Spondylolisthesis is a condition in which a vertebra (bone) in the spine slips out of its proper position and slides forward or backward on the vertebra below it. This can cause a range of symptoms, including pain, stiffness, and difficulty moving. Spondylolisthesis can be caused by a variety of factors, including degenerative changes in the spine, injury or trauma, and certain medical conditions such as osteoporosis. The severity of spondylolisthesis is typically graded on a scale of 1 to 4, with 1 being the mildest and 4 being the most severe. Treatment for spondylolisthesis may include non-surgical approaches such as neural therapy, Prolotherapy, and exercise. In some instances surgery may be the only option. It is important to consult with a Dr. Philipose for proper diagnosis and treatment of spondylolisthesis.
Prolotherapy for Chronic Low Back Pain: Outcome, Recovery, Risks, Complications
Chronic low back pain is a common medical problem and there is no universally effective treatment for this. There are treatment options for the pain; however, it is vital to understand the reason behind every treatment option. Prolotherapy is an injection-based procedure that can treat the connective tissue injury of a musculoskeletal system.
This injection provides a healing response in the weakened tissue and the small tears, with the objective of removing the chronic low-back pain. Prolotherapy is also known as sclerotherapy, sclerosant therapy, proliferative injection therapy, regenerative injection therapy, and nonsurgical ligament reconstruction.
Pain Management with Prolotherapy
Prolotherapy is used in pain management and can treat the numerous conditions that include the neck pain and the low back pain because of the spine related conditions including the following:
The theory behind prolotherapy states that back pain occurs is due to the activation of the pain receptors in the ligament or the tendon tissues that are sensitive to pressure, stretching, etc. It is said that the reason for the low-back pain is because of the ligamentous activity. With this prolotherapy process, the substance when injected into the tissue results in an inflammatory response that may cause natural healing and can strengthen the injured or the torn soft tissue and can reduce chronic low back pain.
Causes of Low Back Pain
Almost 90% of chronic low-back pain is mechanical. This kind of low back pain happens because of excessive spraining, straining, bending, or lifting, which gives rise to ligament sprains, disc herniation, and muscle pulls. This pain is a common cause of any disability in people who are below 45 years of age. Though, disc problems may cause low back pain, one important source for this pain is the ligament injury.
Prolotherapy for Chronic Low Back Pain
In prolotherapy treatment, a substance is injected with the slender needle beside the site where the soft tissue such as the tendon, muscle, and ligament has worn out or injured. The substance that is used in this injection is an irritant agent. Some of the examples of these substances include the following:
For the prolotherapy treatments for any chronic low back pain or any other disorder, this agent is used together with any local anesthesia (pr. This treatment includes many injections ranging between 3-30 that depends on the individual patient and the back condition. The injection series usually cover 3-6 months with the injections at an interval of 2-3 weeks.
Outcome of Prolotherapy for Chronic Low Back Pain
The success rate is reported to range between 80%-90% when it is performed by the physicians who are trained in prolotherapy. Most of the reports have anecdotal evidence from the physicians. The anecdotal reports have suggested improvements like the following:
The factors that may result in a successful outcome of prolotherapy for chronic low back pain are the following:
However, there is no histology regarding what happens when an injection is placed on the painful soft tissues. Yet, an improvement or reduction in the chronic low back pain is observed.
Recovery After Prolotherapy for Chronic Low Back Pain
For counteracting the pain, if the patients experience a swollen injection site for 2 or 3 days after the injection, the physicians may recommend the following:
Follow-up with the physician for post therapy programs.
Risks and Complications of Prolotherapy for Chronic Low Back Pain
The injection technique used in prolotherapy needs great care and skills for a physician. Training, as well as experience is mandatory. There may be possible side effects that may remain for a few days and these can include:
There have been reports of other complications, but they are rare. They may include:
Prolotherapy, when performed by an experienced doctor, is safe and the clinical trials have not reported any major adverse effects. Current data have suggested that it can have a positive effect when compared to the baseline status and when compared to control group. To have a better understanding of this clinical application, it needs further research.
Conclusion
Prolotherapy is a conservative and a reasonable approach for chronic low back pain, sciatica, and disc disease. As this medical condition is the treatment modality, which offers a long-term solution instead of just palliation, it must be considered a suitable treatment in appropriate patients before surgical intervention and the long-term therapy with narcotics
Anyone who follows professional sports has probably heard of the benefits of regenerative medicine treatments like prolotherapy for orthopedic injuries. From famous baseball players with potentially career-ending knee and shoulder injuries to men and women suffering from chronic pain due to a foot and ankle injury or degenerative condition, prolotherapy uses the body’s own healing properties to offer relief from pain, stiffness, and mobility problems. Prolotherapy allows podiatrists to offer minimally invasive, non-surgical treatment for joint pain and injuries that can limit and significantly affect a person’s quality of life.
Also known as regenerative injection therapy or proliferation therapy, the treatments consist of injecting a dextrose into the affected joint to stimulate an accelerated healing response. Dr. Alvin Philipose based at Venturis Chiropractic & Prolotherapy in Oklahoma City as well as in Piedmont, Oklahoma offer prolotherapy treatments for some of the most common injuries including but not limited to ;
Prolotherapy is showing promise for treating chronic soft tissue injuries like ligament and tendon tears. It can also help cartilage deterioration from common conditions like osteoarthritis, which affects millions of Americans each year. Benefits of the treatment include but not limited to;
Effectiveness, Risks and Complications of Prolotherapy
Prolotherapy is a kind of injection-based treatment which is mainly used for treating chronic musculoskeletal conditions. It is highly used in the treatment of low back pain, tendonitis, and knee osteoarthritis. It is basically injected into the soft tissue of the patient mainly on the injured joint. This type of treatment is also called proliferation therapy.
Effectiveness of Prolotherapy
Prolotherapy is found to be very effective and is very safe as well. Prolotherapy is very effective in the treatment of low back pain, tendonitis, and knee osteoarthritis. Apart from that, it is also highly used for treating the injured joints as well as ligaments. It is seen that doctors prescribe to use prolotherapy for treating arthritis as it is very effective in reducing the pain. Doctors may use it on various areas of the body of the patient such as knees, hips, shoulders as well as some other joints and ligaments for using prolotherapy.
Prolotherapy has been in existence since early 1900 but still many medical practitioners have several questions in their mind regarding the effectiveness of this kind of treatment. However, it has been found in many types of research that the treatment of prolotherapy is totally safe and is very effective in the treatment of back pain as well as joint pain.
In prolotherapy, a natural irritant agent is included that mainly contains sugar and Sodium Morrhuate. Sugar is a dextrose or glucose, whereas Sodium Morrhuate is derived from cod liver oil. This agent is basically used along with local anesthesia which may include lidocaine, procaine, or marcaine.
In the treatment of prolotherapy, it is required to give a series of injections to the patient. The average number of injections that are generally given to the patient may range from 4 to 10. However, the number of injections that will be required will totally depend on the patient. The treatment may go for 3 to 6 months with the series of injections that may be injected into the patient at an interval of 2 to 3 weeks.
Risk and Complication of Prolotherapy
Although prolotherapy is very effective in the treatment of back pain, still some risks are involved in this kind of treatment. The process of treatment of prolotherapy is not at all easy as it requires extraordinary skills and cares for this kind of therapy. Every physician cannot treat the patient with prolotherapy as the technique of injection involved in this therapy requires some skill that is not known to every physician, or everyone is not expert on it. It is very important to have proper training and experience to treat the patient with prolotherapy. There are Medical Physicians known to combine pain medications in the injection. Prolotherapy has to be 100% natural. You are using your body’s own immune system for growth and stability of connective tissue.
Due to a improper treatment of prolotherapy patient may suffer from various kinds of problem which may include swelling, headache, allergic problem as well as extreme pain and stiffness. Apart from that, there can be some serious complication that may include spinal fluid leak, permanent paralysis as well as pneumothorax.
It is very important to keep in mind that during this condition the patient should not be given any kind of aspirin or anti-inflammatory medications.
Apart from that, patients are advised to apply ice in the swelled area 3 to 5 times a day for at least 20 minutes. Moreover, the patient can go for moderate exercise during the period of the treatment, but it is very important to avoid heavy exercise or weightlifting.
The most vital thing that every patient should understand is that the treatment of prolotherapy should only be taken from a good physician who has years of experience in this type of therapy. This is very essential because the treatment of prolotherapy is very critical and if prolotherapy is treated in a wrong way, it can have a very bad impact on the body of the patient.
Conclusion
So, in simple words, it will not be wrong to say that the treatment of prolotherapy is very effective in the treatment of low back pain, tendonitis, arthritis, and knee osteoarthritis but utmost care should be taken while going through the process of treatment to avoid any major complications. Dr. Philipose has performed over a 1000injections in the course of 21 years. He utilizes various diagnostic imaging and examination to ensure patients have a safe and effective outcome.
This is Dr. Phillipose here at Venturis Clinic and today we're going to be talking about why a second opinion. Second opinions are important for people that have tried various things.90% of our cases have done physical therapy, drugs or may be facing surgery or have had surgery.
A lot of times things can get overlooked. So prime example of that is people that suffer from herniated or degenerative disc disease have pain off to the side, which is what we usually find as a SI joint instability, the ligaments that come from L4/ L5, that attached to the pelvis are unstable. So even though the condition that they're diagnosed with is on the spine, the pain is off to the side and whether the right or left side, and you can feel this pain and difficult sitting for long periods of time. Walking, sitting anything like that can be difficult.
What we do is run a digital motion X-ray, ultrasound and compare MRIs. Sometimes other conditions may be related. So if you have an unstable Atlanto-Axial ligament, then what we find is that the inflammation could occur in the Vaguss nerve cranial nerve number eight. You can get vertigo, you can get IBS type of symptoms in the stomach, and this inflammation can be measured and addressed at the same time as treating the neck. The Atlanto-axial instability is something that is very common for someone that may have degenerative disc or some sort of cervical pain. In general, getting a second opinion is always important. So if you have a loved one or if you are kind of frustrated, you're kind of just kind of going through the motions and tired of taking drugs. No one's giving you answers. Then give us a call at (405) 848-7246. Let me take a look at you and let's get you back on path to true wellness..
So that's Venturis at 4 0 5 8 4 8 7 2 4 6.
Anyone looking for lasting Oklahoma City lower back pain relief needs to know a thing or two about the condition. Otherwise, it becomes harder to trace why the painful symptoms happen and find a sustainable way to experience lasting relief.
As your go-to option for low back pain relief in Oklahoma City, we thought of listing eight life-changing facts about sciatica and achy lower back. Hopefully, these can help you curb your symptoms and address the condition's root cause.
Are you familiar with the sciatic nerve? Essentially it’s the most extensive nerve bundle in the body which supplies sensation to the lower back, hips, and lower extremities. The sciatic nerve can malfunction and misfire when irritated or compressed by nearby bones. This can lead to the over-sensitization of the tissue and trigger sciatica symptoms such as:
According to several studies, sciatica primarily affects one side of the body. But in some instances, the symptoms occur on both body parts. If you have bilateral sciatica, we strongly recommend seeing a specialist so you can manage the symptoms and avoid developing worse problems such as cauda equina syndrome.
Patients looking for lasting Oklahoma City lower back pain relief experience varying pain levels. Some might only experience the tingling or numbing sensation, while others might have other accompanying symptoms like pins and needles that extend to the toes. There are also a handful of patients that experience urinary bladder incontinence.
SI pain and sciatica are among the leading causes of lower back pain. Notably, about 15 to 30 percent of lower back pain cases come from people diagnosed with SI pain, and 5 to 10 percent represent those with sciatica. It’s common to get confused with the two because they appear pretty similar. So, we strongly suggest looking at their contrasting features, such as the characteristic of the painful sensation.
You can quickly tell that it’s sciatica if the pain radiates beyond the knees. Naturally, this happens because the sacroiliac joint affects the lower back and pelvic bones.
To learn more about the connection between head and neck injuries and back pain, download our complimentary e-book by clicking the image below.