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Knee Braces and Football Injuries
Nothing stops a football player's career more frequently than a knee blowout. But
can a knee blowout be repaired to 100%? This is a pretty easy questions for a
Prolotherapy
doctor to answer because, as long as the injury does not involve a complete tear of a
tendons or ligament, the injury can be completely healed with Prolotherapy.
Teenage female patient
with multiple knee surgeries
When this teenage athlete came to our office in spring 2010,
she suffered from of hopelessness. Prior to her injury
she was an extremely active teenager, but now after multiple
surgeries she was still in severe pain. She loved
hiking, soccer, tennis, snowboarding, and wakeboarding. At
age 15, our patient suffered an ACL tear and a meniscal tear
in her knee and she underwent surgery to repair those
structures. Her post-surgical recovery was complicated by an
infection, which required her to have another surgery and a
PICC line in place for a couple months to receive long-term
antibiotic therapy. As time went on, MG did not experience
the pain relief and results she had hoped for and two years
after her first two surgeries, she underwent another knee
surgery to remove a Cyclops lesion that was a result of a
complication with her ACL reconstructive surgery. A Cyclops
lesion is a localized area of scar tissue that occurs in
1-9.8% of patients after ACL surgery when the new ligament
begins to fray and bundles into a knot. Due to its location,
this localized area of scar tissue can inhibit full
extension.
Injury Risk During Menstruation
Puffy knees, aching joints,
sprains, strains, and tears. While these pains are usually attributed to
"over doing it", researchers have found that workout and sports
related injuries may be triggered by changes in hormonal levels during the
menstrual cycle.
Chronic
Shoulder Instability,
Dead Arm Syndrome, Rotator Cuff
Overuse syndrome as a cause of Dead Arm Syndrome?
What happens in overuse syndrome?
Tired, weakened, overstretched ligaments to blame?
A natural consequence of weakened or
injured shoulder ligaments is chronic shoulder instability. This situation may
occur as a result of previous
Shoulder
Dislocations, but may also occur due to
congenitally loose joints or from repetitive motion injury as in
pitching.
Repetitive microtrauma, occurring as a direct result of these injuries, begins
to take its toll on the supporting structures of the shoulder and disrupts the
delicate balance between mobility and stability. Subtle signs of joint
instability and laxity become evident, including pain with abduction and
external rotation (called a Positive Apprehension Test), tenderness to
palpation throughout the shoulder joint, and the subjective feeling of
weakness in the arm (Dead Arm Syndrome).
Plantar Fasciitis
Plantar fasciitis is an
inflammation of the plantar fascia, a thin layer of tough tissue
supporting the arch of the foot that runs from the heel to the
base of the toes. It looks sort of like a series of fat rubber
bands, but the plantar fascia is made of
collagen
which is more rigid and non-stretchy. Repeated microscopic tears
of the plantar fascia cause pain that is most notable in the
morning after getting out of bed. Putting weight on the injured
area after periods of rest (such as sleep) will cause stress on
the area and a more sudden, aching pain. Plantar fasciitis may
also be called “heel spurs,” but this is not always accurate
because bony growths on the heel may or may not be involved.
An Alternative
Treatment Solution
For Shin Splints
Shin splints can be a common and chronic problem in athletes
typically doctors will recommend
1. Icing to reduce pai nand
swelling
2, NSAIDs or anti-inflammatories or pain-killers
3. Arch supports for the shoes
4. Range of motion exercises
5. Neoprene sleeve.
6, Physical therapy
7. Surgery
Prolotherapy for Athletes with Hip, Pelvic or Groin Pain
Many people are subjected to hernia surgeries for chronic
groin pain, which has nothing to do with a hernia! Patients
come to us after a hernia surgery failed to "cure" them of
their groin pain."
Sports Injury Rehabilitation to Avoid
Ross Hauser, MD
is a Prolotherapy doctor discusses RICE treatment, NSAIDs or
cortisone, and why they cause long-term damage. Prolotherapy
stimulates the body to REPAIR the injured area, not cause
further degeneration like NSAIDs, cortisone shots, and
arthroscopy.
Does
Resting A Joint Injury Have Side Effects?
Immobilization, also known as stress deprivation, is
extremely detrimental to the joints and ligaments. Immobilization causes the
following changes to occur inside joints:
1. Proliferation of fatty tissue within
the joint
2.
Cartilage damage and necrosis
3. Scar tissue formation and
articular cartilage tears
4. Increased randomness of the
collagen
fibers within the ligaments and
connective tissues
5. Ligament weakening with a decreased
resistance to stretch
Both intra-articular
and extra-articular (inside and outside, respectively) ligaments and
periarticular (joint soft tissue) connective tissue are brutalized by
immobility. Gross inspection of the ligaments after stress deprivation shows
them to be less glistening and more "woody" on palpation. Under a
microscope the collagen of the ligament is very random. Chemically, the
ligaments lose water and glycosaminoglycans (which help maintain structure) so
there is a net loss of mass in the ligaments. There is also more degradation
of the collagen with stress deprivation. These changes translate to a much
weaker structure.
Ankle Fusion
It is common for a
Prolotherapy
doctor
to see patients with continued pain after surgery. Often overlooked causes
of this post-surgery pain are that the surgery itself may cause
ligament injury or the surgery may not repair the ligament injury. When performing
surgery, the ligaments are stretched and pulled in order to gain access to the
joint.
Runner's Knee: Treatment Alternatives
We recently received this email from a woman in Wisconsin who is suffering from
runner's knee pain. From her case history it was
obvious that she was going to be run through the traditional
treatments fro runner's knee:
·
The
RICE
treatment of sports injuries, which starts with rest, which most runners HATE,
followed by
·
NSAIDS (nonsteroidal anti-inflammatory drugs),
·
cortisone shots
Which would further lead to:
· MRI which typically leads
to
·
surgery
and the patient ends up with further degeneration and is still left
with the pain.
Golfing Injuries and
Alternative Treatments
What hurts golfers the most?
-Lower back strain and injury
-Left shoulder strain and injury
for right-handed players
-Left lateral or strain (epicondylitis)
of left elbow for right-handed players (analogous
to
Tennis
Elbow)
-Right shoulder strain and injury
from overuse
-Right hip and knee injury from
aggressive driving motion of downswing
Sports injury and
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