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In order to inhibit menstruation from interfering with training, she went on birth control pills, which caused a worsening of symptoms. Kristle suffered a career threatening injury to her ankle, which made gymnastics training unbearable.
Her ankle was stabilized, enabling her to compete and place second in national championships and qualify for world championships. Prolotherapy strengthens the injured ligaments and stabilizes the joint. Estrogen in birth control pills inhibits the fibroblastic proliferation necessary for the healing of ligaments. Fibroblastic proliferation is the mode of healing by which Prolotherapy repairs.
At age 34, she began experiencing pain, swelling, achiness, crepitus and burning in the ankle, and was diagnosed with avascular necrosis of the talus, for which her orthopedist recommended fusion surgery. JS decided instead to seek out Prolotherapy. After 5 treatments of Bone Marrow to the joint and Prolotherapy to the ligaments, her symptoms resolved, enabling her to walk on a strong, pain-free ankle.
In such scenarios, Prolotherapy should be sought as early as possible to resolve the condition. He had received surgery with a screw insertion after rupturing his Achilles tendon 18 years prior. The Achilles pain returned and made walking almost impossible. An orthopedic surgeon recommended surgery to remove calcium deposits, but JM sought Prolotherapy instead.
After just one treatment of PRP Prolotherapy under ultrasound guidance, the pain resolved and the calcium deposits were broken up and reabsorbed. In this case, only 1 comprehensive PRP Prolotherapy treatment was needed to successfully remove calcium buildup in the Achilles tendon and alleviate the pain, without the need for another surgery.
Although he was not experiencing severe pain, the ankle became weak and greatly limited his ability to exercise.
He had suffered chronic ankle injuries in his 20s and knew that the statistics for re-injury with ankle sprains are very high. After 5 treatments with Prolotherapy and Platelet Rich Plasma, he was able to return to trail running 16 miles without any pain or weakness. JC said he felt better than he did in high school! It is the ideal time to start Prolotherapy before further joint damage is done and the ankle joint starts quickly breaking down and the person loses the ability to walk and gets severe ankle arthritis.
Chronic Achilles Tendonitis NA had been dealing with chronic Achilles tendonitis for more than three years prior to being seen at Caring Medical. At 40 years old, he was normally very active, but had to stop running and playing tennis due to pain.
After the first two dextrose Prolotherapy treatments, he saw improvement in daily pain levels but he still had pain with exercise. NA was advised to wear a boot for two months while we continued to treat with the addition of Platelet Rich Plasma PRP Prolotherapy for his following four treatments. After the series of treatments, he reported significant improvement which was also visible when viewing the tendon under ultrasound!
The longer a person waits to receive regenerative treatment, the more time is lost and the worse the tissue injury becomes. Thus, many patients with severe ligament or tendon degeneration who want to play higher level athletics require a few treatments to regain enough strength in the tissue to function well in sports. Sometimes a boot becomes necessary between treatments while the tissue heals.
However, even when a patient needs PRP Prolotherapy treatments, or needs to temporarily wear a boot, it still beats needing surgery or having to stop sports altogether! He had received surgery with a screw insertion after rupturing his Achilles tendon in nearly two decades prior. His returning pain made walking almost impossible. An orthopedic surgeon recommended surgery to remove calcium deposits, but JM sought Prolotherapy instead in hopes of avoiding another surgery.
While most patients need more than one treatment, there are patients who have curative success after just one. Ankle Pain in Young Runner SH injured her ankle while training for a half marathon when she was 26 years old.
She developed pain and swelling during her run that caused her to start limping. After resting for a weekend, the pain and swelling continued with long distance walking. She was seen at Caring Medical for two treatments of H3 Prolotherapy while modifying her training schedule.
Four months after her first treatment, she reported a pain free ankle and was back to training! The goal of H3 Prolotherapy is to stimulate enough tissue repair that the person can engage in athletics for the rest of their life, if they choose. Modifying training for the short-term, especially for runners, and working back slowly to being able to run outside on concrete is worth it for being able to keep running for the long-term.
Tissue repair does not happen overnight, just like if we break a bone and need to wait for it to heal before putting it back to full use.
Over time, the tissue continues to strengthen if the person is using smart training techniques. Ankle Osteoarthritis Pain IG suffered with chronic ankle pain for more than 30 years after undergoing surgery for fracture. This was a terrible problem because he and his family relied on him as the primary provider, and he had a very physically demanding job as a builder. He experienced constant pain and swelling which would also interrupt his sleep. IG tried wearing braces which did not give enough support.
He was diagnosed with osteoarthritis per his X-ray imaging but was not given any recommendations for treatment prior to being seen at Caring Medical. Due to the amount of degeneration present from years of instability, a comprehensive approach of Prolotherapy and Platelet Rich Plasma was recommended.
IG reported improvement with each visit and needed a total of 6 visits to reach his goals. At his last visit, the pain was no longer constant or waking him up at night. IG may require maintenance treatments once or twice per year but if he wears supportive shoes and continues the recommended preventative exercises regularly, he should be able to avoid further surgery.
Unfortunately, ligaments heal poorly on their own due to lack of blood flow. Prolotherapy is the only treatment to tighten overstretched ligaments because it causes an influx of blood and healing factors directly at the injured site.
If, after the fracture is healed, the person experiences ankle weakness, pain, or instability, Prolotherapy should be started sooner rather than later.
It generally requires fewer treatments with better functional results for the patient the sooner Prolotherapy is started. Direct Bone Marrow Injections for Avascular Necrosis of the Talus MD, a 59 year old school administrator from Alaska, had chronic right lateral ankle pain for three years after a severe ankle sprain.
Initial x-rays were unremarkable. Her ankle inverted while dancing, significantly increasing her pain. She was treated with an extensive period of guarded weight bearing, crutches, and non-weight bearing for several months but noted no improvement.
A corticosteroid shot produced no results. She was offered various surgical options including arthroscopy with debridement, allograft osteochondral transfer, core decompression and ankle fusion through external fixation. The prognosis for complete pain relief with these options was guarded so MD decided to seek more conservative treatment.
In February , MD decided to seek treatment of her condition by Prolotherapy. She presented complaints of severe pain, stiffness, crepitation, and extremely limited ankle motion to Caring Medical and Rehabilitation Services.
Her pain would dramatically increase with any weight bearing and continue to increase throughout the day. She could not even walk around her house without pain.
She stopped all extraneous walking, exercise, and hiking. Her pain was further aggravated merely by standing on her feet. She complained of swelling around the ankle. On physical examination an obvious limp was noted. Notable tenderness was observed in the anterior and posterior talofibular, calcaneofibular, deltoid, and tibiotalar ligaments. Her active range of motion was as follows: dorsiflexion 10 degrees; plantar flexion 15 degrees; subtalar eversion 5 derees; and subtalar inversion 10 degrees.
A total of 36cc of solution was utilized in 22 separate injections. For the bone marrow aspiration, an EZIO drill with 28mm bone marrow needle was used. Once the periosteum was reached, anesthesia in the area was confirmed.
The EZIO drill was turned on and once the periosteum was pierced, the drill was turned off. The stylet was removed from the neelde. A 12cc luer lock syringe with 2, IU of heparin 2cc was attached to the cannula hub, then 10cc of bone marrow was extracted. The syringe was detached and an empty 10cc syringe was attached and with negative pressure the needle was removed.
Pressure over the area was then applied with gauze for two minutes. A pressure dressing was then placed on the area and secured with tape. MD was instructed to follow-up every two months. When MD came in for her second visit, she was pleased to report that her ankle felt stronger and more stable. She was able to be up on her feet for longer periods of time without pain and she could now walk about a half mile without pain. At her third visit, MD enthusiastically reported an even greater improvement.
She was back to hiking up to three miles on hilly, uneven ground and she said that there were several days over the past couple months where she had absolutely no pain in her ankle.
On her fourth visit, she reported being able to do activities of daily living without pain and could hike most days without any pain. She could now hike longer, more often, and go up mountains. Only with extreme strenuous hiking did she have symptoms. On physical examination she had only very minimal tenderness in the medial and lateral ankle ligamentous attachments and her active range of motion was as follows: dorsiflexion 15 degrees; plantar flexion 30 degrees; subtalar eversion 12 degrees; and subtalar inversion 16 degrees.
She now walked, jumped, hiked, and ran with only minimal symptoms. She was phoned six months after her last visit and stated her pain on a 0 to 10 scale was 1 was aggressive activity, but had 0 pain with normal daily activities and no pain at rest. Her ankle swelling has completely resolved.
She had no limitation of activities and has resumed aggressive mountain hiking. She is on no pain medication. Read the entire case report here. Improvement of Ankle X-rays with Stem Cell Prolotherapy This patient received several lipoaspirate Prolotherapy treatments between x-ray studies. The studies showed a gradual improvement in the ankle joint articular cartilage arrows , which correlated to reduced pain and range of motion improvement.
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Prolotherapy: the Answer to Healing the Injuries that Won’t Go Away?
The ankle is strong enough to bear normal human body weight, but it can be subject to injury and pain. The ankle is made up of: 4 bones: the tibia, fibula, talus, and calcaneus 3 joints: the talocrural, inferior tibiofibular, and subtalar joints Ligaments: medial and lateral collateral ligaments, extremely important for ankle stability Lateral collateral ligament is made up of 3 individual bands: talofibular ligament, calcaneofibular ligament, and the posterior talofibular ligament. Medial ligament or deltoid ligament is thicker than the lateral ligament and covers the bottom of the tibia and inner surfaces of the talus, navicular, and calcaneus Causes of ankle pain The most common reason for ankle pain is ankle sprain or any other kind of irregular twisting that might occur during sports or other physical activities. These injuries typically cause one or more ligaments in the ankle joint to stretch or tear.
Prolo 101: Prolotherapy of the Lower Extremity Online
Summary Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint. Supporters believe that it may provide significant relief for joint or back pain. The disruption to the lives of those who experience joint and back pain can be serious. In this article, we examine what prolotherapy consists of, what someone should expect from this procedure, and how effective it is in reducing pain. Share on Pinterest Prolotherapy involves injecting irritants into an injured or inflamed joint to stimulate healing. Prolotherapy is a procedure where a natural irritant is injected into the soft tissue of an injured joint.
What is prolotherapy and what is it used to treat?
Rotator cuff injuries extending to the upper back Whiplash 3. The shoulder is one of the body parts exposed to the most repetitive use, repeated traumas and degeneration, so athletes, laborers and aging adults are most susceptible to shoulder injuries of all kinds. A Journal of Prolotherapy study reported that up to 82 percent of patients treated for chronic shoulder pain also called frozen shoulder experienced improvements in sleep, exercise ability, anxiety, depression and overall disability. Prolotherapy is now considered an effective non-surgical treatment option for sport-related injuries. And not only those that affect the elbow like lateral and medial epicondylitis but also those causing subsequent pain in the lower back, wrist ligaments or shoulders, plus sprained ankles and other musculoskeletal damage caused by repetitive use and joint degeneration.