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Knee surgery
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Prolotherapy
& Knee surgery
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Surgery Based on an MRI?
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Knee
Injury Repair Without Surgery
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Knee Arthroscopy for
Osteosarthritis
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Surgical option - Ligament
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Cartilage Transplant Surgery
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ACL Treatment Options
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CW's story -
Bilateral Knee Pain
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Bilateral
Knee Replacements
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Cortisone, arthroscopy,
Prolotherapy
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Knee Replacement,
Arthroscopy
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Knee Instability
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Delamination
of cartilage
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Prolotherapy after Arthroscopy
Knee Cap pain
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Knee Cap
chondromalacia patella
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Knee Cap Patella Disorders
Cartilage Repair
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Cartilage Repair in Knee
Pain
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Knee Cartilage
Regeneration
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Delamination of
articular cartilage
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Regeneration of Articular Cartilage
Knee Replacement
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Prolotherapy - Knee
Replacement
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Prolotherapy - artificial knees
Ligament damage alternatives
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MCL
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ACL Injury and Hormones
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Knee
ligaments:
ACL, MCL and PCL
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Estrogen and ACL Injuries
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Ligament and
Tendon Laxities
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Pes Anserinus Tendons
Meniscal damage
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Knee Menical Injury
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Meniscal Injury
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history
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Meniscus surgery option
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Lateral Meniscus - Case Study
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Acute Menical Tear
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Meniscal Tears and Degeneration
knee pain
articles
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Bilateral Knee Pain
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Knee Injury and Cortisone
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Prolotherapy, Diet - Golfer's Knee
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Knee Injuries in the Older Athlete
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Baker's Cyst and Prolotherapy
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Swimmer's Knee Injuries
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Knee
Braces
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MRI
accuracy
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Loose Bodies
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Baker's Cyst
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MRI -
See Knee Research Study
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Anterior Cruciate Ligament Video
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Prolotherapy Treatment to knee
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Runner's Knee Pain
Platelet Rich Plasma Therapy (PRP)
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Platelet Rich Plasma Solution
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Failed Surgery, Prolotherapy,
- PRP
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Labrum
and Menisci Degeneration and or Tears
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PRP Case Study
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PRP Prolotherapy as a Surgical Alternativefor the athlete
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PRP (Platelet
Rich Plasma) Prolotherapy Doctors
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Why Not Just Give Platelet Rich Plasma
To Every Patient?
Sports Injuries
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Knee Injuries in the Older Athlete
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Prolotherapy and the
Hauser Diet:
a viable answer
to failed knee surgery
I recently came across this case report
which further reveals why surgery is often
not the answer to instability problems. As
we have stated in many of our writings,
ligament instability is easily treated with
Hackett-Hemwall Prolotherapy to the
effected area. Please take a look at the
below abstract ....
J Med Case Reports. 2010 May 21;4:144.
Management of chronic lateral instability
due to lateral collateral ligament
deficiency after total knee arthroplasty: a
case report.
Unnanuntana A, Murphy JE, Petersilge WJ.
ABSTRACT: INTRODUCTION: Lateral
instability following total knee
arthroplasty (TKA) is a rare condition with
limited report of treatment options. The
objective of this case presentation is to
demonstrate the outcomes of different
surgical procedures performed in a single
patient with lateral collateral ligament (LCL)
deficiency. CASE PRESENTATION: We present a
case of chronic lateral instability due to
LCL deficiency after primary TKA in a
47-year-old Caucasian woman with an obesity
problem Multiple treatment options have been
performed in order to manage this problem,
including the following: ligament
reconstruction; combined ligament
reconstruction and constrained implant; and
rotating-hinge knee prosthesis that was the
most recent surgery. All ligament
reconstruction procedures failed within one
year. The varus-valgus constrained
prosthesis provided stability for six years.
CONCLUSIONS: Ligament reconstruction alone
cannot provide enough stability for the
treatment of chronic lateral instability in
patients with obesity problems and LCL
deficiency. When the reconstruction fails, a
salvage procedure with rotating-hinge knee
is still available.
Caring Medical commentary:
Sports and athletics involve tremendous
forces. Tennis players serve up to 140 miles
per hour, pitchers throw a baseball 100
miles per hour, marathon runners run five
minute miles for 26 miles, and so on. Is it
any wonder that the body starts to break
down? Most athletic injuries involve strains
and sprains to
tendon
and
ligaments, respectively. A tendon
attaches a muscle to the bone and involves
movement of the joint. A ligament connects
two bones and is involved in the stability
of the joint. A strain is defined as a
stretched or injured tendon. A sprain is a
stretched or injured ligament. Once a body
structure is injured, the immune system is
stimulated to repair the injured area.
Because ligaments and tendons generally have
a poor blood supply, incomplete healing is
common after injury. (Browner, B. Skeletal
Trauma. Philadelphia, PA: W.B. Saunders
Company, 1992, 1:87-88.; Deese, J.
Compressive neuropathies of the lower
extremity. The Journal of Musculoskeletal
Medicine. November 1988, p. 68-91.)
This incomplete healing results in decreased
strength of the area. The ligaments and
tendons are normally taut, strong bands of
fibrous or connective tissue but, because of
injury, become relaxed and weak. The injured
ligament or tendon then becomes the source
of chronic pain and weakness for the
athlete.
Ligaments and tendons are also more prone to
injury because of the natural aging process.
The water content in our joints and
connective tissues (ligaments and tendons)
decreases with age, the articular cartilage
(which lines the joints) gets brittle and
shrinks.
Cartilage is so vital, especially in
weight-bearing joints like the knee, because
it causes an even force to be generated at
the underlying bone. It also causes the
force generated on the bone to be less. When
cartilage is degenerated, the force to the
bone is greater and uneven and arthritis
develops. Since cartilage decreases the
force inside the joint, it becomes obvious
that as cartilage deteriorates as we age,
other structures are going to have to bear
this force. Since tendons move the joints
and ligaments stabilize the joints, it is
primarily these soft tissue structures that
are involved. Because ligaments stabilize
the joints, a weakening of these structures
causes a further force to the bones of the
joints. This increased force hastens the
arthritic process.
The greatest stresses to the ligaments and
tendons are where they attach to the bone,
the fibro-osseous junction. The most
sensitive structures that produce pain,
according to Daniel Kayfetz, M.D., are the
periosteum (covering of the bone) and the
ligaments. It is important to note that in
the scale of pain sensitivity (which part of
the body hurts more when injured), Dr.
Kayfetz notes that the periosteum ranks
first, followed by ligaments, tendons,
fascia (the connective tissue that surrounds
muscle), and finally muscle. (Kayfetz, D.
Occipital-cervical (whiplash) Injuries
treated by Prolotherapy. Medical Trial
Technique Quarterly, June, 1963, p. 9-29.)
articular cartilage contains no
sensory nerve endings. If you are told that
your cartilage is the cause of your pain,
that is not possible and is, actually, quite
ridiculous. The
cartilage
cannot hurt because there are no sensory
nerves to sense pain located in the
cartilage. If there is cartilage damage,
what hurts? The ligaments are typically the
structures that hurt. Ligaments are weakest
where they attach to bone. The periosteum is
the most sensitive area to pain and the
ligaments second. It is now easy to
understand why this area hurts so much. This
is where the
Prolotherapy injections
occur and thus eliminate the chronic pain of
many conditions including arthritis,
mechanical low back pain, degenerative disc
disease, cartilage injury, and, of course,
sports injuries.
Prolotherapy
works by stimulating the body's healing
system, a process called inflammation. The
technique involves the injection of various
solutions that cause a mild inflammatory
response that "turns on" the healing
process. The growth of new ligament and
tendon tissue is then stimulated. These new
ligaments and tendons should not be confused
with scar tissue, which is a chaotic matrix
of
collagen. The
ligaments and tendons produced after
Prolotherapy,
appear much the same as normal tissues,
except that they are thicker, stronger, and
contain fibers of varying thickness,
testifying to the new and ongoing creation
of collagen tissue.
Weight is an obvious contributing factor to
those with knee problems. For those patients
with excess weight, such as in this case
report, we utilize the principles of the
Hauser
Diet to assess which type of food is
best for each person. We all know that many
people have "dieted" to no avail - their
friends lose weight on the Atkins Diet, but
they do not. Or family members are
vegetarians, and they got fatter when trying
the diet. The answer lies in knowing your
individual
Diet Type. As a registered dietitian who
practiced in the traditional setting for 10
years, I saw that "one diet for all" just
does not work. By testing your blood, you
can know what types of food will best fuel
your body thus provide you with better
efficiency and consequently allow your body
to function optimally so you will feel
energetic and your weight will normalize. If
you have not been "Diet Typed" and would
like to know how to eat, give us a call at
708-848-7789. |
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Ask Dr. Hauser
About Prolotherapy
Dr. Hauser is one of the leading experts in the treatment of chronic pain and
sports injuries with
Prolotherapy.
Caring
Medical and Rehabilitation Services
Call
708-848-7789
Ross Hauser, M.D.
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