Thread: Prolotherapy
View Single Post
Old 09-29-2015, 04:14 PM
Akash Akash is offline
Member
 
Join Date: Jul 2014
Posts: 330
8 yr Member
Akash Akash is offline
Member
 
Join Date: Jul 2014
Posts: 330
8 yr Member
Default

Kiwis, thanks a ton for joining the thread and you too Caroline. Helps to get a complete understanding (well as much as i can understand anyhow).

Kiwi you note:
Dextrose is just another word for glucose. Injecting glucose into a site of tissue damage will, through well-understood physiology, means that on a time-scale of minutes, it will leave that site and enter the general pool of glucose which is about 5 mmol/L in the blood. I doubt that a brief exposure to a lot of glucose at a site of tissue damage would be of benefit.

I think the logic is repeated irritation (I am leaving out the statements of "regeneration" etc since its basically scar tissue/extra collagen creation) to help strengthen the muscle/ligament (to whatever extent). Since its not one injection they are speaking of, but many over a period of time, from what I understand.

My question is if the sugar solution gets in contact with nerves, is that a toxic interaction? One link I read had a doctor mention dextrose is not good for the nerves.

I can tolerate ineffectiveness, but safety is my BIGGEST concern. I'd hate to end up worse off than what I am currently.

Caroline, thanks - so where did you get it done, and how many times?

I also found this link of interest.

https://thesportsphysio.wordpress.co...-as-it-sounds/

My understanding after polling a lot of people - randomly on forums with general muscle and hypermobility issues - is that there are several anecdotal claims of success (which I don't discount at all), this forum is a perfect example of how many anecdotes actually helped me (as versus conventional medical literature which is completely silent on many aspects of TOS and ignores it).

To my mind one good reason for less interest in prolotherapy could be the predominance of surgical ortho surgery - which works and has a clear mechanical explanation.

Prolotherapy seems to me, to be somewhat like trigger points. Works for many people, but the "hows and whys" are not really clear - the initial logic of Ms Travers referred pain has come under a lot of scrutiny - now it could be peripheral nerve networks (nerve network for the nerves), merely temp inhibiting muscles that cause strain on other muscles and so forth.. all put under a catch all rubric of trigger points. Many folks are giving up on it, its not the complete solution but something I guess..

My biggest concern is safety, what happens if the dextrose/lidocaine solution touches a bunch of nerves...?!

The most active folks on the net seem to be the Caring Medical guys - they do have a paper out there

http://www.ncbi.nlm.nih.gov/pubmed/25328557
and this:http://www.caringmedical.com/proloth...k-instability/

A lot of this seems to apply to me. I can't turn my head to the left. And I did fall the way he describes, and everything seems to add up.
https://www.youtube.com/watch?v=TDv6K-5PpHM

The other methods seem to be "hit everything and hope it works" method aka the Hackett Hemwall method.

This gent is doing that:https://www.youtube.com/watch?v=I5pQOhgt_B0
http://backcare.in/

I am concerned about Solution/needle, nerve interactions.
There seem to be no ways to actually do an ultrasound guided safe session..?!
Akash is offline   Reply With QuoteReply With Quote