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Acute Lumbar Disc Herniation

Robert Filice, M.D. Former staff physician

Here at CMRS we often find ourselves going against conventional wisdom in our therapeutic recommendations. Our explanation for this is that we really care for patients and dig diligently for the right answers, and we are not bound by establishment blinders and the need for conformity to an established but arbitrary and often ineffective standard of orthodox care. One example of this difference is our long standing recommendation that acute injured limbs NOT be immobilized. I wrote an article in this e-newsletter some months ago that informed our readers that an establishment study had validated our view and had found that immobilization was counter-productive. I want to tell you about a review article on lumbar disk injuries that appeared in the April 2005 issue of The Physician and Sports Medicine.

Once again the “standard of care” in the non-operative management of acute lumbar disc herniation has been complete bed rest for two to 14 days. Instead, a study that compared bed rest to early activity in these patients showed that bed rest of any duration is not effective and may actually be detrimental to recovery. Although less abundant, the data on sciatica caused by disk compression also show bed rest to be an ineffective treatment. Therefore the correct initial non-operative approach to a patient with a disc herniation should be to discourage bed rest and encourage early activity, usually a progressive walking program as tolerated.

Once again, we discover that following the conventional wisdom may be hazardous to your health. Conventional wisdom also doesn’t know enough to recommend Prolotherapy, or it downplays its efficacy. So be aware, and know that what you are often told to do or not do in conventional medicine isn’t necessarily the right advice. I just wanted you to know that a lot of what we recommend may sound different, but it’s all based on a lot of clinical experience and real concern for our patients. So although we are not afraid to be out by ourselves on the cutting edge of medicine, it does makes us feel good when some of our ideas get scientifically validated (if not implemented) by orthodox medicine.
 

 

Ross Hauser, M.D.

Caring Medical and Rehabilitation Services


 

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Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign.

Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more about Ross Hauser MD

 

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The information on this website is presented as information only and not a self-help guide NOR AS SPECIFIC HEALTH RECOMMENDATIONS. 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.

As with any medical technique, 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. Please read Prolotherapy Risks

There 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 from developing.

Caring Medical and Rehabilitation Services 715 Lake Street Suite 600 Oak Park IL, 60301