Hi Matt,
It's impossible to pinpoint what the "problem" is from your symptoms;
however, it's unlikely you have "tissue damage" beyond inflammation and
maybe some localized swelling (e.g. not muscle damage per se). The disc
being impinged (toe numbness) can be considered tissue, but usually sports
medicine professionals would label it structural.
Re: Prolo
All I can say is don't listen to people who aren't well versed on the topic;
for example, anyone who comments should realize ligaments 1) cause local
pain, 2) refer pain, and 3) cause instability that leads to compensation
elsewhere. Remember, the SI joint IS NOT an island unto itself, because the
joint's movement is solely controlled by muscles that attach elsewhere.
Also, it's quite common for one side to be hypermobile and the other side
hypomobile; so, any treatment has to address both issues. A good
practitioner must be able to diagnose any hip malady or in other words if
there's laxity in the hip the SI joint will be indirectly affected. I've
personally dealt with this and know of others who have as well. Your lower
back is part of a lumbo-pelvic-
wouldn't surprise me if your ll degree side-bend is due to an unlevel sacral
base (e.g. the top) and the accompanying muscle imbalances at your hips.
It's rather common and logically explains your symptoms, but the next
question would be are there lax ligaments in the lumbo-pelvic-
that would prevent proper healing? As I stated previously, it's impossible
to know via an email chat..
Let me know if this is resonating or if my rambling are too rhetorical.
Todd Langer, MSc, Rolfer
Boulder, CO
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From: Supertraining@
On Behalf Of Kahl.Matt
Sent: Friday, February 08, 2008 11:43 AM
To: Supertraining@
Subject: [Supertraining] Re: Prolotherapy?
Hi,
Thanks for the responses. The condition I'm inquiring about seeking
Prolotherapy for is low back/hip pain. The pain is along the lower
spine and on the right edge of my hip. I've been dealing with it for
about 6+ years and for the most part the combination of chiropractor
visits, ART, and massage therapy have allowed me to keep in shape. The
hip has only been painful for the last year. My prefered means of
staying in shap is mostly by weight lifting and I look to get stronger
as well. About 7 months ago all those treatments stopped being
effective and I decided to try another Chiro that was recommended by
another lifter. He got me some relief by having my SI joint release
every visit. He couldn't relieve most of the pain though and after
several visits did another exam on my back with his fingers and found
some points that were pretty ripe. He continued and than came back to
the spots that made me jump but couldn't recreate them in the same spots
and found similar responses in nearby locations which made him suspect
that I have tissue damage and irritation in some deeper embedded lower
back muscles, ligaments, or possibly the paraspinals themselves. My big
right toe has been going numb off and on over the last year and he's not
sure if that's related.
He than referred me to a Sports Medicine Spine
Specialist who injected a painkiller/anti-
joints on two occasions. The 3rd visit back we went over my new MRI and
he stated that my discs were pretty normal for my age, except for one of
the lower ones, L4, I believe appeared to have some of the insides
poking out against the spinal nerve column which may be irritating the
nerves by rubbing them and therefore causing me referred pain. I guess
that makes some sense for the lower back issues but I don't exactly
understand why that would make my right hip sore. I've been told
several times since this whole thing began that I have some side
curvature(bowing to the right about 11 deg) considered minor scoliosis
which isn't a big enough curve to be causing the pain or keep me from
weightlifting. Well I have a pretty high pain tolerance and this is a
real issue that won't allow me to do any of the beloved movements
without increasing the discomfort(squats, deads, bench, etc).
On the
last visit since he said my spine appeared to be relatively healthy and
said I had the option of having a epidural to maybe calm things down and
than I could try cross training now that I'm 31, instead of trying to
strength train. Well I partially accepted that line of thought until I
read the brochure about epidurals and the possible risk of spinal nerve
damage. I'm not too excited about risking nerve damage unless it's my
last option. If I have to cross train instead of strength training I
guess I can live with that because it's more important to be active late
in life with my daughter than to do something I shouldn't and be a
wreck. I signed up for beginning Pilates at the university so that I
can be doing something active and because I read in a recent
biomechanics publication that Pilates is pretty effective for rehab of
low back injuries. I also need to really work on my flexibility
anyways. In the meantime I think last weeks Ricky Dale Crain newsletter
talked about Prolotherapy as being where they inject an irritant to
cause the body repair mechanisms to trigger and focus on that area which
usually resulted in almost full repairs to the pre-damaged state, after
several sessions over a few months duration. I'm looking to get this
taken care of so I can start lifting again. It's been a long 7 months
and I'm starting to get a gut and a nice set of man bo*bs where my pecs
used to be! Look forward to hearing from you.
Thanks,
Matt Kahl
Milwaukee, WI
1a. Re: Prolotherapy?
Posted by: "gkos@mts.net <mailto:gkos%
<mailto:gkos%
Date: Fri Feb 8, 2008 12:50 am ((PST))
Matt,
It depends entirely on the condition, and this of course is entirely
predicated on an accurate diagnosis. Can you provide the group with
more information.
Dr. Gregory Kos, B.A., B.Sc., D.C., FCCRS(C)
[Mod: Please don't forget to sign your posts with your city and country
of residence - thanks]
____________
1b. Re: Prolotherapy?
Posted by: "todd langer" regnalt@comcast. <mailto:regnalt%
langer_todd
Date: Fri Feb 8, 2008 9:37 am ((PST))
It's very effective, but only if used properly; for instance, a proper
diagnosis of lax ligaments and someone who knows who/where to inject. I
met with 4 doctors before finding one who was any good and he made a
world of difference for me and people I've referred. The problem is most
of the practitioners follow testing guidelines that are a joke (e.g. if
it hurts here there must be lax ligaments) and don't understand how the
body is inter-related (e.g. can't just inject one side of the hip,
because it's all intermeshed)
the body in gravity (e.g. good posture), eat properly (for recovery),
avoid certain meds, etc.
or the injections won't truly take hold..
Good luck!
Todd Langer, MSc, Rolfer
Boulder, CO
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