Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 09-30-2015, 06:30 AM #11
vintagewine vintagewine is offline
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Hi Akash.

My doctor has approached me to do neuro prolotherapy for my nerve pain.

There is a method called the LYFTGOT METHOD.

I read about the procedure in general, but it seemed way too painful for me , so I opted out.

I also read about the side effects that could happen and I wasn't happy with that since one of them was more nerve pain.

I hope these links help you.

http://prolotherapyinstitute.com/pro...-prolotherapy/

http://www.doctorliftoff.co.nz/neural-prolotherapy/
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Old 10-23-2015, 12:20 PM #12
ramdas ramdas is offline
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Quote:
Originally Posted by Akash View Post
Very interesting sir! This is used as a nerve block too? Curiouser and curiouser.
Have you any data on dextrose and nerve interaction by any chance?

This is really surprising.
http://www.ncbi.nlm.nih.gov/pubmed/15920223

Dextrose in water 5% moved nerve response up, whereas lidocaine stopped it!

Perhaps the hypothesis that motivates these guys (but they offer no evidence and only offer a hypothesis):
http://www.jointandspine.com/proloth...-prolotherapy/

I found this one from 1938!!
http://jama.jamanetwork.com/article....ticleid=280518
Six cases of median nerve injuries caused by dextrose. But was it due to the needle and/or the amounts injected?

These guys claim dextrose is all nice and safe
5% dextrose
(D5W) is painless on
injection and does not
cause any long-term sequel in animals or
humans when injected around neurological
tissue (2). - Looks like (2) refers back to the first link by Tsui et al.

http://www.researchgate.net/publicat..._VS_5_dextrose


Facet joint blocks seem to operate on the basis of mix of lidocaine and dextrose
http://drwilderman.com/treatments/in...ck-injections/

Another link - tested dextrose in rabbits to introduce fibrosis to see if that had an effect on the median nerve (is carpal tunnel syndrome actually due to fibrosis); they conclude that dextrose did increase connective tissue (in rabbits) and it did impact median nerve conduction velocity (which makes me wonder how illogical it is to inject folks hands with dextrose to help CTS or are any positive effects due to anti-inflammatory effects postulated?)

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706150/

Hi Akash,

Coincidently I am also looking for prolotherapy as an option for my neck issues.
Let me know what you decide and find anyone in India doing the same procedure.

Regards
Ramdas
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Old 10-23-2015, 12:33 PM #13
caroline2 caroline2 is offline
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Here is an alternative to Prolotherapy and PRP and less expensive. Prolozone. I'm maybe closer to going to Prolozone for my knee joint and maybe foot.

http://www.michaelmooney.net/Prolozone.html

I would go to the doctor mentioned in this link as he is less expensive than the providers in my area of Los Angeles. There are Prolozone providers across the U.S.
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Old 10-23-2015, 07:08 PM #14
Akash Akash is offline
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Quote:
Originally Posted by ramdas View Post
Hi Akash,

Coincidently I am also looking for prolotherapy as an option for my neck issues.
Let me know what you decide and find anyone in India doing the same procedure.

Regards
Ramdas
Dr Sasikumar in Kerala does Prolotherapy. He does not use fluoroscopy but is very experienced. Only Ron Hauser in the US does more than him.
He follows the Hackett Hemwall method.
http://backcare.in/staff.asp
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Old 11-15-2015, 06:15 PM #15
parbie parbie is offline
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parbie parbie is offline
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Quote:
Originally Posted by Akash View Post
Very interesting sir! This is used as a nerve block too? Curiouser and curiouser.
Have you any data on dextrose and nerve interaction by any chance?

This is really surprising.
http://www.ncbi.nlm.nih.gov/pubmed/15920223

Dextrose in water 5% moved nerve response up, whereas lidocaine stopped it!

Perhaps the hypothesis that motivates these guys (but they offer no evidence and only offer a hypothesis):
http://www.jointandspine.com/proloth...-prolotherapy/

I found this one from 1938!!
http://jama.jamanetwork.com/article....ticleid=280518
Six cases of median nerve injuries caused by dextrose. But was it due to the needle and/or the amounts injected?

These guys claim dextrose is all nice and safe
5% dextrose
(D5W) is painless on
injection and does not
cause any long-term sequel in animals or
humans when injected around neurological
tissue (2). - Looks like (2) refers back to the first link by Tsui et al.

http://www.researchgate.net/publicat..._VS_5_dextrose


Facet joint blocks seem to operate on the basis of mix of lidocaine and dextrose
http://drwilderman.com/treatments/in...ck-injections/

Another link - tested dextrose in rabbits to introduce fibrosis to see if that had an effect on the median nerve (is carpal tunnel syndrome actually due to fibrosis); they conclude that dextrose did increase connective tissue (in rabbits) and it did impact median nerve conduction velocity (which makes me wonder how illogical it is to inject folks hands with dextrose to help CTS or are any positive effects due to anti-inflammatory effects postulated?)

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706150/

This is all very interesting to read. I came back on this forum after several months maybe even a year or more to see if prolotherapy or prolozone has helped anyone who has severe nerve pain due to TOS. I have a long history - 3 surgeries to the rt side, unsuccessful and made me much worse due to the first one going wrong. I went back to work after 2 years a few months back and I am probably going to have to stop working again. I have been consulting with several doctors about prolo. One doesn't think it will help at all, another said it would just irritate my nerves further which goes along the lines of the concerns you are pointing out. I was actually scheduled for prolozone with Orthohealing center in LA but I keep rescheduling because a) they are charging several hundred for one session and b) I want to make sure if I spend $, it will be on something that won't make me worse. If Dr. Chen only charges $200 per session I will probably just go ahead and do it.

The other thing I have been considering is ketamine infusions, although it is much much more expensive.

At the end of the day, each of us are very different even with the same diagnosis so you have to just weigh the benefits with the costs. Everything is a risk. I can't live like this anymore so I'm leaning toward doing it. Good luck with whatever you decide to do!
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-6/20/14 Seroma Drainage Right Side

-7/18/13 Re-do of Right sided Supraclavicular Thoracic Outlet Decompression by Resection of Cervical Rib, First Rib, and Neurolysis

-8/30/12 Unsuccessful Right sided Supraclavicular Thoracic Outlet Decompression via Scalenectomy, Brachial Plexus and C2 through T1 Neurolysis, Resection of fibrous band attachment to Cervical Rib and Pectoralis Minor Tenetomy
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