Procedural Guide · Lower Extremity
Prolotherapy Procedural Guide for the Lower Extremity
An expert consensus-based resource for safe, palpation-guided dextrose prolotherapy, built on more than fifty years of treating and teaching by physicians of the Hackett Hemwall Patterson Foundation.
$150
or $250 for both Upper & Lower guides
Laminated paperback · 122 pages · Ships within the US and internationally

Standardized protocols, refined over decades
This Procedural Guide presents standardized injection protocols developed and refined over decades by physicians affiliated with the Hackett Hemwall Patterson Foundation, representing the accumulated clinical experience of more than fifty years of treating and teaching patients.
It is a clear, illustrated guide to injection techniques for the hip joint and anterior pelvis, knee, ankle and foot, written for novice and intermediate learners. The procedures are designed to be performed safely without imaging guidance, relying on palpation of anatomical landmarks for both clinical assessment and needle guidance.
What you get
Joint-by-joint procedures
For the hip joint and anterior pelvis, knee, ankle and foot.
Anatomical landmarks & injection sites
Shown with clear illustrations.
Patient positioning
For each procedure.
Needle selection, angle & depth
At every injection site.
Typical solutions & volumes
Used in common protocols.
Post-procedure care
Including weight-bearing and activity advice to share with patients.
Who it's for
Physicians, PAs and NPs who already perform or are training in prolotherapy and want a dependable chairside reference for weight-bearing joints. Experienced injectors will find it useful when expanding into new regions.
Authors
Physicians affiliated with the Hackett Hemwall Patterson Foundation.


