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PROLOTHERAPY SLAPS IT TO ‘SLAP’ LESIONS
Ross A. Hauser, M.D.
It is common for patients to walk into
Caring Medical and say that their orthopedist told them that surgery was their only option.
Patients are commonly told that surgery in the only option for such conditions as
Meniscal Injury, advanced
osteoarthritis,
labral tears of the hip and
Labral tears
of the shoulder, and especially if they have a SLAP
lesion.
A “SLAP” lesion is one in which there is a tear in the superior
glenoid
labrum from anterior to posterior. The symptoms of SLAP lesions typically cause patients to develop pain and a popping or clicking of the
shoulder with elevation, adduction or internal rotation. Often, the physical examination is unremarkable. The condition is picked up on
MRI
arthrography.
The labrum is a fibrocartilagenous structure which helps to deepen the socket of the
glenoid. When a person has a SLAP lesion, the shoulder joint becomes more unstable in the external rotation position. This puts increased pressure on the inferior
glenohumeral ligament and the
rotator cuff muscles Often patients come in saying they have been told they have a
Rotator
Cuff
tear or
ligament sprain, but the primary problem in these folks is deeper.
The SLAP lesion typically occurs when a person falls onto an outstretched arm. The typical orthopedic approach with SLAP lesions is to debride (cut out) the injured area and suture or tack down the flap that is left after the shaving.
A better approach to removing the injured structure, in my opinion, is to rebuild it with
Prolotherapy. Caring Medical in Oak Park has successfully treated numerous people with SLAP lesions. The typical program involves three to six visits receiving
Prolotherapy with
strong proliferants. The person uses physical therapy or
exercises to strengthen the shoulder. Supplements are often given, and overhead exercises are curtailed until the shoulder becomes more stable.
Prolotherapy to the SLAP lesion is done as well as
Prolotherapy to the posterior and anterior stabilizers. Typically the person starts feeling better after their second or third treatment.
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