Signs and Symptoms to Know You are a Prolotherapy Candidate

From Ross Hauser, MD.  11/13/10.


When people say they have numbness down arms or legs but still have a normal sense of touch, what they really have is numbiness. Referral numbiness is one of the main symptoms that tell us a person will respond to Prolotherapy. Numbiness is almost always from a ligament injury. The referral pain and numbiness pathways of ligaments is clearly delineated. True numbness from a nerve getting pinched causes a sensation of numbness and a loss of feeling in the extremity. Almost everyone I see has normal sensation in their arms/hands/feet/and legs. Thus, they have numbiness and Prolotherapy has good chance of curing them of their pain!

When a person has pain when lying down, it clearly cannot be a muscle problem because the muscle is completely at rest!!! The only time muscles hurt that much at rest is after a strenuous workout! What structure in the body is still under tension at rest? You got it, the ligaments! So a person whose back aches at rest most assuredly should come in for a Prolotherapy visit. There is a good chance Prolotherapy can cure that person of his/her chronic pain!

Often a patient will say, “I feel like my neck muscles cannot even hold up my head, therefore my head always moves forward. When the ligaments are weak the muscles have to do more and the muscles were meant to move the neck, not continually hold it up! The person whose head feels too heavy should get an evaluation for Prolotherapy.

Muscles can only generate maximum power if they contract against a stable base. What provides the stable base for them? Muscles connect to bones, so muscle origins or insertions must not be moving excessively in any direction besides the direction the muscle is pulling it. Here’s an example. Would a tennis player hit the ball harder if his/her feet are firmly planted, waiting for the ball to arrive or if only one foot is on the ground and the shot is hit while the player is off balance? When the ligaments are allowing excessive bone movement, the muscles are contracting much like the tennis shot hit off balance. There is no speed or power to the movement. So the pitcher loses 10-20 mph or the runner’s speed drops 25%. For the average person it may just be, “Doc, it feels like my arm is weak. The Orthpedist did an MRI and said everything is okay. What should I do?” Weakness in an extremity that has ‘normal’ muscle strength clearly points to a ligament problem. What is the best treatment for a ligament problem? Prolotherapy!

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. I 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 I 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.

From Ross Hauser, MD.  11/13/10.

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