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Back Pain
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Degenerative Disc Disease Articles
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Failed back surgery syndrome
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Spinal Fusion
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Arachnoiditis
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Ankylosing Spondylitis
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BACK PAIN DIAGNOSIS
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Loose Ligaments and Back Pain
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Compression Fracture
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Facet Syndrome
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Sacroiliac Pain
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Tarlov Cysts
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SI strain
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Prolotherapy
Spondylolisthesis
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SPINAL DISC PROBLEMS
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Diffuse idiopathic skeletal hyperostosis
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Scoliosis and Prolotherapy
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Spinal Stenosis and Prolotherapy
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Spinal Cord Stimulators
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MRIs, Herniated Discs, Prolotherapy
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Radiofrequency denervation
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Women, Back Pain and Hormones
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Exercises for back pain
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Back pain and diet
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Sacroiliac Blog
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BACK PAIN BLOG
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Failed Back Surgery
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Q.
Is it necessary to have an
X-ray or imaging study to do Prolotherapy?
A.
These are
usually unnecessary in the workup of acute onset back conditions,
and are generally not required for a trial of
Prolotherapy
in most chronic cases that we see. Generally many of our patients
have already had imaging studies.
Degenerative changes and
disc bulges are commonly noted, but their presence does not
necessarily imply that they are causing the particular pain in that
patient. Many traditional physicians over weigh these imaging
studies (which are filled with false negative and false positive
findings) and use them to “fish” for a diagnosis, rather than using
them to confirm a suspected clinical diagnosis derived from the
history and physical.
The more common sources of
back pain,
lax or strained ligaments,
usually do not show up abnormally on even the most sophisticated
imaging studies. I may order new pictures (if prior films are dated)
if a course of five
Prolotherapy
sessions fails to achieve the
expected gains in the patient’s condition. The goal there is to rule
out a condition which will necessitate surgical intervention. In
general,
Prolotherapy doctors
are able to and find it preferable to
evaluate pain complaints on the basis of history and physical
examination alone, and new imaging studies are rarely needed or
helpful.
Q. When an imaging study is needed,
is an MRI or a CT scan better?
A.
MRI’s
are generally better in visualizing
soft tissue injury
structures like
discs, whereas CT scans show better details of bone. Most of the
patients we treat have had MRI’s. CT scans are considerably less
expensive. Claustrophobia and any implanted metal will
contraindicate MRI testing.
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Ross Hauser, M.D.
Caring
Medical and Rehabilitation Services
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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