The sacroiliac joint (SIJ) can become dysfunctional through trauma and/ or pregnancy. The mechanism involves direct or repetitive microtrauma to the buttocks/ lower back. Treatment with specialised physiotherapy alleviates the problems in ~ 80% of cases. The remainder may respond to prolotherapy (hypertonic glucose injections into the dorsal intra-osseous ligament (DIOL) after multiple injections. We hypothesised that the response may be more rapid with injection of platelet enriched plasma (PRP) into the DIOL under ultrasound guidance.
By Richard L. Dontigny, PT ABSTRACT A commonly overlooked, reversible biomechanical vulnerability of the sacroiliac joints (SIJ) makes them subject to injury even through minor trauma. When the sacrum is loaded with the superincumbent weight, the pelvis is symmetrical and the line of gravity is posterior to the transverse acetabular axis, the pelvis has limited motion more »
By Robert Banner, MD, Glen M. Batson, DC, Rob Werstine, BA, BScPT, DIP. SPORT, DIP. MANIP, FCAMT, & Freddie Smith ABSTRACT Prolotherapy is indispensable when considering biomechanical correction in the treatment of pain associated with ligament laxity. This 51 year old male was referred for assessment and treatment of a 15 year history of chronic low back pain. more »
By Ann Auburn, DO, Scott Benjamin, PT, DSCPT, & Roy Bechtel, PT, PHD ABSTRACT The spine is a flexible mechanical system and performs several important functions. Performing Prolotherapy to the spine for regenerative purposes often restores function completely. The authors investigated and reported on alternative positioning for injecting the lower back and pelvic ligaments. Journal of Prolotherapy. 2009;1(3):181-183. more »
By Stanley King Hei Lam, MBBS, PGDIP, MSM(OTAGO), FHKAM(FM), FRACGP, FHKCFP ABSTRACT Hong Kong physician, Dr. Stanley Lam provides the reader with not only his personal story of years of pain from athletic injuries relieved with self-administered Prolotherapy, but those of two other cases—one patient with spinal cord compression and another with undiagnosed Barre-Lieou Syndrome whose more »
By Ross A. Hauser, MD & Marion A. Hauser, MS, RD ABSTRACT Objective: To investigate the outcomes of patients undergoing Hackett-Hemwall dextrose Prolotherapytreatment for chronic low back pain. Design: One hundred forty-five patients, who had been in pain an average of four years and ten months, were treated quarterly with Hackett-Hemwall dextrose Prolotherapy. This included a subset of 55 patients who more »
By Michelle Murphy ABSTRACT I am a long distance runner, who, over a number of years, developed sacroiliac joint pain, iliotibial band problems, piriformis syndrome, patella femoral syndrome, and pain all along my entire right side. I had sought out treatment as these problems progressed in severity, from both the allopathic community as well as extensive more »
By Ann Auburn, DO, Scott Benjamin, PT, DSCPT, & Roy Bechtel, PT, PHD ABSTRACT Background Content: This case study examines the effect of the addition of Prolotherapy to manual therapy, and pelvic and trunk exercises, in a treatment regime for a patient with pelvic and chronic low back pain (CLBP) who had previously failed manual therapy and exercise alone more »