maryclaire wrote:I just got back from my second prolotherapy session and the doctor advised me to use an 'interferential electrical current' device on my hands and knees...does anyone have any experience with this type of treatment or a device they would recommend?
By the way, the prolotherapy has been working marvelously...it reduced my pain by 95%-100%. I went from constant pain to almost no pain. Very grateful to Exitium for recommending prolo. I really didn't expect it to work so well but I am sold. I had both hands and one knee treated.
Wow, thats great to hear you gave it a shot and its working for you. So few people I tell about it are either turned off by the number of injections or cost. Most people simply dont understand just what the long term effects of joint laxity are and whats at stake. Ive actually had people tell me "I simply cant afford that, I guess I wait until my knee is completely trashed and have to have a knee replacement thats covered by insurance".
I would wager that the second polo treatment was likely much less painful than the first? Assuming thats the case its a clear sign the tissues are healing. An uninjured tendon/ligament generally elicites very little if any pain to pressure or the injection.
as for "interferential electrical current" I I assume your doc is referring to "TENS"? Its basically microcurrent that interferes with the pain signals in the nerves and reduces the felt pain. My understanding is it really doesnt do much in terms of healing just blocks pain so I would say going this route is completely dependant on how much pain your in and if you think you need more pain management.
Having said that he could possibly be referring to electro-acutherapy which is a treatment I would recommend, especially if you have been suffering from joint laxity for some time.
Generally speaking when someone has joint laxity due to overuse or an injury the muscle will often try and take up the slack in the joint by pulling on the tendons that attach them to the bone. As one can imagine that over time this puts a lot of stress on the muscles and can cause cramping etc. A more insidious problem is the microadhesions that happen within the muscle. These are little bits of scar tissue that develop all through the muscle tissue and they prevent the individual cells from freely moving and result in constant tension within the muscle. This can eventually lead to uneven loads on joints and further speed deterioration of the joint, even if the joint is stabilized with prolotherapy.
I have found prolotherapy and electro-acutherapy to compliment each other very well and usually, my treatment protocol will involve both modalities because both problems usually exist together. The electro-acutherapy also promotes healing so is beneficial beyond breaking up the adhesions.
Of course one of the most often overlooked aspects of prolo treatment or the treatment of any ligamentous injury is the building blokcs for collagen and Vit C plays a huge role in that so being in this forum and using large doses of Vit C should give you a big head start.
Owen, prolotherapy is the process of injecting an irritant (and in some cases your own red blood sells when its referred to as PRP) directly into injured tendons and ligaments. These tissues are non vascular and have an extremely slow natural cellular turnover rate of 300-500 days. Modern medicine has everyone snowed thinking R.I.C.E is the way to deal with sprains and the like but somewhere along the line they forgot their basic anatomy lessons about the healing process and how critical to proper healing the inflammatory phase is. Obviously, there is a time for inflammation control to prevent compartmentalization syndrome but after initial control of initial inflammation, some is absolutely essential for proper healing.
People get in this vicious cycle where they tweak a joint, ice it and take anti-inflammatories, kill the healing process leaving them in a weakened state, continue to aggravate it, ice it and take anti-inflammatories, kill the healing and continually rinsing and repeating. The whole time the joint continues to deteriorate until eventually, something gives, arthritis sets in, a meniscus tears or a tendon ruptures completely and surgery is required. In most cases this can all be avoided by simply properly treating the root of the problem which is injured and lax ligaments.
Just like nutrition, most docs miss the boat and throw the basics out the window opting for management until they can intervene with drugs and surgery.