Prolotherapy Most Effective in Sacroiliac Pain
One of the most common causes of low back pain is sacroiliac sprain, and Prolotherapy and PRP injections continue to be the most effective and definitive treatment I have seen in my 30+ years of practice. Sacroiliac, illiolumbo, and lumbosacral ligaments are easily sprained and overstretched, destabilizing the lower back. Instability triggers spasms of the muscles whose job it is to move and at the same time reinforce the back. Hypertonic sacrospinalis muscles become swollen and cause constant and distracting pain in the low back and sacrum, with referred sciatic nerve pain patterns that run down the leg and into the knees and feet.
Over time this sacroiliac instability initiates arthritic changes in the joint surfaces and calcification in the fibro-elastic connective tissue, changing elastic tissue that responds dynamically to stress by expanding and retracting, to tissue that is brittle, stiff and loses the ability to contract or rebound to its original shape and form. Loss of the dynamic regulation of sacroiliac movement triggers spasm of the muscles, which have their fibro-osseous origin on the sacrum and ileums. Pain spreads to the lateral hip rotors. Hypertonic gammellus, obturators and piriformis muscles restrict hip joint movement, and can compress the sciatic nerve as it courses through and between them. Sciatic nerve compression and swelling and he symptoms of sciatica, often causing aching pains, numbness, and weakness in the hip, thigh, knee, lower leg and foot.
Within weeks she had increased mobility and naturally increased her activities. She became comfortable sleeping again, and for the first time in years slept consistently through the night without pain or sleep medications. Then she resumed a regular low intensity exercise routine, walking and hiking and because her pain was gone I had to remind her not to overdo it in the early stages of her regenerative injection treatments.
Has the arthritis gone away? I don’t know. For me, the smile on her face is good enough evidence of her recovery. X-rays will just have to wait.
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