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Posts Tagged ‘sacroiliac ligaments’

Low back pain and sacroiliac (SI) pain


In this article, Ross Hauser, M.D., a leading Prolotherapy doctor, discusses the use of Prolotherapy for SI pain.Prolotherapy treatments consist of injections that stimulates the repair of connective tissues such as tendons and ligaments by causeing a mild inflammatory response which initiates an immune response. This mimics what the body does naturally to heal soft tissue injuries.Prolotherapy is effective in SI pain because we have found it fairly rare for sacroiliac pain to be caused by a pinched nerve or by a slipped or herniated disc. Much more common is a ligament injury which caused ligament laxity or ‘looseness.” Research published in the medial journal Spine, (A. Schwarzer, 1995) states “ligament laxity in the sacroiliac joint is the number one reason for ‘sciatica’, or pain radiating down the side of the leg, and is one of the most common reasons for chronic low back pain.” Our clinical experience has been that if we treat back pain with Prolotherapy, administering injections into the lumbar and SI ligament attachments that exhibit tenderness, the pain and referred pain diminishes, even when MRI’s showed disc abnormalities. The injections are not given near the discs yet the back pain is completely healed.LIGAMENTS AND THE SI JOINT
Ligaments connect bones to each other, like the vertebrae to each other and the sacrum to the pelvis. The sacrum is the part of the spine below the fifth and last lumbar vertebrae and above the coccyx. The uppermost portion of our pelvis is called the ilium. The area that connects these structures is called the sacroiliac joint (SI): sacro from the sacrum, iliac from the ilium. There is an expansive mesh of ligaments that make up this sacroiliac joint which is frequently injured. A problem here can affect the groin, pubis, hips and lower lumbar areas as well.

A SUCCESS STORY: From one of the Caring Medical staff – Joe the male nurse.
One of my own injuries that was successfully treated with Prolotherapy perfectly illustrates the point made in the above paragraph. I have been one of Dr. Hauser’s nurses for nearly six years and have had several areas treated. My worst injury began as a left hamstring injury incurred from increasing my pace on a training run. The original point of injury was where the hamstring attaches to the ischial tuberosity (IT), the bottom most part of the pelvis, the bone you sit down on. As with most people, I tried rest, heat, stretching, not stretching, nothing seemed to help. Even me, a person with access to a great Prolotherapy doctor, put off the injection treatment to see if I could heal it on my own. Can you blame me? Nurses don’t like shots either. The problem was my IT hurt on my left so while driving I leaned on my right. After a month of doing this, can you guess what happened? That’s right; the pain was now traveling up into my left SI joint, and was beginning to affect my sleep. The abnormal motion of sitting just on my right buttock caused an imbalance in my SI joint. Because I was educated in the mechanics of the pelvic ligaments, I knew that if left unchecked, my IT and SI problem could eventually cause a problem in my lumbar ligaments. So two months after my original injury, it was time to get up on the Prolotherapy table and take my medicine! After the soreness from the treatment wore off in a few days, I estimated my pain as 40% less. I needed three more treatments spaced about four weeks apart to completely resolve my problem.

To learn more about Prolotherapy research or to Contact Dr. Hauser at 708-848-7789

MRIs and low back pain

May 10, 2011 2 comments

Ross Hauser, MD a chronic joint pain specialist and leading Prolotherapy doctor, recently commented on why there are so many unsuccessful low back pain surgeries – are MRIs the reason?

If low back surgeries are so unsuccessful, why do surgeons continue to perform them? The main reason is because they find abnormalities on MRI scans. Ironically most MRI findings have nothing to do with why the person has pain and this is the reason for most back surgery failures.

Sadly many surgeons proceed with low back surgery after misdiagnosing the cause of pain. Even worse, the uses of MRI’s seem to be increasing and are even being performed in surgeons’ offices. A study recently released by the Stanford University School of Medicine showed that MRI scan rates increase when a doctor buys or leases MRI equipment. The study also showed that patients were 34% more likely to receive back surgery when they had an MRI scan done by their doctor. In other words, seeing a doctor who has an in-office MRI scan increases your chances of getting a scan and getting surgery. Interestingly, the study author noted that MRIs and surgery are controversial because there are no proven benefits. She goes on to say that most people with low back pain do not need an MRI and even fewer need surgery. Therefore a patient should take caution when his doctor prescribes an MRI, especially if it is in the same office because your chances for receiving surgery may be increased. Unfortunately most doctors send patients straight to an imaging test without performing a physical examination or health history to determine the root cause of the problem. Since imaging tests tend to show abnormalities, even in patients with no pain at all, root causes of pain are misdiagnosed and wrong treatments are chosen. At Caring Medical, our Prolotherapy physician Dr. Ross Hauser performs a physical examination on each and every patient, even those who bring in MRI or X-ray results, to determine the exact cause of pain. He then chooses the best course of Prolotherapy treatment to heal the injury and rid the patient of pain. The average patient receives 3-6 treatments spaced four weeks apart. So if your doctor prescribes an MRI, take caution. A physical examination is essential in diagnosing pain.

Sacroiliac joint pain

March 7, 2011 1 comment

Research appearing in the Journal of Alternative and Compementary Medicine says that “Intra-articular prolotherapy provided significant relief of sacroiliac joint pain, and its effects lasted longer than those of steroid injections”

Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain.J Altern Complement Med. 2010 Dec;16(12):1285-90.

The researchers noted:

The numbers of recruited patients were 23 and 25 for the prolotherapy and steroid groups, respectively. The pain and disability scores were significantly improved from baseline in both groups at the 2-week follow-up, with no significant difference between them. The cumulative incidence of pain relief at 15 months was 58.7% in the prolotherapy group and 10.2% in the steroid group-there was a statistically significant difference between the groups.

Significant improvement in sacroiliac pain revealed In Korean study
by Ross Hauser, MD

A few years ago, it finally dawned on me that almost every published Prolotherapy study that revealed significant pain improvement results was either using traditional Hackett-Hemwall Prolotherapy and/or dextrose Prolotherapy.

All one has to do examine all of the human Prolotherapy studies ever done and it will be clear that the most effective scientifically proven method (at least to this point) is Hackett-Hemwall dextrose Prolotherapy.

The dextrose Prolotherapy study cited above was performed at Chonnam National University Hospital in Korea, a randomized controlled trial of intra-articular Prolotherapy versus steroid injection for sacroiliac pain. This study was perfromed through the department of anesthesiology and pain medicine. The patients were confirmed to have sacroiliac pain because each patient received a diagnostic block to the sacroiliac joint. In other words, the pain was blocked to that area and all of the patients experienced short term pain relief. All of the patients previously failed traditional medical therapy for long term pain relief, meaning they were considered “tough” sacroiliac pain problems. They each received either a steroid shot or dextrose Prolotherapy done under fluoroscopic guidance done biweekly for a maximum of three times. As would be expected both the steroid and Prolotherapy group had significant pain relief at two weeks but at 15 months the difference reached statistical significance with Prolotherapy giving statistically significantly more pain relief than the steroid group.

What does this mean?
If a person has sacroiliac pain and you want long-term relief, you have a much greater chance of achieving it with dextrose Prolotherapy versus a steroid shot!

Why? In my opinion, the reason is because Prolotherapy stimulates the repair of the injured sacroiliac ligaments. In other words, it helps stabilize the sacroiliac joint!

Ross A. Hauser, M.D
Dr. Hauser the Medical Director of the comprehensive Prolotherapy clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois

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