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Prolotherapy or cortisone?

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Old 10-07-2004, 11:53 AM   #1
Join Date: Oct 2004
Location: San Diego CA
Posts: 78
thekeith HB User
Prolotherapy or cortisone?

hey there

2 things i have never been treated with in my L4/5 disc hernation life are
Prolotherapy and cortisone shots?

I have no idea why i went from OUCH to endoscopic discectomy without these treatment's

maybe there is something i dont know

do you?


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Old 10-07-2004, 06:09 PM   #2
injured betty
Join Date: Feb 2004
Posts: 2,137
injured betty HB User
Re: Prolotherapy or cortisone?

No one offered you the ESI for the pain/inflammation?

Prolotherapy is something that you have to seek out. Regular doctors don't even talk about it because not all of them believe in it. My ortho and Neuro didn't even mention it but I had mine done by an Ortho Spine Specialist.

My PT knew all about it. He thought that another avenue to try is accupuncture, meditation, visualization, and Yoga.

Is your herniation causing pain? Have you had a EMG? A nerve is involved?

L4/L5 is right where you twist, maybe your herniation is not a candidate for the Prolo.

Old 10-07-2004, 06:23 PM   #3
Join Date: Oct 2004
Location: San Diego CA
Posts: 78
thekeith HB User
Re: Prolotherapy or cortisone?

when i first went to urgent care (this last episode that I am in the middle of)
my leg was kinda asleep and I had minor back pain

they shot me up with..."something" a anti-inflammatory

I didnt get the name and of course they didnt give me any paper work

they shot me in my hip/butt

that night I had terrrrrrible pain

dont know if I was going to regardless

but I find it interesting that AFTER the shot, I was worse

or am I so damn claire voyant that i knew a huge attack was coming ?

you know that I mean?

yeah my herniation is L4/5

thats my old herniation, i havent got a new MRI yet

i read up on the prolotherapy, said it works by encouraging inflammation..

jeeez, i have enough of that already!

Old 10-08-2004, 10:00 PM   #4
injured betty
Join Date: Feb 2004
Posts: 2,137
injured betty HB User
Re: Prolotherapy or cortisone?

keith, the inflammation actually helps you heal. It worked for me. My hypermobile ligaments, which were pulling on my L4 and my pelvis, are now tight. It was my only option, short of cutting me open and pulling the ligaments together and stitching them tighter.

Ligaments might not be your problem. Is your pelvis out? This is like tightening the bolts on your wheels.

If you have a sloppy back and it is causing pain and arthritis, you might look into this a little further.

It is quite painful, but worth it for me.

Last edited by injured betty; 10-08-2004 at 10:01 PM. Reason: spelling

Old 10-18-2004, 08:52 PM   #5
Join Date: Oct 2004
Posts: 1
sherryd51 HB User
Re: Prolotherapy or cortisone?

injured betty, how many prolo treatments did it take to strengthen your hypermobile ligaments. I have two adult children that have SI joint problems. One went to Atlanta and had joints fused after failing pt strengthening exercises about 2 yrs. ago. Very successful yet controversial procedure. The other adult child feels his hip pops out constantly causing L5, S1 bulging and spasms. Would really like to find an experiencd prolo doc in AL or surrounding states before going the surgery route. This is my first post. Hope it goes ok!!

Old 10-18-2004, 09:49 PM   #6
injured betty
Join Date: Feb 2004
Posts: 2,137
injured betty HB User
Re: Prolotherapy or cortisone?

I know that it seems like I spend a lot of time here but I am sitting here reading newspapers from other countries about our government. Fascinating stuff,


I did it three times. I had a work injury and it tore my ligament. I had pain from my SI to my front groin. There was a time that I considered suicide. That song from the TV show, Suicide is Painless became very appealing to me at one point.

The Prolo is very painful, but maybe that is because opiates don't work for me and they offered no alternatives. I did it w/o pain meds. I did take Xanax before going in.

Each session was one month apart. The doctor told me that he had had it done, himself, but I think that it was a sales pitch.

At one point I would have told you that I am a success story but in the past week or two, I am reconsidering that stance. I have three synovial cysts in the area where the Prolo was done. They hurt. The doctors have said that they were the result of an injury. I am not sure if they were caused by the Prolo or the initial injury.

I had lax ligaments due to the injury (push/twist of 2000 immovable pounds of equipment). I did everything I could to remedy this before going for Prolo. That was my last hope short of surgery to tighten them up. My pelvis was constantly out of alignment, causing me pain. It felt like a sharp knife jabbing in my SI, spine, hip and groin.

When I was done, the ligaments were tight. They do both sides for symetry (sp?).

But, my primary seems to think that they overtightened my right side, the side that was injured.

The recovery was pure he**. They prescribed pain killers but they didn't work. I tend to believe the primary because I do get relief when I take muscle relaxers. I try not to take them because I don't want to become addicted.

I can't say that I would suggest Prolo to anyone at this point. There is a lot of hype out there about it and I have met a lot of people who swear by it, but I am still iffy on it.

Like I said, I came away with tight ligaments but maybe too tight on one side and now I have these cysts that I didn't have before. They just found a new one on the last visit to the PT. They are right in the line of the Prolo shots.

If your children are seriously considering having it done, I would not choose anyone unless they have years and years of experience. Since it is rather an old technique, there have to be doctors out there who have more experience than the one who did my back.

My doctor is a spine specialist. I thought that that meant something. I found out that it means that he had a sign made up and that any one can hang that name out on a shingle and do Prolo if they are an MD or DO.

What it means to me is, they figured out that the number one problem in medicine these days, the number one health problem that is breaking the economy, the biggest reason for people calling in sick or going to emergency rooms, back pain. The doctors who do this, usually do this, exclusively and study under the same doctor. He wrote, Pain, Pain, Go Away, and Back Pain No More.

There is big bucks to be made in Prolo. People, such as myself are willing to go to any lengths to put an end to back pain. I am not sure if I was a sucker or not. The jury is still out on that one.

I have read that some people go for as many as 60 visits. They cost upwards of $400 per visit. Insurance doesn't cover it. I had to pay cash and then I found out that he billed my insurance and collected on it as Trigger Point Injections. Shady?

Be really careful. If it sounds too good to be true, it must be.

Research, research, research. Find out if most of the doctor's patients are car accident cases. Ask to see his medical records if he/she says that they speak from personal experience. And, don't be as naive as I was and sign a waiver. I can't believe that I signed one. But, I did.

He hit a nerve. I jumped off of the table. I am not sure if that nerve will ever heal. I can only hope.

Alll of this sounds so pessimistic, but I wish that I had read more negative experiences before I did it. I read for days and days.

All I can say is *do your homework*.

Once your ligaments become lax, there is not much you can do short of fusion, surgery to pull them together and cut out the slack and Prolo. Get a lot of opinions. Most doctors have never heard of it.

My doctor did not tell me that you have to do extensive PT while undergoing the therapy so that you don't heal in the wrong alignment. Once you heal, that is it. I now have scolliosis. I pull to the right. It was like dominioes falling. I was favoring the right side because of the injury, the cysts hurt on the right side and I healed too tight on that side. My other doctor explained it to me like tightening the lug bolts on your tires. I needed to have PT at the same time. No one mentioned this to me.

If you have any more questions feel free to ask. Today, I would say no to Prolo. Yesterday, I would have said yes. Who knows what tomorrow will bring. I am still trying to figure it out.

Old 10-19-2004, 08:59 PM   #7
Junior Member
Join Date: Sep 2004
Location: by the sea
Posts: 11
sapphire_sea HB User
Re: Prolotherapy or cortisone?

May I suggest never Prolo?

I had five treatments from a MD qualified, acunpuncture, prolotherapist.

Glowing reviews, and I get a collapsed lung.

I didn't get better either..

my PMD says that most don't..


Old 10-20-2004, 03:54 PM   #8
injured betty
Join Date: Feb 2004
Posts: 2,137
injured betty HB User
Re: Prolotherapy or cortisone?

I was at the PT just today. Different one, looking for different answers than the last one. This one says that I am TOO tight on the side where I was too loose before the Prolo.

If you even consider Prolo, make sure that you are in complete alignment throughout the therapy and that you have PT everyday or you will wind up in PT, later, trying ot stetch back out.

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