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● ARIZONA
PHOENIX
Fred Arnold, DC, NMD


SCOTTSDALE
Michael Cronin, N.D.
David Tallman, DC, NMD.


TEMPE
Robb D. Bird, NMD


TUCSON
Jorge B. Cochran, ND.NMD

● ARKANSAS
Merl B. Cox, D.O.

BRITISH COLUMBIA
Christoph Kind, N.D.

CALIFORNIA
ANAHEIM AREA
Hanson Wong, M.D.
Howard Rosen, M.D.

AUBURN
Rodney Van Pelt, M.D.

BAKERSFIELD
Payam Kerendian, D.O.


BEVERLY HILLS
Behzad Emad, M.D.
Payam Kerendian, D.O.


CLOVIS
Kevin Wingert, M.D.

FOLSOM
Michele Raithel ND

GARDEN GROVE
Howard Rosen, M.D.

GLENDALE
G. Megan Shields, M.D

IRVINE
Allan Sosin, M.D.

Los Angeles
Donna Alderman, D.O.
Marc Darrow, M.D
Hanson Wong, M.D.


Los GATOS
Joshua M, Donaldson, N.D.

Marin County
Paul Handleman, D.O.
John Monagle, NMD


Monterey
Howard Rosen, M.D.


SAN DIEGO
Andrew Kulik, D.O.

Gary Matson, D.O.

SAN FRANCISCO EAST BAY
Donna Alderman, D.O.

SAN FRANCISCO NORTH BAY
Paul Handleman, D.O.
John Monagle, NMD


San Ramon

Richard I. Gracer, M.D.


SANTA BARBARA
Allen Thomashefsky, M.D.


SANTA CRUZ
Joshua M, Donaldson, N.D.

SANTa monica

Peter Fields, M.D.,D.C.

SANTa
ROSA
Justin Hoffman, NMD

Temecula
Edward A. Venn-Watson, M.D.

UKIAH AREA
Rodney Van Pelt, M.D.

● COLORADO
BOULDER
Gary Clark, M.D.


BROOMFIELD

Christopher J. Centeno, M.D.
John R. Schultz, M.D.


COLORADO SPRINGS
Mary Harrow, D.O,

DENVER
Joel A. Berenbeim, D.O.
Thomas Ravin, M.D.

FORT COLLINS
Mark Kelley, N.D. LAc

LITTLETON
Jo Ann Douglas, M.S.,D.O

PARKER
John A. Littleford, D.O.

STEAMBOAT SPRINGS
Jon Freckleton, D.O.

● CONNECTICUT
AVON
Valley Sports Physicians & Orthopedic Medicine
Paul Tortland, D.O.
Albert Kozar

WEST REDDING

Perry M. Perretz, D.O.

● DELAWARE
SOUTHERN NJ
Scott R. Greenberg, M.D.
SOUTHERN PA
Brian J. Shiple, D.O.

● FLORIDA
ORLANDO AREA
Nelson Kraucak, M.D.


ORMAND BEACH
Hana Chaim, DO

Clearwater
Felix Linetsky, M.D.

PACE
Sheila Mohammed, M.D.

PLANTATION
Alvin Stein,M.D.

SARASOTA/TAMPA BAY
Mark Walter, M.D.
Wellington Chen, M.D.
Matthew Burks, M.D.

TAMPA BAY AREA
Felix Linetsky, M.D.
Robinson Family Clinic

● GEORGIA
WARNER ROBINS
E. Glynn Taunton, D.O.

MARIETTA
Robert C. Shuman, M.D.

Arnold Weil, M.D.

● HAWAII
HAIKU
Kevin Davison, N.D.

HILO

Liza Maniquis-Smigel, MD

Honolulu, Hawaii
Liza Maniquis-Smigel, MD

● ILLINOIS
CHICAGOLAND

Ross Hauser, M.D

PEORIA
Yibing Li, M.D.
Jay Harms, M.D.

WESTERN ILLINOIS
Anwer Rasheed, M.D.

● INDIANA
CLARKSVILLE
Steven M. Johnson, D.O.

LAFAYETTE

Carolyn G. Kochert, M.D.

Mishawaka
Mark S. Cantieri, D.O.,

● IOWA
CLINTON
Anwer Rasheed, M.D.
IOWA CITY
John Macatee, DO.
WEST DES MOINES
Jacqueline M Stoken, D.O

● KANSAS
KANSAS CITY AREA

K. Dean Reeves, M.D.

TOPEKA
Doug Frye, M.D.

● KENTUCKY
LOUISVILLE
Steven M. Johnson, D.O.

● LOUISIANA
NEW ORLEANS AREA
Thomas K. Bond, M.D.

● MARYLAND
Rockville
Ingrid Gheen, M.D.

● MASSACHUSETTS
MALDEN
Albert V. Franchi, M.D.
WORCESTER

Jon Trister, M.D.

● MICHIGAN
EAST LANSING
David Pawsat, D.O.
Howell

Jerald Gach, DO
SHELBY TWP
Robert Krasnick, M.D.
Southfield

Jerald Gach, DO
WARREN

Robert Krasnick, M.D.

● MINNESOTA
EXCELSIOR/Menahga
Mark T. Wheaton, M.D.


MINNETONKA
George H. Kramer, M.D.


● MISSOURI
KANSAS CITY
Edward McDonagh, D.O

ST. Peters
Michael J. Adams


● MONTANA
HAMILTON
Mark Kelley, N.D. LAc

● NEVADA
CARSON CITY

Alfred N. Grimes, M.D.


RENO
Andrew C. Wesely, M.D.

● NEW JERSEY
BLAIRSTOWN
Walter R. Grote, D.O

CENTRAL NJ
Edward Magaziner, M.D.

WAYNE/NORTH NJ
Robert Kramberg, M.D.

SOUTH NJ/
PHILADELPHIA
Scott R. Greenberg, M.D.
(Cherry Hill)

Joseph P. Mullane, M.D.
(Hamilton)


Brian J. Shiple, D.O.
(Springfield PA)

● NEW MEXICO
Albuquerque

R. Dean Bair, D.O.

James E. Baum, D.O.
SANTA FE
James E. Baum, D.O.

Jonas R. Skardis, DOM

● NEW YORK
B
ALDWIN
Pandu Tadoori, M.D.

BUFFALO AREA
Timothy L. Speciale, D.O.
BROOKLYN
Neil Raff, MD, CNS
David Zirkitev, P.A.
EAST MEADOW

Christopher Calapai, D.O.

FLUSHING
Neil Raff, MD, CNS
GOSHEN
Irwin Abraham, M.D.
HICKSVILLE
David Borenstein, M.D.

MANHATTAN
Irwin Abraham, M.D.
Richard Ash, M.D.
David Borenstein, M.D.
John H. Juhl, D.O.
Robert Kramberg, M.D.
NEW YORK METRO AREA
Perry M. Perretz, D.O.
Edward Magaziner, M.D.
Scott R. Greenberg, M.D.
ORANGE
Neil Raff, MD, CNS
ROCKLAND
Neil Raff, MD, CNS
WESTMINSTER
Neil Raff, MD, CNS

● NORTH CAROLINA
ASHEVILLE AREA

Stephen Blievernicht, M.D.
Huntersville
Dr. Mark Hines

● OHIO
AKRON/CANTON
Vladimir Djuric, M.D.
BLUFFTON

L. Terry Chappell, M.D.
CENTERVILLE
Rick Buenaventura, M.D.
CINCINNATI
Michael J. Bertram, MD

Elizabeth Woolford MD
TOLEDO AREA

Jay W. Nielsen, M.D.

● OKLAHOMA
BROKEN ARROW
Shirley J. Welden, M.D.

● OREGON
ASHLAND
Allen Thomashefsky,M.D.
EUGENE
Thomas Peterson, M.D.
HILLSBORO
Kevin C. Wilson, N.D.

LAKE OSWEGO

Noel S. Peterson, N.D.

MEDFORD
Carl Osborn, D.O.
OREGON CITY
Joanne Gordon, ND,MS,PT

PORTLAND

Rick Marinelli, N.D.

Chiaoli Lu, ND. LAc. DAOM.
Patrick Chapman, N.D.
Joshua David, N.D.
REDMOND
E. Payson Flattery, D.C.,N.D.
SALEM
Donald McBride, Jr, ND


● PENNSYLVANIA
BALA CYNWYD
Harvey Kleinberg, D.O.
BETHLEHEM
James F. Frommer, M.D.
ELKINS PARK
Kab S. Hong, M.D.
JEANNETTE
Martin P. Gallagher, M.D., D.C.
MEADVILLE
Paul Peirsel, M.D.
PITTSBURG

Paul S. Lieber, MD
SOUTHERN NJ - PA
Scott R. Greenberg, M.D.
Allan Magaziner, D.O
Edward Magaziner, M.D.
SPRINGFIELD
Brian J. Shiple, D.O.
WOMELSDORF
Peter J Blakemore, D.O,

● SOUTH CAROLINA
GREENVILLE/SPARTANSBURG 
Robert Schwartz, M.D.
CHARLESTON
Marc N. Dubick, M.D.
MOUNT PLEASANT
Patrick Lovegrove, D.O.

● TENNESSEE
BRENTWOOD
Mark L. Johnson, M.D.
CLARKSVILLE
Rafael Prieto, M.D.
JACKSON
Marcus E. Meekins, M.D.
MEMPHIS
Marcus E. Meekins, M.D.
NASHVILLE
Mark L. Johnson, M.D.

● TEXAS
AUSTIN
Mihnea Dumitrescu, M.D.

David K. Harris, M.D.
Brad Fullerton, M.D.
DALLAS
Michael Ellman, M.D.

DENTON
Carlos J. Garcia, M.D.
FORT WORTH
Gerald Harris, DO
Dennis E. Minotti II, D.O
David E. Teitelbaum, D.O.
HOUSTON
Robert Battle, M.D.
Adam Weglein, D.O
HOUSTON AREA

Joseph G. Valdez, M.D

John P. Trowbridge
Shaun Lehmann, M.D.
Curtis Fandrich, D.O.
MESQUITE
Michael Ellman, M.D.
PARIS
Gregg Diamond, M.D.
Norberto Vargas, M.D.
PLANO
Michael Ellman, M.D.
RICHARDSON
Gregg Diamond, M.D.
Norberto Vargas, M.D.

SAN ANTONIO
Annette M. Zaharoff, M.D.
SHERMAN
Gregg Diamond, M.D.
Norberto Vargas, M.D.
SUNNYVALE
Gregg Diamond, M.D.
Norberto Vargas, M.D.



● UTAH
PARK CITY
Harry Adelson, N.D.
Kenneth Hurwitz, M.D.
SALT LAKE CITY
Harry Adelson, N.D.
E. Alan Jeppsen
SPANISH FORK
David Taylor Roberts, M.D

● VERMONT
WINOOSKI
Jonathan E. Fenton, D.O

● VIRGINIA
ALEXANDRIA
Robert H. Wagner, M.D.
BLUEFIELD
Lenny Horwitz, DPM
FAIRFAX
Mayo Friedlis, M.D.
McLEAN
David Wang, D.O.

VIRGINIA BEACH
Lisa Barr, M.D.

● WASHINGTON
ISSAQUAH
Jena Schliiter., M.D.

SEATTLE AREA
Richard A. Sandler, M.D.
JoAnna Forwell, N.D.

Adam R. Geiger, N.D.

● WASHINGTON, D.C.
Ali Safayan, M.D.
● WEST VIRGINIA
MORGANTOWN

Nori Onishi, D.O.


● WISCONSIN
EAU CLAIRE
Deborah Raehl, DO

WAUWATOSA
Neal Pollack, D.O.

MILWAUKEE
William J. Faber, D.O.
 

Remarkable Recoveries
From the
Journal of Prolotherapy

20-Year History of Chronic Body Pain Cured with Prolotherapy

George H. Kramer, MD

Abstract
This article discusses the case of 57 year-old Bill B, a dentist, who suffered from chronic pain from ligamentous laxity and degenerative disc disease in the cervical, lumbar and thoracic spine. His headaches and back pain were treated successfully with Prolotherapy even after many years of other treatments with failed results.

Journal of Prolotherapy. 2009;2:99-100.
KEYWORDS: back pain, chronic body pain, headache, neck pain, Prolotherapy, SI pain, thoracic.

Dr. William B. is a 57-year-old dentist who had a 15 or 20 year history of low back, thoracic,
neck pain and headaches. He had surgery on his spine to relieve pressure on the spinal cord from bone spurs but he was left with a lot of pain below that area, to the sacrum and the hip. He also had chronic neck and thoracic pain. Extensive treatment over the years included attending a pain clinic, multiple medications including OxyContin, Percodan, and Neurontin, radiofrequency ablation of the facets, nerve root blocks, and facet injections that were all of little benefit. He had an SI joint injection at the Mayo Clinic that helped him temporarily. He had a course of acupuncture that helped some. He went through an intensive back and neck strengthening program using computerized strengthening that helped the strength but did not change his pain level. He tried massage and yoga that actually increased his pain. An inversion traction table increased his pain. He had multiple neurology evaluations and EMG’s that were negative. He did have hyperreflexia in the lower extremities since his thoracic surgery.

At the time of his first visit what was most bothersome was low back and hip pain, right greater than left near the SI joint. This increased with prolonged standing and sitting. Secondly, his work as a dentist required him to be twisted in a bent over position and turning his head to the right causing left-sided neck pain and right-sided headaches, which were constant for one and a half to two months. He had chronic thoracic pain on the left side below the area of the surgery, which was constant. This was particularly noted with twisting and golf. A night splint for TMJ helped his headaches somewhat. He had difficulty sleeping, had pain in the low back with standing, pain in the neck and thoracic area that affected his work especially bending over patients, and he couldn’t exercise in the gym, or play golf without significant pain.

An MRI of the thoracic spine showed some mild disc protrusions in the thoracic area and evidence of surgery. A lumbar MRI showed degenerative changes at multiple levels and some degenerative facet changes at L4-5. His cervical MRI showed C3-4, C4-5 and C5-6 disc degeneration with foraminal narrowing and bridging at C5-6.

He really had no change in pain for several years before his first Prolotherapy visit except for some increase in his neck pain. He had shoulder surgery in the past and multiple knee surgeries including ACL reconstruction and medial and lateral menisectomies. He would get right intermittent knee pain. On examination he had tenderness typical of ligament instability and attachment pain over the cervical facet columns, right greater than left and at the base of the skull, and right side of the head. He had some anterior shoulder tenderness and some limited range of motion of the shoulder. There were degenerative changes in the knee examination and some evidence of loss of joint space. He had tenderness at the
iliolumbar and SI ligaments and facet columns L1 to the sacrum that is typical for ligamentous cause of low back pain. There was evidence of spinous processes removed from previous surgery.

He had Prolotherapy to the head attachments, the neck and the low back. After the first visit, one month later, he had marked improvement that he stated was “vast improvement or 80% improvement overall.” He had very little pain of the vertex of his head and very little neck pain. He started to have some tightness just prior to follow up visit and the low back was also much better. He only had some mild coccyx pain near the tailbone and occasional spasm.

After the second treatment he noticed further improvement. He had almost no headaches since the second Prolotherapy treatment. He was quite pleased with his progress. He reported having some flare in the left lower thoracic and lumbosacral area if he over exercised. The patient was instructed in strengthening exercises. He had a third treatment to the neck and low back after which he had no return of his headaches, and had some mild right SI pain with elliptical exerciser and high resistance training, but he was unable to do much of any exercise before having Prolotherapy. He noted some more left low thoracic area and right shoulder pain. He was treated to the thoracic and right shoulder and noticed very little pain at follow up. He was left with some tailbone residual pain, but was exercising 20-minutes once or twice a day and the shoulder was much improved. He was treated additionally with the shoulder and the thoracolumbar area. He continued to have very little pain in the neck, the low back and mainly pain the mid thoracolumbar junction below his surgery. He had two more treatments on his neck and shoulder. He was able to golf, play racquetball, do his work as a dentist, and exercise on elliptical, Stairmaster and lift weights without chronic pain.

He was quite pleased with his progress and expressed frustration that he had not found Dr. Kramer and Prolotherapy 15 years earlier. He continues to practice dentistry and exercises regularly managing his mild discomfort well, which was previously incapacitating and was not helped with any multiple medical interventions other than Prolotherapy and exercise.

 



Dr. Kramer,

I would like to tell you about my story. I had back surgery about 15 years ago, along with two shoulder surgeries in the past 10 years. I have been through many programs, steroid injections done in the hospital, physical therapy programs involving strenuous exercise. Despite this therapy I still had constant pain in my back and shoulder. I tried every exercise to strengthen the area, but the result was still constant pain. A Russian friend of mine recommended Prolotherapy which I replied, “I have never heard of it.” He was an athlete in Russia and said it was common treatment for athletic injuries.

That’s when I did my research and found Dr. Kramer. It took several months and repeated treatments, but I was able to get healing and strength in the area that was causing pain. Now I am happy to say that I can go to the gym several times a week without the painful after affects I used to suffer. If you have tried many therapies and had no luck, don’t give up, I didn’t!

Bill B., DDS
 

Prolotherapy
Information and Research
Prolotherapy
Prolotherapy
How Does Prolotherapy Work?
Why Does Prolotherapy Work?
How Prolotherapy Helps?
Indications - Contraindications
Introduction to Prolotherapy
Why Get Prolotherapy?
What is Prolotherapy?
How Does Prolotherapy Work?
Are You A Prolo Candidate?

Ligament Reconstruction
How Safe Is Prolotherapy?
Finding a Prolotherapy doctor
When Prolo May Not Work
20 Questions - Prolotherapy
The History of Prolotherapy
Curing Chronic Pain
Sclerotherapy?
Turning to Prolotherapy
Prolotherapy and Chronic Pain
Proof Prolotherapy is Working
Creating Collagen
How To Support Treatment

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Prolotherapy and Inflammation

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The Journal of Prolotherapy


Prolotherapy Research at
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