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Questions for Dr. Kennedy
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prolotherapy and the SI joint
Posted by: Lil
Date: December 7, 2003 8:54 PM

If you have SI joint dysfunction which ligaments do you have proloed? I have read different theories. One says you should only prolo the long and short posterior sacroiliac ligaments. If you prolo the iliolumbar ligaments and the sacrotuberous ligaments first, they will tighten and shorten and you will never be able to correct the original dysfunction. He says injections should be limited to long and short posterior SI ligaments. Also you should be adjusted first if there is a adjusted before the shots. I know that most MRI's CT scans and plain film xrays show to be normal with SI joint sublaxation, at least all the stuff I have read. So how would you even know if your SI is out of whack. I am considering prolo. Should I be concerned about the location of the shots when talking to a prolotherapist. What if he suggests getting shots in the iliolumbar and the sacrotuberous ligaments, should I question that? I am afraid that if I have those shots they will cause me to forever be not corrected. Are some of those ligaments in the buttock area? Any info you can give would be greated appreciated. Also what type of excercises would be appropriate afterwards?

RE: prolotherapy and the SI joint
Posted by: Ron Kennedy, M.D.
Date: December 15, 2003 2:43 PM

In my experience the best way to treat SI joint instability is to inject into the joint. If the joint is in a normal condition it is closed and almost impossible to inject, but an unstable joint is open and easy to inject. I do not inject any other surrounding ligaments unless there has been an injury to them. The objective is to persuade the SI joint to close so that the SI surfaces are flush with each other. As to the possibility of doing damage with prolotherapy, I have never observed that to happen. Somehow the healing mechanisms of the body are not persuaded to overextend themselves and produce an abnormal anatomy. If that were possible, prolotherapy would be very difficult to do without unbalancing this or that and in fact that kind of outcome is something I have not seen in 10 years of doing prolotherapy.

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