Did you know that 80% of chronic and persistent musculoskeletal
pain comes from the connective tissues i.e. the highly innervated
attachments of ligaments and tendons, and not from bone, cartilage
and nerve problems?

And did you know that this diagnosis is often overlooked because
X-ray and MRI is not sensitive enough to pick up sprained ligament
and tendon insertions (what we call stretched insertions), which is
often the root cause of the pain?

Did you know that there is a safe and highly effective treatment to
stimulate the body to repair these structures and heal the
root-cause of the problem, without resorting to surgery?

What is the root cause of your pain?

If you or someone you know has some type of musculoskeletal pain,
the most important question you can ask is- what is the root cause
of the pain? Half of solving a problem is diagnosing where it comes
from i.e. understanding it!. Does the pain come from bone, nerve or
is it connective tissue? It may surprise you to know that the vast
majority of this type of pain actually comes from the connective
tissues i.e. ligaments and tendons. The insertions at the bone of
these structures are highly innervated and give the body joint
feedback known as proprioception. The flip side of all this nervous
system information is if these structures are damaged they become
very big pain generators. Unfortunately, these stretched insertions
are not picked up on MRI or x-ray and are therefore often
overlooked. What does show on x-ray and MRI are bone, meniscal and
disc abnormalities, hence pain syndromes are often assumed to be
caused by these things.

The problem is that these latter diagnoses often dictate surgical
and invasive procedures to fix them and unfortunately there are
attendant risks with these procedures. If the diagnosis is wrong
these procedures are unlikely to help the pain and solve the
problem.

Two examples:

Patient no. 1 , 60 year old gentleman, comes in with backpain that
he has had for many years. His MRI shows a disc protrusion. Pain
level is 5 to 7 aggravated by walking or sitting for long periods.
I examine him and he has the “jump sign” when I push on his left
pelvis. Further inquiry reveals that he fell out of a tree when he
was 12 and took some time to recover.

His diagnosis his left pelvis sprain/strain. Recommended treatment
is nonsurgical regenerative injections to the affected region. My
opinion is the disc abnormality is incidental and is not the cause
of his pain. Patient decides to give it a shot and requests
Prolotherapy/Regenerative medicine. patient is somewhat improved
after 3 sessions (at weekly intervals) so we spread out the
treatments. after eight treatments patient has no more pain and
returns to golf.

Patient no 2. is a 35 year old lady runner with knee pain. MRI
shows meniscal tear. When I see the patient and examine her knee
there is no clicking or locking but there is pain on palpation of
the medial collateral ligaments. Diagnosis is sprained knee,
specifically medial collateral ligaments. Recommend Prolotherapy
for 6 to 10 visits. Patient improves with 5 treatments and goes
back to running with no further problems. I do incidentally
recommend good orthotics to reduce wear and tear on the knees.

Please visit ProloMD.com or call (941) 955-4325 for more information or to book a consultation.