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Prolotherapy ACL
Is Prolotherapy an effective treatment for ACL tear?
Ross Hauser, MD demonstrates Prolotherapy to the knee area.
In treating ACL tears with Prolotherapy, Dr. Hauser notes that in partial tears, Prolotherapy is injected at the points where the ACL attaches to the tibia and femur, however a complete tear can only be repaired by surgery. In this situation Prolotherapy can be an effective treatment for the supporting tissue and ligaments around the knee, as well as the joint capsule itself.
Torn meniscus surgery alternative
When a meniscal injury is suffered, surgery offers two options. Remove the damaged parts and weaken the knee or meniscal transplant surgery which itself has a documented high rate of failure. In the article below, Ross Hauser, M.D., a leading Prolotherapy doctor from Oak Park, Illinois, explains Prolotherapy treatment as a meniscal surgery alternative.
Meniscus Injury
Ross Hauser, M.D.
Meniscus Defined
Meniscus tears are the second most common type of knee injury, the first being ligament strains and tears. However, meniscus tears are particularly interesting because they are drastically on the rise. It’s estimated that one sixth of knee surgeries are performed for lesions on the meniscus, and many more go untreated every year. However, not all meniscus tears look exactly the same.
Menisci are c-shaped fibrocartilages that rest under the kneecap. They provide stability and fluid for the knee joint as well as shock absorption. Menisci also ensure that the thigh and shin bones don’t rub against each other. Quite a lot of functions for such small pieces of cartilage!
Types of Meniscus Tears
Menisci have two zones. The red zone is outside and the white zone is inside. Meniscus tears are characterized by their placement in these two zones. For example, a longitudinal, or bucket handle, tear is a tear that tears vertically in either zone. It does not cut across the meniscus, but rather tears so that the curve looks like a bucket handle.
A radial tear, on the other hand, is a tear that extends across both zones, starting at the red zone and then extending downward into the white zone. Radial tears are also called parrot beak tears because they make an open, angular shape that looks like a bird’s beak.
A horizontal tear (or flap tear) is the exact opposite of a longitudinal tear; it cuts across the meniscus, as opposed to running alongside it.
An oblique tearis a tear that is diagonal across the meniscus. When any of these patterns combine it is called a complex tear.
Partial or Full Thickness Tears
The other classification of meniscus tears is related to the depth of the tear. Tears are considered to either be partial thickness tears or full thickness tears. This is exactly what it sounds like. Partial thickness tears are tears that only extend part way across the meniscus, while full thickness tears extend fully across. So, if you have a full thickness flap tear, then it is a tear that cuts across the meniscus completely.
Prolotherapy for Meniscus Tears
Prolotherapy is a extremely effective non surgical option for treating all types of meniscus tears. In fact, in a study done by Dr. Hauser and our clinic Caring Medical, published in the Journal of Prolotherapy, 27 out of 28 patients with all types of meniscus tears showed improvement and the Prolotherapy treatments met their expectations for healing. You can read the entire study published in the Journal of Prolotherapy here. We concluded from this study that Prolotherapy, also known as regenerative injection therapy, should be a first-line treatment option for torn menisci. Dr. Hauser provides comprehensive Prolotherapy here at Caring Medical. Depending on the severity of your tear or injury, Dr. Hauser will tailor the Prolotherapy solution to best suit your needs. In other words, we can use basic dextrose Prolotherapy, sodium morrhuate, PRP (platelet rich plasma), or stem cell bone marrow Prolotherapy depending on your needs. We specialize in the complicated cases! Not only is the tear itself treated with Prolotherapy, but the surrounding knee structures that stabilize the knee are always treated as well. If you do not treat the entire area, then the underlying reason the meniscus tore in the first place never gets addressed – which is joint instability. Knee Prolotherapy by Dr. Hauser involves many injections, therefore. Not just one.
Knee injuries not only leave the patient in pain, but lead to osteoarthritis and eventual joint replacement.
Prolotherapy provides pain relief and stability.
Why Surgery May Not Heal Your Meniscus Tear
When surgeons surgically “repair” a meniscus tear, they nearly always simply remove the part of the meniscus that is torn, because the meniscus heals terribly on its own because it does not have a good blood supply. When using Prolotherapy as an alternative means of healing, however, the meniscus heals amazingly well, because Prolotherapy stimulates healing. Of the above patients, 96% were helped by Prolotherapy.
Prolotherapy research – Knee Pain
The Journal of Prolotherapy is offering free online access to complete Prolotherapy research articles.
In this article
Researchers investigated the outcomes of patients undergoing Hackett-Hemwall dextrose Prolotherapy treatment for unresolved knee pain at a charity clinic in rural Illinois. Eighty patients were studied, representing a total of 119 knees, that were treated quarterly with Prolotherapy. On average, 15 months following their last Prolotherapy session, patients were contacted and asked numerous questions in regard to their levels of pain and a variety of physical and psychological symptoms, as well as activities of daily living, before and after their last Prolotherapy treatment.
The results of this study showed that patients had a statistically significant decline in their level of pain, stiffness, crunching sensation, and improvement in their range of motion with Prolotherapy.
More than 82% showed improvements in walking ability, medication usage, athletic ability, anxiety, depression, and overall disability with Prolotherapy.
Ninety-six percent of patients felt Prolotherapy improved their life overall. Conclusion: In this study, patients with unresolved knee pain, treated with dextrose Prolotherapy, showed improvements in many clinically relevant parameters and overall quality of life.
Read the entire Prolotherapy and knee pain study
New options for treating runner’s knee
Because of annoying injuries, many runners find themselves starting all over again in their goals.
Unfortunately, many runners go at it too aggressively and often end up injured after only a few weeks into their training. Overtraining is the number one cause of injuries, so try to remember that progress takes time. Forty-two percent of all overuse injuries affect the knee joint, and patellofemoral pain syndrome (PFPS), or simply “runner’s knee,” is one of the most common overuse injuries among runners.
So what can you do to ensure that you don’t end up on the DL before you log too many miles?
Prevent injury and stay on course
• Avoid the “terrible too’s”. Many running injuries, including runner’s knee, are a result of overtraining: too much intensity, too many miles, too soon. It’s important to go easy when adding mileage or intensity to your training. You shouldn’t increase your weekly mileage by more than 10% each week. Let common sense and a smart training schedule determine how much you should be running.
• Plan for rest. Many runners, especially beginners, don’t incorporate rest into their workout regimen. Runners, in particular, are very goal-driven and often believe they have to work out every day in order to reach their goals. But the best way to prevent injury is to incorporate rest days into your training schedule.
• Treat your feet right. Be sure that your shoes are not worn out and that you have the right model for your feet and running style. The wrong shoe can actually aggravate existing problems, causing pain in your feet, legs, knees, or hips. The general rule is to replace your running shoes once you have run 300 miles on your shoes. Sudden knee pain may actually just be a sign that your shoes have worn out.
• Find the right surface. Once you have the right shoes, you want to make sure you’re using them on the best surface. You don’t need to avoid running or other sports to prevent runner’s knee, but you should try to run on accommodating surfaces like dirt paths and asphalt instead of always running on concrete. Remember also to be aware of sloped streets that can cause knee, shin, and hip pain by always running on the same side of the street. Make sure to vary where you run.
• Stay loose. A regular stretching program can go a long way toward injury prevention. Be diligent about stretching after your runs — your body will make you pay if you get lazy about it.
Runner’s knee can be a painful, irritating injury if left untreated
Alternative treatment for your runner’s knee injury
Despite your best efforts you may have still managed to develop runner’s knee. Traditional medicine still focuses on R.I.C.E. (rest, ice, compression, and elevation) along with use of NSAIDs and strengthening with exercises to correct runner’s knee. A recent study that appeared in the American Journal of Sports Medicine done at the Defense Medical Rehabilitation Center in Surrey, United Kingdom, followed more than 1,500 Army recruits during a grueling 14-week training program. Anterior knee pain (AKP) — pain at the front of the knee that is worsened by climbing stairs or running —is one of the main reasons new British army recruits drop out. Half were told to do eight different types of exercise during every training session, focusing on strengthening their leg muscles and making them more flexible by stretching. The other half did standard military warm-up and cool-down exercises. The study reports that the incidence of knee pain dropped from 5% to 1% in the group that used these exercises. Twenty-five control subjects were discharged as unfit for army service versus three in the exercise group.
While we agree exercises can contribute to improvement in strength, it is often not enough to correct the underlying runner’s knee injury once it already occurs. Most runners find that they end up having to stop running. The last thing you want to hear is that you should no longer be running. No one likes to face an injury, especially when there is still alot of training mileage to be logged.
Dr. Hauser’s approach to overuse issues such as runner’s knee is to use Prolotherapy to repair soft tissue injuries, which stimulate these damaged tissues to make more collagen and proteoglycans, which in turn will rebuild the injured tissue, resulting in stronger, thicker ligaments and/or tendons. Prolotherapy is administered directly to the injured areas in order to stimulate the fibroblasts that make the new connective tissue. Once an individual’s ligaments and tendons are stronger and thicker, activity can actually be increased rather than restricted, as is usually the case with the traditional modern medicine approach. No one understands these types of injuries like Dr. Hauser, an Ironman triathlete and marathon runner himself. He recommends M.E.A.T. – which stands for Movement, Exercise, Analgesia (natural pain medications), and treatment (such as Prolotherapy). Prolotherapy stimulates the body to repair the injury, in this case, the knee cartilage and surrounding knee ligaments. It does so by inducing a mild inflammatory reaction in the weakened ligaments, tendons, and cartilage. Since the body heals by inflammation, Prolotherapy stimulates healing. Dr. Hauser also prescribes proper exercise regimes, analyzes gait/running style, and also discusses proper nutrition/supplements for maximum healing. The best part is that you do not have to stop training while undergoing Prolotherapy so you can stay on track.
Need more proof that Prolotherapy can treat runner’s knee?
The success rate with treating runner’s knee with Hackett-Hemwall Prolotherapy is outstanding. Ross and Marion Hauser have published a number of research papers on curing knee pain, likethat of runner’s knee. In the Journal of Prolotherapy,2009;1:11-21, in an article entitled, A Retrospective Study on Dextrose Prolotherapy for Unresolved Knee Pain at an Outpatient Charity Clinic in Rural IL, the results of this study showed that patients had a statistically significant decline in their levels of pain, stiffness, crunching sensation, and improvement in their range of motion with Prolotherapy.
The bottom line is if your muscles hurt, you are tired, or you are feeling a bit under the weather, train smart. All of this doesn’t mean you can’t push yourself and train hard, it just means you must really be in tune with your body. The overtraining syndrome is nothing to be taken lightly. Good luck and train safe this running season!
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 running related injuries. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy.
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.
The Regeneration of Articular Cartilage with Prolotherapy
Can research and clinical observation be documented to show that articular cartilage can be regrown with Prolotherapy?
Ross Hauser’s, M.D. article from the Journal of Prolotherapy is now available online
The Regeneration of Articular Cartilage with Prolotherapy What most people may not realize is that chondrocytes, the cells that make articular cartilage, are metabolically active. Chondrocytes proliferate and actively make articular cartilage. Osteoarthritis is an example of this, in that both the degradation and synthesis of articular cartilage are enhanced.
It is well known that in osteoarthritis, chondrocytes retain their proliferative activity. Osteophytes or bone spurs are an example of this activity. Another example of adult articular cartilage cells’ replication is acromegaly. In this condition the body produces an excessive amount of human growth hormone and with it, articular cartilage. Acromegalics often suffer from joint abnormalities caused by proliferation of chondroytes in articular cartilage.
In other words, they produce too much cartilage. When a healthy articular cartilage cell is injured, it demonstrates an enhanced reparative response and can replicate its DNA to form new cells. The rate of formation of articular cartilage can be enhanced by such stimuli as altered hydrostatic pressure, varied oxygen tension, growth factors, as well as nutrient and substrate manipulation.
If by traditional orthopedic surgery or medical standards, articular cartilage injury or degeneration causes such symptoms as knee pain, stiffness, clicking, crunching, and inability to walk, then the reversal of such symptoms with Prolotherapy must mean that articular cartilage regeneration has taken place. In this scientific editorial, the author makes the case for using Prolotherapy as the treatment of choice for degenerated joints.
The remainder of this article on Prolotherapy research is available at Knee pain treatment research articles at www.journalofprolotherapy.com
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.
Meniscus Tear Treatment
A meniscus tear often happens as a result of a sports injury. If the knee joint is bent and twisted, this can lead to a meniscus tear. Older people who have brittle cartilage can also suffer from a meniscus tear. The femur (thigh bone) and tibia (shin bone) are protected from impact by a tough cartilage covering called the menisci, one resting on the inside and one on the outside of your knee. This cartilage within the joint provides cushioning to protect the bones from the regular trauma of walking, running and other sports. Even a miniscule tear in the meniscus can cause pain, which is why the overall health of your knee relies heavily on functionality of the meniscus. Most people who have any kind of meniscus tear (partial or full thickness) end up getting surgery, but many end up regretting it because they are still left with pain and instability.
Diagnosis
Most patients with meniscus tears come to the office having had x-rays or MRIs and are looking to avoid surgery or a repeat surgery. Anyone with a meniscus injury should seek a Prolotherapy consultation with an experienced Prolotherapy doctor prior to undergoing any surgical intervention!
When I examine a patient, a meniscus injury is suspected if the patient reports a “catching sensation” in the knee or if the knee must be “jiggled” to produce full range of motion. Articular cartilage injuries may exhibit similar symptoms and the patients may actually be facing both problems. But either way, they are both successfully treated here at Caring Medical!
Treatment
Contrary to popular belief, surgery does not have to be an option for your torn meniscus. In fact, our success rate with treating meniscus tears with Hackett-Hemwall Prolotherapy is outstanding, and we have published some of these results in a remarkable study showing how patients with meniscus tears avoided surgery. The Hackett-Hemwall method of Prolotherapy treats the entire area – injecting not only the torn meniscus, but the surrounding weakened ligaments/tendons that most likely lead to the joint instability that lead to the tear in the first place. We also practice what we call comprehensive Prolotherapy at Caring Medical, meaning we individualize the Prolotherapy solution to the patients’ individual needs. In the case of meniscus tears, sometimes a stronger proliferating solution is required, including the use of HGH (human growth hormone), PRP (platelet rich plasma), or even possibly bone marrow stem cell injections, depending on the severity of the injury.
Thus, it is our opinion that the best approach to treating meniscus tears is to stimulate meniscus repair with Prolotherapy. Unlike the traditional modern medicine approach, Prolotherapy heals the meniscus because it stimulates fibroblastic growth of new, stronger meniscus tissue, thereby repairing the area. In simple terms, Prolotherapy stimulates the body to repair painful areas. It does so by inducing a mild inflammatory reaction in the weakened ligaments, tendons, and cartilage. Since the body heals by inflammation, Prolotherapy stimulates healing.
At Caring Medical we have published numerous articles and scientific editorial papers on the negative long term effects of knee surgery, particularly where any tissue is removed, such as a meniscectomy. Unfortunately many patients come to us after they have had an arthroscopy for the torn meniscus, thinking that the orthopedist was just going to “clean things up” when in reality, not only were things “cleaned up” but they were also removed, thus leaving the patients with weak, unstable joints that soon after surgery develop pain!
Prevention If you sustained a meniscus tear and you have not treated it or you received surgery, you are more likely to have further complications such as accelerated degeneration and arthritis in the future.
First, come to see us for Prolotherapy in order to stabilize and repair the knee forever. Second, be careful with the activities that you do and be cognoscente of proper technique in all that you do, such as using proper lifting, turning, and running form. Remember that movement nourishes the body, so don’t just sit on the couch and hope your knees are nourished. Start with walking, elliptical, swimming, and cycling to build up your strength. Treat your knees right and you will enjoy years of pain free mobility!
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 treating meniscal injury and knee pain. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy.
Cortisone shots and arthroscopy, knee patient looks for alternative in Prolotherapy
Frustrated with cortisone shots and arthroscopy, knee patient looks for alternative in Prolotherapy
We recently received an email from a Montana woman who gave the following history: “I am a 51 year old active woman. I am 5’6′ and weigh 134 lbs and I feel like I’ll have to give up the activities that have been keeping me fit and that I love doing. I do Latin ballroom dancing and cardio dance. I don’t consider either to be ‘pounding’ exercise. I had a ligament tear in 2005 that seemed to have healed fine.
In 2008 I had a medial meniscus tear that occured from no particular incident that never quit hurting.
I had surgery on it in 2009. Four weeks later it started to hurt again. I let it hurt for 6 months before going to a different doctor for a cortisone shot. That felt great for less than 6 months.
I got a second cortisone shot that also lasted less than 6 months. I don’t want another cortisone shot, and now I am having more pain than I had prior to the surgery. I need to find something else for my pain because the route I have been taking is just not working.
Is Prolotherapy a treatment that needs to be received indefinitely or for a number of sessions and then stopped?
Thanks for your reply.”
Caring Medical’s Approach to Treating Post Meniscus Surgery Patients:
We cannot tell you how often we ask our patients why an Arthroscopy was performed and what the post surgery report showed. The answer is typically “I don’t know.” Unfortunately, people agree to procedures, surgeries, or medications without really knowing the reasons for them. We do not have a copy of this emailer’s MRI or surgical report. However, it would be a pretty good guess to say that part of her meniscus was removed.
In our experience, unfortunately, this emailer is now a set up for even more aggressive medial compartment osteoarthritis, resulting in an eventual knee replacement surgery due to multiple cortisone shots and arthroscopy. Fortunately a better solution besides long term chronic knee pain leading to a knee replacement and possible disability is available! The long term solution that is an alternative to joint replacement surgery is Prolotherapy!
Prolotherapy stimulates the body to REPAIR the injured area, not cause further degeneration like NSAIDs, cortisone shots, and arthroscopy. How many Prolotherapy treatments do you need?
As with any medical treatment done at Caring Medical, our Prolotherapy doctor Ross Hauser uses an individualized approach.
After listening to the patient’s history and performing a physical examination, he can determine how many treatments he feels the patient will realistically need, based on the 1000’s of patients he has seen over the years. Follow-up is generally recommended at 4-6 weeks after each treatment to ensure an accurate assessment of results, avoiding an evaluation of a patient during the “window period,” which is typically at the 2-3 week mark. Some patients are seen more frequently, especially when treating an acute injury or sports injury where an athlete needs to return to his/her sport very quickly. As healing progresses, the number of injections required per treatment usually decreases. The pain generally continues to diminish with each treatment to the point where the patient is at 100% function. The average patient requires an average of three to six Prolotherapy treatments at 4-6 week intervals. Some patients require only 1-2 treatments to reach complete healing, where others require more treatments.
A patient’s overall health status plays a role in their healing – eating a healthy diet, getting enough sleep, living an active lifestyle, reducing stress, and eliminating cigarette smoking will help accelerate the healing process. Most of our patients also take ProloMax and ProloSupport Pack to aid in healing from http://www.Benuts.com.
This patient was so excited to hear about Prolotherapy – although she wishes that she heard about it before proceding down this path. She is scheduled to come in for Prolotherapy injections by Dr. Hauser
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.
PRP (platelet rich plasma) and bone marrow to grow cartilage
PRP (platelet rich plasma) and bone marrow to grow cartilage
What is the role of platelet rich plasma in bone marrow prolotherapy for articular cartilage regeneration?
It is already well established that bone marrow contains mesenchymal stem cells, also called connective tissue progenitor cells. The question is “How can we get these stem or progenitor cells to repopulate an area the quickest?” How can we get stem cells to proliferate and differentiate the way we want them?
Recently researchers at Stanford University Medical Center asked these questions.1 Specifically they tested, whether platelet rich plasma (PRP) may be useful for cartilage regeneration by seeing mesenchymal stem cells grew more quickly when grown in a medium with PRP.1
PRP can be defined as plasma with enriched levels of platelets relative to whole blood. Within platelets are alpha granules that contain powerful growth factors that are proposed to substantially aid the healing of soft tissue structures such as tendons. PRP is one of the available proliferants used at Caring Medical for Prolotherapy, thus we call it appropriately PRPP or Platelet Rich Plasma Prolotherapy.
The Stanford researchers found a 10% PRP solution caused a fivefold increase in mesenchymal stem cell proliferation after 7 days. The PRP treatment also caused an increase in expression of markers of both chondrogenic and osteogenic differentiation by human mesenchymal stem cells. They noted, “Adding PRP to mesenchymal stem cells and then using the combination to treat bone, ligament, tendon, or cartilage may be valuable….this suggests that PRP may selectively encourage mesenchymal stem cell differentiation along a chondrogenic line.”
This article provides some of the scientific research that supports the use of PRP in Bone Marrow Prolotherapy. While direct bone marrow aspiration injection (direct Bone Marrow Prolotherapy) involves the injection of only bone marrow into the injured tissues and joints; concentrated bone marrow aspiration can include just bone marrow or bone marrow combined with PRP. Either of these solutions is then concentrated to make whatever volume is needed. An example of would be someone coming for advanced osteoarthritis and a total of 12cc of solution is desired (6cc for each knee). If PRP is used, 20cc of PRP could be combined with 30 cc of bone marrow and then the solution concentrated down (to concentrate the cells and growth factors) to 12cc.
The reason to use the PRP would be the same as the article shows, to enhance the growth of the mesenchymal stem cells, only the stimulation would occur in situ or in its natural environment. Where would that be? The injections are given at the site of the knee arthritis. The mesenchymal stem cells (bone marrow concentrate) and PRP (concentrate) would be injected right into the person’s arthritic knees!
In our office, this is typically done every six to eight weeks and normally takes four to six visits to achieve pain resolution. Before and after x-rays or MRIs are encouraged to better quantify the articular cartilage and/or meniscus regeneration. The most important result, however, is the decrease in the pain level, improved joint range of motion, and increased walking and exercise ability.
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.
