Conclusions |
The Hackett-Hemwall technique of dextrose prolotherapy used on patients who had an average duration of three years four months of unresolved ankle pain and who were twenty-one months out from their last prolotherapy session was shown in this observational study to improve their quality of life. They reported less pain, stiffness, crepitation, depressed and anxious thoughts, medication usage, as well as improved range of motion, walking ability, sleep and exercise ability. Overall average pain levels dropped from 7.9 on a 10-point VAS scale before treatment to a 1.6 level after treatment. This included patients who were told by their medical doctor(s) there were no other treatment options for their unresolved ankle pain or that they needed surgery. Ninety percent of the participants experienced 50% or more pain relief. Since this retrospective observational study found such significant improvements in chronic unresolved ankle pain, further studies under more a more controlled environment and with a larger patient population should be done. Hackett-Hemwall dextrose prolotherapy is a treatment that should be strongly considered for people suffering with unresolved ankle pain.
Hackett-Hemwall dextrose prolotherapy helped the patients make significant improvement in stiffness, range of motion, exercise ability, activities of daily living and walking ability, as well as decreasing their levels of anxiety and depression. Prolotherapy helped all patients on pain medications reduce the amount of medications taken. All 19 patients have recommended prolotherapy to another person.
Ross A. Hauser, MD is the Medical Director of Caring Medical & Rehabilitation Services in Oak Park, IL and is a renowned Prolotherapy physician and natural medicine specialist. A prolific writer and proponent of Prolotherapy, Dr. Hauser is editor-in-chief, as well as author of numerous research and scientific articles in the new Journal of Prolotherapy. With his wife Marion, he co-authored the national best seller Prolo Your Pain Away! Curing Chronic Pain with Prolotherapy, as well as a 900-page exhaustive book on Prolotherapy for sports injuries entitled Prolo Your Sports Injuries Away!
Marion A. Hauser, MS, RD is the CEO of Caring Medical and Rehabilitation Services, in Oak Park, Ill. and owner of Beulah Land Nutritionals. Marion, a registered dietitian, is a well-known writer and speaker on nutrition and natural medicine and has released the book The Hauser Diet: A Fresh Look at Healthy Living. Marion is the senior editor, as well as author of numerous research articles for the new Journal of Prolotherapy. Marion co-authored Prolo Your Pain Away! Curing Chronic Pain with Prolotherapy as well as a comprehensive sports book discussing the use of Prolotherapy for sports injuries, Prolo Your Sports Injuries Away!
Joseph J. Cukla, LPN received his Bachelor of Arts degree in English from Piedmont College in Georgia. He received his Practical Nurse license at City Colleges of Chicago. He is a full time Practical Nurse at Caring Medical & Rehabilitation Services where he is involved in direct patient care, along with research and writing and has recently published two articles on Prolotherapy in the Journal of Prolotherapy and Practical Pain Management.
REFERENCES
| 1. | Ivins D. Acute ankle sprain: an update. American Family Physician. 2006. 74(10): 1714-1720. |
| 2. | Singer K and Jones D. Ligament injuries of the ankle and foot. The Lower Extremity and Spine in Sports Medicine, Vol 2. 1995. pp 475-497. |
| 3. | DeLee J and Drez D. Orthopaedic Sports medicine: Principles and Practice, Vol 2. WB Saunders Co. 1994. pp 1718-1724. |
| 4. | Brophy R. Prevalence of musculoskeletal disorders at the NFL combine – trends from 1987-2000. Med Sci Sports Exerc. 2007. 39(1): 22-27. |
| 5. |
Hertel J. Functional instability following lateral ankle sprain. Sports Medicine. 2000. 29(5): 361-71. |
| 6. |
Braun B. Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med. 1999. 8(2):143-148. |
| 7. |
Ketteler, J. Joint Session. Runners World. December 2007. pp 44-47. |
| 8. |
Renstrom P. Persistently painful sprained ankle. J Am Acad Orthop Surg. 1994. 2(5): 270-280. |
| 9. |
Safran M, Benedetti R, and Bartolozzi A. Lateral ankle sprains: a comprehensive review: part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. Med Sci Sports Exerc. 1999. 31(7 Suppl): S429-S437. |
| 10. |
Safra M, Zachazewski J, and Benedetti R. Lateral ankle sprains: a comprehensive review part 2: treatment and rehabilitation with an emphasis on the athlete. Med Sci Sports Exerc. 1999. 31(7 Suppl): S438-S447. |
| 11. |
Lennard T. Physiatric Procedures in Clinical Practice. Hanley & Belfus, Inc. Philadelphia, PA. 1995. |
| 12. |
Alternative treatments: Dealing with chronic pain. Mayo Clinic Health Letter. April 2005. 23(4). |
| 13. |
Hauser R and Hauser M. Prolo Your Pain Away! First Edition. Beulah Land Press, Oak Park, IL. 1998. p 138. |
| 14. |
Hauser R and Hauser M. Prolo Your Pain Away! Third Edition. Beulah Land Press, Oak Park, IL, 2007. pp 21-22. |
| 15. |
Liu Y. An in situ study of the influence of a sclerosing solution in rabbit medial collateral ligaments and its junction strength. Connective Tissue Research. 1983. 2: 95-102. |
| 16. |
Maynard J. Morphological and biomechanical effects of sodium morrhuate on tendons. Journal of Orthopaedic Research. 1985. 3: 236-248. |
| 17. |
Schmidt H. Effect of Growth Factors on Proliferation of Fibroblasts from the Medial Collateral and Anterior Cruciate Ligaments. Journal of Orthopaedic Research. 1995. 13: 184-190. |
| 18. |
Hauser R and Hauser M. Prolo Your Pain Away! Third Edition. Beulah Land Press. Oak Park, IL. 2007. pp139-148. |
| 19. |
Hackett G. Joint stabilization: An experimental, histologic study with comments on the clinical application in ligament proliferation. American Journal of Surgery. 1955. 89: 968-973. |
| 20. |
Hackett G. Referral pain and sciatica in diagnosis of low back disability. Journal of the American Medical Association. 1957. 163: 183-185. |
| 21. |
Schwarz R. Prolotherapy: A literature review and retrospective study. Journal of Neurology, Orthopedic Medicine and Surgery. 1991. 12: 220-229. |
| 22. |
Reeves K and Hassanein K. Randomized, prospective double-blind placebo-controlled study of dextrose prolotherapy for knee osteoarthritis with or without ACL laxity. Alt Therapies. 2000. 6:68-79. |
| 23. |
Reeves K and Hassanein K. Randomized, prospective, placebo-controlled double-blind study of dextrose prolotherapy for osteoarthritic thumb and finger joints: evidence of clinical efficacy. J of Alternative and Complementary Medicine. 2000. 6: 31-320. |
| 24. |
Reeves K. Prolotherapy: Basic science, clinical studies and technique. In: Lennard TA, ed: Pain Procedures in Clinical Practice. 2nd ed. Hanley and Belfus. Philadelphia, PA. 2000. pp 172-190. |
| 25. |
Alderman D. Prolotherapy for knee pain. Pract Pain Manag. Jul/Aug 2007. 7(6): 70-79. |
| 26. |
Baker JM and Ouzounian TJ. Complex ankle in- |
 |
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