Pain Management


Prolotherapy Treatment in NYC

Dr. Kulick specializes in treating both the symptom and the cause of pain using a single technique called prolotherapy in his clinic in NYC. “Prolo” is short for proliferation, because the treatment causes the formation of new ligament tissue in areas where it has become weak. Incredibly, a primitive version of this technique was used by Hippocrates on soldiers with dislocated, torn shoulder joints. It was re-introduced in the 1950’s but was considered alternative therapy and not widely accepted. Today, due to the efforts of physicians like Dr. Kulick it is enjoying a well deserved resurgence.

Why Prolotherapy is important

Prolotherapy is a vehicle for nonsurgical ligament reconstruction and treatment for chronic pain.

Symptoms it treats

Aside from common sports injuries resulting in partially torn tendons, ligament and cartilage damage, a wide variety of musculoskeletal conditions can be improved using prolotherapy. These include tendonitis, back and neck pain, arthritis, degenerated discs, sciatica, whiplash and even TMJ. Quite often muscle spasms can be traced back to ligament laxity.

How it works

The integrity of all our joints—knee, wrist, shoulder, ankle—are maintained by ligaments and tendons. Essentially ligaments and tendons are the rope that binds bones and joints together. Either through sports injuries or simple wear and tear as we age, ligaments become loose and in some instances begin to fray, or tear. Once the ligament is damaged, the integrity is compromised which can disrupt, dislocate or shift the joint. The idea behind prolotherapy is to strengthen the ligament or tendon at the site of insertion. This frequently allows a muscle that has spasmed to relax, as it no longer needs to provide the support normally provided by the tendon or ligament.


Prolotherapy is non surgical. It is introduced to the injured site through an injection comprised of a highly concentrated sugar solution. Dr. Kulick uses ultrasound to guide the needle directly into the ligament or tendon where it attaches to the bone. The concentrated solution injected flows across the membrane where it triggers a repair response. Depending upon the severity of the injury several sessions spaced 3 weeks apart may be indicated.

Within his medical practice, Dr. Kulick is convinced prolotherapy and PRP represent two great alternative therapies for many patients.

Side effects

The beauty of prolotherapy and PRP is that gets the patient functional almost immediately, generally replacing physical therapy. The injection is painless. Patients are sore 2-3 days during the inflammatory response and then back in action.

The prolotherapy treatments are tailored to your specific personal needs in our clinic in NYC. It helps heal injured and damaged tissue with very little scarring. For more information or to make an appointment for your initial consultation with Dr. Kulick, please call 212-867-1777