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Questions for Dr. Kennedy
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Posted by: James
Date: October 21, 2003 9:12 PM

I am a 55 year old male, who is in fair health having been on a good diet and life style for several years. I am undergoing prolotherapy. I have had a right-sided groin-hip-genitals weakness since childhood. It includes a scoliosis of the spine. I am not able to walk or any other type of activity without having an increase sense of internal inflammation or tension along this pathway. This tension causes shallow sleep and creates a lot of fatigue and at times pain. I had an MRI in 1986, that did not show anything related to the spine creating radiating or referred pain. I only had Chiropractic x-rays to offer as insight. The doctor feels confident that Prolo will help. I have had two very intense (50 shots) sessions of the area. These sessions have been a month apart and I am scheduled for a third session in about 10 days. I have not noticed any results so far. The groin is still weak and easily aggravated by movement. I would appreciate any comments you might have regarding how many sessions I should go through (assuming) without results before stopping the Prolo treatment. Is there some type of scan that you would suggest to more clearly and exactly diagnose the condition of this area.

RE: Prolotherapy
Posted by: Ron Kennedy, M.D.
Date: October 25, 2003 10:33 PM

There is no formula for gauging how many treatments a person should have, however if you are in good health otherwise - good nutritional status and maintaining consistently alkaline - and if the problem you have is a connective tissue weakness problem, you can count on a strengthening response. If the problem involves muscle weakness, that will not be addressed with prolotherapy and would be better dealt with by exercise and correction of any anabolic steroid deficiency (testosterone, DHEA) and/or growth hormone deficiency. Generally speaking, the more weight being supported by the connective tissue under treatment, the more prolotherapy sessions it will take to achieve a full response. Necks, for example, usually clear up in 3-5 treatments whereas low backs clear up in 8-20 treatments depending on how serious the problem is to start with. It seems that you are being treated in an area of the body which bears a lot of weight, so it is best to adjust your expectations accordingly. As to a special scan, I do not have a recommendation. Connective tissue is difficult to visualize in a way which yields functional data by any method. In general, I simply inject where the discomfort is located in the belief that the body is telling me where the problem is located. That seems to work well.

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