| Prolotherapy for Chronic Pain and Sports Medicine in Oak Park, Illinois, a suburb of Chicago Hope Practiced Here | |
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PROLOTHERAPY APPOINTMENT INFO |
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| Prolotherapy for Chronic Pain and Sports Medicine in Oak Park, Illinois, a suburb of Chicago Hope Practiced Here | |
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PROLOTHERAPY APPOINTMENT INFO |
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Prolotherapy for Tendinopathy: It Makes the Most Sense! Ross Hauser, M.D. I recently came across a very interesting article that I wanted to comment on for those of you who read the Prolotherapy e-newsletters. Some of the biochemical information that I am quoting in this short newsletter comes from Clinical Orthopaedics & Related Research, Volume 443, February 2006, pp 320-332, from an article entitled Biomechanical Basis for Tendinopathy by Wang, J. Iosifidis, and Freddie, H. Some of the main points the authors discuss regarding tendinopathy are these: • It affects millions of athletes and workers. • It is a nemesis for patients and physicians (not this physician however!) • Tendonitis and tendinosis are diagnoses that should only be made after biopsy, so tendinopathy is a better term to use than tendonitis. • After as little as 2% strain, the tendon configuration microscopically changes. • Between 4 to 8% strain, there are collagen fibers microscopically rupture. • Beyond 8% strain, tears in the tendon appear macroscopically. • Complete tendon rupture occurs at 12% strain. To summarize this article, with up to 4% strain, the tendon can return to its original length. After 4% strain it can not return to its original length. It is lengthened because of the tears which occur microscopically between 4 and 8%, and macroscopically (can see with the naked eye) between 8 to 12%. After 12% strain, complete tendon rupture occurs and the surgeon is needed to put it back together. Between 4 and 8% strain, you need to call the Prolotherapist. The Prolotherapist will inject substances into the tendon to stimulate repair and get those tendon tears healing and the tendon length and strength back to normal and hopefully stronger than normal. Some other interesting points about tendons: • Running places anywhere from 5 to 15 times the force on tendons of the lower extremity than standing does. This includes the Achilles and Patellar Tendons. • Squat jumping can increase the force on these tendons to 100 times the force on them while standing. • In general, endurance training increases tendon strength and immobilization makes the tendons have less weight, strength, and tensile strength. • Too much training however, can cause tendon degeneration The point of the above is that exercise places tremendous stressors on the tendons. As such, recovery is as important to the athlete as exercise. If you are not in that great of shape, don’t start doing jump roping or walking lunges, as most assuredly you will get injured. Ease your way into training. Every athlete has to maximize recovery to help tendons continue to get stronger with exercise. This means plenty of rest, healthy eating according to the appropriate Hauser Diet Type, and supplements. Don’t forget warm up and cool down as well! The article goes on to say: • Tendon fibroblasts are a dominant cell type in tendons. • Tendon fibroblasts are responsible for the tendon’s physiologic or pathologic changes in response to mechanical loads. Prolotherapy causes fibroblastic proliferation. That is why it is called Prolotherapy or proliferative therapy. Fibroblasts make or break the tendon. We want the fibroblasts proliferating and thus making more collagen to make the tendon stronger. A stronger tendon can handle more stress and more training. This not only gets rid of tendinopathy pain, but makes the tendon more resistant to future injury! Some other interesting points in the article: • Some observers have shown that injections of corticosteroids into tendons have led to tendon cell death, tendon atrophy, and negative mechanical effects (reduced tensile strength and loss of viscoelasticity). I’ll take a pass on getting a steroid shot into any of my tendons. Thanks anyway, though. I’ll get Prolotherapy instead. I don’t want any of that cell death, you know? Okay, the nitty gritty of the article: Effective protocols for treatment of tendinopathy must be developed. Current nonsurgical treatment regimes for tendinopathy , including NSAIDS, corticosteroids, and physical therapy, offer only largely temporary relief of symptoms (pain). Some surgical techniques for tendinopathy have been proposed, but none offers consistent results. Bottom line traditional treatment doesn’t work. (Last line was my synopsis.) You want a good protocol that works for tendinopathy: • If you or a loved one is diagnosed with tendinopathy, run if you can, to get Prolotherapy. • Get Prolotherapy into and around the area. It generally will take three to six visits for a full recovery. • Continue to exercise at the appropriate level. • Emphasize recovery between workouts. This means get Hauser Diet Typing and take nutritional supplements that help with healing. |
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Caring Medical
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The Journal of Prolotherapy
is unique in that it has a
target audience of both physicians and patients. The purpose of this
journal is to provide the readers with new cutting-edge information
on Prolotherapy, as well as provide a forum for physicians and
patients alike to tell their stories.Your membership fee includes a 1 year subscription to this quarterly journal, and unlimited access to the journal archives online! Premiere Issue scheduled to be released for Spring 2009! Learn more |
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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.
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