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Prolotherapy
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Prolotherapy
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How
Does Prolotherapy Work?
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How
Prolotherapy Helps?
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Indications and Contraindications
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Introduction to Prolotherapy
● Why Get Prolotherapy?
● What is Prolotherapy?
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How Does Prolotherapy Work?
● Are You A Prolotherapy Candidate?
● Tendon, Ligament, Reconstruction
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How Safe Is Prolotherapy?
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Finding a Prolotherapy doctor
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When Prolotherapy May Not
Work
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20
Questions About Prolotherapy
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The History of Prolotherapy
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Curing Chronic Pain
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Sclerotherapy?
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Turning to Prolotherapy
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Prolotherapy and Chronic
Pain
● The Proof Prolotherapy is Working?
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Prolotherapy: Creating Collagen
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How To
Support Treatment
Prolotherapy injections
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Growth Factor Basis of
Prolotherapy
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The Journal of
Prolotherapy |
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Prolotherapy
Research
Table of Contents of all
issues of
The
Journal of Prolotherapy |
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 CERVICAL SPINE
PAIN
Jay
W. Nielsen, M.D.
Cervical Spine Pain
(Pain in the neck and arms) Just as the back is mostly a mixture of many
causes of pain, so it is true with the neck.
Arthritis, disc injury,
herniation,
facet
arthritis are all co-mingled just as with the back.
Attention to the lower cervical disc narrowing with surgery is occasionally
fraught with failure to relieve pain though surgery in the neck is safer and
more effective than in the low back. When the neck is injured in an
extension/flexion injury such as
whiplash, the maximum disc injury is to the
lower cervical area where movement is maximum. For this reason, most
neck surgery occurs between
C5, C6 or C6-C7. The maximum
ligament injury occurs much
higher at the attachment of the skull to the first two vertebrae. Since the
nerves supplying the skin and muscle are at a minimum in this area, symptoms
tend to be
neck surgery and head heaviness rather than numbness and pain at a
distance.
More important, the
spinal cord and base of the brain lose protection and cause symptoms more
suggestive of other diseases such as Multiple Sclerosis or
migraines. This
syndrome called
Barre-Lieou syndrome is rarely diagnosed today. It is not possible to correct these delicate ligaments as they are
surgically inaccessible and fail to show on MRI.
Cervical Disc Disease
can cause herniation with nerve root pressure. The symptoms include numbness
and tingling of the forearm or part of the hand. This is true because three
separate nerves supply the arm. Pain from a C4-C5 disc refers to the outside of
the
shoulder. C5-C6 affects the forearm and thumb. C6-C7 refers to the hand.
These symptoms can be relieved with surgery, which is surprisingly simple. An
incision is made over the front of the neck just above the collarbone. No
serious structures are cut, rather they are moved aside. The vertebrae are
separated with a special clamp and the disc is removed. Donor bone is taken
from the iliac bone just below the boney prominence above the hip with a
device like a cookie cutter and placed in the gap. The bones then grow solid.
The patient complains more of hip than
neck pain post op. The biggest
complication of the surgery is that the fusion makes for a long segment of
immobile bone that now throws the movement into the next disc causing it to
deteriorate over years resulting in more surgery. Prolotherapy has the
advantage that it stabilizes the weak disc without limiting its movement. The
disc is still herniated but because the motion is more naturally, there is
less swelling and arthritis and subsequently less nerve pressure.
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Neck and Cervical Pain
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Cervical Spine Pain
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Cervical Radiculopathy
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Cervical
Stenosis
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Neck Pain, Herniated Disc
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Neck Pain C2 - T1
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Neck Pain
C2 - C7
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Nerve Pain
in the Neck
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Neck
Stiffness
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General Neck Pain
For the Doctors
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Prolotherapy Training
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