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PROLOTHERAPY RISKS
Ross A. Hauser, M.D.
Every medical procedure has
risks - but so does living with chronic pain!
Let’s look at some of the risks when a person lives with
chronic pain.
Risks associated with
living with chronic pain:
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Being miserable
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Going into financial
ruin because of an inability to work
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Having incredible
stress
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Not sleeping
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Ruined overall health
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Marriage collapse
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Developing additional
health problems due to toll the pain is taking on the
body
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The collapse of the
family
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Never being able to
enjoy sports again
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Loosing the ability to
be independent
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Never running again
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Never being able to
take long walks
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Possible addiction to
pain medications
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Decreased ability to
travel due to restrictions in movement
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Increased weight due to
immobility
The risks of living with
chronic pain are enormous. I did not talk about just
losing the ability to enjoy life. The ability to enjoy life
is being lost every day a person suffers from pain. Chronic
pain often leads to host of other medical conditions
including depression, anxiety, sleeplessness, chronic
fatigue, hormonal deficiencies and many others. The
psychological toll it takes on the person and their family
and friends is enormous. So what is the person to do?
The person can opt for a host of treatments
including chiropractic manipulation, physiotherapy,
osteopathy,
acupuncture, hypnosis, herbs, vitamins,
exercise,
massage, electrical stimulation, pain pills,
surgery, arthroscopy, cortisone shots,
trigger point shots,
nerve blocks and many others. All treatments have
potential benefits and potential risks.
Prolotherapy, like all invasive medical procedures carries
risks.
Here are some of the risks:
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Bleeding in the area
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Bruising in the area
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Increased pain
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Swelling
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Stiffness
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Joint
effusion
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Infection
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Puncture of the lung
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Spinal
headache
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Nerve
Injury
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Tendon/Ligament Injury
Because Prolotherapy causes
Inflammation, the person will often note some bruising,
pain, stiffness and swelling in the area after receiving Prolotherapy. Typically this lasts 1 to 7 days. On rare
occasions it lasts longer. Lasting longer is not
necessarily bad, some people just inflame more easily.
Since the treatment works by inflammation, lingering pain
after Prolotherapy can be a sign of healing. If the pain is
severe after Prolotherapy, then call the office where the
Prolotherapy was done. Prolotherapy should not cause
excessive, severe pain. Severe pain after Prolotherapy,
especially accompanied by a fever, could indicate an
infection.
Infection
after Prolotherapy is the most serious risk that we have
seen.
The risk of infection after
Prolotherapy is between 1 and 1000 to 1 and 10,000
procedures. The most common infection with Prolotherapy is
an infection in the skin. This type of infection typically
responds to an antibiotic taken by mouth. If a joint or
blood infection results, then intravenous antibiotics will
typically be needed for six weeks.
Since some of the risks with
Prolotherapy relate to the actual technique done, it is
important to go to a clinic with a lot of experience.
Surely a doctor can stick a needle into a nerve, ligament,
or tendon and cause injury. A doctor can stick the needle
into the lung when doing the thoracic vertebrae or ribs. A
doctor could also stick the needle into the spinal canal
when doing any area of the spine and cause a cerebrospinal
fluid leak. This is known as a spinal headache (which is a
headache when you sit up). The risks of these side effects
are rare, but do occur.
In the entire history of Caring Medical, I know of one
patient who had a puncture of the lung who needed
hospitalization. She refused to go to the hospital after I
recognized the problem because someone had to take care of
her dog. One of my staff volunteered to watch her dog, and
this patient was in the hospital for only two days. She
continued to be a client of Caring Medical.
I have taken care of numerous customers from around the
country who come to Caring Medical because they have
experienced a puncture of the lung from another office.
None of these clients had a puncture of the lung after I did
the Prolotherapy. But I did tell the clients that just
because they received a puncture of the lung in the past,
does not mean the technique of Prolotherapy was bad.
Everyone’s anatomy is different. Surely if a lung rides
high (above first rib) or if a nerve is in an unusual spot,
these structures can be hit even though the Prolotherapy
technique was good.
There are risks associated with everything you put into your
body. All you have to do is look up any of the risks for
any of the
anti-inflammatory medication (even
over-the-counter medications) and realize even taking them
can cause serious risks. For me, I have had numerous
Prolotherapy sessions and have treated many family members
and friends. I understand that every procedure has risks,
but so does not having the procedures. Compared to
surgery, Prolotherapy in my opinion is much safer, and in
most instances, a better option, with far less risks. I
desire not to have chronic pain. I understand living with
pain carries its own risk. For me, the potential benefits
of Prolotherapy far outweigh the risks. If you continue to
suffer with chronic pain or a painful condition is limiting
your ability to do the things you want to do, I recommend
that you seriously consider Prolotherapy.
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