Friday, November 25, 2016

PRP treatment for the back and hip: Lat, Serratus Anterior, Iliacus, and Rectus Femoris

Alright well I'm feeling pretty good about what just got treated over at proloaustin.  Dr. Fullerton had me flex my back, noticed some atrophy on the left (painful) side, injected some suspected points of injury with numbing agent, and had me flex again.  The difference was pretty substantial, as shown in the pictures.  The pain went away and I felt the muscles in my upper back relax.  Nerve blocking, as I believe it's called, is quite the diagnostic technique.

So he addressed the serratus and perhaps some of the rhomboid or lower trap. What he treated was very substantial, and it felt like this is what is is causing the remaining discomfort I'm feeling.  I don't know if I'll need a second treatment of this area, but this area definitely needed to be treated, so I feel good about that.

With the hip, I showed Dr. Fullerton the exercise that I performed that caused all the damage to my hip.  That proved to be really helpful, and so he wanted to check out my hip flexors.  The psoas actually seemed to be in good shape, but the iliacus was a different story. He also found some lingering damage with the rectus femoris.  I think the iliacus was the last piece of the puzzle as well.

I feel really good, feel really hopeful right now.

Update for PRP treatment of iliacus, serratus anterior, and rectus femoris

So just checking in on how I'm recovering from getting my serratus and iliacus treated with PRP injections

First, I'd like to say that I'm changing up the format of my vlog here. I started out recording this as like the "torn labrum" chronicles, but as I've progressed I've found that the torn labrum in my shoulder was just one, kind of small, piece of the pain puzzle.  So now I'm focusing more on just how a PRP treatment affects me in one specific area.

For example, I've come to realize that Dr. Fullerton works best when he knows what action causes pain. If I tell him "It hurts when I do X" it is much, much, more helpful than saying "It hurts here all the time"

Realizing this, I went in to the last treatment saying it hurts when I do overhand lat pull downs, especially wide grip.  This led to him having me flex, where he saw some asymmetries.  Here's a pic of me flexing.  Then he numbed out the serratus in certain areas with injections of lidocaine and had me flex again. Here's a pic of that.  There was a pretty big difference in appearance, and the pain went away when he administered the numbing agent. This technique is called nerve blocking, I believe.

So with this info he did the PRP injections in my back in those places.  Low and behold, when I went got back into the gym and tried overhand lat pull downs, they no longer hurt. I'm also noticing improvement with my overhead press being more symmetrical.  I also just feel better in general. Like I'm in less pain.

My point with all of this is that the treatment was a success in treating the issue that I presented to Dr. Fullerton. However, it seems like there are still some more underlying issues, as I'm still in pain some all the time, just less so.  The motion that really sets me off is pulling my scapula down, which is what I'm going to present to Dr. Fullerton for next time.

After getting a PRP treatment my body is usually really tight, the muscles respond to the trauma by forming these big knots/adhesions. These are painful, so I try to get them treated with soft tissue work. I've tried dry needling, which has proven pretty helpful, but I'm still left a bit unsatisfied with my PT. So I try other modalities. Like I have seen a chiropractor, and that was really helpful once because they found a rib out of joint and when they put that back in there was substantial pain relief.

The latest modality I'm trying is rolfing. She came recommended by my sprinting coach, so I figured she was legit. She was definitely legit.  She just looked at me and with a glance was like "ok your serratus needs to be worked on". She knew all the problems with my upper body were on my left side. And boy did she find things. Apparently my neck is "special" and she tried very hard to get my sternocleidomastoid to release but wasn't able to get it to release completely. So she recommended that I see an acupuncturist, as the mastoid/neck muscles tend to respond really well to that kind of treatment.

So I went and had that done, and the acupuncturist also did some cupping, and when he placed the cup on my mastoid it provided the most relief I have felt in some time. The day of and the day following I was completely pain free, it was amazing.  Sadly some of the pain has come back, but not completely. So progress is being made, and I'm happy with that.

So with regards to the upper back/neck, I feel like there still might be something going on in the front, something that may be causing my sternocleidomastoid muscle to tighten up. Dr. Fullerton has found damage in the first and second rib as well as the sternoclavicular joint, so perhaps something is still lingering there. The rolfer found some issues with my pec minor and with the levator muscles on my front side.  Maybe this is all in response to the issue that I have in my back, but perhaps not. This is the frustrating thing,  I can't be sure what's the cause and what's the effect. But I will document my symptoms here.

With regards to the hip, I definitely feel better in some regards, my feet now line up symmetrically, and I no longer have that pain in my hip when I go to raise my leg in walking (which was the pain I described to Dr. Fullerton).  So I think the iliacus was the culprit with some of the pain in my hip.

However, I tried doing windshield wipers the other day and the rotation sent a huge, HUGE, shock of pain through my side. So whatever muscles are used with that motion, there's something really wrong with that. Perhaps my obliques? I don't know, I'll take it up with Dr. Fullerton when I see him next.  

So there we have it. Dr. Fullerton successfully treated all the symptoms that I told him was going on. It just turns out that there are other things/motions that caused pain as well.