Caring Medical
& Rehabilitation Services
715 Lake Street, Suite 600
Oak Park, Illinois 60301
708.848.7789 Phone
708.848.7763 Fax

Sacroiliac pain after Prolotherapy

Q. I fell off a ladder onto my back in December 1999. I had Prolotherapy for severe joint glide and the treatment did help alot, to the point where I could return to work.

Unfortunately it did not last and my pain and glide became worse and I'm now off work again. I returned to Prolotherapy injections with marginal improvement but nothing close to the original success. Can you tell me what percentage you would use for the injections? How many injections per compromised ligament would you suggest so I can discuss this with my prolotherapist?

A. It is common at Caring Medical for us to see new patients that have had some partial success with Prolotherapy in the past at other clinics. What we do in these cases is use very strong proliferants. To give exact percentages of solutions and solutions used would not be appropriate since I don't know your exact case. I can tell you that most likely you didn't get a complete response because of one of these reasons:

1. Not enough proliferant injected per injection.
2. Not a strong enough proliferant injected.
3. Not enough areas injected.

What you most likely need is a complete lower back treatment. The sacroiliac ligaments basically connect to the lumbosacral and iliolumbar ligaments, so these need to be injected also. You probably need your pubic symphysis Prolo'd also. Think about it. If your sacroiliac joint keeps subluxing perhaps it is because the front of the pelvis, the pubic symphysis joint, is not stable. So you probably need Prolotherapy of all these areas with strong proliferants. That along with good lifting/bending technique should give you the pain relief you seek.