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Prolotherapy
for
Chronic Pain
and
Sports
Medicine
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What happens in overuse syndrome?
Rotator Cuff Tendonitis
Rotator Cuff Tendonitis and Impingement Syndrome
Rotator cuff tendonitis occurs when the
small muscles of the rotator cuff, the supraspinatus, infraspinatus, teres
minor, and subscapularis, become strained causing weakness of these structures
and subsequent tendonitis. Once the balance between motion and joint stability
is altered through weakness in the static structures (ligaments) or the
dynamic structures (rotator cuff muscles), pain and impaired function will
invariably ensue. Pitchers are prone to rotator cuff tendonitis and
impingement syndrome because of the overhead movement involved in throwing a
baseball and because the rotator cuff, in this position, is at its most
vulnerable.
Common treatment for rotator cuff
tendonitis and impingement syndrome by traditional medical doctors includes
rest,
NSAIDS (nonsteroidal anti-inflammatory drugs), physical therapy, and
cortisone
injections. Because a cortisone injection has very strong anti-inflammatory
properties, it may reduce the swelling in the tendon and bursa, relieving the
symptoms. These treatments may temporarily help, but since the underlying
cause has not been addressed the problem invariably returns. Degenerative
fraying and tearing of the tendon may occur if constant irritation of the
tendon occurs from the impingement process over time. The best way to treat
this unresolved process is with
Prolotherapy
treatments to the ligaments and
tendinous insertions of the rotator cuff and deltoid. This, combined with
gradual re-strengthening of the rotator cuff muscles, give an excellent chance
for a full recovery and performance. If the rotator cuff tear has become large enough to produce profound weakness in the shoulder, shoulder surgery may be necessary and Prolotherapy can be used as a post-operative treatment to improve tissue strength and overall recovery. Also see "Tommy John Surgery" and Prolotherapy.
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The information on this website is presented
as information only and not a self-help
guide NOR AS SPECIFIC HEALTH
RECOMMENDATIONS. Never alter or change your
health management or begin any new health
plans without first consulting your personal
health care provider. Some
statements on this site regarding the value
of nutritional supplements have not been
evaluated by the FDA.
Caring Medical
and Rehabilitation Services 715 Lake Street
Suite 600 Oak Park IL, 60301 |
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