Prolotherapy for knee pain/injury

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cobragirl17
New Member


Date Joined Feb 2011
Total Posts : 1
   Posted 2/22/2011 3:53 AM (GMT -6)   
Hello,
I am looking for anyone who has had personal experience (good, bad, or no effect) using prolotherapy for a knee injury. I first injured my knee in December 2009 while squatting down - I fell forward and hyper-flexed my knee too far over my toes. The first injury wasn't that bad but I was working a personal trainer/cycle instructor at the time and subsequently did not take the injury seriously enough, did not take time off work, and re-injured the same area 3 times over 4 months. I was then forced to quit my job and have been living on disability payments for the past year. Although my MRI was clean, upon examination, my specialist determined that my MCL on the injured leg is longer/more lax than on my good leg. He says that I most likely had a partial tear to my MCL and when it healed it did not go back to its original length or maybe did not heal completely. Surgery is not an option since the MCL is within normal range so if he tried to go in and tighten it, it could very well end up being too tight. I have seen specialists, chiropractors and physical therapists who all say that my pain is due to lack of muscle. However, none of them can tell me how I am supposed to build muscle when my knee gets aggravated just walking around my house. I cannot walk or stand for longer than 20 minutes at a time and must be seated for 80% of my day or my inner knee will ache. I can do very limited physical therapy exercises (lying down or sitting down only) otherwise the pain gets worse. I am pretty desperate at this point and I have done extensive reading about prolotherapy. I am lucky that there is an experienced prolo doctor, Dr. Donna Alderman, who has a practice in the San Francisco Bay Area where I live. I am seriously considering at least getting a consultation with her but I am very scared about the injections. I had a cortisone shot a few months ago and it was so painful and intense that I fainted! Not only that, but the cortisone shot did nothing but flare my knee up really badly for one week, then it was back to my original pain. I am hoping someone could share their prolotherapy experience with me. It sounds scary, but the reasoning behind it makes a lot of sense.
Thank you.

desert
Regular Member


Date Joined Feb 2011
Total Posts : 93
   Posted 2/22/2011 4:05 AM (GMT -6)   
Hi cobragirl17! Unfortunately I'm not knowledgeable in that area. I just wanted to take the chance to welcome you to the forums. There are very knowledgeable people here, so I sincerely hope that one of them can help you with your question. I wish you all the best in finding a solution to your pain.

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 2/22/2011 11:38 AM (GMT -6)   
I would recommend you ask about getting a newer mri with contrast of your knee,
as not all mri's show good, as it depends mostly on the magnet in the machines.
I had an injection in my knee however it was done under light sedation, and
I iced the site for 24 hours to help it...does ice packs help??? or is heat better?
Maybe ask about light physcial therapy with ultra sound/ ten unit treatments, before trying the
prolotherapy, or give the prolotherapy a try and see...
Healing hugz and well wishes...
(((((((((((((((((((((((((((((cobragirl17))))))))))))))))))))))))))))))))
hope the prolotherapy can help you....
**********************************************
* So many dx's I could write a book* "It would be nice if we could use the edit button in real life"...
********>^..^<********>^..^<*******

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16787
   Posted 2/22/2011 1:09 PM (GMT -6)   
Hi CobraGirl and welcome to Healing Well's chronic pain forum. Sure does sound like you have been thru the mill with that knee of yours. I have had several knee injuries and surgeries so I understand how painful they can be. Sort of sounds like you are in a catch 22 with that knee. Its a shame that based on the physical symptoms the dr cannot get your ins company to pay for a scope just to be able to get in there and see what is really wrong. Right now its kind of a guess on his part as to what is wrong, there is nothing concrete in a dx for you. If he thought there may be something else going on I am thinking they would pay for a scope. MRI's have not always been around to verify something.

From what little I know about prolotherapy I would think this would be a treatment done when the injury is fresh not a year later. My understanding is they inject tendons and such to create inflammation which will trigger a healing process. If you decide to go this route make sure your insurance will pay for it, not all companies will. It could get rather costly if they don't pay for this.

Again, welcome aboardand keep us posted on how you are doing.
Moderator Chronic Pain Forum

raggs
New Member


Date Joined Jan 2011
Total Posts : 14
   Posted 2/23/2011 1:11 AM (GMT -6)   
Pebbles,
email me so we can discus this. I've 30 years of life with bad knees and more surgeries and pt than I can count. And, was premed. Have kept up.
ServiceDogGal/raggs

"The race is not always to the swift, but to those who keep on running."

purplereading
Regular Member


Date Joined Nov 2010
Total Posts : 108
   Posted 2/23/2011 1:33 AM (GMT -6)   
I considered prolo but it basically forms scar tissue, and that is one thing I need no more of in a knee that has had two replacements, multiple surgeries, etc.

purplereading
Regular Member


Date Joined Nov 2010
Total Posts : 108
   Posted 2/23/2011 1:33 AM (GMT -6)   
I considered prolo but it basically forms scar tissue, and that is one thing I need no more of in a knee that has had two replacements, multiple surgeries, etc.

purplereading
Regular Member


Date Joined Nov 2010
Total Posts : 108
   Posted 4/9/2011 9:02 PM (GMT -6)   
The expense of surgery, is not a lot less than repeated prolotherapy, especially since MOST insurances will not pay for prolotherapy.That is something to consider when considering it, also. In somebody, like myself who has dealt with repeated problems with scar tissue I cannot take the chance of more. I have a good friend who practices prolotherapy and has for years, and professes to have had some great successes in back pain, following car injuries, etc.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 4/11/2011 8:35 AM (GMT -6)   
I will not get prolotherapy because of the injected dextrose. Sure, the lidocaine will anesthetize the joint and make the pain go away temporarily, but the dextrose can spike your blood sugar, and it's not a sugar we normally absorb in the GI system. It's made from corn too, so there's a significant amount of sulfite, for those who are intolerant to that! I've read that it causes internal scarring, and I'm pretty sure my insurance won't cover it either.

I've had one regular knee steroid injection that did nothing, but didn't hurt. I had an ankly one that hurt like blazes when the lidocaine wore off and I hopped around for 5 days. The ones I get in my spine usually help after a few days, but they mostly don't last past about 6 weeks. One in my shoulder didn't work, but two subsequent ones by different doctors gave great relief.

The value of steroid injections depends on the skill of the doctor, the condition being treated, your sensitivities, and lots more. Unfortunately the shots seem only temporary, although they may give good diagnostic information.
Alcie
 
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16787
   Posted 4/11/2011 2:35 PM (GMT -6)   
I went in and deleted the post from the spammer. This post was first started back in February and it looks like Cobragirl has not been back since then. I will leave it open in case anyone else wants to talk about it this type of treatment, but it looks like it is pretty much dead in the water.
Moderator Chronic Pain Forum
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