By Anthony on Saturday, June 03, 2000 - 03:18 am:

I have had two surgeries in the last 11 months on my wrist, the first was to fix 3 severed ligaments and a torn tendon (arthascopic) the second was for Kienbock's
disease a vascular bone graft was done, both surgeries required I was emobilized for 8 to 10 weeks post op and 16 week pre op, Now once again I am in O.T. and
working on range of motion, They are trying to say I am about 70% back to nomal range, but to who's normal range?? The thearpist? Because I still can't get
anywhere near how flexible and loose I was before these surgeries. So in the end what will Normal Range of motion be for me? what kind of standards do we go
by? Will this be a disability for me or a blessing waiting to stretch and rip?

By Rich on Saturday, June 03, 2000 - 03:18 am:

when they say "full range", it should mean the entire range of motion that you had before the operation. Keep in mind that immobilization causes a lack of blood
flow which in turn results in less efficient movements and strength. Don't push too hard and be patient. Get it moving. Do the exercises they give you and see where
it takes you. I can tell you this: If for some reason you should tear a ligament or tendon again, do not go see Dr. "Arthroscopy". go see Dr. "Prolotherqapist". This
Doctor can actually help your body "rebuild" and "strengthen" a torn ligament or tendon. Controlled studies have shown that this therapy can make a ligament or
tendon 40% stronger than it was before you actually hurt it. Go to http://www.Prolotherapy.com for more info. You can also pick up a copy of "Prolo your Pain
Away" by Dr. Ross Hauser. Also, this treatment will not have you "out of commission" for weeks or even months. You can resume your normal activities during
the whole process. in fact, getting prolotherapy treatments now might even speed up your recovery. How's that for good news???

Rich

By Anthony on Saturday, June 03, 2000 - 03:19 am:

TO RICH< wow what an interesting article, whch I new about this 19 months ago, or wish my Orthapedic did, can you email me direct, seems you might know
some of what questions I have, which I can't find answers to, or lead me into the direction Thank you Anthony

By John on Saturday, June 03, 2000 - 03:19 am:

I hate to add a note of concern, but HMS is a systemic problem and while prolotherapy may help reduce acute injury or chronic pain (though this is still yet to have
the research to back the claims) the ligament structure within your body will be reproduced. If this is prone to excessive stretching due to its genetic structure it will
then still be hypermobile in nature. Sorry!

By Rich on Saturday, June 03, 2000 - 03:19 am:

Sorry John, but that's not exactly true. Maybe prolo might not CURE HMS but it is a fantastic way to keep it under control. The ligaments are not going to fall apart
over night and will take several weeks for them to loosen up again. One prolo treatment every 6 weeks or so is all that is neeed to maintain your results. I have
spoken to many people with HMS that have beneifited from prolo. This is why I make thses claims. I have the results to back them up. Your point makes sense. It
just isn't true

Rich

By John on Saturday, June 03, 2000 - 03:23 am:

Rich,
If prolo helps you I am happy for the benefits you gain. With research prolo may show to have good long term results. I have yet to find any scientific evidence that
supports its use. If this exists I am keen to read it as it may benefit my patients. HMS is a systematic condition that would appear to effect all the joints of the body,
but again the research to support even this statement is sadly lacking. By the way your ligament extensibility actually decreases with age. (Men quicker than women.)
Unfortunately the damage to the articular surfaces of the joints may already have occured. Keep yourself fit, keep yourself strong but for gods sake do not try to
stretch to extreme range. If you require references on reading material for HMS let me know.