Discogenic and Annular Tears
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My doctor, who does Prolotherapy, has said that my chronic pain is likely due to discogenic pain (pain coming down from the torn disc itself). He said that he does not believe Prolotherapy can help. Everything I have read about discogenic pain is horrible. Some say it cures itself in 2 years or so, others say that it is chronic and will never go away. Have you had success treating patients with this condition
A. The answer is a resounding yes! When other Prolotherapists say "not a Prolotherapy candidate," often we believe the opposite is true.
MRIs, CT scans and Discograms are all types of imagining techniques that show problems in the discs. The real problem however is that you can not definitely correlate that the finding on imaging correlates with a person's symptoms. In other words, people have degeneration in discs, annular tears and other abnormalities and have no symptoms. Your disc bulges every time you bend over. So disc bulging by itself doesn't mean that is causing a person's symptoms. In other words, the history is the most important determining factor in the majority of pain cases including low back and neck pain. Imaging just confirms what the clinician already knows.
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