Available at The Fascia Institute · Performed by Dr. Courseault
A regenerative answer for tissue that won’t quite heal.
Fascial Dextrose Prolotherapy is a precision regenerative injection technique that uses a targeted dextrose solution to provoke a controlled healing response in fascial, ligamentous, and tendinous tissue — restoring the strength and stability your body has been trying, and failing, to rebuild on its own.
What Fascial Dextrose Prolotherapy is.
Prolotherapy — short for “proliferation therapy” — is a regenerative injection technique with decades of clinical history. The premise is straightforward: certain tissues, particularly ligaments, tendons, and fascial attachments, have famously poor blood supply. When they are injured, sprained, or weakened by repeated use, the body’s repair response can stall. The tissue does not fully heal. The instability or pain becomes chronic.
A targeted injection of concentrated dextrose at the affected site provokes a controlled, localized healing response. The body interprets the dextrose as a signal: repair this tissue. Fibroblasts proliferate. Collagen is laid down. The tissue strengthens. What had stalled, restarts.
At The Fascia Institute, prolotherapy is delivered with the same precision-mapping discipline that defines the rest of our practice — directed not at a generic anatomical site, but at the exact tissue your assessment has flagged. That precision is what the word Fascial in our name signals: this is prolotherapy guided by a fascia specialist’s understanding of where pain actually lives.
How it works.
The mechanism is elegant. The dextrose itself is not the medicine — your body’s repair response is. Dextrose is the trigger.
A particular fit for hypermobile patients.
Patients living with hypermobility spectrum disorders or Ehlers-Danlos syndromes face a familiar problem: the connective tissue that should hold their joints stable is structurally lax. Standard rehabilitation strengthens the muscles around the joint — which helps — but does not directly address the laxity itself.
Fascial Dextrose Prolotherapy does. By stimulating the body to lay down new collagen at ligamentous attachment sites, prolotherapy can directly support the connective tissue that hypermobile patients have always been told they could not change. It is not a cure for hypermobility. It is, for many patients, a meaningful piece of the long-term answer.
Conditions Fascial Dextrose Prolotherapy treats.
Prolotherapy is most effective in soft-tissue conditions where the underlying problem is laxity, attachment-site weakness, chronic tendinopathy, or recurrent injury that has resisted standard care. Common applications include:
Ligament Laxity & Joint Instability
Where the ligamentous structures supporting a joint have become stretched, weakened, or unable to do their stabilizing job.
- Hypermobility-related joint pain
- Ehlers-Danlos syndromes (EDS)
- Recurrent ankle sprains
- SI joint dysfunction
- Knee instability
- Shoulder instability
Chronic Tendinopathies
Tendon problems that have outlasted the typical 4-to-6-week healing timeline and refused to fully resolve with rest, rehab, or imaging-led treatment.
- Achilles tendinopathy
- Patellar tendinopathy
- Tennis elbow (lateral epicondylitis)
- Golfer’s elbow (medial epicondylitis)
- Rotator cuff tendinopathy
- Hip flexor & gluteal tendinopathy
Fascial Attachment Pain
Pain originating where fascia connects to bone — often the precise spot a generic workup misses, and a precise spot prolotherapy can rebuild.
- Plantar fascia attachment pain
- Iliac crest & thoracolumbar fascia
- Pelvic floor & pubic symphysis
- Achilles enthesis
- Common extensor / flexor tendons
Chronic Spinal & Pelvic Pain
When the source of low back, neck, or pelvic pain is ligamentous laxity rather than disc or muscle pathology.
- Chronic low back pain (ligamentous origin)
- Chronic neck pain (cervical ligaments)
- SI joint dysfunction
- Sacrotuberous & sacrospinous ligament pain
- Whiplash-associated ligament injury
How it compares to our other regenerative options.
Fascial Dextrose Prolotherapy is one of three procedural pathways in our medical arm. The right tool depends on what your tissue actually needs — and Dr. Courseault selects the protocol your case calls for, not the other way around.
| Treatment | Best For | Cadence |
|---|---|---|
| Hydrofascia Release™ (HFR) | Releasing fascial adhesions and scar tissue mechanically. The fastest path back to glide. | HFR-A: single procedure. HFR-P: planned series. |
| Fascial Dextrose Prolotherapy | Strengthening lax ligaments, healing chronic tendons, supporting hypermobile tissue. The structural rebuild. | A planned series of sessions, spaced apart for biological repair. |
| ProloBoost Dual PRP | The most powerful regenerative option. Persistent injuries, slow-healing tissue, cases that need a stronger biological signal. | Series-based; details determined by case. |
Your prolotherapy visit, simply.
Each Fascial Dextrose Prolotherapy session is performed in our Beverly Hills office on Dr. Courseault’s procedure days. The procedure is brief, in-office, and built around the same precision-mapping discipline we apply to every treatment.
Frequently asked.
A cortisone injection delivers anti-inflammatory medication to a region — it suppresses inflammation and can offer short-term relief, but does not rebuild tissue. Prolotherapy does the opposite: it intentionally provokes a brief, controlled healing response so the tissue itself becomes stronger over time. The two address different problems and serve different purposes.
Both prolotherapy and PRP are regenerative — they stimulate the body’s own repair response. The difference is the signal. Prolotherapy uses a dextrose solution as the trigger; PRP uses your own concentrated platelets, which carry a more powerful regenerative payload. Our ProloBoost Dual PRP program is the highest-potency regenerative option in our cabinet — reserved for cases that warrant it. Fascial Dextrose Prolotherapy is the appropriate choice for many patients and conditions, and Dr. Courseault recommends the right tool for your specific case.
Most patients describe the procedure as well-tolerated. Local anesthetic is used to minimize discomfort during the injection itself. Some short-term soreness or stiffness in the days afterward is normal and expected — it is the signal of the healing response beginning to work.
Because tissue rebuilding is a biological process that takes time, prolotherapy is delivered as a planned series rather than a single treatment. The exact number of sessions varies with the condition, its severity, how long it has been present, and how your tissue responds. Dr. Courseault will recommend a specific cadence at your initial visit.
Some patients notice improvement after the first or second session; many feel the most meaningful change as the series progresses and the tissue has had time to rebuild. Because we are stimulating biology rather than masking symptoms, the gains tend to be durable.
Yes — and in fact, hypermobile and EDS patients are among those who benefit most. Because their connective tissue is structurally lax, treatments that stimulate collagen formation at ligamentous attachments can be a meaningful part of long-term care. Dr. Courseault tailors the protocol carefully for these patients.
In most cases, yes — appropriate movement supports the healing response. Dr. Courseault will give you specific guidance based on what was treated, and the Fascia Performance Program can coordinate movement and rehabilitation around your prolotherapy series.
The dextrose mechanism is the same well-established technique used in prolotherapy clinics for decades. What is different here is the precision and the lens. At The Fascia Institute, prolotherapy is selected, located, and delivered with a fascia specialist’s mapping of where dysfunction actually lives — directed at fascial attachment sites and tissue restrictions a generic protocol may miss.
Ready to start rebuilding?
Fascial Dextrose Prolotherapy appointments are scheduled around Dr. Courseault’s procedure days in Beverly Hills. We will help you find a fit and walk you through the recommended series for your case.
415 North Crescent Drive, Beverly Hills, CA 90210
In the Golden Triangle · Founded and led by Jacques Courseault, MD
