Research article on Prolotherapy and Hip pain

This is a full access research article on Prolotherapy and Hip pain published at the Journal of Prolotherapy

A Retrospective Study on Hackett-Hemwall Dextrose Prolotherapy for Chronic Hip Pain at an Outpatient Charity Clinic in Rural Illinois

Ross A. Hauser, MD & Marion A. Hauser, MS, RD

Abstract
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Objective: To investigate the outcomes of patients undergoing Hackett-Hemwall dextrose Prolotherapy treatment for chronic hip pain.

Design: Sixty-one patients, representing 94 hips who had been in pain an average of 63 months, were treated quarterly with Hackett-Hemwall dextrose Prolotherapy. This included a subset of 20 patients who were told by their medical doctor(s) that there were no other treatment options for their pain and a subset of eight patients who were told by their doctor(s) that surgery was their only option. Patients were contacted an average of 19 months following their last Prolotherapy session and asked questions regarding their levels of pain, physical and psychological symptoms and activities of daily living, before and after their last Prolotherapy treatment.

Results: In these 94 hips, pain levels decreased from 7.0 to 2.4 after Prolotherapy; 89% experienced more than 50% of pain relief with Prolotherapy; more than 84% showed improvements in walking and exercise ability, anxiety, depression and overall disability; 54% were able to completely stop taking pain medications. The decrease in pain reached statistical significance at the p<.0001 for the 94 hips, including the subset of patients who were told there was no other treatment options for their pain and those who were told surgery was their only treatment option.

Conclusion: In this retrospective study on the use of Hackett-Hemwall dextrose Prolotherapy, patients who presented with over five years of unresolved hip pain were shown to improve their pain, stiffness, range of motion, and quality of life measures even 19 months subsequent to their last Prolotherapy session. This pilot study shows that Prolotherapy is a treatment that should be considered and further studied for people suffering with unresolved hip pain.

This article is available at the Journal of Prolotherapy

Hip Arthritis Injections

A full access article on how injections to the hip are helping arthritis pain sufferers can now be accessed online at the getprolo Prolotherapy information website

Prolotherapy

Patient uses Prolotherapy for 5 body parts over 5 years
AJ is a 57 year old active woman who is a school teacher, loves to walk her dogs, and spend time with her family. She is no stranger to Prolotherapy. In the past four years Prolotherapy has provided chronic pain relief in her shoulder, hand, knee, buttock, and, most recently, her foot. When she first came to see us in 2007 she was having severe shoulder pain. Her doctor had recommended surgery but she was skeptical and went in search of another option. She discovered Caring Medical and Prolotherapy and decided to try this alternative before undergoing surgery.

AJ’s introduction to Prolotherapy: Her course of treatment with Dr. Hauser involved 10 Prolotherapy injections strengthened with human growth hormone (HGH). She received three treatments to her shoulder and was healed of all pain. AJ regained complete range of motion and avoided a costly surgery.

Shoulder surgery avoided!
AJ also wanted to feel her best so at that time she also did hormone testing and Diet Typing. She found out that her progesterone and testosterone levels were low and that her blood was acidic. She started on natural hormone replacement therapy, as well as the Hauser Otter Diet (higher protein, lower carb diet) and found great improvement in her overall energy as well.

Time for more Prolotherapy! Over the next few years she paid attention to her body and acted quickly when pain would arise. Whether it was an overuse injury in her hand or an acute knee injury from a fall while walking her dog, AJ immediately came to Caring Medical for relief. In fact, she only needed one treatment to heal her pain in her hand, knee, buttock, and foot.

Foot Pain treated with Prolotherapy
Injury strikes again: Her most recent pain was on the top part of her foot. It was sporadic pain for a few weeks and then turned constant. She came to Caring Medical right when the pain became constant and received 20 Prolotherapy injections to her foot. She also picked up the recommended supplements and began using toe stretchers at home. Again, one treatment was all she needed. 

Prolotherapy for any type of joint pain: AJ told us that she is Prolotherapy’s biggest fan. She doesn’t mess around with chronic pain; she goes straight for the treatment that will bring quick and effective healing. AJ knows that chronic pain is nothing to play around with and that Prolotherapy is an excellent alternative to traditional treatments.

Ross A. Hauser, M.D.
Dr. Hauser the Medical Director of the comprehensive Prolotherapy, PRP, and Bone Marrow Prolotherapy clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy.

Prolotherapy Newsletter 1/12/2011

● Bone Marrow Prolotherapy – Hip
One of our first patients to receive Bone Marrow Prolotherapy to his hip has reported great results thus far (it’s only been a week and a half) but he says he can feel a difference. MG is a 46 year old contractor who does a lot of physical work. He received regular Hackett-Hemwall Prolotherapy with HGH to his severely arthritic hip from late 2007 to early 2009. He was much improved from this Prolotherapy but had not been able to return to full athletics because the increased activity would aggravate his hip. He was interested in trying out Bone Marrow Prolotherapy.

● Is it Loose Ligaments Causing Your Low Back Pain?
Read about some typical pain patterns experienced with ligament injury to the lower back.

● Knee Arthroscopy
The Patient thought her arthroscopy was for meniscal repair, but she received a resection – the case of Brenda from Boston – Prolotherapy would have been a much better option! Brenda from Boston came to Caring Medical with the desire to avoid getting bilateral knee replacements. She was already told by a surgeon that she was a great candidate for knee replacement surgery. Brenda is 70 years old.

November 24, 2010

Prolotherapy Saved Me From Bilateral Knee Replacements!
This case study discusses the case of 56 year-old body builder, who suffered from chronic, severe, debilitating bilateral knee pain who was told he needed bilateral knee replacements in order to have any chance at a semi-normal life again, but was told he would likely never lift weights again post surgery.

· Watch the video
Ischial Tuberosity Pain / Hip & Buttocks Pain
When you have pain on the bottom of the buttock, especially when sitting and running, this could be indicative of ischial tuberosity pain. Sometimes a doctor will examine this area, find it to be tender to palpation, and give you a diagnosis of ischial bursitis.

More hip pain articles
● Left Hip Pain case history
● Snapping Hip Syndrome
● Iliotibial Band Injury
● Hip Replacement and Prolotherapy
● Pain After Dislocation
● Hip Pain and Prolotherapy
● Hip, Groin Pain and Prolotherapy
● Pubic Symphysis Pain
● Hip Labral Tear
● PRP Prolotherapy labral tear of right hip

Aspirin and Coumadin
For many years I have been performing Prolotherapy on patients who come to see me already taking blood thinners, including Coumadin and aspirin.  Let me first say that in all my years of doing Prolotherapy on patients on Coumadin, I have never had a problem. I do let them know that there is an increased chance of bleeding and/or bruising of course, and on very very rare occasions someone on Coumadin may develop a hematoma (where blood accumulates in the muscle), but I have never actually had a patient develop a hematoma.  Even if it did happen, the normal treatment is to apply heat to it and wait until it resolves.

In regard to aspirin, most folks who take this for blood thinning are taking a baby aspirin or 81mg per day.  This amount of aspirin can thin the blood and I have not found it strong enough to inhibit the Prolotherapy. So if you are on aspirin for heart disease prevention, then by all means continue taking it and don’t worry about it inhibiting the Prolotherapy.

For the Athlete
● Prolotherapy, a curative treatment for golfer’s and tennis elbow
● Prolotherapy for plantar fasciitis, foot and heel pain
● Optimizing sports performance with nutrition and the Hauser Diet
● Platelet Rich Plasma (PRP) Prolotherapy for Athletes

Enhancing Healing Through Diet
● Diet and natural hormones with Prolotherapy changes a life
● Fast ways to eat fresh on the Hauser Diet
● Do you purchase fat-free everything?
● Sleep and Insulin Resistance

Prolotherapy Newsletter 10/28/2010

● Is there an age limit to getting Prolotherapy?
Losing the ability to be mobile and active is possibly the worst thing that can happen to people as they age. Activity truly keeps the blood flowing. Joints like the hips and knees depend on walking and weight-bearing activities to provide nourishment to the joint cartilage. No walking, no nourishment. No nourishment, no cartilage. No cartilage, no movement. Walking keeps people alive and keeps the body functioning It stiffness sets in, the grave may follow.

Why not treat all patients with Platelet Rich Plasma? Here is my bottom line related to joint instability and PRP. If you have joint instability, you can receive PRP Prolotherapy to the joint a hundred times and you will continue to have instability if ligament laxity (weakness) is involved.

● When should I get pain relief from Prolotherapy, how many visits?

For the Athlete
● Hip Osteoarthritis Prolotherapy is a great option for the athlete who wishes to quickly heal an injury and return to the sport that they love. Larry was one such athlete who we treated last summer from a far north suburb of Chicago. He had been practicing martial arts and bodybuilding for years until he hit age 54. It was then that he experienced a hip injury that took him out of martial arts. Now, two years later he was desperate to get back to his active lifestyle. Not only did chronic pain keep him from martial arts, it also interfered with his daily activities and his sleep. Despite a few years of PUSH therapy his pain remained. When he visited an orthopedist he was diagnosed with osteoporosis and osteoarthritis of the hip. One shot of PRP into a joint is not going to regenerate an injured, lax ligament that is responsible for providing joint stability.

● Platelet Rich Plasma (PRP) is another form of Prolotherapy
● I wish I would have never gotten a meniscectomy
● Running Injuries

Enhancing Healing Through Diet
● 10 tips for getting your health back on track – get back to basics
● Five ways to stay healthy during the holidays
● How the cold can make you gain weight
● 5 common causes of sugar cravings & what to do about them

Prolotherapy Newsletter October 20, 2010

Prolotherapy Articles

● Frozen Shoulder and Low Back Pain David is a 52 year-old male who came to Caring Medical with complaints of shoulder pain that had been present for 18 months. He began resting his shoulder and was forced to limit his workouts due to the pain. As an active person who worked out regularly, David was not sure how he developed this injury, but felt it could have been during weight lifting or any number of sports. The more he rested it, the worse it seemed to be getting.

● Severely Degenerated Hip and a Fluoroscopically Guided Steroid Injection
Mark came into the clinic with a two year history of bilateral hip pain, right hip worse than the left. The pain started two years ago during a run.

Mark typically ran 28-30 miles per week, but had not run for about two years, since the hip pain started. As a 51-year-old, he was getting pretty discouraged because he had tried physiotherapy, chiropractic care, electrical stimulation, laser treatments, and all the recommendations given to him pointed him toward bilateral hip replacement. The last treatment he tried was a fluoroscopically guided steroid injection into his severely degenerated hip. The net result was almost no pain relief and an expense of $2700. Can I see a Chiropractor? Watch the video

● Prolotherapy After Arthroscopy I cannot tell you how often I ask my patients why they received an Arthroscopy and what the post surgery report showed, and the answer is so often “I don’t know.” Unfortunately, people agree to procedures, surgeries, or medications without really knowing the reasons for them.This is the first of a series of articles I will write that shows patients’ actual arthroscopy reports with my opinion regarding what they need to look for and questions they need to find out. Let’s look at this very short arthroscopy report from a prominent Chicago Hospital (consistently voted among the best hospitals in the country) on our new patient Barb. 
 
For the Athlete
● 69 Year-old Still Running 100-mile Races Thanks to Prolotherapy Sam Rizk is a 69 year-old man who came to Caring Medical in June of 2008 with complaints of left low back and ischial tuberosity (sitz bone) pain for the past six years. The pain was aggravated by running, so he had ceased running for three months prior to seeing us. Sam is an endurance runner who picked up running at the age of 53. He had tried chiropractic and physical therapy, but achieved only temporary relief of his pain. He had also tried Prolotherapy with another doctor which also gave him temporary relief. When his pain returned with continued running, he decided to give Prolotherapy another try, and this time at Caring Medical.

● Prolotherapy, a curative treatment for golfer’s and tennis elbow
● Running Injuries
● Iliotibial Band Injuries treated with Prolotherapy
● Platelet Rich Plasma (PRP) Prolotherapy for Athletes
● The shoes you wear can affect knees and joints in arthritic patients
● Four easy steps to turn around prediabetes
● 5 common causes of sugar cravings & what to do about them
● Diet change brings results in military soldier’s energy, pain, and fitness

Enhancing Healing Through Diet