| Prolotherapy for Chronic Pain and Sports Medicine in Oak Park, Illinois, a suburb of Chicago Hope Practiced Here |
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Ross Hauser, M.D. Our "Ironman" Doctor CMRS 715 Lake Street Suite 600 Oak Park, IL 60301 |
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Posterior Tibial Tendinitis Robert Filice, M.D. I saw a 78 year old woman patient for knee Prolotherapy recently, and her case is very instructive, so I want to share it with you. I saw her initially 3 years ago for Posterior Tibial Tendinitis pain. This is an inflammation of the tendon of the posterior tibialis muscle which runs across and behind the inner ankle bone. The muscle helps stabilize the ankle and moves the foot down (as in stepping on the gas) and inwards. Before she came to Caring Medical she consulted a Board Certified orthopedic specialist. He made the diagnosis by clinical examination alone, recommended and later applied a boot for immobilization (which probably just made matters worse by weakening auxiliary support structures around the ankle), and then proceeded to tell her that she would have to "learn to live with it". He said he could perform surgery, and that "the surgery would be a success", but that she probably would experience no change in her symptoms. One would wonder under what circumstances someone might agree to having that type of surgery performed! But from what he told her, it was clear that he knew that she was not a candidate for surgery. But what about suggesting other available treatments? He didn't recommend anti-inflammatories, he didn't recommend ultrasound, he didn't recommend physical therapy, heat, ice, etc etc. He didn't even recommend the Holy Grail of most orthopedists' presurgery practices...the cortisone shot! This remarkable lack of even a minimalistic attempt to manage, treat, and help his patient is outstanding in its deficiency. The only attitude that could explain such a management style is that this physician only is interested in doing surgery. I wonder if that might have to do with the bigger insurance checks that come from those procedures? But at least to his credit on this one item, he knew surgery was not going to work. But then, he left the patient cold. He basically dropped her, implying that "if I can't operate on you, I'm not interested in trying to help you at all." Isn't that amazing? Isn't that scary? I will tell you that unfortunately, such events are not at all rare. I must warn my readers to be very concerned about encountering this type of practitioner in their search for help. This person is not a healer or a physician. It sounds to me like he's a surgical technician with only one thing in mind...enhancing his financial bottom line. What happened with this case once she came to Caring Medical? I examined her and confirmed the diagnosis of posterior tibial tendinitis. I recommended Prolotherapy and offered her a very hopeful prognosis. She diligently returned monthly for 5 months, receiving a Prolotherapy treatment each time. With each visit she showed more improvement in her pain. When she came back to start treating her knees two months ago, I hadn't seen her in almost 3 years. Why? Because her posterior tibial tendinitis completely and permanently cleared up with Prolotherapy. Today I did her 3rd treatment on her right knee, and she was already completely free of knee pain except when walking up stairs. She rated her global improvement at 50% after just the two treatments. This case, like so many of our cases here at Caring Medical speaks for itself. It requires no hype or embellishment. Prolotherapy is an awesome treatment for musculoskeletal pain. |
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