I am a chronic back pain sufferer. I have ligament laxity.
Ligament laxity is a term
that refers to
ligaments in the body that can move more
than usual. Doctors can also call these looser than normal ligaments hyper
mobile; they do not generally refer to lax ligaments as a condition.
Chiropractors tend to use the term to describe a potential cause of chronic
joint pain or sprains.
For me exercise does not improve ligament or tendon
laxity. When exercising here is a point of diminishing returns. I realized as muscle strength increased there was a corresponding tendency to tendonitis and ligament strain. Seemingly my muscle
strength over powered my ligaments. Physical trainers and even physical
therapists that have the “boot camp” mentality and harass one to work through
pain often frustrate me. Pain is a symptom of something wrong, not something
good.
Yes weight-bearing exercise is healthy, while running
faster and longer builds muscle as well as a stronger heart and lungs. However this does
me no good if I end up with sprained ankles and I can’t walk at all. Swimming is the best exercise foe me to keep up muscle strength, flexibility and
cardiovascular health.
Hyper mobility is genetic. An estimated 5% to 12% of the
adult population has some degree of generalized joint hyper mobility associated
with ligament laxity. Marfan or Ehlers-Danlos are recognized syndromes, which
are generally rare syndromes, and are characterized by ligament laxity and
other determinants. Hyper mobility
syndrome appears to be familial with a clear-cut female predominance. Typically
symptoms first appear in children or young adults. Although hyper mobile individuals
have a potentially heightened aptitude for activities such as gymnastics,
dancing, and playing musical instruments, they also have an increased
susceptibility to dislocations, traumatic joint pain, tendonitis, and overuse
injuries. These problems may present as a fibromyalgia-like syndrome triggered
by exercise.
Chronic back pain can be a symptom of underlying structural
problems, or it may be a symptom of an underlying condition. It is essential to
have an appropriate physical exam to rule out kidney stones or kidney
infection, prostatitis, chronic diverticulitis, cancer of the pelvis,
endometriosis, ovarian cysts, fibroid tumors, shingles and circulatory
deficiency from hardening of the arteries.
Your back supports your entire body, using a complex
interconnecting network of nerves, joints, muscles, tendons and ligaments. All
these components are capable of producing pain in the back, low back and
surrounding areas. Because the back is connected to the rest of your body, back pain can be an early warning of underlying conditions
elsewhere in your body.
Large nerves that originate in the spine and go to the
legs and arms can make pain radiate to the extremities. The pain may be felt in
the neck (or might radiate into the arm and hand), in the upper back, or in
the low back (and radiate into the leg or foot). Other symptoms may include
symptoms weakness, numbness or tingling.
If left untreated, most back problems only worsen as time
and gravity take their toll on our bodies. After falling hard on my knee and
twisting and torqueing my pelvis I had excruciating lumbar pain for nearly five
years. I had sciatic pain shooting through my buttocks and down my leg into my
foot. I could walk for about fifteen minutes at a moderate pace but could not
tolerate standing after five minutes.
I started with physical therapy and back strengthening
which created minor improvement but the PT became a treadmill sadist and I felt
myself regress. I saw an orthopedic surgeon who requested I get an MRI.
Although, I did have two slightly herniated discs, very slight spinal stenosis,
and mild lateral arthritis, I did not meet his criteria for surgery because the
pattern of symptoms did not indicate a diagnosis remediable by surgery.
My chiropractor told me about prolotherapy an injection technique that
stimulates growth of cells and tissue that stabilize and strengthen weakened
joints, cartilage, ligaments and tendons.
The injected solution intentionally causes controlled
irritation in the tissue. This irritation is an inflammatory response, which
increases the blood supply and thereby stimulates the tissue to heal and regrow
new tissue. Typically prolotherapy involves the injection of natural substances
such as dextrose into the tissue to initiate the healing process. Dextrose is
the most studied substance worldwide and is extremely safe and effective.
My initial prolotherapy, which occurred 1 ½ years ago,
created a 20-30% improvement. (I have not lost any of this improvement.) I also
worked with a Rolfer (Structural Integration therapy) and Sacral-Occipital
Therapy Chiropractic. I would say I had another 30% improvement. Because I
still have a tendency to extreme muscle tension in the lumbar, I felt that the
pain had decreased significantly but not enough.
Recently, I attended a Dr. Norm Shealy workshop on
wellness protocols. He described sacral shear as the cause of low back pain.
This happens when the sacrum become hyper mobile and presses on the sciatic
nerve. The sacrum is a small triangular bone located at the bottom of the spine
and between the hips. I realized I had originally because I had only
addressed half of the hyper mobility affecting my sciatic nerve. I am seeing a
local osteopath for prolotherapy injections to strength the ligament laxity
around the sacrum.
Prolotherapy was the innovation of Dr. Earl Gedney, an
osteopathic physician and surgeon. In the early 1930s, Dr. Gedney caught his
thumb in a door thereby stretching the joint and causing severe pain and
instability. He was told that nothing could be done for his condition and that
his surgical career was over. Gedney knew of a group of doctors that used
irritating solutions to stimulate the repair of the distended connective tissue
ring as treatment for hernias. He extrapolated this knowledge and utilized it
to inject his injured thumb. He was able to fully rehabilitate the thumb. In
1937, Gedney published “The Hyper-mobile Joint,” the first known article about
Prolotherapy. The 1937 article gave a preliminary protocol and discussed two
case reports, one of a patient with knee pain and another with low back pain
who were successfully treated with this method. Prolotherapy is practiced by
physicians in the U.S. and worldwide. It is effective in treating many
musculoskeletal conditions such as tendonopathies, ligament sprains, back and
neck pain, tennis/golfers elbow, ankle pain, joint laxity and instability,
plantar fasciitis, shoulder, knee, and other joint pain. C. Everett
Koop, the former US Surgeon General has endorsed prolotherapy, was helped by
it, and practices it.
I view this odyssey as a life lesson; it took sixty years
to get to this point I cannot expect to reverse the damage quickly. The
alternative approaches I have chosen have been researched; they are not paid
for by health insurance but they should be. Health insurance should pay for
therapies that promote health, not pain killer medication addiction and
steroids that cause physical deterioration.
http://www.medscape.com/viewarticle/413950
http://www.getprolo.com/prolotherapy-after-back-surgery/