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Sacroiliac Blog
Sacroiliac pain after two Prolotherapy sessions

Q. How do I know if this pain and soreness, even to the touch, is actually loose ligaments in the sacroiliac? Every time I sit down there is a tingling that goes down my tailbone to the sit down bones.

I have had 2 Prolotherapy treatments in that area with at least 80 Prolotherapy injections each. Afterwards I had much muscle spasm in the buttocks and not very much pain relief. Is Prolotherapy the answer?

A. Sacroiliac pain is pretty easy to recognize. It occurs not in the center of the back but just on the side, typically over the location of the sacroiliac joint. It is increased by bending forward and then twisting. Typically sitting increases the pain. To make a definitive diagnosis you could have the doctor add extra anesthetic to the solution and inject it into the sacroiliac joint and see if you get immediate pain relief. If you do then the sacroiliac joint is the problem. In our experiences Prolotherapy generally gets rid of the pain in 3 to 6 visits.

Answered By Ross Hauser, M.D.
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Sacroiliac pain after six Prolotherapy sessions
Q. At what point-after, say, 6+ Prolotherapy treatments by an experienced Prolotherapist does one begin to consider SI (sacroiliac) joint fixation/fusion? I am seeing some progress in terms of frequency of recurrent sublixation of the joint, but am still in a considerable amount of pain. I know that experiences are different, but at what point do we say that this is as good as it can get with prolo?

A. Prolotherapy is extremely successful at curing sacroiliac pain and subluxations. Generally when I see a patient that has gone somewhere else and had a lot of Prolotherapy and the condition has not responded it is because of one of these factors:
1. The solution used was not strong enough.
2. The treatments were not thorough enough.
3. The person is doing something in between visits to loosen the sacroiliac joint again (the most obvious one would be manipulations)

Having said all that in the past 15 years I believe I have sent 2-3 people (out of say 1,000) with sacroiliac problems for fusion.

Answered By Ross Hauser, M.D.
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Sacroiliac pain after Prolotherapy
Q. I fell off a ladder onto my back in December 1999. I had Prolotherapy for severe joint glide and the treatment did help alot, to the point where I could return to work.

Unfortunately it did not last and my pain and glide became worse and I'm now off work again. I returned to Prolotherapy injections with marginal improvement but nothing close to the original success. Can you tell me what percentage you would use for the injections? How many injections per compromised ligament would you suggest so I can discuss this with my prolotherapist?

1. Not enough proliferant injected per injection.

2. Not a strong enough proliferant injected.

3. Not enough areas injected.

What you most likely need is a complete lower back treatment. The sacroiliac ligaments basically connect to the lumbosacral and iliolumbar ligaments, so these need to be injected also. You probably need your pubic symphysis Prolo'd also. Think about it. If your sacroiliac joint keeps subluxing perhaps it is because the front of the pelvis, the pubic symphysis joint, is not stable. So you probably need Prolotherapy of all these areas with strong proliferants. That along with good lifting/bending technique should give you the pain relief you seek.

Answered By Ross Hauser, M.D.
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Sacroiliac Pain for 20 years and Prolotherapy Treatments
Q. I have had Prolotherapy in so many area's I don't even know where to begin. Many have worked but when it comes to the sacroiliac and lower back I'm about ready to give up! I fell of a building site and landed on my feet, no where to break the fall safely. Ongoing for over 20 years also on SSDI for close to 15 years. I would love to return to work of some kind but it does not seem likely. Have I been using the wrong MD, I have seen two and one comes very highly recommended, what to do? D in NY State.

A. D, thanks for trying Prolotherapy but as you know a person should not need so much Prolotherapy. When someone needs a lot of Prolotherapy in their body or to a certain part of the body and the doctor has to use stronger and stronger solutions it means there is something wrong with the healing mechanisms in that particular person.

Obviously I don't know your case but you probably need a comprehensive natural medicine workup. Go to a great natural medicine physician and get a good workup and do what they tell you.  Get your body so healthy that when a Prolotherapy doctor gives you some Prolotherapy you heal completely.  Obviously we would love to see you at Caring Medical in Oak Park Illinois. If we don't we still wish you the best of health!!!

Answered By Ross Hauser, M.D.
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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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POWER OVER PAIN THE CARE OF THE PATIENT BEGINS WITH CARING © 1999-2008 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.

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