One Month after Second Prolo Treatment.

So I'm 4 weeks out from my second prolo treatment, and I feel... better.

For the first three weeks following the treatment my lower back was killing me. I figured it was just the muscles all inflamed from the treatment. I didn't really stop to think about how that's really different from what I have experienced in the past, I just accepted it.

Anyways, this week my lower back was bothering me I decided to try to foam roll it out. I found that my back was seriously tight, and once I was done rolling out the knots, I felt 100% better. It made me wish that I had done this earlier.

My point with all of this is that the source of my pain could be addressed through soft tissue work.  I think it's important for me to do soft tissue work after a prolo treatment because my muscles responds to the trauma by tightening up resulting in adhesions.

I may feel like I'm worse off the week after a treatment, but if I roll out and break up those adhesions suddenly I can feel how my body has improved for the better.

Riding out this "prolocoaster" has been wearing me down. I'm just ready to get this over with, to be pain free and to get back to lifting like I used to.

I'm also hoping that past session will be my last treatment.  I'm still doubtful, just because I still don't feel right, but the Doc seemed pretty certain I would only need 2 sessions.

I'm looking forward to lifting again this weekend. Eventually I'll test everything out and squat with full ROM, and I'll see if my hips are in alignment now. Used to be off, with the treated hip going lower than the non-treated hip. Perhaps this is from tightness in the hip rather than a sign of how the joint is moving, I'm not sure.  I would be interested to see if I can pass my Ober test now with either leg, perhaps I'll ask my PT guy when I see him next.

...Also, I'm thinking to ask the doc for a prescription of PT so my current dry needling guy can address both hips/lower back. That would be amazing.

Second Prolo Treatment for Shoulder/Back

So Yesterday was my second visit with Dr. Fullerton. When I saw him he had me perform the same functional tests as last time, but this time I was able to pass a couple of the tests! Progress has been made! I Still have a pit in my left hip capsule, and there was still a lot of work to be done on my back.

In fact, more issues were found with my back muscles than last time. I don’t know if it was crossfit or

Band-aids where I got
poked. Also, I feel like
 my back is  really
asymmetrical

high school wrestling, but something really messed me up. Thankfully, Doc keeps searching so that’s why he keeps finding things. I am very impressed with his thoroughness. They call this the “old couch new carpet” problem. When you get new carpet (fix one issue) you suddenly notice what you once thought was a perfectly good couch (some other body part) isn’t actually all that great (there’s an issue/pain).

 After he addressed issues with my back muscles the first time others issues became apparent. I didn’t really notice the pains just standing around, but when he poked and prodded me there were definite spots of tenderness that weren’t there before. Leaving the office, I was actually feeling pretty good. I felt stiff as all get out, and I definitely didn’t feel normal, but I have felt worse. I chalk it up to taking a Tylenol 3 with codine beforehand.

 At the end I commented about how Dr. Fullerton hadn’t addressed my labrum yet, and he said that he didn’t treat my labrum last time, and wasn’t planning on doing so since it didn’t seem to be causing me issues, combined with the fact that the tech report on my MRI was a little wishy-washy. I felt a little hesitant about this, but I’m not really in the position to boss a doctor around, especially while on painkillers.

Because he addressed so many muscles/points around my spine, both lower and upper back, I feel pretty stiff while typing this. I can’t really lean over to get anything, and even standing causes some issues. Thankfully I have a wonderful wife who is helping me out while I lay on the couch with a heat pad on my back as I watch the NCAA tournament. It could be worse.

Rehab from Torn Labrum in Shoulder: First Day.

Excited because today I get to do resistance work!!!
Going to start out conservative, going to work on scapular stability.  I should point out that I'm not just working on recovering from a torn labrum, but I'm also working with damaged rotator cuff and various back muscles.

On a related note, I've realized what I'm doing is broader than just treating a torn laburm. Through this process I've found out that I have an injured rotator cuff as well. There are a lot of people out there that might benefit from avoiding surgery to repair their rotator cuff, so I'm going to make it easier for them to find some of these videos.  A torn labrum and damaged rotator cuff go hand in hand, actually. This might be one reason why surgery repairing a labrum only might be ineffective in relieving pain, it might be only a partial repair. Plus, if you have poor mechanics you're just going to tear it again.

Anyway back to my protocol for scapular stabilization.  My rehab will go through three different phases. First is endurance, second is range of motion/strength, and the third is speed strength.  Endurance will get those stabilizers back to strength, so I will develop proper mechanics. Then I can work on strength, like bench press. And after that has been worked some then I can work on explosiveness, like in Olympic lifts and sprinting.

Here is the document describing the exercises I'm doing for phase one. I'm planning on doing only 2 sets for the first two times, and after that bump it up to three. Also, I'm doing these every other day, adding weight bit by bit. Hopefully I can move on to phase two in two to three weeks, depending on how I'm feeling.

Post Prolo: First Day of Exercise

So it’s been two weeks since I saw Dr. Fullerton and I’m now able to do really low-impact stuff. For example, I can now walk on a treadmill for 10 minutes!!!!!! Sad as that is, I’m happy to be out doing something. …I’m also a little surprised how winded I get walking on a 3% grade incline.  As I understand it, if I feel good from today’s work then I can do 15 minutes 

We will see how it goes.  In another two weeks I will be able to do some type of resistance training. I’m already trying to plan out some stuff and when I have it all figured out I’ll post the protocol here for all to enjoy.  I’ve reached out to my friend/trainer/pt guy in IL who programmed my rehab for my hip in the hopes that he’ll do it again. If he does this will be amazing because his understanding of the body is amazing.  Here's the latest entry for the Vlog:

Seems to be a Connection between my Right and Left Hip

Interestingly enough, even though Dr. Fullerton addressed my left not-that-painful hip, the pain in my right pectineus has gone away.  I don’t understand the reason why, I mean how could a pit in my left hip capsule affect the front of my right hip?  But my right hip pain really isn’t there anymore. On a scale of 1 to 10 it was down to like .5, but now it’s where I forget that I’m pain free. It’s the kind of pain free where I haven’t thought about it, which is the ultimate goal.

I have to admit, I wonder how much of my struggles have stemmed from the injuries/weaknesses in my back.  I know the back muscles (especially the rhomboids) play a large part in stabilizing the torso with the front squat, and that was definitely where I would fail.  My legs could handle the weight, but I would still dump the bar on the way up because I’d lose my balance.  I’ve been doing dumb bell rows, and I’ve noticed it’s way easier to pull the weight with my right arm than it is with my left. The weakness has never felt like a strength issue, it’s always felt like a “muscle just stops responding” issue. Having a frayed trap/rhomboid/lavator will do that I guess.

…The fraying of the muscles in my lower back could also be a reason why I struggle so mightily with deadlifts. A common reason why people fail a deadlift is a weak upper back. If my lavatory, etc. are frayed and weak this could be the reason why I have so much trouble with the heavy pulls. Also, if my left spinal erectors are the ones doing all of the work, then that could explain why my lower back just kills me after deadlifts.  It’s never been a matter of leg strength. Never has been. I was doing leg presses (don’t judge) of 450# for 10 reps pretty easily right before seeing Dr. Fullerton, yet I’m struggling pulling 300# off the ground and doing anything above 230# with the front squat is killer.

All these things give me hope that once I’m healed I’ll have a much higher ceiling with the front squat, deadlift, pull ups, and rows.

And the Vlog continues:

First Prolo Treatment with Dr. Fullerton

Fist off I have to say that I really like Dr. Fullerton. He's very professional and very thorough.  Heck even my wife likes him and now thinks that prolotherapy is a valid form of treatment.  The plan was to meet him on Thursday afternoon for an examination, and then friday morning for the treatment.  The first meeting went much longer than I expected. First, it took a long time to go over my medical history. It was fairly confusing for both the PA doing my intake and myself since I've seen four different doctors in VA and IL for the hip that I wasn't seeking treatment for, while having seen a PA in NC for the shoulder pain who gave the diagnosis of a torn labrum.  There's a lot of information there that can get jumbled up over the six years I've been seeking treatment.

So after my intake was complete Dr. Fullerton came in.  Like I said, he was very thorough.  He had me do a bunch of different functional tests to see what was wrong.  It was very similar to getting an assessment from a PT.  He then used the ultrasound machine to see what was going on.  He also did palpitations to see if any spot hurt.  Using these methods he pretty much pinpointed the exact areas of pain in my back.  The lavator, the rhomboid, the trap, and the supraspinatus.  He said these muscles all looked "frayed". That's not exactly what one likes to hear, but he said he's seen worse.  This fraying is all in addition to the torn labrum.  He also found some weakness in the spinal errectors on the right said of my back.  If they couldn't do anything, perhaps my left side has to overcompensate, which is why I've always had a tight QL and pain on the left side.  He also examined my left him, the one that now doesn't seem to move as well as my right, and said there was a pit in the capsule.  That doesn't sound good.  He also found out that when doing internal rotation with that him it caused pain on the inside of the hip joint, the part right next to my junk.  I'm not sure what all of the diagnosis were or meant, all I know is that he found a boatload of problems and he had his work cut out for him.

 

Then I saw him the next day for treatment.  He had me do all those tests that I failed again. Then he injected me with lidocaine to numb the relevant body part.  He waited for the numbing agent to take effect, and then injected the body part with dextrose under ultrasound guidance.  After that he then had me do the test again, and I passed!  It was very strange how immediate the effect was.  For example, he twisted my hip into internal rotation and it hurt on the inner part of the joint. He then injected some solution into the outer part of the capsule, did the motion again, and it no longer hurt!  After he went over everything with Dextrose, he then did the injections of the blood.  He had 180ml drawn to be spun out, so I imagine he had a lot of PRP to work with, so I think he injected everything with the PRP as well.

There was almost no pain during the treatment. None.  The lidocaine really worked at making the real injections painless.  The pain that I did experience came from the pressure of having so much solution

Lots of band-aids after the treatment.

injected into my body.  The pain immediately after the treatment got a little intense.  It's not that the pain is really that severe, is that you know you can't get away from it, nothing you can do will alleviate the pain, and that's hard to accept.  They put an ice-pack on my back for 10 minutes (That's the max you want to do, and only the day of since you don't want to reduce any of the acute inflammation it's suppose to cause.) and gave me some Tylenol and I was good to go.

The injection sites feel like hot water balloons underneath the skin.  My hip didn't feel anything for the first two hours, but my back felt it immediately.  I was able to sit in the car while we drove back home from Austin, and then I went out and ran some errands and then went to the museum with some friends. If I had the chance to do it all over again, I would've just stayed at home and slept, but I was able to do everything and anything I wanted to.

I really like that Dr. Fullerton was able to find so many things wrong.  Well, I don't mean to say that I'm happy I have so many things wrong with me, just that I feel that he was so complete that after these treatments I won't have anything unaddressed.  I won't have anything lingering.

I now definitely want him to examine my right hip once he has finished fixing the left hip, if the left hip proves not to be the source of the lingering pain in my right hip.

Given a choice between the two, I would rather go to Dr. Fullerton than Dr. Hauser. Dr. Fullerton's examination is much more complete. Dr. Hauser isn't really for diagnosing, just fixing.  So if there's something missed in the diagnosis, Dr. Hauser isn't going to find and address the problem.

Here's the part of my recordings the day of the treatment:

Rehab is slow going. Literally

Ok so I've been rehabbing the hip for a while now, and I thought I should share what I'm allowed to do and (more importantly) what I'm not allowed to do.  The important thing is for me to work on strengthening all the stabilizing muscles.  If I work them too hard too quickly I can undue some of the healing that has taken place.  Alright, here are the rules for my rehab currently:

• Begin SLOWLY AND GRADUALLY
• Begin with more reps at a lighter weight and slowly increase the weight. I need to gain endurance before I can increase how much I lift so that my hip will be stronger and less likely to become injured.
• When doing my lifting it has to be in click free range of motion. If I begin or continue to get pain or clicking/clunking during high activity it may mean that I need one more treatment.
• When I first begin lifting weights it has to be a slow smooth motion. Do not rush into the exercise. Slowly lift the bar and do more reps.
•  Do not do anything that causes a sharp pain
• Having a little pain during exercise is ok but the pain has to go away within 2 hours of my exercise.
• No triple extension of the hip yet.

So I have to start doing things slowly, gradually increase the ROM, and build up to high reps (like do sets of 15 reps) and then increase the weight.  It's a little annoying that I can't work on speed/explosion strength but all in due time I guess.

So here is my lifting routine right now. I'm only listing the leg workouts since that's what I'm rehabbing, but I'm also incorporating upper body exercises as well (want to look buff for the honeymoon). 

Day A

Quarter squats

Hip Adduction

Day B

Modified Deadlift

Hip Abduction

That's it for now.  I'm doing 3 sets of 8-12 reps, if I can do 12 reps then I up the weight.  It's not sexy I know, but for now it's all I can do in terms of strength training.  I've also been given the green light to use an elliptical machine, so now I can work a little on cardiovascular endurance.

Looking forward to being able to squat and sprint, really hope this happens within a couple of months.