy convert, and was sold hook, line and sinker.
After the training, I
started using Prolotherapy right away.
It seemed too good to be true, but torn ligaments and tendons were
mending. Long term chronic pain
was disappearing. Prolotherapy
turned out to be no joke, it became clear that it is a miracle cure for pain.
Every couple of months, my Teacher would hold another Prolotherapy class. The next class focused on the shoulder, elbow, wrist and
hand. This was followed by the
lumbar spine, then the cervical spine and jaw, and concluded with the thoracic
spine, sternum and ribs. So a year
after my Prolotherapy adventure had begun, I was fully trained to treat the
whole body. At this point my whole
body had been treated with Prolotherapy also. During the training seminars, we all would treat each other. This worked out so great, the chronic
pains in my spine, occiput, elbow, wrist, sacroiliac joints, hips, knees, and
ankles all were cured. I was
rejuventated and felt like a teenager again.
As I was learning how to do
Prolotherapy, my Acupuncture sessions for patients ended up being my main
training ground for Prolotherapy.
After my motorcycle accident, needling to the bone became a everyday
treatment style for me. With the
Prolotherapy training, it gave me permission to do this all over the body.
It became very apparent that
my Acupuncture treatments were much more successful after learning
Prolotherapy. I certainly did not
abandon any knowledge from Traditional Chinese Medicine. Everything I learned in medical school
was still being earnestly employed, but now there was so much more depth. The Prolotherapy style in Acupuncture
fits perfectly into the entire model of Traditional Chinese Medicine
(TCM).
In TCM, the main cause of
pain is blood stagnation. This
fits perfectly into the Prolotherapy cause of pain, which is a weakness of
ligaments, tendons and cartilage.
These areas already have a weak supply of nutrients and oxygen, mainly
supplied by the lymphatic system and whatever blood that can reach the
area. When there are tears or worn
out and stretched ligaments, tendons or cartilage, the nerves become very
sensitized. This sensitization
sends a pain message to the brain, and also sends a message to the local
muscles to guard the area. This
muscle guarding causes lots of pain, fatigue, immobility and depression. It also does not allow a normal supply
of blood into these muscles. Over
time, the muscle cells start to die and muscle atrophy occurs. All of this can be considered blood
stagnation. The ancient
Acupuncturists understood this whole mechanism and knew that blood was
essential for the healing process to occur.
The Acupuncture points are
indispensible knowledge when it comes to Prolotherapy or Prolopuncture. It gives me a framework to work by, and
pain often travels along a meridian line.
This helps to trace a referral pain back to its source. The dermatome charts are also great to
know when dealing with pain that comes from the spine, as in radiculitis. Oftentimes, treating the ligaments and
tendons around the spine will relieve pain along the entire dermatome coming
from that the particular vertebrae.
An interesting thing that I
came to understand by doing and studying Prolotherapy, is that ligaments and
tendons themselves refer pain and neuropathy. When looking at charts that show the referral from L5 for example,
my original concept was that the L5 nerve root was always involved. Prolotherapy has shown me that it could
be the facet ligaments around L5, or the iliolumbar, supraspinous, lumbosacral,
or sacroiliac ligaments that are really referring the pain. Treating those areas with Prolotherapy
or Prolopuncture can completely alleviate it.
Also, the pain referring
down the leg from L5 would also cause any muscle in the referral pattern to
shorten. This shortened muscle is
a huge cause of pain and immobility.
Over time, this reflexive tightness of muscles can lead to tendon
damage, which makes the tightness even worse. So chronic pain is a vicious cycle leading to severe fatigue
and depression. The good news is
that Prolotherapy and Prolopuncture can repair these ligaments and tendons, allow the muscles
to lengthen, and restore health and happiness.