Irwin Abraham, M.D. & 

Chronic Injury Medicine

Frequently Asked Questions

1. What insurance do you take?

Insurance coverage is for Aetna, Empire Blue Cross/Blue Shield, Cigna, United Healthcare, Oxford, Medicare, worker’s compensation and No-fault. We are out-of-network for all other insurances. You may get reimbursement for some of the fee directly from your insurance company.
Note: Prolotherapy is not covered by any insurance company in the United States.

2. Do you accept credit cards?

We accept most credit cards, cash, or checks at the time of service.

3. What is prolotherapy?

Prolotherapy is the injection of a growth stimulation substance to initiate the body’s own healing. For us, Prolotherapy is usually dextrose (same as your own sugar in your body) but more concentrated along with some local anesthetic. Prolotherapy is similar to having a cut at the skin. The damage to the tissue produces a signal for the healing cells to come in and repair the skin. Tendons and ligaments have poor blood supply and generally poor healing ability. Prolotherapy jump starts their healing process.

4. Is prolotherapy done at the first visit?

No, the initial visit is a consultation appointment to conduct an exam, answer the patient’s questions, discuss treatment options, and determine if prolotherapy is a reasonable choice for them.

5. Is prolotherapy painful?

Prolotherapy is a set of injections. Some discomfort will occur during and after a session of injections. We work to relax each patient and to work within their tolerance for discomfort. We use various relaxation techniques. Sometimes a patient will have a stronger than usual fear of injections in which case visits for training to decrease the experience of pain will be conducted before any injection.

6. Do you use steroid or cortisone injections?


7. How often would I need prolotherapy injections?

A session of injections is followed by an interval of six weeks as the healing process commences. Prolotherapy produces new growth of tissue and this usually takes 4 – 6 weeks before you will see significant improvement. If more injections are needed, it is recommended to do them every six weeks.

8. What if I don’t want prolotherapy? What else can you do?

Manipulations (controlled movement of a body part by the doctor) or injections of steroid or local anesthetic for decreasing pain. Dr. Abraham also works closely with a number of local physical therapists.