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Q.
Prolotherapy Helped! Now,
Which Exercises Can I Do?
If one suffers from
Ligament laxity
which is definitely helped with
Prolotherapy
(at least in my case), who determines the correct type of strengthening
exercises to do in order to strengthen the core to hopefully prevent the
lumbar ligaments from being strained again? One
Physical Therapist
suggests the balance ball, but wouldn't that place a strain on healing
SI joint ligaments? Another Physical Therapist suggests yoga and pilates,
but wouldn't that put a strain on those ligaments? How am I supposed to
know which form of exercise would put the least amount of stress on
recovering SI joint ligaments? In the meantime, I'm afraid to try
anything.
A.
Gustav Hemwall,
M.D. (my mentor,
grandfather of Prolotherapy) would give this one simple instruction
that still holds true today, "Do whatever you want, but if it hurts
don't do it."
In other words an athlete can go back to their normal activities, but
must curb them if a sharp pain starts developing. If you have proper
posture while you do the exercises below, they are safe to do, assuming
you do them within your ability and slowly.
In other words when you lift weights, do Yoga or Pilates, your core
should be engages meaning your pelvis is level or up (like doing a
pelvic tilt exercise), your chest out, shoulders back, these muscle
contractions will protect your SI joint while exercising.
I would get a personal trainer to teach you proper form and I would
start out with exercises such as side plank, supine plank, and regular
planks. In these, as in holding yoga poses, there is no movement.
Those are the exercises for the CORE that I like to start people out on.
Answered by
Ross
Hauser, M.D.
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