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● Prolotherapy
● How Does Prolotherapy Work?
● How Prolotherapy Helps?
● Indications and Contraindications
● Introduction to Prolotherapy
● Why Get Prolotherapy?
● What is Prolotherapy?
● How Does Prolotherapy Work?
● Are You A Prolotherapy Candidate?
● Tendon, Ligament, Reconstruction
● How Safe Is Prolotherapy?
● Finding a Prolotherapy doctor
● When Prolotherapy May Not Work
● 20 Questions About Prolotherapy
● The History of Prolotherapy
● Curing Chronic Pain
● Sclerotherapy?
● Turning to Prolotherapy
● Prolotherapy and Chronic Pain
● The Proof Prolotherapy is Working?
● Prolotherapy: Creating Collagen
● How To Support Treatment

 

The Journal of Prolotherapy

Table of Contents of all issues of The Journal of Prolotherapy

Forums answered by
Ross Hauser, M.D.

Sacroiliac pain after
two Prolotherapy sessions
Q. How do I know if this pain and soreness, even to the touch, is actually loose ligaments in the sacroiliac? Every time I sit down there is a tingling that goes down my tailbone to the sit down bones.

I have had 2 Prolotherapy treatments in that area with at least 80 Prolotherapy injections each. Afterwards I had much muscle spasm in the Buttock and not very much pain relief. Is Prolotherapy the answer?

A. Sacroiliac pain is pretty easy to recognize. It occurs not in the center of the back but just on the side, typically over the location of the sacroiliac joint. It is increased by bending forward and then twisting. Typically sitting increases the pain. To make a definitive diagnosis you could have the doctor add extra anesthetic to the solution and inject it into the sacroiliac joint and see if you get immediate pain relief. If you do then the sacroiliac joint is the problem. In our experiences Prolotherapy generally gets rid of the pain in 3 to 6 visits.

Sacroiliac pain after six Prolotherapy sessions
Q. At what point-after, say, 6+ Prolotherapy treatments by an experienced Prolotherapy doctor does one begin to consider SI (sacroiliac) joint fixation/fusion? I am seeing some progress in terms of frequency of recurrent sublixation of the joint, but am still in a considerable amount of pain. I know that experiences are different, but at what point do we say that this is as good as it can get with prolo?

A. Prolotherapy is extremely successful at curing sacroiliac pain and subluxations. Generally when I see a patient that has gone somewhere
else and had a lot of Prolotherapy and the condition has not responded it is because of one of these factors:

1. The solution used was not strong enough.
2. The treatments were not thorough enough.
3. The person is doing something in between visits to loosen the sacroiliac joint again (the most obvious one would be manipulations)

Having said all that in the past 13 years I believe I have sent 2-3 people (out of say 1,000) with sacroiliac problems for fusion.

Sacroiliac pain after Prolotherapy
Q. I fell off a ladder onto my back in December 1999. I had Prolotherapy for severe joint glide and the treatment did help alot, to the point where I could return to work.

Unfortunately it did not last and my pain and glide became worse and I'm now off work again. I returned to Prolotherapy injections with marginal improvement but nothing close to the original success. Can you tell me what percentage you would use for the injections? How many injections per compromised ligament would you suggest so I can discuss this with my Prolotherapy doctor?

1. Not enough proliferant injected per injection.

2. Not a strong enough proliferant injected.

3. Not enough areas injected.

What you most likely need is a complete lower back treatment. The sacroiliac ligaments basically connect to the lumbosacral and iliolumbar ligaments, so these need to be injected also. You probably need your pubic symphysis Prolo'd also. Think about it. If your sacroiliac joint keeps subluxing perhaps it is because the front of the pelvis, the pubic symphysis joint, is not stable. So you probably need Prolotherapy of all these areas with strong proliferants. That along with good lifting/bending technique should give you the pain relief you seek.

Sacroiliac Pain for 20 years and Prolotherapy Treatments
Q. I have had Prolotherapy in so many area's I don't even know where to begin. Many have worked but when it comes to the sacroiliac and lower back I'm about ready to give up! I fell of a building site and landed on my feet, no where to break the fall safely. Ongoing for over 20 years also on SSDI for close to 15 years. I would love to return to work of some kind but it does not seem likely. What to do? D-

A. D, thanks for trying Prolotherapy but as you know a person should not need so much Prolotherapy. When someone needs a lot of Prolotherapy in their body or to a certain part of the body and the doctor has to use stronger and stronger solutions it means there is something wrong with the healing mechanisms in that particular person.

Obviously I don't know your case but you probably need a comprehensive natural medicine workup. Go to a great natural medicine physician and get a good workup and do what they tell you.  Get your body so healthy that when a Prolotherapy doctor gives you some Prolotherapy you heal completely.  Obviously we would love to see you at Caring Medical in Oak Park Illinois. If we don't we still wish you the best of health!!!