Prolotherapy & PRP Injections for Neck Pain & Instability
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- Опубліковано 21 сер 2024
- Dr. Sebastian shows how chronic neck pain, headaches and cervical instability can be treated with Prolotherapy and PRP (platelet rich plasma) injections. Dr. Sebastian is a spine specialist in Estero, Southwest FL.
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Ive got this done and it help me so far its been 2 weeks since my procedure. I pray to the good lord that it helps for a long time!!
How is it
It's been 5 months. How was it
How's your shoulder doing after 5 months?
Do this procedure I just had prolotherapy without prp and I feel 30 percent better after 4 days @@holygrounds5882
Probably a paid comment
I don't normally comment on anything but if you found this video I will share my story:
- I had terrible neck pain making my neck muscles incredibly tight and causing head aches that made me unable to function. Tried everything. It got so bad I considered ending things, I simply could not live.
The first injection of PRP by a provider delivered about 80 percent relief, subsequent 2-3 treatments got me to 95 percent. I remain careful not to aggravate it. This was 9 years ago, I am probably at 90 percent now.
I also had a badly torn rotator cuff and lax ligaments - PRP treatments fixed my shoulder completely but I went too hard and it finally gave out. Was performing at or near professional athlete level, having come from a position where my shoulder/neck pain would wake me up while I slept.
Give it a try if you have tried everything else.
I’m at similar situation. The headaches and eye pain are unbearable. Had prp done recently. But thinking of going to specialist like this doctor that does it straight to the spine.
My question is, how come you couldn’t get to 100% symptom free? Cant they just keep injecting until you are 100% or it doesn’t work that way?
@@squeekyclean1644 From my research so far the instability conditions are not curable but treatable. I believe I'm suffering from cervical instability and considering traveling from Pittsburgh to Florida to get tested and possibly treated with the prolotherapy or prp. I'm a MJ dancer and devastated at the thought that I might not be able to dance or perform again but my symptoms are so bad I'm thankful I can walk right now. I get seizure or stroke-like symptoms from the smallest amount of activity I struggle to wash and dry my hair, can't drive my car, can't even wash a sink full of dishes. So even if I can drive and go to work again I'll be happy. From what I'm finding tho people have such good results from this they usually are able to exercise and everything again it seems like it really works
@@JacksonStar4757 please let me know if prolo helps you, I am dealing with the same thing. This illness is debilitating and doctors never believe your symptoms are real. I hopr and you find relief and can dance again
@@olivianichole288 Sure! Thank you 💚💚 I hope I can go through with it I'm nervous of course but I'm going to Dr Ross Hauser he's one of the best at upper cervical prolo. Have you seen an upper cervical chiropractor? Adjusting my atlas has helped me tremendously. I think I found out about the chiropractors who I'm going to shortly after I made that comment. After almost 3 months of their work I am a lot better but still struggling with a lot of things. My adjustments should be holding longer than the 10 to 14 days that they are at this point so I probably do have instability. So glad caring medical accepted me I'm going at the end of the month. My name is Mary let's keep each other in our 🙏🙏🙏
@@JacksonStar4757are u planning to go to caring medical because I am aswell withi. The next 2 months hopefully
Im 33 and use to be a college athlete.
I was diagnosed with upper cervical instability and I have been workout intolerant for 2 years. After covid it got way worse. it's hindered my whole life. Im often off balance, dizziness, air hunger when working out or trying too. Sometimes I have swallowing problems when drinking or eating. Constant Brain fog, occasional nausea, don't handle stress well at all. Tinnitus that hasn't gone away in 7 years. Visual snow hasn't gone away in 7 years. I've had my atlas adjusted many times. Do cold showers everyday (definitely helps). I went to see a prolotherapy doctor and didn't do it cause I didn't feel I trusted him. He just kept talking over me.
I definitely have a vagus nerve issue as well and I need this fixed!
I've tried many diets and ate clean...It's miserable at times, but im living with it. I really miss running and lifting weights and feel and smell like I use too. It's like my whole nervous system is SHOT! 😩
Hi have you considered trying prolotherapy with a different doctor? How did you get a diagnosis, I have all your symptoms and many more plus severe constant neck pain but no one believes there is anything wrong I get blown off by all the doctors. It's debilitating and I have never been the same since these symptoms began last year:/
@OliviaNichole❤ I got diagnosed by my cousin, who is a chiropractor and caring medical who are the doctors in Florida. By dmx (digital motion xray) and other tests this did on me. I will be trying another doctor forsure at some point.
I understand 100% of doctors blowing it off and people not believing etc... That's the most frustrating part to be honest.
When did they start and did u get sick, or have some sort of head trauma?
You and I have quite similar symptoms, it seems. My issues began due to whiplash in a rollover car accident 13 years ago. I have an appt next week to complete PRP through Regenexx on my C3/C4/C5 vertebrae, where I have the most instability. I'm hoping it helps because, like you, I've done all sorts of stuff (cold showers - which haven't helped unfortunately, DMX, nerve blocks, adjustments, PT, etc) and probably already spent over $10k in procedures, appointments, etc.
The most important things in finding a doctor, for me, was to ensure I trust them and that they use guidance (x-ray or ultrasound). Hopefully this helps, as nothing else has :(
@@olivianichole288 GET A MRI OF THE NECK . IT WILL SHOW YOUR PINCH NERVES
I HAVE THE SAME AND I A AM THE SAME AGE , MRI OF THE NECK/SPIN SHOWS C2/C3 PINCH NERVES
Thanks for posting. I had Prolotherapy done on my shoulder and by the second procedure, I could no longer continue. It threw my body into a heightened state of inflammation. I was inflamed everywhere with aches and pains and exhaustion for several months. I felt that I was on chemotherapy. Last July i came down with a parasympathetic condition and Vagus nerve disorder. My throat, GI tract, blood pressure and cardio system was impaired. I was down to 114lbs. It was terrible. Things didn't turn around until I began to see an AO chiro doctor. I still get spasms in the middle of my chest and have to be on meds and wear a cervical collar on occasion. I wish restorative treatments were covered by insurance. I do need to fix my neck instability.
Consider a cervical plexus injection with Dextrose 5% for the dysautomonia, it is a very effective treatment for the "weird neurological symptoms" when aded to prolotherapy and prp injections for cervical instability.
Thank you. My DMX shows ligament damage and instability from C1-C6. I may be contacting your office very soon.@@sebastianklisiewiczintegra9805
@@sebastianklisiewiczintegra9805do you offer prp no dextrose?
it’s 2022, a good year later.
how is he doing?
could you bring him back in and do an update on his health status?
Thank you for your interest. I will ask the patient to comment himself on his results from the cervical PRP/prolotherapy. Most patients seem to get good results with a series of prp and prolotherapy injections to the neck. See this testimonial of another patient with cervical instability treated with PRP injections: ua-cam.com/video/krjuVzuxUAo/v-deo.html
I got some relief so far after 1 injection just no prp
@@sebastianklisiewiczintegra9805 :
Thank you.
Very much appreciated !
worth every pennies PRP and prolo saved my life
There is a hope!! From 2018 I had big migraines (from instability C1-C2 greater occipital nerves), sometimes 3 times in one week, my tongue is little burning. After second session of prolotherapy I don't take ANY painkillers, I don't have ANY migraines. Level of my pain drop from 7,5 to maybe 3 in 5 weeks (for me is game changer, I couldn't believe for this day-its 6 week after first session ). Now I have pain on back of my head (I feel bad pressure and tongue burning), but I hope for better future now :). In Poland I payed 250$ for one session. I know is only beginning of my journey (I need to recover my neck curve-military neck- I will have gentle traction it should help for instability also, my doctor said thaht I should avoid any manipulation), but after some many years in pain, I finally have hope.
God is good!!! 🙏
I took yesterday here at Skorea. Took neck injection due to chronic neck pain. Here healthcare is very cheap as it covers 70%. I paid only $40 around
Hi, could you please tell me where in Poland , im seeking for help myself 🙏🙏
@@adenbark my advice dont take, its just for short-term relief and the pain will come back again. Rather do regular exercise and visit a good physiotherapist and dont let nerve pain keep over your head. Try to ignore it and live thats only way and of course you wont die of this pain as long as you can have food without any problem.
@@adenbark Reumedis Kraków for Prolotherapy and for PRP CTK Wrocław. I'm right now after 3rd injection and for now it's much better with my migraines (better range of motion, less tinnitus). Progress is slowly but constat (I have good and bad days). I'm really God grateful for this help, of course I still have issue, but it's definitely better. If you have questions feel free to contact.
@@adenbark For Prolotherapy Reumedis Kraków, for PRP CTK Wrocław. Now i'm after 3rd injection and I feel much better. Of course still I have issue, but it's slowly better (I have good and bad days).This technic repair damage tendons and muscles not only mask the pain. If you have question feel free to contact.
Where is this clinic? Does this specific procedure help with other symptoms other than pain? I have pain, but its a 2 to 3 out of 10. My bad symtoms are the tremors, double vision, heart palpitations, shortness of breath, pain behind eyes, pulsatile tinnitus, extreme fatigue. Growing up you always hear about the basic diseases, high blood pressure, diabetes, etc -- but no one prepares you for this. This is torture.
I provide PRP for neck pain and cervical instability in my clinic in Estero FL (Southwest Florida). Upper cervical PRP and prolotherapy treatments can help with dysautonomia symptoms and other neurological dysfunctions beyond just treatment of neck pain. Contact my clinic to discuss further : integrativerehabmedicine.com/contact
My neurologist said I need surgery right away…… went for a second opinion and this one said no surgery needed at this time….. been going to pain management for a few months and my pain is gradually getting better with shots……. Asked him about this procedure and he said if I want we can do this but the messed up part is insurance doesn’t cover prolotherpy…. I would have to come out of pocket around $800 😩….
Insurance does not cover PRP nor prolotherapy. It is an involved procedure with significant costs and time involved by the practitioner. It is more effective for chronic neck and back pain than steroid injections.
Where is this place $800 out of pocket?
@@nhudong9393 i actually had the procedure RFA Where the injection burns the nerve that sends signals that was given me headaches……. My insurance covered that……. Going on a year now and pretty much headache free……. Doctor said it can last like 6 months to 5 or so years…….I also bought one of those contour pillows for the neck and it’s pretty good….. I’m in New York btw
@ G Man where is the place for $800 If you don't mind sharing.
@@nhudong9393 it’s starts at 800 a shot he told …..800-1200…….. it was Manhattan called precision
I had a rotator cuff surgery 3 months ago on my left shoulder and I still have a lot of pain. My surgeon suggested visiting a pain management doctor to get a shot on the left side of my neck and prescribed an MRI of my neck. I took the MRI disk to my pain management doctor and he explained that he would give me a shot in the neck. However, when I was ready to get this shot, he gave me a shot in my spin between my shoulder line and my lower back. He said in 3 days the pain should be gone. Well, it is one week and the pain is still there. When I told this to my surgeon, he was surprised and said he should have given this shot to the left side of your neck. Your suggestion? Thanks
My 18-year-old son has arthritis in the neck which caused half of his neck vertebrae to fuse (half of his neck is fused). Plus, he has arthritis in his hips, it is so bad that he has to use crutches to walk. We've been told that in his case the only thing can help him for his hips other than surgery, will be the stem cell therapy and PRP. What do you think about the stem cell therapy in general?
Also want to know
Arthritis at 18 years old?
How did that start?...
@@carlacaires9895 1. Labor induction ONLY because I was 7 days overdue. No other indication for induction was given, I had an awesome pregnancy.
2. Because of labor induction, my son was born with Apgar score 4. Despite that, he was immunized according to schedule for healthy babies up until he developed a severe case of atopic dermatitis at age 2.
3. I breastfed my son up he turned 3 (3 years, 3 months to be exact). My teeth started going bad and in the first 1.5 years of his life, I got 8 amalgam (mercury) fillings even though my dentist knew I was breastfeeding.
4. Finally, when my son had a really bad flare-up of dermatitis, we took him to the ER where he was given a steroid IV. Later I learned this was the major cause of his arthritis BUT had other doctors not made their mistakes, my son would have not developed dermatitis and would have not needed that IV.
I don't think it is safe to have babies in this country. I am an immigrant and I am SURE if I had my son in my home country, he'd be healthy. There is too much greed and unprofessionalism in the medical community here.
@@marias5088 that's horrible to hear. I empathise with you. What is the country madam?
@@tapaseedeb104 USA
I have watched alot of these videos for different doctors and clinics- some had some horrible reviews and the people felt worried worse or lost a alot of money and felt the same - I want to believe so bad because these symptoms have changed my life for the worse- I still haven’t been diagnosed because all doctors I see either never heard of it or say that’s impossible to have or I’d be paralyzed, it’s progressing quickly, I know I need to advocate for myself- doctors only want to order X-ray and MRI but we know that won’t see it smh 🤦
Thnks for all the concise information provided &video I have had RFA on the C2/3/&4 and about to have a cortisone injection on C1 I'm told RFA not suggested on the C1 joint my question to you is....Is PRP ever performed on the C1 joint,when asked on this page it appears the only question that remains unanswered by yourself?thanks
Yes it can be performed on the C1-C2 joint. Very few physicians do it however because it’s a extremely hard injection to perform because the vertebral artery is just lateral to the joint and the dura is just medial to the joint.
I just got my first treatment but I’m curious does this heal jugular decompression?
Had this done 4 weeks ago I feel like it's getting maybe better now :)
Thanks Dr. for the video , how do you diagnose the patient for neck instability ?
Neck instability is diagnosed with history of the symptoms, a physical exam and dynamic images such as X-ray and MRI.
You diagnose it by DIGITAL MOTION X-RAY. DMX not many have that technology. I’m from CA and I was very fortunate to find someone who did. But I found four that had them in the country. Florida, Colorado, CA, and Arizona
@@andresavelar8352 andres are you on track to a recovery?
@@TheBushRanger. yess
@@andresavelar8352 from cci?
I have occipital migrianes, neck pain and stiffness, brain fog, etc. But my worse symptom is neurogenic bladder. This is all due to an undiagnosed broken neck as a child that was aggravated as an adult because of a car accident (when I discovered my neck had been broken). Have you ever seen neurogenic bladder symptoms be resolved once the ligaments are restored?
What are your thoughts about doctors that do this without imaging guidance? Like the traditional hemwall Hackett method.
Does P.R.P Repair Bulging Disc on your Neck C - 2 C C -3 and eliminate Pain from the Neck Area ? Also does Eliminate Bulging disc on your lower Back L - & l - 5 which causes Lower back pain and Groin pain , along with Sciatica on the lower Legs ?
So did you try PRP injection at C2/3? Did it help with your disc bulge?
How much was this procedure?
Just last week I was sitting down with my little brother drinking some sprite and My head started feeling lightheaded the next day I was dealing with fatigue, dizziness and then my anxiety came soon later with chest feeling very numb, my body would feel warm, I would experience bloating in my stomach and then my muscle mass got thinner and I deal with sharp pain in my head here and there and so much brain fog and felt like couldn’t feel my spinal cord nor could I feel any good emotions ever, have trouble inhaling and exhaling and also had trouble with sleeping too.
So now I’m curious if this what I need to help me feel better.
this is risky no? An infection in the neck could be very bad??
Hi doctor.I have cervical instability for 2y with neck pain, shoulder pain.dizziness, tinnitus, brain fog. My doctor did prolotherapy only at c3 level claiming that the drug will spread to other areas. I wonder if this is right or not.
I have a hemangioma on my C5 is this procedure that will be done?
All i was told is I'll be getting injections in neck for it.
Iv a lot of sensation loss on right shoulder and full arm n fingers. Numbness & Pins n Needless in fingers
Hemangioma in the cervical vertebrae typically does not cause neurological symptoms. You may be describing cervical nerve root compression from a disc, bone spur or ligament instability. These can improve with prolotherapy and prp.
hi doctor,have u ever encounter a case where patient complain of cervical crepitus possibly due to facet joint arthropathy?how can we treat it?does prp and prolo the answer?
PRP and prolotherapy injections are an effective treatment for cervical facet joint arthritis. Many patients have crepitus, it often gets better after regenerative medicine treatments.
integrativerehabmedicine.com/fort-myers-naples-platelet-rich-plasma-treatment-injections
What is better for this... Prolotherapy or PRP injections ?
Prolotherapy and PRP are both great treatments for neck pain and neck (cervical) instability. Prolotherapy is a technique of injecting many ligaments and joints to create stability, decrease neck pain.. Prolotherapy is classically done using dextrose as the agent, but PRP can also be used as the injecting agent (same technique, if done correctly be an experienced physician). PRP makes the procedure more powerful and effective and can decrease the amount of treatments needed (PRP neck injection ~ 2-3 treatments, Prolotherapy neck injections ~ 3-6 treatments). Both are a great alternative to surgery and steroids for any patient with neck pain.
I did prp 7 days ago on my neck from a neck injury and a from a rear ended car accident. Is it normal i feel worse than going into it after 7 days. The pain comes and goes but it is giving migraines along the way like a stabbing pain in the neck at times. Should it be of concern?
Also, can PRP injections help dissolve scar tissue that is compressing the vagus nerve?
From my experience, PRP outcome because it comes from you also depends on the ability of your own system to heal, So outcomes vary, I have had excellent results And yes old scar tissue had a full reset,
Sir can severe cci and aai be treated with prp and prolotherapy injections below c1. I have a severe bobble head. Also have any of your patients had felt relief from hypotension, blurring eyes and headaches after these injections.
Yes look for videos here. Other doctors explain prolotherapy for cci on youtu.be
@@mv8908 thanks
@@alimehdi2344 hey i saw you also in Facebook groups. Can i pm you? I have the same issue
Bro, have u done with Prolotherapy. If so, have u seen any improvements?
@@alimehdi2344 bro, kindly share your comments
I have cervical herniated disc and shoulder muscle spasm for 8 months. Should I do this procedure?
Do you do C0-C1 area?
Please sir.l have cervical instability for 2 year's.my doctor did prolotherapy last month.but he did it in one injection on each side .he claimed that the drug injected will spread in all joints and spines of neck.is this true because i did 2 sessions and still i have severe pain in my neck and shoulders.dizzines.tinnitis blurred vision and headache.
Excellent. Looks like hemwall hacket ?
Hi doc. The prolotherapy does work for gastroparesis and due to my vegus nerve damage. I have neck arthritis as well. Those injection help to cure my problems or just a pain relief, ? Thank you
So whiplash type injury and now when I strain my neck area(lifting or squeezing) I get dizziness and brain fog for a few days. Injury was 2 months ago and had cat scans and mris and docs say my neck is fine. Any thoughts thanks
Hi Dr, roughly how many times can you inject with one syringe tube of PRP? Thanks.
Hi can you recommend someone doing this closer to NW Arkansas Thank you
I don't know anyone in that area that does PRP and prolotherapy. But you can fly into to southwest florida (fort myers, naples area) to get your prolotherapy and PRP at our clinic, our staff would help you with the arrangements. integrativerehabmedicine.com/contact
How To Know if My Neck Pain accompanied By Vertigo (Disequilbrium) during walking is Due To Neck instability Or Herniated Discs in the neck ?? Coz If Any One Does MRI Of Neck Almost Every one May Find A disc or 2 herniated...so ? Is there Any specific Diagnostic Test to Find if I have cervical instability ?
Hi where are you located? How much is need this done
Hi will this help if I have pain on my right mastoid (C1 rotated to the left), not sure if it’s due to my tmjd joint issue on the left
Hi.
Thanks for this great clip 🙏
Is it much of nerves/pain when treats Ligaments? "Needle-skin is ok"
Have only have Botox in lots of muscle around my neck for 6years,"before i get diagnosed in Spain" and that's was so painful treatment each time.
All great treatments are so far far away from Sweden 🇸🇪 21years of really bad pain and pressure, but some day maybe i have lucky too.
#Atlanto-axial Instability.
#Craniocervical Instability.
Thanks again 🤠
Prolotherapy and PRP can effectively treat cervical instability. This can eliminate the pain and often reduce the many neurological symptoms. We have patients from all over come to our clinic for treatments, we do telehealth consultation to make sure you are a candidate.
integrativerehabmedicine.com
Can alar,transverse ,accessory ligaments can be injected
How are you now? Did you find anyone that could help you in sweden?
hi doctor, can cervical radiculpathy be treatment with prp?for radiculopathy does facet joint or median branch block workds? or does it require intradiscal inejction base on your experience
PRP and prolotheray injections are a good treatment option for cervical radiculopathy. You need to treat the facet joints, supporting ligaments and muscles as well as treat the nerves roots with nerve hydrodissection for best results. Most of the time, you do not need an intradiscal procedure for this.
integrativerehabmedicine.com/fort-myers-naples-platelet-rich-plasma-treatment-injections
Very interesting thx but my doc dont youse a pc he inject the Prp without looking at a display or pc by making thr injections is that correct?
Greetings
When I 1st learned prolotherapy we did not use ultrasound, just did it by palpation. Currently most regenerative medicine doctors who inject PRP or prolotherapy to the spine use some type of guidance with ultrasound or X-ray.
Will this treatment work for radiculopathy pain in arm caused by bone spur at C-6, C-7 area?
PRP can help with cervical degenerative disc disease and radiculopathy as it improved cervical stability, thus decreasing the stress on the disc. You would also need to add nerve hydrodissections of the cervical roots for best treatment of cervical radiculopathy. integrativerehabmedicine.com/treatments-nerve-injections
Im having loss of cervical lordosis/ military neck, im 23 and suffering chronic neck pain since 3 years ,will it work for me?
PRP and prolotherapy injections are a great treatments for chronic neck pain and loss of lordosis. Prolotherapy and PRP injections strengthen the spinal ligaments, stabilize cervical instability and improv the curve of the spine. This needs to be done in conjunction with physical therapy and posture re-training. We are located in Estero southwest FL, but we have patient travel for treatments from all over the US. Schedule a telehealth consultation to discuss:
integrativerehabmedicine.com/Naples-Fort-Myers-Bonita-prolotherapy-Treatment
I wish someone near me did this. Insurance will only pay for what doesn’t work. Not for treatments saving people teetering on disability.
PRP is a great treatment for neck pain of many causes, such as cervical instability, whiplash, sprain, arthritis and many more. Unfortunately it is not yet covered by insurance. We have patients come to our clinic from all over the states and other countries. Consider flying out to Southwest FL (Fort Myers/ Estero) for a treatment. You can do a telehealth visit to see if you are a candidate: integrativerehabmedicine.com/contact
@@sebastianklisiewiczintegra9805hanks, I’ve done a DMX on c-spine and have a lot of other imaging. I’ll look into consult to see what would be recommended. I have a lot of left sided chest/arm/jaw and occipital pain. TMJD, ON, migraines, and neurogenic TOS, and pain radiating down left arm. I get relief from NUCCA, and osteopath manipulation on my t-spine. Along with a lot of self massage on SCM, traps, and other muscles with red light therapy.
How well will / does this work if you’re fused C3-C6?? I’m having the headaches and throbbing that radiates to the frontal lobe with Imbalance issues and tightness throughout the base of the neck
Prolotherapy and PRP injections are a good and effective treatment for neck pain and headaches even after anterior cervical fusion. You need a good diagnosis and a comprehensive treatment:
integrativerehabmedicine.com/naples-fort-myers-neck-pain-treatment
How many time u need to get the injection? For how long before u get another injection again to the cervical?
Depending on the severity of the condition, patient may need 2-5 prolotherapy PRP treatments for best results. Also depends on your ability to heal your spine. Prolotherapy with dextrose injections are spaced 4-6 weeks apart, injections with PRP are spaced ~ 8-12 weeks apart (stronger response, longer healing). for more info: integrativerehabmedicine.com/treatments-prolotherapy
What pain meds where used for patient in order to tolerate treatment?
When performing PRP of the spine, at times we give patients a small dose oxycodone or hydrocodone prior and after the procedure. We also use Nitrous Oxide (laughing gas) for some anxious patients. This procedure is well tolerated by most patients.
Which ligaments are injected when you have AAI. I was told that they are the alar and accessory ligaments. Is this true?
Prolotherapy for upper cervical (neck) instability can be applied directly and indirectly. When doing an indirect technique, you inject the capsular and lamina ligaments, the nuchal ligaments of the upper cervical spine (C2-3-4) and the occiput. It is very difficult (and risky) to get a direct effect on C1-2, but you can inject the alar ligament and surrounding ligaments through the front using CT or X-ray guidance. Dr. Centeno in Colorado does this.
Doctor, will this improve cervical facet joint syndrome? I've been in constant pain all day, every day for 10 months and I have a consult on Monday. TRYING TO STAY HOPEFUL!! Thank you
@@sebastianklisiewiczintegra9805 He is one of the doctors I'm waiting to hear back from.
Can you get this done at your primary doctor after having your scans done or where do you go to? Thank u
PRP and prolotherapy of the spine is an advanced non-surgical treatment option for neck and back pain. This needs to be done by someone who is extensively trained and experienced in Regenerative Medicine and the use of image guidance. You need to see a specialist and have a thorough spinal exam and review of the imaging. see for more details: integrativerehabmedicine.com/treatments-regenerative-medicine
I had prp done on neck just below the skull at a diff clinic. Couple injections (no ultra sound needed). Do you think it’s necessary to do whole neck area for someone with headaches , eye muscle pain, neck pain, etc? And do you combine prp and prolo? Or is prp alone sufficient to stiffen neck.
PRP and prolotherapy of the neck is most effective if the entire neck is treated from occiput down to upper thoracic segments). This will help improve the health of the entire spine. The C0-C1 and C1-2 segments should only be treated with image guidance such as X-ray (or ultrasound for C1-2) as this is a dangerous zone with the vertebral artery.
Hallo Dr.! Where are you from? How much is the prolotherapy? Love Greetings from Germany
Hi Dr does PRP work for loose (lax) shoulder ligaments? Would all the ligaments attached to the capsule be injected ? Would a satisfactory outcome be achieved?
Thankyou
Prolotherapy of the shoulder using PRP as the injection agent can be very effective at stabilizing a loose shoulder ligaments. To do it properly, you have to inject all the glenohumeral ligaments (specifically the inferior glenohumeral ligament), the capsule and the supporting tendons. It may take 1-3 treatments ~ 4-6 weeks apart for best result. We do this regularly for people who have dislocated their shoulder or people with hypermobility syndrome. See the shoulder video: ua-cam.com/video/QkE1LpOVVAY/v-deo.html
Also, visit my website for more information: integrativerehabmedicine.com/treatments-prolotherapy/
I have slipped disc in c5c6 will this help alot
Prolotherapy and PRP of the neck can help patient with bulging or "slipped" discs as it will increase the stability of the spine and allow for tissue healing. Most patient recover and become pain free with a series of treatments.
I had a laminaplasty done on neck. No screw or rods tho. They like a bone graft where the bones all still move. Can I still receive prolo? Does the injections have to be in the center of the neck or can it be done from the side?
You can still get prolotherapy and PRP of the neck after neck or spine surgery. I do it all the time in our clinic. It needs to be done under image guidance such as ultrasound or X-ray, and needs to be preformed by and qualified expert in prolotherapy with years of experience. It would be done from the side (sidling position). You can call our office for more information: integrativerehabmedicine.com/contact
How will this do on lower back pain specifically herniated disc will this help or aggravate it
Prolotherapy and PRP is a great treatment for chronic lower back pain and herniated discs, it is an alternative to surgery and chronic pain medications. See the back pain video: ua-cam.com/video/pvDHCaS_9wA/v-deo.html
Cost of single session of PRP pls
Hi Dr. I believe I have occipital neurology decompression. I try therapy, exercise, chiropractor massage, but none of them work do you think PRP is going to work for occipital neuralgia decompression. I found your video and where are you located at? Also, do you accept insurance? The pain I have is electrical shock, burning tingling, sometimes it came to my forehead.
Many occipital headaches originate from C2-3 spinal segments. Treating the upper cervical with prolotherapy and PRP can be an effective treatments for occipital neuralgia. The occipital nerves can also be decompressed at C2 and at the occiput with nerve hydro dissection injections. We are in Estero FL, please contact us to schedule a virtual consultation: integrativerehabmedicine.com/contact
PRP and Dextrose should not be combined in same syringe for injection, or am i wrong?
There are many theories about combining PRP with Dextrose or not, no one really knows, It can help reales some of the growth factors from platelets as it activates the platelets, it seems to work well for me and many other physicians who have been doing this for many years.
@@sebastianklisiewiczintegra9805 hello, I had booked a paid phone consultation with you . One of your physician assistant spoke with me and told me not to come for cervical instability , I really need help for my neck , I told him I'll be travelling from India to your clinic for my neck but your physician assistant told me that's not a good place to start..
I wanted to speak with you on phone
Hi doc i have annular tear in my t6 and t7 and have spasm and pinching pain while moving my neck in left also i am 6ft 1 inch tall 24 yr old guy my weight is 71 kg but when i lift weights and increase my weight beyond 74 my neck becomes more stiff and pain increases i was all normal before but one physiotherapist did thoracic thrust which was so painful and injured my t6 and t7 disc will prp be effective in my case my doc said you should try this but i am scared
Unfortunately, some spinal adjustments can cause a sprain of the ligaments that support the spine. This is rare, but it happens. This can create segmental instability which can cause increased stress on the disc. This can lead to disc tears and herniations. PRP of the spine can heal the injured ligaments and bring back spinal stability. This allows the body to heal the disc and return to normal. PRP may be a good option and an alternative to spine surgery.
Just curious , how you sure you don't hits veins or arteries when you inject occipital bone?
Prolotherapy of the upper neck can be complex, but it can help significantly with upper cervical instability and occipital neuralgia (occipital headaches). Luckily, the Occipital arteries and veins are very forgiving, if you penetrate one of the vessels, you may get a small bruise, but no other complications, just put pressure on the area to stop the bleeding. If concerned, this can also be done under ultrasound guidance, but often not necessary for most of the occipital injections.
integrativerehabmedicine.com/conditions-neck-pain
Can instability in the lumbar spine be treated with this therapy?
Prolotherapy with PRP can be used to treat instability of the entire spine and other peripheral joints. In our Estero clinic, we use prolotherapy and PRP for all unstable, weak and painful joints and spinal segments. Best if combined with pilates therapy.
integrativerehabmedicine.com/treatments-prolotherapy
@@sebastianklisiewiczintegra9805 can I send you my x ray report and mri via email. .Thank you
@@031shubhrajitporel2 Where are you located? MRI and X-ray of the spine help, but very important is the history and exam. I can do a telehealth visit to discuss as well. here is the link to our contact page: integrativerehabmedicine.com/contact
you can send us a message or email
Do you inject at C0 - C1 - C2 - C3 levels under ultrasound? Or do you avoid these levels as it's more risky to hit the spinal cord? Thanks.
I do not inject C0-1 as the vertebral artery sits behind the joint, making it dangerous. I inject C1-2 with X-ray guidance.
@@sebastianklisiewiczintegra9805dr which ligaments do you inject at C1-C2?
Can prp help for dystonia???
How many injections needed for someone has a ligament laxity with little pain?
Prolotherapy / PRP is a great treatment for ligament instability (ex: cervical instability) with or without neck pain. A cervical (neck) treatment is typically 20-30 injections per session, and patients may need 2-5 sessions 4-8 weeks apart. Contact our office for more information: integrativerehabmedicine.com/contact
@@sebastianklisiewiczintegra9805 would someone who overdid traction therapy, benefit from this? I feel great during the day, but at night my neck collapses on itself. I believe causing nerve damage
What about upper neck c1 ?
C1-2 can be safely treated witty PRP and prolotherapy with X-ray imaging.
Hello Dr Klisiewicz, I had prolotherapy 2 years ago in my cervical spine with a dextrose solution, but after a few days the ligaments around my mid-spine, cervical spine, breastbone, and head were snapping and popping with any movement, then after the second session also, Eustachian Tube dysfunction and tinnitus. I am miserable, I cannot talk or move without popping and snapping. It is not going away after 2 years, the ND was unapologetic and non-chalantly said to go try stem cells. I think the ligaments tightened up too much or grew into the nerve space, I don't know. Do you know if there is anything I can do? Give it more time? What about stem cells? I'd be very grateful for some thoughts if any Dr Klisiewicz.
They can’t over tighten with this procedure, all it does is cause micro-trauma to trigger your body to try and heal it, it won’t ever heal past 100%
The popping sound is usually just pressure release from building up in your joint, it might be the case that it was too weak to even do this before but is functioning more after treatment. You usually need more than one as well, at least 3, and if it’s not a good enough result then try going up to PRP and make sure that a high enough concentration is used.
Good luck with your journey, I’m on the same path myself!
@@sbro17 Thanks for your response, when I asked the ND why there was suddenyl so much snapping and tightening feeling all around my head and neck etc, he said "that's your ligaments". My understanding is if there is too much prolotherapy or if it's used in someone whose immune system isn't coping - thus the chronic inflammation -, then adding prolotherapy is a bad idea due to making the area too inflamed which caused scarring, scarred ligaments would be hardened and would snap when moving across substructures when tight. I really don't know but that's my suspicion.
PRP injections of the cervical spine are more potent than dextrose prolotherapy, they do not only thighten the ligaments but stimulate healing and regeneration of all the tissues involved. This works best if combined with specific physical therapy for ROM, manual therapy and laser therapy. You need to maintain controlled range of motion of the spine.
integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
@@sebastianklisiewiczintegra9805 Thank you for your response. Maybe there could be some hope with PRP.
Hi there i have severe muscle knots in my scapula and muscle alongside my spine and causing me considerable pain even after my c56 fusion. is prolotherapy the better choice for breaking up the knots and relieving the nerve pain associated with this.. I feel like slashing the muscle with a knife to get rid of the tension!! Or is prp a better choice. I'm a bit confused. Please help im desperate!!
Pain and muscle spasm in the scapula area is often a result of dorsal scapular nerve entrapment and irritation. This nerve originates from C5 and can get entrapped by scar tissue from a C5-6 fusion. Nerve hydrodissections at the neck and shoulder with 5% dextrose work best for such cases. This can often be resolved with several treatments. Please see the nerve hydrodissection section on our website: integrativerehabmedicine.com/treatments-nerve-injections
Did you do a nerve entrapment release?
Can you use 2% lidocaine without negative effect on PRP efficacy?
You don't mix the lidocaine with PRP, use ropivicaine instead or 0.1% lidocaine.
How much does this usually cost?
I have cervical instability with occipital headaches, tinnitus, sinus pressure, etc. and I was quoted 3k + 1,200 for anesthetics for one round of the PRP injections.
@@madisonmorgan1054 Spinal PRP treatments are ~ $1,500 (depends on size of area), we use nitrous oxide if needed for anesthesia, that is ~ $100 extra.
Is this low risk? I am debating getting this done on my neck but a little nervous having a needle go into neck.
make sure the doctor performing the procedure is qualified with plenty of experience, like sebastian or russ hauser in florida. you should be good !
Prolotherapy of the neck carries some potential risks just as any other neck injections. Complications reported include nerve damage, headache, increased pain, infection and there have been reports of spinal cord injury. This procedure needs to be performed by someone with lots of experience, and needs to be performed with image guidance such as ultrasound or x-ray. Image guidance greatly reduces the risks, I use ultrasound for all my procedures. In the right hands, this procedure has less risks than cervical epidural steroid injection or surgery. Over all, it is relatively safe when done correctly. Hope this helps :)
How do you make sure you dont inject into a cervical vein or artery collateral thrombogenic PRP ? Especially when injecting without ultrasound guidance.
I mean theres a 0.1% chance of causing a stroke and ending up in a wheelchair there in theory. For facet joint pain lol.
cervical PRP injections with ultrasound guidance are safe and effective, this "0.1% chance" is not true. The ultrasound allows us to identify and areas of concern.
Anyway, PRP has been safely injected in veins and arteries for other treatments without complications.
I have AAI and I am considering prolotherapy. After the shots do patients have to wear a neck brace to keep the neck and head stabilized? Is it very painful after the shots?
Cervical instability, such as C1-2 atlantoaxial instability, responds very well to prolotherapy and PRP injections. Many of our patients after PRP of the spine wear a brace for at least 1 week or more, this is not as common after dextrose prolotherapy but can be utilized depending on the instability severity. Most people are sore for several days after prolotherapy / PRP injections, but this is not severe and can be controlled with simple Tylenol.
@@sebastianklisiewiczintegra9805 ok. Thank you.
@@sebastianklisiewiczintegra9805 how did it go
@@mysteryman123able This patient has EDS (genetic condition with hyper mobile weak ligaments), prolotherapy and PRP are great to stabilize the ligaments of the neck and back in patient with EDS. His neck symptoms mostly resolved with 3 treatments (but because of EDS, he will need another series in about 2-3 years.
read more about EDS: integrativerehabmedicine.com/conditions-hypermobility-eds
I have arthrotharapy c4 c5 c6 c7 will this help sir
PRP is a safe and effective treatment of the cervical spine, cervical facet arthritis, chronic neck pain and radiculopathy.
Visit our spine page for more information: integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
Check out this review article on PRP for the spine:
d1wqtxts1xzle7.cloudfront.net/54363952/jscr-v2-id1019-libre.pdf?1504766644=&response-content-disposition=inline%3B+filename%3DRegenerative_Injection_Treatment_in_the.pdf&Expires=1702838966&Signature=Rm3BeKAK4eMdmtlYzdGt21KEE~XhK7FemEGqal2hRopau0obZqsbR2arPN4cnqoU6rHC2Z99oUufs-jsqall~5tmUO~LmqD9fJww3lqMv4tAFB2TJbpL-mumlTWk0Y0~4N9S9PTz4fc56XjtzIQDCAeNl~WyMJY49~e5~ZXXZGmoNU3lohWgx6rxpVxWlSb6ZAH3JivItLz98Dsnmk6j-2xTSR8JK7phlwFWvGMGRpgq1zkw3QMPl2V3Ymc2ZKePb4X1Qcf~VobL2cBii8lojUM6kYlHuA5Ahr2199finLAmdR3dze0xZ7PI20IlGy9JuzcrGr1oXJPnJdrKXhZR~w__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
I have a herniated disc c6/c7 will this therapy assist?
Prolotherapy and PRP of the neck can stabilize the ligaments and joints, this will take off the pressure from the disc and allow for healing. It works best when combined with spine physical therapy and posture re-education. You can also inject PRP or fibrin into the disc, but this is rarely needed.
see the link: integrativerehabmedicine.com/conditions-neck-pain/
Wat could be the possible side effects .
What's the possible long-term side effects?
I'm looking to do my back and neck, but I'm afraid it may cause some things down the road.
Is it good for people who has hEDS amd CCI?
PRP and prolotherapy is one of the best treatments for instability from hEDS and other hydermobility syndromes. Prolotherapy treats ligament laxity and can provide joint and spinal stability. see for more info: integrativerehabmedicine.com/conditions-hypermobility-eds
Does it help with stiffness?
Prolotherapy and PRP strengthen the ligaments and muscles of the spine along with decrease arthritic inflammation in the facet joints. This will allow the neck muscles to relax and stop guarding the neck. This can help with neck and back stiffness. see the follwing page: integrativerehabmedicine.com/treatments-prolotherapy
Hello,
For prolotherapy or prolozone Dextrose 50% injection is generally used.
The problem is that in France I can't find any even with a prescription. Where I can find some?
Or by what irritant natural product can we replace it in the same proportions?
Thank you.
For prolotherapy (for neck pain, back pain or other), you can use low concentration PRP as your agent (even without the dextrose), you can also use Mannitol 25% instead of dextrose, you can try glycerol or phenol at very low concentrations.
@@sebastianklisiewiczintegra9805 Why not use Glucose for example? Injectable 30% glucose.
If you were to use glucose for a large area like the neck or a knee, how many ml would you use? Same amount as Dextrose?
@@sebastianklisiewiczintegra9805 In fact I learned that dextrose and glucose are almost the same thing. Glucose comes in two different chemical structures: D-glucose and L-glucose. The term dextrose is used to refer only to D-glucose. The question would rather be to know why L-glucose is not used in prolotherapy? I think L-glucose can be used.
@Floyd. B Le kit PRP Arthrex je ne préfère pas essayer car il produit un PRP peu concentré en plaquettes, et pourtant beaucoup de praticiens en France utilisent ce kit. A Marseille il y a le Dr Michel Assor qui fait du PRP très concentré, du PRF riche en fibrine et aussi des cellules souches, mais il ne traite que les genoux. Pour la prolothérapie on peut aller en Italie, j'ai été faire 3 séances, mon praticien utilise pour un genou 10 ml de lidocaine 2% puis 5 ml de Dextrose 33% avec 3 ml de solution neutre et 2 ml de lidocaine 2%. Mais je vais passer au PRP très concentré dés que possible car pas d'amélioration. Je cherche aussi un praticien pour le dos. Le Dr Hauser n'utilise pas le guidage échographique, le Dr Centuro je ne connais pas je me renseignerai.
@@nicolas1104As tu trouvé un praticien pour le cou ?
Hey Doc , where are you located?
I offer PRP injections and prolotherapy of the spine and joints at our Integrative Rehab Medicine clinic in Estero Florida, Southwest Florida.
Do the injections hurt a lot?
When doing PRP and prolotherapy injections for neck and back pain, we numb up the area with lidocaine and ropivacaine, this decreases the pain. We also medicate the patients before the procedure. The injections can be uncomfortable but are well bearable. We can also use nitrous oxide gas to help decrease the discomfort.
I have dizziness, brain fog,dry mouth, neck pain,.alot of people say its cervical instability.
Cervical instability can cause an array of neurological symptoms beyond neck and arm pain. Luckily, these symptoms improve by stabilizing the cervical instability with prolotherapy and PRP of the cervical ligaments. See this testimonial of a patient who received PRP for cervical instability: ua-cam.com/video/krjuVzuxUAo/v-deo.html
I have same broo....plzz tell Mee how are u now?
Can prolotherapy cause paralysis??????
Prolotherapy of the neck is a relatively safe procedure when performed by trained physicians, especially when it is done with ultrasound needle guidance. Many thousands of neck prolotherapy procedures have been performed over the years, I have heard of only 1 case of temporary spinal cord injury in a patient during a training course in Mexico. This was done by a student, no image guidance, a blood vessel was injected. The patient recovered in 6 months. If you look at other procedures such as epidural injections, prolotherapy and PRP is much safer than cervical epidural injections or surgery.
integrativerehabmedicine.com/treatments-prolotherapy/
@@sebastianklisiewiczintegra9805 so that means that it can cause paralysis. Thank you👍
@@bush-b5330 lol didn't he try to avoid the question.... Typical doctors speak... We're getting smarter.. Thanks to the Internet... Doctors are still treating us like idiots... There time is almost up
I did one round of prolotherapy for my neck instability a week ago. Considering PRP for faster results but since I am a smoker I wonder if I can do PRP? I am trying to stop, but it is really difficult.
PRP and prolotherapy are a great treatment for neck pain and neck instability. They work best when you are healthy. Smoking can decrease your response, but you can still heal.
@@sebastianklisiewiczintegra9805 Thank you!
How do you know if the ligaments are loose?
cervical instability can be diagnosed by typical symptoms such muscle spasm and tightness that gets worse as the day goes on (the bus close are guarding loose ligaments), with dynamic X-ray, manual physical exam and MRIs. Some people are born with hypermobility of the spine (and other joints). See the link: integrativerehabmedicine.com/conditions-hypermobility-eds
Prolotherapy and PRP along with specialized physical therapy and bracing/taping the is the best treatments for spinal and joint instability (loose ligaments).
What about the alar & transverse ligaments?
?
No reply?
Does prolotherapy works with mental illness
Prolotherapy treats pain and weakness due to ligament instability.
Arthropathy sir
Lidocaine?
Better to use procaine.
We use preservative free lidocaine with all our prolotherapy injections and low concentration ropivacaine for the PRP. You don't need procaine such as used for neural therapy or scar therapy. Ropivacaine is not toxic to the platelets nor the stem cells that arrive to do the healing.