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PROLOTHERAPY
AFTER BACK SURGERY
Many people only become aware of
Prolotherapy
after they have undergone a
surgical procedure for
back pain. Although the pain may not be as severe as it
was before the surgery, most people continue to experience significant
back pain
after surgery. Why? Because the
back surgery
involved removing supporting
structures, such as a lamina,
facet, or disc, thus weakening surrounding
segments.
Prolotherapy injections,
(Watch where do
Prolotherapy injections go and do they hurt?) to the weakened segments in the
lumbar vertebrae often
result in definitive pain relief in post-surgery pain syndromes. Back pain is
commonly due to several factors and surgery may have eliminated only one. It is
possible, for example, to have back pain from a
lumbar herniated disc and a
sacroiliac
joint problem. Surgery may address the
herniated disc
problem but not
the sacroiliac problem. In this example,
Prolotherapy injections
to the
sacroiliac joint
would cure the
chronic pain
problem.
Unfortunately, it is common for a person to have
lumbar spine surgery for a
sciatica complaint diagnosed from an abnormality” on an
MRI
scan. The
sciatica” complaint was a simple
ligament
problem in the sacroiliac joint and
the MRI scan finding was not clinically relevant—it had nothing to do with the
pain problem. For the majority of people who experience pain radiating down the
leg, even in cases where
numbness
is present, the cause of the problem is not a
pinched nerve
but
sacroiliac ligament
weakness.
Ligament laxity
in the sacroiliac joint is the number one reason for "sciatica,”
or pain radiating down the side of the leg, and is one of the most common
reasons for chronic
low back pain. This can easily be confirmed by stretching
these ligaments and producing a positive "jump sign.” Ligament weakness can
cause leg numbness. Most people sense pain when they have ligament weakness, but
some people experience a sensation of numbness. Doctors typically believe nerve
injury is the only reason for numbness, a reason so many people believe they
have a
sciatic nerve problem. In reality, it is a sacroiliac ligament problem.
The
referral
patterns of the sciatic nerve and the sacroiliac ligaments are
similar. In this scenario, it is unfortunate that thousands of dollars were
spent on surgery and post-operative care. Had
Prolotherapy treatments been
performed on the pain-producing structure, this could have been avoided.
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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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