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Author Topic: Prolotherapy instead of the knife?  (Read 1272 times)

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Offline ikneedu

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Prolotherapy instead of the knife?
« on: January 27, 2009, 06:41:49 AM »
I posted the other day asking whether I should get an arthroscopy for a medial meniscal tear. Since then I learned about prolotherapy. The holistic doctor I regularly go to does it and thinks it's a great idea. (I still have to have him evaluate my actual injury). But the surgeon scheduled to do the surgery thinks it's risky, won't heal it (but I think the idea is it heals the area around it), can get infected, won't help etc. Sounds like he has a bit of disdain (a bit!) for alternative medicine, but I don't really know him so it's hard to say. I'm wondering if anyone here has had it. I looked at old posts about it but didn't find any about meniscal tears. I've got a full ACL tear in the other knee that I'm thinking I might get it for too. I can't find anything bad about it online but I can't find that much about it period. I do have fibromyalgia and chronic fatigue syndrome so I am a bit scared that causing inflammation may not be the greatest idea, but then again surgery may cause a flare-up and inflammation too.

Offline Silkncardcrafts

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Re: Prolotherapy instead of the knife?
« Reply #1 on: January 27, 2009, 07:04:29 AM »
Hi there,

I would advise having surgery rather than prolotherapy. It is not well accepted in the medical community in general and often has poor results and can cause other issues.

Apart from working in marketing I am also a sports trainer. My physio works for an elite football club and asked him about it as he is very open to alternative treatments. For knee injuries it doesn't work that well and can make the knee extremely painful. There is small evidence it can help with back problems but has poor results in knees.

If you have fibromyalgia and CFS I definitely wouldn't consider it, much more risky than surgery.

Just some food for thought.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline ikneedu

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Re: Prolotherapy instead of the knife?
« Reply #2 on: January 27, 2009, 06:08:57 PM »
[Thank you, that is good to know.
As for not being accepted in the medical community, I have been very harmed and misdiagnosed by the medical community and lived with undiagnosed Lyme disease and am now unable to work. The medical community killed my father in botched surgery. Therefore I have a hard time accepting its gospel. My doctor who does the prolo is my CFS specialist and he is the one of the only doctors who has helped me. However, this does not mean that he does prolo on people with CFS, so I still have concerns.

I want to believe in what the medical community says, but I feel I'm having a hard time. I'm glad to hear your answer because you are talking about a physio and not an MD. Prolo is often used for fibromyalgia so I'm wondering why you think it would make it worse. I do have concerns about inflammation--many people with fibro do not have measurable inflammation and I sometimes do.



quote author=kjwilkin link=topic=45883.msg432807#msg432807 date=1233039869]
Hi there,

I would advise having surgery rather than prolotherapy. It is not well accepted in the medical community in general and often has poor results and can cause other issues.

Apart from working in marketing I am also a sports trainer. My physio works for an elite football club and asked him about it as he is very open to alternative treatments. For knee injuries it doesn't work that well and can make the knee extremely painful. There is small evidence it can help with back problems but has poor results in knees.

If you have fibromyalgia and CFS I definitely wouldn't consider it, much more risky than surgery.

Just some food for thought.
Quote

Offline Silkncardcrafts

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Re: Prolotherapy instead of the knife?
« Reply #3 on: January 27, 2009, 08:32:57 PM »
Hi there,

I think you have had some unfortunate experiences with the medical community. It is important to remember that there are a lot of good doctors out there, just a matter of finding the right ones. Unfortunately I think you have become clouded by some of your experiences.

Prolotherapy would not fix the meniscus tear you have and from talking to my physio can be disasterous. It can get to the point where the joint gets so stiff and can't move it.

Out of interest, what kind of doctor is your CFS specialist ? They are unlikely to specialise in joint problems.

Something else you may want to consider is to go and see a good sports physician to evaluate your condition. Whereabouts do you live ?


11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline ikneedu

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Re: Prolotherapy instead of the knife?
« Reply #4 on: January 29, 2009, 04:32:52 AM »
Hi,

My CFS doctor is a holistic doctor who does prolotherapy is a physical medicine and rehabilitation doctor who has a physical therapy center in his office. The second CFS doc is an immunologist and allergist, not a joint specialist in any way but she thinks prolo is good (it's used for CFS and fibromyalgia so she may have patients who get it). The third CFS one is an integrative doctor, I didn't ask him about prolo but I think he's just concerned about pain and flareups and. I think they all have many patients who have been let down by the system though they are not "out there" alternative. I've been to a bunch of orthopedists, mostly sports people. They all say I could get arthroscopic surgery and it's up to me. I live in New York City. I've been to a number of rheumatologists about fibromyalgia but haven't discussed prolo with them--maybe I'll try that.



Hi there,

I think you have had some unfortunate experiences with the medical community. It is important to remember that there are a lot of good doctors out there, just a matter of finding the right ones. Unfortunately I think you have become clouded by some of your experiences.

Prolotherapy would not fix the meniscus tear you have and from talking to my physio can be disasterous. It can get to the point where the joint gets so stiff and can't move it.

Out of interest, what kind of doctor is your CFS specialist ? They are unlikely to specialise in joint problems.

Something else you may want to consider is to go and see a good sports physician to evaluate your condition. Whereabouts do you live ?




Offline Silkncardcrafts

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Re: Prolotherapy instead of the knife?
« Reply #5 on: January 29, 2009, 11:55:10 AM »
Hi there,

It sounds like you have a lot of doctors. Do your really need to see that many ? That could be part of the people seeing too many people. No wonder you are confused. If I was you I would look at going to see a good sports physician/doctor who could oversee everything. They tend to be more up with the latest treatments and are not orthopaedic surgeons. Mine has helped me a lot and helps keep a tab on things.

Just another idea.


11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline ikneedu

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Re: Prolotherapy instead of the knife?
« Reply #6 on: January 30, 2009, 09:24:05 AM »
Thanks, that's interesting. I'm not going to all of these doctors at once, some are just ones along the way. I did go to one of those sports guys, but that was before I learned about the prolo. I met with my holistic/rehab dr. today and he says I'm an ideal candidate because I have diffuse knee pain. My one real concern about it is that it does not address the tear in the meniscus, and my surgeon thinks it could tear more. I haven't seen the MRI, which is on a disk (nor has the holistic doctor, just looked at the report) so this is the bit of information that's missing--I don't know how big a risk a further tear really is or if the surgery will help but it's something to think about. The holistic dr. says the surgery is one step above a tooth extraction, then there is a month of rehab. With prolo you don't need the rehab but it takes longer. In a way I just want all this to be OVER.

Offline Silkncardcrafts

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Re: Prolotherapy instead of the knife?
« Reply #7 on: January 30, 2009, 12:14:48 PM »
Hi there,

The problem with a lot of rehab doctors is that they aren't as up to date as sports physicians/doctors. Any doctor involved in an elite sporting team has to keep up with the latest treatments and trends. My doctor is involved with an elite Australian Football team and has worked the Australian Socceroos too. He is very open minded to different types of treatment.

I can understand you want this to be over. Really think you should have the arthroscope, having prolo is just too much of a risk. It seems like you keep getting opinions with the same kinds of doctors and are saying the same thing. You really need to either see a sports doctor/physician or another OS that specialises in knees.

Just make the decision and put it behind you. Probably making things worse getting all these different opinions.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty