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Old 11-17-2004, 08:58 PM   #8
injured betty
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Join Date: Feb 2004
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injured betty HB User
Re: Anyone had facet joint injections??

[COLOR=Blue]Mel:[/COLOR] The ESI are just a name for the shots. They do them anywhere. I had them in my shoulder. Facet Joint Injections are done in the facet joints. You would have to look at a pic of the spine to see the facets. They are the things that are like a zipper to the side of your discs.


[COLOR=Magenta]Heidi[/COLOR]

[COLOR=Magenta]Wow Betty - how long did it take before you noticed your ligaments were too tight on one side and you developed the scar tissue problem? And how many `rounds' of the prolotherapy did you have? [/COLOR]


After the Prolotherapy I felt tight. I couldn't figure out what was wrong. I started going from doctor to doctor for answers. No doctor wants to bad mouth another doctor so finally I went to a doc and didn't tell him about the Prolotherapy. He told me that the right side was WAY tighter than the left side. It was at that point that I told him about the therapy and he said that I had been "tightened" too much on that side. I believe that it is just how my body healed. He said that it was like tightened lug nuts on a car and that Prolo has it's drawbacks. It took until last month for a doctor to tell me that what I was feeling in my back was scar tissue. I went back to the Prolo information and realized that I had paid someone to make my body produce scar tissue as essentially, that is what Prolo does. It lays down new tissue. That tissue is scar tissue. I also have some benign tumors and synovial cysts that are remants from the ligament tear and the Prolo. I had three sessions, one month apart. Fifty shots each, my entire lumbar area.


[COLOR=Magenta]My doctor did three initial sessions, and by only one month after the last session I noticed a huge improvement. I am planning to have three more rounds starting in a week or so.[/COLOR]

Why are you having more? Are you still loose? Three rounds should have done it. I know that they recommend tune-ups but why so many?

[COLOR=Magenta]My main back doctor diagnosed the S-I joint dislocation, and based on the pain I had, I would say something was dislocated. I dislocated a shoulder before, and the pain was similar. Would a `misalignment' essentially be the same thing. My doctor said that joint may only be out by like 1/4 inch, but that it would still hurt a lot. [/COLOR]

I have never heard of a SI dislocation. But, I believe that it is possible. Have you held a model of the pelvis? The SI joint is a joint that is not meant to move. There is one on each side of the spine and two at the bottom of the pelvis.

Misaligned means that the pelvis rotates. Not side to side, but kinda of like twisted. It is hard to explan. One side rotates forward. This is caused by an injury, loose ligaments, or the way that you sit. I sit with one leg up, which is a very bad habit.

Are you sure that he was not talking about the disc right below the L5? Are you sure that he was referring to the SI joint? There is no way that it could be out 1/4 inch. I would have looked at him like he had just lost his mind or like he was trying to sell me the Brooklyn Bridge.


[COLOR=Magenta]My hip or S-I joint pain started after my physical therapist had me stretching very far, because I have a flexible back and could easily do the basic stretches. That day is when I first felt really bad pain in that hip, towards the upper back on that point where it meets my butt. That pain gradually went away over a week, after I stopped the stretching.[/COLOR]

A really flexible back is not a good thing. It makes for sloppiness in the back and future disc problems. It sounds like ligament pain to me. Sounds like you might have strained the ligament. When this happens it can hurt from the SI joint to the hip and around to the groin. The best thing for this is an SI belt.



[COLOR=Magenta]But then three months later, for no reason I can figure out, all of a sudden one night I had excruciating pain in that same spot, and it was so bad I almost went to the emergency room. The Ultracet I had for my main back problem didn't help. But then the next morning, I woke up (after I finally fell asleep) and the really bad pain was gone.[/COLOR]

What was your *main* back problem?


[COLOR=Magenta]That's when my doctor (and she's a very good back doctor, at Baylor University Medical Center in Dallas) sent me for the S-I joint shots, although I noticed on the insurance receipt I got after the shots that it said `facet joint injections.'[/COLOR]

If the pain went away, why did she send you for SI joint shots? Did they use a flouroscopy when they did the shots? They have to use one to get into the joint. If they didn't, that is why they billed it as facet joint injections, which is a totally different procedure where they shoot steroids into the facet area.

[COLOR=Magenta]When my dr. sent me for prolotherapy, she did say that it was aimed at tightening up ligaments and tendons. She was wondering if the initial rear-end car accident that caused my initial back problem (disc problem and a lot of muscle cramping all over), had resulted in basically `loosened' muscles that had never tightened back up properly. She said that if that's what had happened, then that would explain why my hip seemed to dislocate for no reason, because the muscles weren't holding it in properly, and that the back stretching in therapy was the final straw for them.[/COLOR]

The muscles and the ligaments are two different issues. If your ligaments didn't heal correctly or didn't tighten up, then the Prolo should have done the trick. I don't understand the statement about the muscles. Prolo doesn't work on that issue. Your hip dislocates? That has to be painful. A dislocation will bring a person to their knees in the screaming agony of pain, unless you are double jointed. It would be the ligament that holds them in place. Perhaps you misunderstood her.


[COLOR=Magenta]I am very, very thankful I had the prolotherapy, because the hip pain had become worse than the disc pain in the center of my back. If you could tell me more about the timeline of the side effects you've experience, I would really be interested in hearing about it. Thanks for all of the information regardless![/COLOR]

When your ligaments are loose, they cause your back to become sloppy and the discs move around with the spine. It can pull on your back and cause arthritis in the facets. Once you tighten up the ligaments, it stops the spine from moving incorrectly and stops the arthritis from progressing. So, Prolo is great in theory. I am happy that it worked for you.

Is the back pain that you are experiencing in line with the SI joint and the hips?

I started Prolo about a year ago. I felt tight, immediately thereafter and have been to several doctors and gotten all different opinions for the last ten months. The good part is, I am tightened. The bad part is, too tight. I walk ten miles a day and stretch for an hour a day to try to get back where I can tolerate the pain.


[COLOR=Magenta]P.S. I wanted to add that since the prolotherapy, not only has my hip been much better, but the muscle cramping I had been experiencing all over (shoulders, neck) since the accident has completely disappeared, even under stressful situations![/COLOR]

I am totally confused as to why the Prolo helped the shoulders and neck. Maybe it went away with time.

Thank you for sharing this experience with me.