Yes, many insurance companies may not cover prolotherapy, and often patients are driving or flying to our office to seek our expert treatment, but in the long run think about how much time, aggravation, and wasting time on other procedures, medications, and therapies you will spend, hoping for a cure, when prolotherapy may be it. All it takes is a careful history, physical examination of the back, pelvic tilt, feet, hips, reflexes and strength in skilled and experienced hands to determine if someone has an excellent chance at being cured of their back pain with prolotherapy and/or platelet rich plasma.
You will lie on your stomach for this procedure, with pillows positioned for optimal comfort. After the lower back area is prepped with special soap, numbing medicine will be injected in a small area of skin, which will sting for a few seconds. Next, a small gauge needle will be guided by X-ray into the joint. Contrast dye may need to be injected to ensure that the medicine flows correctly and not into a blood vessel. A small amount of numbing medicine and anti-inflammatory steroid will then be injected slowly into the joint and the needle will be removed.
The prognosis of sacroiliac joint dysfunction varies depending on the cause of the dysfunction. When the problem is caused by pregnancy, the prognosis is excellent, as the condition usually improves after pregnancy during the postpartum period. Conditions affecting the sacroiliac joints such as ankylosing spondylitis and psoriatic arthritis are chronic, but excellent treatments are available. These treatments can minimize the SI joint pain and prevent destruction of the joints. Degenerative arthritis affecting the SI joint is also a chronic condition and cannot be reversed, but treatments are generally very effective in improving symptoms.