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Caring Medical and Rehabilitation Services
Oak Park IL 708-848-7789

Ligament Injury and Referred Pain Patterns
Ross Hauser, M.D.

The chief principle of
Prolotherapy is that it treats the root cause of chronic pain and sports injuriesligament and tendon weakness. The chief symptom of ligament and/or tendon injury is pain. The pain is aggravated by activity when tension is placed upon the ligament or tendon and usually subsides when the tension is relieved with inactivity. Often the general activity of the athlete is curtailed because of the pain.

Severe pain from muscle spasm can occur from ligament and tendon weakness because the muscle is trying to stabilize the area. Chronic muscle spasms are almost always an indication of underlying
ligament weakness. If the ligaments cannot stabilize the joint, the muscles contract to do it.

This is why treatments for sports injuries, such as
physical therapy, electrical stimulation, and massage, often help to some degree, by relaxing the muscles, but do not cure the problem because the ligament laxity or weakness continues. Prolotherapy to strengthen the underlying joint and ligament permanently eliminates the pain.

The odd thing for an athlete is that sometimes the pain will totally dissipate between attacks. During this period a physician can still palpate the region and find the tender areas. When the tender areas are palpated, a female will squirm, but a male will jump because of his lower pain threshold. This is called a positive squirm and jump sign, respectively.

What most athletic trainers, orthopedic surgeons, and physical therapists do not know is that ligaments can refer pain to a distant site. The more severe the injury, the more likely a referral pain pattern will exist. Dr. Hackett determined the referral patterns of the ligaments of the lower back, which refer to the legs, after giving 18,000 intraligamentous injections to 1656 patients over a period of 19 years. (Hackett, G. Ligament and Tendon Relaxation Treated by Prolotherapy. Third Edition. Springfield, IL: Charles C. Thomas, Publisher, 1958.)

He determined that often sacroiliac ligament injury refers pain down the leg into the foot and is the reason for so-called "sciatica." Hip joint ligament injury refers pain down the leg into the big toe. Thus if a person has the respective ligament referral pattern, it helps the
Prolotherapist determine which ligaments should be examined. The tender areas, as determined by a positive squirm or jump sign, are then injected. Ligament and/or tendon laxity (weakness) is one of the only conditions in which the diagnosis is confirmed before treatment and verified after each treatment. This one fact may be the reason for Prolotherapy's tremendously high success rate.

The treatment involves a physician palpating the exact site of the injury, reproducing the pain, and then confirming the diagnosis with the actual injections, because an anesthetic is contained in the Prolotherapy solution. The pain is then usually eliminated immediately after the treatment due to the effect of the anesthetic being injected right into the source of the pain-the fibro-osseous junction.
Prolotherapy injections into all the tender areas will immediately eliminate all of the sharp pain and tenderness if enough solution of sufficient anesthetic strength is injected. Some people get so many injections that each injection can only contain a small amount of anesthetic solution (higher levels would be toxic). In such an instance, most of the pain will be immediately eliminated, but not all of it. Relieving the pain immediately after the Prolotherapy gives the athlete and the physician confidence that the injured structures have been treated.
 

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Ross Hauser, M.D.
Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign. Dr. Hauser is the Medical Director and co-founder of the physician-run, comprehensive natural medicine clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more
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Read the book that has changed chronic pain management forever. Prolo Your Pain Away! details in common lay language the conditions that can be cured with Prolotherapy including arthritis, back pain, migraines, neck pain, fibromyalgia, spastic torticollis, osteoporosis fracture pain, whiplash, sports injuries, loose joints, TMJ, tendonitis, sciatica, herniated discs, and more!

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Caring Medical and Rehabilitation Services,
715 Lake Street Suite 600 Oak Park, IL 60301
708-848-7789

The information on this website is presented as information only and not a self-help guide NOR AS SPECIFIC HEALTH RECOMMENDATIONS. Never alter or change your health management or begin any new health plans without first consulting your personal health care provider. Some statements on this site regarding the value of nutritional supplements have not been evaluated by the FDA.

As with any medical technique, Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician. Please read Prolotherapy Risks

There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.

Caring Medical and Rehabilitation Services 715 Lake Street Suite 600 Oak Park IL, 60301