HOW CAN YOU SAY CORTISONE SHOTS ARE BAD 
WHEN THESE ARE COMMONLY GIVEN TO ATHLETES?
Ross Hauser, M.D.
 

Athletes are primarily given NSAIDS (nonsteroidal anti-inflammatory drugs) and steroid injections because it is the standard of care. Just because something is the standard does not mean it is correct. Cortisone and other steroid shots are given to athletes joints, especially the knees, when exercise and NSAIDs don’t relieve the pain. In essence, they are given because the family physician, team physician, or orthopedic surgeon has no more treatment options. As depicted in Prolo Your Sports Injuries Away!, continued pain in the athlete signifies that a structure is still injured. Nutritional supplements such as glucosamine, MSM, bromelaines and others help athletes heal sports injuries. In addition, the athlete may need Prolotherapy to directly stimulate the joint or joint structures to heal.

WHAT CAUSES ARTHRITIS?
It is commonplace of an athlete to have a sports injuries and go through exercise, physical therapy, NSAIDs, then a stronger NSAID, and eventually progress to cortisone shots. Once this level of care is reached it is only a matter of time before arthroscopies follow. Arthroscopies are offered to ‘clean up’ the area. They do not repair anything typically just scrape away damaged tissue. Well the athlete should be asking “why is the damage there?”  It is there because of all the NSAIDs and steroid injections, which were given by the same physician that is going to the arthroscopy and eventually the joint replacement.

If one looks at the pathophysiology of arthritis it is clearly a condition that occurs when a joint becomes loose because of ligament injury. Non-healed ligament injury causes an excessive amount of pressure on the other joint tissues such as the menisci. Once these go, the cartilage deteriorates. Arthritis means that the joint is deteriorated as manifested by a thinning or degeneration of the joint. Excessive bone forms to try and stabilize the joint which is loose from the underlying ligament laxity. Ligament laxity or weakness is thus the underlying problem in most degenerated joints. Because Prolotherapy gets at the root cause of arthritis it is very successfully in treating this disorder. Prolotherapy helps all stages of arthritis but is best done as early as possible.  Prolotherapy can help stimulate the repair of all the structures inside the joint including the ligaments, tendons, menisci, cartilage, and joint capsule. Prolotherapy is the future of sports medicine and eventually will be the future of arthritis care.

AS AN ATHLETE CAN I PREVENT MYSELF FROM GETTING ARTHRITIS?
It is extremely easy to prevent arthritis from forming. All an athlete has to do is heal completely all sports injuries. Since physicians who utilize Prolotherapy are experts in ligament injuries it is best to have one of them on the athletes treatment team. Prolotherapy physicians can help an athlete determine when complete healing has occurred. If an athletes ligaments and tendons are as strong or stronger than before the injury there is no risk for arthritis forming in the future. If an athlete continues to play on an injured joint or ligament then arthritis is sure to form. It has to! Arthritis is the bodies response to stabilize a loose joint. A bone spur or bone overgrowth is occurring because the underlying joint and joint stabilizing structures (ligaments) are still weakened and stretched. By obtaining Prolotherapy and strengthening the weakened structures, the impetus for the arthritis forming stops and so does the pain.

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