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Prolotherapy and
Muscle Wasting?
Q. When I went
for my first prolotherapy treatment for my sacroiliac joint I
had to sign a paper releasing the doctor for the responsibility
if I had any muscle wasting as a result of the therapy.
He said in his experiences he has seen one that had muscle
wasting. Is it possible that Prolotherapy can cause muscle
wasting? I am wondering because I have had 3 prolo treatments
and my buttock muscles are smaller and my chiropractor said one
of them is shrinking.
A. In the forty years Dr.
Hemwall (my mentor) had done
Prolotherapy and the 15 years I have done it, we have had no
muscle wasting. If a muscle is tense because it is trying to
stabilize a joint like the sacroiliac joint and the person gets Prolotherapy which stabilizes it, the muscle spasms stop. In
this case the pain would go away and I suppose the muscle could
look less 'tense'. That is the only explanation I can think of.
We have never had a case where the needle was stuck into the
nerve and then injured the nerve causing muscle wasting.
Answered By
Ross Hauser, M.D.
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I would like to comment
about muscle wasting (buttock area) and sacroiliac
joint/ligament injuries.
I have personal experience w/a SI joint injury and I have
treated many clients w/these injuries as well (I am a
massagetherapist and therapeutic exercise specialist).
Research has documented that when ligaments and joint structures
are injured one of the consequences is neurological inhibition
(atrophy) of the muscle that act on the particular joint. With a
SI joint/ligament
injury the gluteal (buttock) muscles will
atrophy due to neurological inhibition, not to mention people
will compensate for pain by limiting movement/stress on the side
of the body that hurts - in other words they will shift their
weight over onto the non injured
hip which will also contribute
to muscle atrophy in the symptomatic side.
In my experience an injury to the SI joint/ligaments will cause
whole body dysfunction leading to progressive breakdown in the
ligaments/joints in the spine, hip, knee and ankle/foot
primarily on the side of the body of the injured SI joint.
Prolotherapy is a unique and essential treatment for these
injuries. Ideally the patient needs to engage in a consistent
exercise program to strengthen the atrophied muscles as well as
overall "core" conditioning aimed at stabilizing all joint
structures. Movement reeducation is also essential - walking and
lifting are 2 movements that need to be performed w/ideal body
mechanics. Orthotics are also helpful for those who have
significant foot dysfunction which is common w/SI joint
injuries.
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