0
0
Abstract
The constant, pregnant-related low back pain caused me to look for ways to solve the issue of back pain. Today, lower back pain is typically categorized in the form of “nonspecific” and, as consequently, a variety of tests and inadequately effective and, sometimes, a lot of side effects or habit-forming treatments are favored. My quest for relief led me to diagnose my back pain as originating from the sacroiliac joint, then I was referred to prolotherapy as the first treatment that brought me relief for a long time. I was then able to apply prolotherapy. In 2009, when I conducted an randomized controlled study on prolotherapy with dextrose for tendinopathy in the rotator-cuff region I confined my practice to addressing the pain.
Since the issue of low back pain was an important aspect of my practice I looked for innovative ways to assess the sacroiliac joints. I conducted a continual study of patient data that suggested that more than three-quarters of patients who suffer from lower back pain have dislocated sacroiliac joints. In a subsequent controlled, randomized study, I found the two minutes of corrective exercise that I learned from this test gave immediate relief to 95 percent of the people who used it.
Together with the help of Dr. John Clark Lyftogt, found the safety and effectiveness of 5% dextrose injections, which provide immediate pain relief for any region that a nerve could access with my needle. When I began treating diabetics suffering from peripheral neuropathy I changed my perineural needle material to 5% mannitol which could be equally effective, albeit with lesser exposure to dextrose as possible benefits for diabetics.
Most people do not like injections, pharmacists as well as I created a mannitol-containing cream to ease pain. We compared the base cream to the same cream containing an application of mannitol to the lips that was accompanied by capsaicin, a cream that caused them to burn. Within 10 minutes, the chance that both creams were equally effective in reducing the burning is less than 0.001 for mannitol. In a study with the 235 patients who had a total of 289 conditions that were painful We found that it gave 53% relief over an average of 16 mins and a median 4 hours.
Retired after 55 years of practicing medicine I enjoy relieving the suffering of my friends and fellow hikers by exercising and cream. Looking for and finding buying oxycontin online for chronic pain has greatly improved my life, and the lives also of numerous others.
Introduction
Chronic pain affects one every five . After prescribing a variety of different therapies and sending patients for numerous sessions, I frequently felt trapped and annoyed at being not able to assist these patients sometimes even harming patients with harmful side results or addiction. One of the most difficult to treat was back pain from low back that I’m personally familiar with .
This is a tale of my 37 years of chronic low back pain. It describes how I was diagnosed and discovered effective treatments. I tested them on my patients, and later proved by conducting research that they work. I hope that the readers of this will discover, just as I did, about the little recognized yet highly effective treatment they could use to ease some of the pain-inducing conditions that plague their patients.
Case Presentation
It was June 1966, during the final days of my internship rotation, towards the close the first trimester. After helping patients, I felt a sharp painful discomfort in my lower back that made me stay bent inwards until the conclusion the pregnancy. When I gave birth to my baby, I was having difficulty picking her up and walking along with her. I carried her up the stairs with me sitting down on the step and pushing myself between each step.
The physiatrist who I spoke to diagnosed me with low back pain that wasn’t specific to me and suggested the treatment of physiotherapy. I was treated by traction on my back along with exercises, and advised to remain active. The back pain lasted for several months, then it subsided then it would return frequently. It became worse with my subsequent pregnancy and would flare up whenever I attempted to hold one of my three kids.
The year 2003 was when I attended an event on diabetic feet along with a close friend of mine who was Dr. Murray Allen, who was a physical medicine doctor. When we sat next one another I complained about sacroiliac joint pain. He then suggested treating me by prolotherapy. I didn’t know the meaning of prolotherapy. The doctor explained to me that he’d inject perisosteal ligament insertions stabilizing my sacroiliac joints using 25% dextrose which could cause a minor incision that would cause inflammation. The inflammation would trigger the development of tiny vessels originating from the highly blood-rich periosteum, which would then flow into the weakly blood flowed ligaments. These vessels could carry fibroblasts to the ligaments that are damaged. The fibroblasts would then deposit collagen in the scar tissue to reinforce the ligaments stabilizing them.
In the wake of 37 years chronic low back pain that was recurring I was determined to give anything a go. After a few days I took a trip to the doctor’s home and lay on the floor while the doctor administered multiple injections to my lower back. It was painful, I was required to do my breathing exercises for labor throughout. The following days were a bit uncomfortable, but eventually my back started to feel more comfortable. I re-did the prolotherapy therapy two times, separated by a month after which I was pain-free for a year.
Feeling so much relief, I began to refer my patients suffering from musculoskeletal pain for treatment with Dr. Allen. The majority of them came back to my office expressing how they felt much better. However, after six months the time he treated me I was told that doctor. Allen told me he had decided to retire. I was worried that my patients as well as myself would not be able to avail this beneficial treatment, so he agreed to help me train. Since I was on leave every Friday, he visited my office and observed me while I treated between three to 10 of my patients with 25% dextrose prolotherapy. I began to take courses on the procedure of prolotherapy, and also attended the sessions that were held by the American Association for Orthopedic Medicine (AAOM) and The Hackett Hemwall Patterson Foundation (HHPF) and, in the future the Canadian Association for Orthopedic Medicine (CAOM).
When I realized the effectiveness of prolotherapy for relieving muscle and joint pain I always carried one vial of dextrose at 25 and a few 10mL of syringes, with pushers that I designed alcohol swabs and needles #30G one-inch everywhere I went. Utilizing smaller needles and pushers makes the process much more comfortable like acupuncture however it can help healing.
In 2008, as I was sailing along the buy oxycontin online I suffered from an irritable and restrictive tendinopathy of the rotator cuff. It was fortunate that I was treated with prolotherapy. I put the needles through the various tendon insertions along the periosteum where I was feeling a bit tender, and requested my husband to inject 1mL of solution into every location. A week later I felt much better.
In the meantime, every once in a year my lower back discomfort would flare up and my assistant would treat me by prolotherapy. Typically, a single session was enough. However according to the location I was in or the activities I was engaged in it was not always accessible, and I was not able to access that part in my back for treatment. In addition, many of my lower back pain patients couldn’t afford the expense of prolotherapy, which is why I began to look for alternatives to treat the severe low back pain due to sacroiliac dislocation.
In the 60s and early 70s in the early 60s, when I attended medical school, the primary tools for diagnosis included our ears, eyes and our hands. Medical imaging was comprised of xrays without Ultrasounds, CT scans, nor MRIs. We were trained to feel. If someone was suffering from discomfort, we were taught to apply pressure on the spot that hurt and then we could tell the anatomy we were pressing. We came to a conclusion when pressure on a particular structure resulted in discomfort.
