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PHYSICAL THERAPY BLOGS
Physical
therapy increases pain?
If a muscle is weak and you exercise it, it should feel better correct?
What if the person feels worse? What if even gentle movements cause
excruciating pains? Could these be from a muscle problem. We doubt it.
When exercise and/or gentle movements under the guidance of a physical
therapist, personal trainer, or other rehabilitation specialist cause
significant pain or make the person worse, well, you know what we would
be thinking. This person has a ligament problem and that ligament
problem will respond very well to Prolotherapy! Ligament tension can
increase drastically with gentle movements especially if the ligament is
torn or injured.
Is physical therapy or massage
going to help?
Physical therapy is the major component of the orthopedist’s
“conservative” approach to
low back patients. The Caring Medical experience is
that the results are often disappointing in chronic
back pain
patients.
Many acute back injuries get better by themselves. Many of these
patients do take some PT, whether formally at a Physical therapy
facility, or more haphazardly at a chiropractor's office, but
it’s difficult to tell whether the results are any better or
faster than they would be without the PT. Cases in which there
is muscle weakness should have a prescribed regular program of
strengthening exercises.
Prolotherapy accelerates the alleviation of pain far beyond
anything that the best physical therapy could ever achieve. It
does so because it is working to correct the source of the
problem. Massage can make people feel better, and it does not
interfere with Prolotherapy results as adjustments may do. But
it works on muscles that are tightening in response to the
ligament pathology underneath, so you should expect the results
to be only temporary.
Q. Physical
Therapy and Prolotherapy
I had
Prolotherapy
in 2003 after an on the job injury and re-injury during worker's
compensation therapies. I was reluctant to do so because it isn't
"main stream" therapy But I am so glad that I did. I was re-injured
in 2004 in a car wreck and had a "booster" to the original
Prolotherapy. Now in early 2006 I still have muscle weakness that is
bringing back a less than before pain in the area. I started PT
today and am hoping that by strengthening the muscles in the general
area of the previous Prolotherapy so long ago, will lessen my pain
and increase my flexibility. Can you comment on this?
A. When you have an injury or trauma and that injury or trauma
lingers on, the muscular around the injury or trauma atrophy or
weakened. It always important to keep muscle strength up. The
ligaments
provide stability to the joints but the muscles are the ligaments
back-up. In other they are suppose to become painful when the joint
is being stretched too much. Weak muscles, make ligament and joint
injury more likely. Doing exercises with the Prolotherapy is almost
always a good idea, as the person recovers quicker.
Answered by
Ross
Hauser, M.D.
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