Successful Prolotherapy for Chronic Pain
Prolotherapy or Regenerative Injection Therapy (RIT) is a simple and natural nonsurgical technique that relieves chronic pain by promoting the body to repair damaged or weakened joints, ligaments and tendons. The limited blood supply and poor healing properties of these tissues make Prolotherapy usually necessary after injury.
PAIN REFERRED PATTERNS FROM CERVICAL FACET JOINTS
In my practice, I often find a patient with chronic pain in the neck, shoulder and lower back from the old MVC (motor vehicle collision) or sports injury is relatively difficult to cure even though their pain level is low and not intense. Most patients have pain VAS (visual analogue scale) around 4 and it usually drop down to VAS 2~3 after a treatment (Acupuncture: electro, IMS, Tong’s, balance, SAAM, You Name It and trigger point injection) but it always comes back to where it was. However, a single injection of Prolotherapy at facet joints and ligament can completely remove the pain. I’m not saying that Prolotherpy is the only modality to treat chronic pain, however it could be the treatment for specific patients.
The one most important factor for a successful Prolotherapy is obviously to find exact pathological target points. It is relatively easy to find the target points on the limbs because pathological enthesis has tenderness under the palpation however, this rule is not applicable in cases where spinal issue has involved. Therefore, to analyze the referred pain patterns in order to find the pathological entheses is crucial in the matter of spinal problems.
PAIN REFERRED PATTERNS FROM ILIOLUMBAR LIGAMENT
PAIN REFERRED PATTERNS FROM POSTERIOR SACROILIAC LIGAMENT
PAIN REFERRED PATTERNS FROM SCAROSPINOUS & SACROTUBEROUS LIGAMENT
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