Friday, February 25, 2011

Spinal Fusion alternative question

We recently received an email from a patient who had received fusion surgery in her back due to scoliosis as a child-she is now suffering with pain that she feels is coming from her SI joint and wonders if Prolotherapy would help her.

As you know I am not a big fan of fusions unless absolutely necessary. The problem with a surgical fusion is that once the two, three or in your case 8 vertebrae are fused, the forces get transmitted above and below the fusion. Eventually these vertebral segments or in your case sacroiliac joints break down and start causing pain. Let me preface this all by saying there are times, like in scoliosis (especially childhood), where fusion is necessary (to stop the scoliosis from restricting breathing for instance). So what can Prolotherapy do in your case, Pam?

You feel the pain is coming from your sacroiliac joint and I suspect you are right. Prolotherapy works great for sacroiliac pain, dysfunction or ligament laxity. Degenerative low backs from degenerative arthritis, spondylisthesis, spinal stenosis, spondylosis, spondylolysis all typically respond great to Prolotherapy. I would add that Prolotherapy I believe is the best alternative treatment for low back pain. As a Prolotherapy Doctor, chronic low back pain is one of the conditions that responds the best to Prolotherapy.

Prolotherapy for post-fusion pain has a high success rate.  Anyone who has had a fusion and then subsequently had either low back, thoracic or neck pain, most likely has had the weight transfer or force transfer to the areas below or above the level of the fusion.  These are the typical areas treated with Prolotherapy. 

We have more detailed information in our article data bases at spinal fusion alternatives and Prolotherapy

Ross A. Hauser, M.D
Dr. Hauser the Medical Director of the comprehensive Prolotherapy, PRP, and Bone Marrow Prolotherapy clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois

Thursday, February 24, 2011

Bone Marrow Prolotherapy an Alternative to Hip Surgery

Severe Hip Osteoarthritis Treated with Bone Marrow Prolotherapy

One of our first patients to receive Bone Marrow Prolotherapy to his hip has reported great results thus far (it's only been 1.5 weeks) but he says he can feel a difference. MG is a 46 year old contractor who does alot of physical work. He received regular Hackett-Hemwall Prolotherapy with HGH to his severely arthritic hip from late 2007 to early 2009. He was much improved from this Prolotherapy but had not been able to return to full athletics because the increased activity would aggravate his hip. He was interested in trying out Bone Marrow Prolotherapy.

Here is what he had to say...

Comments: I just wanted to give you guy's an update, I had the Bone Marrow prolotherapy on 12-24-10 from the posterior Iliac Crest and I have to say definitely that for people who have severely degenerated joints like I used to have, this is the way to go. I have more comfort and relaxation in the hip joint and it has not even been two weeks. How long does this healing continue because this is great. If it goes like this for another month it will be completely healed. Thank You. MG

Needless to say, MG is so happy that Prolotherapy gave him a fantastic alternative to hip replacement surgery so that he can now live a healthy active life!

Bone Marrow Prolotherapy is not something that we would choose for every case of a sports injury or pain condition. But it is a good choice for those severely degenerated conditions or conditions where getting back to a sport quickly is of utmost importance. As with any Prolotherapy technique done at Caring Medical, a consultation with Dr. Hauser to discuss your medical condition and goals is needed to determine what type of Prolotherapy is best for you. There are two types of Bone Marrow Prolotherapy offered at Caring Medical:

Direct Bone Marrow Prolotherapy:
Bone marrow is aspirated typically from your tibia, and then directly injected into the injured joint. The cost of this treatment is $1100 in addition to the cost of the Prolotherapy. As an example, $350 for Prolotherapy to the knee plus $1100 for the Bone Marrow procedure, total $1450. As you can see, this is a more expensive option, but for those cases where surgery may be the only other option, it is "relatively" affordable comparatived to surgery and its related rehabilitation costs, lost time from work etc.

Concentrated Bone Marrow Prolotherapy: Bone marrow is aspirated, then processed and spun to "concentrate" it, giving you more cells per volume. The cost of this procedure is $2400 in addition to the Prolotherapy charge.


Ross A. Hauser, M.D
Dr. Hauser the Medical Director of the comprehensive Prolotherapy, PRP, and Bone Marrow Prolotherapy clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Specializing in joint pain treatments including Prolotherapy for hip pain. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy.