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KNEE PAIN AND PROLOTHERAPY
A blog with
Ross
Hauser, M.D. |
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REST, ICE,
COMPRESSION, ELEVATION
Q. I have severe knee pain and swelling caused by
Osteoarthritis, you don't recommend the RICE treatment?
A. I don't recommend the
RICE treatment. The
method we recommend is called
MEAT.
This stands for Movement, Exercise, Analgesics (pain relievers),
and specific Treatments that increase blood flow. To speed up
recovery from an injury, an athlete or patient should put weight
on the area, move the injured limb, take pain relievers that do
not decrease
Inflammation, and then receive specific treatments
that encourage healing. These include
Physical therapy,
massage,
ultrasound, electrical stimulation, magnetic therapy, and
Prolotherapy. |
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OSGOOD-SCHLATTER
DISEASE: APOPHYSITIS OF THE KNEE
Chronic knee pain may develop in young athletes, especially
teenagers, and is often due to Osgood-Schlatter Disease, a
condition whereby the tibial tubercle becomes painful where the
patellar tendon attaches to the tibia. Pain occurs because
there is
tendon weakness at the same area of the tibia that is
growing. The pain is exacerbated by physical activity,
especially running and jumping, and often limits participation
in sports, resulting in the young athlete’s physicians
recommending cessation of playing sports. Needless to say, this
advice is not popular. In my opinion, better treatment is to
strengthen the
fibro-osseous junction of the patellar tendon onto the
tibial tubercle, eliminating the problem. In a small study
published in 1993, Prolotherapy was 83 percent effective in
eliminating the pain of Osgood-Schlatter Disease. In this study
only one to two treatments were needed to resolve the problem.
Kidd, R. Recent developments in
the understanding of Osgood-Schlatter Disease: A literature
review. The Journal of Orthopaedic Medicine. 1993; 15:59-63.
Article by
Ross Hauser, M.D. |
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Q. Can
Prolotherapy improve a medial inner tear of the meniscus
A. Would I get
Prolotherapy if I had a meniscal tear? Most definitely I would.
Unfortunately there have not been long term studies to prove or
disprove that Prolotherapy helps heal meniscal tears. Anecdotal
evidence is there that meniscal tears typically do very well
with Prolotherapy. We have many patients, who over the years
healed completely and did not need any further care.
Typically it takes 4-6 visits of Prolotherapy to heal a meniscal
tear. Meniscal tears typically cause very discrete pain on the
medial or lateral knee joint line and it increases with running,
squatting, and cutting. Sometimes there is a 'catching'
sensation. These symptoms usually decrease with each
Prolotherapy session.
Answer by
Ross Hauser, M.D.
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Scar
Tissue
Q. I have a lot of scar tissue in my knee,
(adhesions), I am concerned that Prolotherapy, along with
building good tissue will also build scar tissue.
A. Prolotherapy will not interfere with adhesion or scar tissue.
The
Prolotherapy solutions is injected at the
fibro-osseous junction to stimulate production of the
collagen matrix which does not create or promote adhesion
formation in the body.
Answer by
Ross Hauser, M.D. |
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Completely Torn
Ligaments and Prolotherapy
Q. Will Prolotherapy work on a ligament that have become
completely detached from the bone?
A. No, if your ligament injury is a complete tear, you would
need to have the ligaments surgically reattached before we could
treat that part of your body.
Answer by
Ross Hauser, M.D. |
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Tendonitis
I have diagnosed with tendonitis from running. More
specifically, I have sharp pain in the back my knees. Is
Prolotherapy an option to minimize tendon inflammation and
reduce pain?
Dear Knee Tendonitis: I would definitely recommend going to a
Prolotherapy doctor, but specifically one that runs or exercises a
lot. You need someone who can evaluate your condition as a
tendon, ligament, or running mechanical problem. Prolo'ing the
tendon or ligament to make it stronger will help but if your
running mechanics are off the condition will continue to plague
you. At Caring Medical we seek to cure you of the problem so you
don't have to get Prolo in the area again!
Answered by
Ross Hauser, M.D. |
Osteoarthritis - right knee
I have osteoarthritis in my right knee.
Read more
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Q. I want to
get Prolotherapy for osteoarthritis of the knee what exercises
would you recommend during treatment?
A. Typically, we recommend that our patients with knee pain or
knee arthritis avoid pounding exercises such as running and opt
more for low weight/high rep weight training to strengthen the
quad muscles. Swimming is a good activity as well.
You need to let pain be your guide to any activity…if it causes
pain for more than an hour after the activity, you should
probably avoid it.
Answer by
Ross Hauser, M.D. |
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