What Exactly is Prolotherapy?

Every time I mention Prolotherapy to someone, I am amazed at how many people say that they have never heard of this. Then, I refer to athletes like Coby Bryant and Tim Duncan and explain how they have had PRP Prolotherapy and all of the sudden they say, “oh, yeah…I’ve heard of that stuff. So, do you have bad knees?” I laugh and then continue into the explanation of what and how prolotherapy works.

I’ll defer this answer now to the “expert”…and I mean one of THE EXPERTS in this field. From what I understand, there are only about 35-40 highly experienced prolotherapy doctors in the United States (yes, a ton of other doctors do these injections across the U. S.).  I have never met any MD who understands the body and functional movement quite like Dr. Bradley Fullerton. He takes the time with you to figure out the root drivers to your musculoskeletal pain. A boatload of thanks goes out to Dr. George Fett (a prolo expert in Rome, Italy) for referring me to Dr. Fullerton!

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www.proloaustin.com

So, why am I getting prolotherapy? Believe it or not, I have always been pretty active in my life. From the tender age of 6, I have participated and competed in everything from Gymnastics, Ballet, Tap, Jazz, Cheerleading, Springboard Diving, Swimming, Softball, Track & Field, Tennis and Golf. Throughout the years, I have had more than my share of sprained ankles, strained muscles and musculoskeletal pain.

A cheerleading injury I had during my sophomore year in high school is the primary reason for a majority of my aches and pains today. I fell about 5 feet and hit the ground on my left scapula and thoracic spine area in a stunt dismount mishap. As I was falling, all I could think of was “OMG, turn yourself around so that you do not land on your head and snap your neck!” I ended up landing in a twisted position that day injuring a number of areas including my Glute Medius (but didn’t know it at the time).

Years after this fall, I experienced countless muscles spasms and severe pain as my body learned to recruit other muscles for compensations.  Runner’s knee swelling and pain, lumbar spine discomfort, sprained ankles… all due to my injuries and femur instability.  Despite my involvement in professional sports and movement analysis, I never figured out my own root driver. That is, until I met Dr. Bradley D. Fullerton.

Initially, I went to Dr. Fullerton to get a prolotherapy shot in my elbow after my mentor and friend, James Waslaski  , treated my golfers elbow at an orthopedic seminar I was attending a couple of years ago (This is where I met Dr. George Fett).  As he examined my elbow, Dr. Fullerton asked me to show him the movement I did when I injured it. I showed him my down swing and explained to him how I hit something hard in the ground and how this something was obviously the cause of my golfers elbow.

Dr. Fullerton reminded me how it’s important to keep in mind the interplay between my elbow and shoulder girdle in this motion. In particular, how the upper trapezius and levator scapulae originates on the spine and the latissimus dorsi involvement. This relationship with the shoulder has implications that affect the scapula-thoracic joints.  For example, poor scapular stabilization increases activity of the upper trapezius for stabilization, which in turn increases scapular elevation and stress on the cervical origin of the trapezius, lats and fascia.  In short, my shoulders were putting a tremendous amount of stress on my scapula and this stress can lead to a number of other changes in the body.

Next thing I knew…Dr. Fullerton was now examining my scapula-thoracic area. When he did this and compared my right to my left side, he asked me “have you ever fallen and hurt this left part of your back before?” I first responded “No” and then said, “Oh, wait a minute, yes, back in high school!” He then proceeded to show me where my injury had never healed properly on the sonogram. PURE GENIUS!

From here, I looked at so many things differently in the body. On a recent visit with Dr. F, I asked him about Glute Medius and Minimus, hip stability in regard to my fall. I explained my “Twisted Fall Impact” theory to him and next thing I knew we were scheduling an appointment for a sonogram for my Glute Medius and Minimus and discussing his theories.

You may be wondering how two simple muscles can be such relevant players in keeping your posture erect. The simple fact is that they’re key pieces in keeping your movement stable, so that when you walk or run, your hips are able to act as a support system for your upper and lower body. Someone who is chronically weak when in motion is likely experiencing less than adequate support from these muscles, which places a lot of strain on other systems within the body and can tire you out very quickly.

This brings us to today…me getting PRP Prolotherapy for a big tear in my Glute Medius.

Step One: My PRP Blood Draw

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Staying Healthy Can Be as Easy as Childs Play

Silly Putty

When I discuss with my clients why their backs, hips, knees or shoulders hurt, I often use the example of when Silly Putty (for those of us who remember this stuff) is accidentally left out of it’s “egg shell” shaped container overnight on the table.  Admit it…if you are over the age of 40, you know what happens next. Thanks to gravity, you wake up to a flat pancake blob that has to be reshaped to fit inside its container.

It’s actually quite as simple when it comes to our bodies and gravity as we age. We don’t move enough and we don’t move in the varied ways we did as when we were kids. When we do move, we move in the same repetitive ways, never utilizing our full range of motion and RARELY requiring strength from our muscles. When we exercise, we tend to stimulate the same muscles in the same ways. Because certain muscles get strong and certain muscles get weak, we begin loose correct alignment and our bodies begin to flatten and compress.

Sure, there is a lot going on in our lives and we are “busy people” always trying to do more. It isn’t entirely our fault. I mean today’s world doesn’t exactly require us to move too much. Advances in technology have made it easier and easier for us to move less and less. The ergonomic movement seems to have contributed too. We don’t have to lean or stretch to reach anything these days. Now, I’m not knocking ergonomics as a whole. It does have its place in life. Used correctly, it saves many people every day in their workplaces from repetitive motion injuries.

I just want to point out that we don’t do all the physical things we used to do as a kid and that this loss of functional movement is the primary reason for many of our aches and pains. Despite what you might think, your low back pain is not the result of lifting that last box of holiday decorations in the garage, “but rather from cumulative viscoelatic creep due to lack of rest between loading cycles” (Erik Dalton).

Now take a moment, close your eyes and think of the ways you used to move when you were a kid. Remember when you used to swing upside down from Monkey Bars or swing across horizontally? What about playing Hop Scotch?

Hop Scotch

Playing Hop Scotch was one of my favorite games as a child and it proves one of my theories that what was fun and good for you as a child, still is good today. Hoping on one foot is one of the most complex movements the human body can perform. Technically its called homolateral movement. Games like Hop Scotch not only develop movement skills but are some of the foundations found in performance training. Things like:

  • Neural Pathway Brain Development – Left and right brain way of thinking tasks
  • Proprioception and Body ControlDon’t hop or step on a line!
  • Starting and Stopping RhythmIn order to be good at it, you gotta have rhythm
  • Muscle StrengthLeaping on one foot takes a lot of strength
  • BalanceThrow, stand, hop, hop, bend, pick up, straighten up, leap, jump, hop, hop, land turn…Need I say more?
  • Eye Hand Coordination and Fine Motor ControlPitch that pebble in the right box or you loose your turn!
  • Sequencing & StrategyPrioritizing the game plan
  • Discipline & TenacityHuman drive to succeed and win incentivizes you to try harder

Hanging upside down and swinging on monkey bars decompresses our spines and joints.  Its that simple.  Now, we just need to get moving again and remember a few things. Those who move tend to keep moving. Those who move less and less tend to come to a stop. Those who move in varied ways retain the ability to move in varied ways.

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Okay, I think I’m going to go pull out my ladder now and work on a few skills!

Cheers, DROCK


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