What's your opinion on prolotherapy?

[loft33]

Hi Viola and Grant. Thanks for your replies. Grant - thanks for the link to the presentation! If you guys are interested, I've posted a picture of an interesting find on my MRIs and also the results of a standing leg length X-ray - right is 9mm shorter than left. Not sure if I should use a heel lift though (read the report and you'll see why).

Viola, to answer your question - these are my signs and symptoms:

- SI joint feels "off", like a peg is missing and the joint can't support my upper body.
- I have no burning pain in the joint. I know many people report a "hot knife" feeling in the joint when they have an SI problem, but I don't have that. Matter of fact, I have no pain in the joint at all. What I have is a feeling of instability.
- I can squeeze my legs together very slightly (almost no effort or force at all) and many times can get an audible click in the joint - and I'm sure it's coming from the SI and not the pubic symph.
- It's easier to stand than sit. While I'm sitting I don't have radiating or increased pain or anything, I just feel like there is extra pressure on the joint and all my muscles ABOVE the joint kick in overtime to try to keep me stable since the joint won't do it.
- When I walk I have a non-painful clicking in the joint with almost each step
- sometimes I get so exhausted sitting because it feels like my body is doing everything to stabilize itself since the joint is "off"

One thing I did notice when feeling around my backside the last few days is that my right glute max (the side where I have the instability) is almost nonexistent compared to my left. So last night I decided to review my two lumbar MRIs I had in the past. What I noticed is interesting. The first MRI was taken in July 2010. The second MRI was taken in June 2011 - 11 months later. If you look at the side by side comparison of the two at the same level, you'll see that in those 11 months the top of the right glute max pretty much atrophied. (I know why this happened - because I stopped working out for 11 months, but what is interesting is that the clicking while walking sensation came on around 10 months after I stopped working out.) Perhaps the weekend glut max is the cause of this? [BTW - my MRIs are normal and there was no change between them --- except for the glute max muscle which the radiologist failed to mention.]

Today I showed what I found on the MRIs to my PT and he agreed to start me on some glute bridging exercises.

It's only been two weeks since I started exercises, so I will give it more time before prolo. Just what sucks is that it's really uncomfortable to sit....