PROLOTHERAPY IS A NON-SURGICAL OPTION FOR SPORTS INJURY! With Prolotherapy, you can
keep training, get back in the game/event quickly, no down time, no long rehab required, alternative to the much-feared often career-ending surgeries...
Healing Knee Injuries with Prolotherapy
Prolotherapy, in my opinion, is the best way to avoid surgery! It can
promote the repair of torn cruciate ligaments, torn medial collateral ligaments,
injured meniscus and chondromalacia.
There are some general principles about healing knee injuries without
surgery. One of the first principles is to keep the area moving, while
at the same time protecting the joint from strong stresses. immobilization
of the injured joint causes the repaired area to become weaker and thinner
and often leads to a stiff joint. This is due to a combination of adhesions
in the joint and/or shortening of ligaments, and weakening the site where
ligaments and tendons insert to bone. This is why the R.I.C.E. (Rest, Ice,
Compression, and Elevation) treatment protocols for soft tissue injuries
are so detrimental to healing. Ligaments are especially sensitive to immobility,
therefore it is not recommended for any type of ligament tear or sprain
when the joint itself is stable.
Interestingly, it has been shown that the more we exercise a specific joint,
the stronger the bone-ligament and bone-tendon complexes become! Exercise
specifically helps strengthen the fibro-osseous junction, which is where
the ligament/tendon and bone attach to each other. Controlled activity
is therefore an important part of preventing injury and healing from injury!
The standard of care for ACL tears today is surgery. ACL reconstruction
surgery involves surgically placing a prosthesis or a tendon in the place
of the injured ligament. The question to ask is, "Will this surgery
allow me to play again?" To answer this question athletes were followed
for an average of nine years at the Sports Medicine Facility of Health
Sciences at Linkoping University, in Sweden, by Dr. W. Maletius and associates.
ACL replacement was performed with Dacron prostheses. In the nine year
period, 65 percent of the patients required another arthroscopy. Forty
percent had meniscal problems that were treated arthroscopically. At the
nine year follow-up only 48 percent of the patients had intact menisci.
Forty-four percent of the prostheses had ruptured during the follow-up
period. Eighty-three percent of the patients had significant arthritic
changes on x-ray in the operated knee. The authors concluded, "Based
on the functional results of the patients with a ligament in place after
nine years, only 14 percent of the original group had acceptable stability
and knee function.
Surgical technique has improved and perhaps the gold standard for ACL
reconstruction today is to use the patellar tendon to replace the injured
ACL. The surgeon takes some of the patellar tendon and screws it into the
femur and tibia bones to simulate an anterior cruciate ligament. The long-term
results are better than Dacron prosthesis, but are still not that great.
In one five year study of arthroscopic anterior cruciate ligament reconstruction
with patellar tendon graft showed that 5 percent of the patients ruptured
their grafts. Of the remaining patients, about 50 percent had symptoms
in their knees. Of significance to athletes was that 53 percent of them
could perform at the same or a better level at five years post surgery.
This means that 47 percent were performing at a lower level of activity.
In another study following the patients for seven years, a slightly longer
period of time, only 46 percent of the athletes could perform at the same
level as their preinjury status. In this study 26 percent needed another
operative procedure after the ACL reconstruction.
Substituting the real ACL for an artificial one will never be ideal. The
tendon grafts have been found to be three to four times stiffer than normal
ACL's and artificial graft particles have been shown to cause proliferative
arthritis when injected into knees. The patient's best option is always
to first try stimulating the ACL to repair itself. Case reports of complete
tears healing without any treatment have been reported in the literature.
Prolotherapy can be done exactly where the ACL attaches onto the tibia
and femur, in cases of a partial, thereby stimulating the ligament on both
ends to proliferate and strengthen.
Prolotherapy Injections to the Knee
Ross Hauser, MD is a Prolotherapy doctor and Medical
Director of Caring Medical and Rehabilitation Services in Oak Park,
Illinois. In this video, Dr. Hauser performs a Prolotherapy treatment
to a knee, demonstrating the Prolotherapy injection technique practiced
at Caring Medical. Dr. Hauser treats patients from around the globe
with Hackett-Hemwall Prolotherapy and has found it is an excellent
alternative to knee surgery, NSAID treatment, and cortisone injections.
If you would like to see our other videos on Prolotherapy, or would
like to email us to see if Prolotherapy can help your knee pain,
please visit www.caringmedical.com.
Prolotherapy can be used in almost all painful knee conditions
and injuries, including: meniscal tear, knee tendinosis, osteoarthritis,
degenerative joint disease, tendon injury, ligament injury, ACL
injury, anterior cruciate ligament tear, MCL, injury, medial collateral
ligament tear, iliotibial band injury, sports injuries, and knee
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information on this website is presented as information only and not a
self-help guide. 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.
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.
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