Re: prolotherapy and anterolisthesis

[Guest guest]

As the proud owner of a Grade I spondy at L5 I am qualified to share my

experience. In my 20's I experience very little problem other than

occasional LBP not serious enough to seek care. Increased problems in my

30's when I started WSCC. About the second year in school got a pair of

orthotics, which seemed to help the most. I have experienced good results

with both a side posture adjustment and drop table. Most practitioners

describe my LB as rather difficult to adjust.

Hyperextension exercises would seem contraindicated to me. My back hurts

just thinking about it.

Other questions?

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

voice 541-757-9933

fax 541-757-7713

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health information which is confidential under applicable law and is

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is strictly prohibited. If you have received the communication in error,

please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis,

OR 97330, 541-757-9933 and purge the communication immediately without

making any copy or distribution

prolotherapy and anterolisthesis

I have a patient who has an anterolisthesis with a pars defect at L5. She

has undergone tx with me and a PT. I have focused on mobilizing above and

below and core stability. The patient is working with a PT that has been

using Mckenzie. She has not received much relief from either tx.

She recently asked me about prolotherapy, which I hadn't considered.

Wondering if anyone has had experience with prolotherapy for an

anterolisthesis. Also, any other suggestions for conservative treatment

would be appreciated.

Bingham

Highland Chiropractic

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[Guest guest]

Try Traction and orthotics before prolotherapy. Prolo therapy is more of a tendon ligament issue. i don't see it being applied here successfully and it's gonna flare her up big time for a while.

Adjusting is good.

Look into exactly what exercises the PT is giving her. THere could be some in the McKenzie protocol that are contraindicated for a Spondy. SHe's prob resisted in extension and the PT is probably trying to get her in extension thereby taking away any good results of the adjustment. PT's knowledge of the spine, treatment of the spine and contraindications of therapy for the spine is limited. The spine is more complicated than a sprained ankle. Being the doctor, make sure that harm isn't being done by the PT's therapy. Was she referred to the PT?

One more thing. Spondy's are not going to resolve quickly. Make sure that she understands that the process may be slow and that adjusting and stabilizing the musculature will take some time to have an effect.

my humble input.

ph Medlin, DCSpine Tree Chiropractic1627 NE Alberta St.Portland, OR 97211

prolotherapy and anterolisthesis

I have a patient who has an anterolisthesis with a pars defect at L5. She has undergone tx with me and a PT. I have focused on mobilizing above and below and core stability. The patient is working with a PT that has been using Mckenzie. She has not received much relief from either tx. She recently asked me about prolotherapy, which I hadn't considered. Wondering if anyone has had experience with prolotherapy for an anterolisthesis. Also, any other suggestions for conservative treatment would be appreciated. Bingham Highland Chiropractic

[Guest guest]

Take the torque out of the pelvis, guys and it will be whole bunch easier to adjust those lttle lithesises.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

bingonis@...; From: dro@...Date: Wed, 8 Aug 2007 14:33:32 -0700Subject: RE: prolotherapy and anterolisthesis

As the proud owner of a Grade I spondy at L5 I am qualified to share myexperience. In my 20's I experience very little problem other thanoccasional LBP not serious enough to seek care. Increased problems in my30's when I started WSCC. About the second year in school got a pair oforthotics, which seemed to help the most. I have experienced good resultswith both a side posture adjustment and drop table. Most practitionersdescribe my LB as rather difficult to adjust.Hyperextension exercises would seem contraindicated to me. My back hurtsjust thinking about it.Other questions?Larry L. Oliver, DC408 NW 7thCorvallis, OR 97330droherescovoice 541-757-9933fax 541-757-7713The information contained in this electronic message may contain protectedhealth information which is confidential under applicable law and isintended only for the use of the individual or entity named above. If therecipient of the message is not the intended recipient, you are herebynotified that any dissemination, copying or disclosure of this communicationis strictly prohibited. If you have received the communication in error,please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis,OR 97330, 541-757-9933 and purge the communication immediately withoutmaking any copy or distribution-----Original Message-----From: [mailto: ]On BehalfOf bingoniscomcast (DOT) netSent: Wednesday, August 08, 2007 1:29 PM Subject: prolotherapy and anterolisthesisI have a patient who has an anterolisthesis with a pars defect at L5. Shehas undergone tx with me and a PT. I have focused on mobilizing above andbelow and core stability. The patient is working with a PT that has beenusing Mckenzie. She has not received much relief from either tx.She recently asked me about prolotherapy, which I hadn't considered.Wondering if anyone has had experience with prolotherapy for ananterolisthesis. Also, any other suggestions for conservative treatmentwould be appreciated. BinghamHighland ChiropracticAll posts must adhere to OregonDCs rules located at:/Tell a colleague about OregonDCs! (must be licensed Oregon DC)

[Guest guest]

Hi :

I have had a lot of success with spondy's by having the patient lie prone with a dutch roll under the level of the spondy, working the paraspinal soft tissues around the area and tractioning both legs simultaneously in an effort to allow the anterolisthesis to go posterior. I usually adjust the low thoracics and work the iliopsoas group to relax the musculature in an effort to lessen the "lordotic pressure" caused by hypertonicity of the hip flexors. Seems to me that the McKenzie protocol would accentuate the lumbar lordosis and force the anterolisthesis forward.....

Rod , DC

Tilamook Natural Health Center

prolotherapy and anterolisthesis

I have a patient who has an anterolisthesis with a pars defect at L5. She has undergone tx with me and a PT. I have focused on mobilizing above and below and core stability. The patient is working with a PT that has been using Mckenzie. She has not received much relief from either tx. She recently asked me about prolotherapy, which I hadn't considered. Wondering if anyone has had experience with prolotherapy for an anterolisthesis. Also, any other suggestions for conservative treatment would be appreciated. Bingham Highland Chiropractic

[Guest guest]

Hi friends,I agree that lumbar extensions will bring the spondy forward, unless the patient is able to coordinate the release of local musculature.  It's unlikely in an extended weight-bearing posture.  It's easier to get in touch with these coordination patterns in a 90/90 degree supine position (supported corpse pose), particularly when discomfort or pain are involved.  A transition to weight-bearing posture which helps develop internal consciousness of sacral and lumbar musculature is the modified bridge pose.  Lying supine, bring your heels as comfortably close to your butt as possible without using your hands.  Lie the lumbar spine as flat as possible.  Keep your knees together and press up through your legs until the hip joints lift about an inch or so off the surface (a little more if you're on the bed).  Hold at that level while releasing appropriate musculature to lower your spine, sacrum and tailbone back down to a resting position - all while the legs keep the hip joints lifted up.  Hold the pose longer as you gain coordination, lifting the hips higher as you learn to relax the lumbars into kyphosis.  Practiced daily for a few minutes will develop this helpful skill.Thanks for the share, Rod.  The roll and relaxing leg stretching sounds great. Sears, DCNW PDX On Aug 9, 2007, at 2:20 PM, Rodney G. , DC wrote:Hi : I have had a lot of success with spondy's by having the patient lie prone with a dutch roll under the level of the spondy, working the paraspinal soft tissues around the area and tractioning both legs simultaneously in an effort to allow the anterolisthesis to go posterior. I usually adjust the low thoracics and work the iliopsoas group to relax the musculature in an effort to lessen the "lordotic pressure" caused by hypertonicity of the hip flexors. Seems to me that the McKenzie protocol would accentuate the lumbar lordosis and force the anterolisthesis forward..... Rod , DCTilamook Natural Health Center prolotherapy and anterolisthesisI have a patient who has an anterolisthesis with a pars defect at L5. She has undergone tx with me and a PT. I have focused on mobilizing above and below and core stability. The patient is working with a PT that has been using Mckenzie. She has not received much relief from either tx. She recently asked me about prolotherapy, which I hadn't considered. Wondering if anyone has had experience with prolotherapy for an anterolisthesis. Also, any other suggestions for conservative treatment would be appreciated. Bingham Highland Chiropractic