barcaMemberMarch 8, 2013 at 12:25 amPost count: 5
Hi Doc! I was wondering on your opinion on when Prolotherapy is worth trying? I have an extruded disc in my thoracic spine (T7-8) that limits all activities in my life. I have very mixed feelings on trying prolotherapy and nobody seems to have a good answer on how to determine if it would be an appropriate treatment option.
would appreciate your thoughts. thanks,Donald Corenman, MD, DCModeratorMarch 10, 2013 at 6:52 pmPost count: 8459
Prolotherapy is the injection of a destructive substance to cause scar formation to occur. I am not a fan of prolotherapy anywhere there are present nerve roots or spinal cord. I think the only really useful place is in the sacroiliac joint for instability but even at that location there are some exceptions.
The typical treatment for thoracic disc hernations is epidural steroid injections and physical therapy. I hope you have considered this treatment first.
Dr. CorenmanbarcaMemberMarch 11, 2013 at 11:25 pmPost count: 5
Hi Dr Corenman, I appreciate your thoughts. I have not attempted ESI as I am uncertain if there would be an actual benefit. My particular case I have an extruded disc centrally at T7-8. The MRI report says there is mild to moderate spinal cord impingement. Do you feel ESI would be the best bet in this particular instance? I have done prescription NSAIDS without any improvement at this point.
thanks again. I will avoid prolotherapy at this point.Donald Corenman, MD, DCModeratorMarch 13, 2013 at 6:03 pmPost count: 8459
I think that one of the best “benign” treatments for thoracic disc hernations is epidurals performed by a well skilled injectionist. “Tincture of time” is another of the best treatments for these disorders.
Dr. CorenmanRaymondMemberApril 24, 2013 at 2:43 amPost count: 1
I have had pain under the inferior tip of the right shoulder blade and along the rib cage about 5 inches under the arm pit for about 4 years.
In Janurary I had a scapular bursectomy done by Dr. Millett and the Physical therapy went well and I thought I was on the road to recovery. I have since started trying to swing a golf club and the same swelling along the rib cage and pain when swing down and through the ball has returned.
I went to see Dr. Millet for my follow up a couple of weeks ago, and asked him what his thoughts were about prolotherapy for the problems I was having. He told me he wasn’t familiar with the procedure but that he thought it might be appropriate for me to check it out. We also initiated some different PT exercises.
I haven’t found any clinical studies on the web showing any efficacy for using prolotherapy for scapula bursitis, but have seen some info on u-tube from a Dr. Hauser showing efficacy of Prolotherapy for snapping rib syndrome which is similar to what I had. I am skeptical about prolotherapy because of lack of medical efficacy studies, but would appreciate you opinion of this procedure for my condition.
Have you ever used prolotherapy for this condition? I would like to see you on my next visit to Vail if you see any validity for this procedure .
Thanks for you consideration.Donald Corenman, MD, DCModeratorApril 24, 2013 at 8:57 pmPost count: 8459
I have referred patients for consideration of prolotherapy for sacroiliac joint problems but never for scapular bursitis. I would worry about creating injury to the bursa which is designed to reduce friction between the ribcage and the scapula. I have no experience and unfortunately could offer you no conclusions.
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