Bad form in squatting results in meniscus tear?

Injury Update: Squatters Beware!

I havent had the MRI yet but I am in line to have one though i think I would be safe to say I have a meniscus tear. Or some form of torn cartilage. I believe do to bad form in squatting mainly on the rebound. And just basically terrible form in general. Trying to explode to much to hear the extra ring at the end of the lift where your almost on your toes. You know the weights clinging together. Dont do this, its only for show!!! Especially when you get to higher weights. This article actually gives word for word what I do wrong during squats. Dont bounce at the end of squats. I was always told that. But never listened. Now Im paying for it. Check this article out. Hopefully Im right.


Does your knee lock when you bend down to grab a weight off the floor? Do you have pain or clicking on either side of your knee, behind your patella? If so, you may have a meniscal tear. The medial meniscus is by far more commonly torn because of its close association with the MCL and its firm attachment. The common mechanism for a medial meniscus tear is weight bearing combined with a rotary force while extending or flexing the knee.

I once consulted a bodybuilder who refused to believe that he tore his medial meniscus from his poor squatting form. When I observed his squat, I noticed that he did no warm-up sets, loaded up the bar with weight too heavy for his disproportionately small legs, reached rock bottom but had to lift his heels and bounce out to get back up, and rotated his knees inward during the ascent. Hello, meniscus tear! He was essentially grinding his meniscus between his femur and his tibia and he expected it to hold up forever. A rocket scientist this guy wasn’t.

Cutting quickly while running can also tear the medial meniscus. Lateral meniscus tears are more infrequent and involve forceful knee extension and external rotation.

So what’s a guy to do about meniscal tears? Well, some tears are non-symptomatic or only act up once in awhile. Of course, surgery is an option for symptomatic tears. Surgeons used to take the whole meniscus out during an open procedure, but now they can cut out the part of the meniscus that’s torn, during an arthroscopic surgery. Because it’s much less invasive and drastic, after an arthroscopic meniscectomy the patient can resume high-level sports in as soon as a month.

Surgeons can even repair a torn medial meniscus if the tear is in an especially vascular area. The patient will be left with an intact meniscus after some precautions are taken during the rehabilitation. This would be the best-case scenario since removing a part or the whole meniscus leads to osteoarthritis in later years.

I doubt explosive squats are going to hurt your meniscus, unless you’re rotating your knee oddly.
Besides, accelerating the weight has benefits.

I tore mine landing on my knee, I think I’m the first one ever to do that.

Get an MRI. That way you’ll know how bad it is, and where it is. I’m slated for surgery at the end of summer, which will probably happen barring a miracle.

does anyone remember the post on here a few weeks back from supertraining that had a mel siff protocol on it? it was about squatting with body weight only and putting planks or wood blocks under the heels. i couldn’t find it, if anyone can i’d appreciate it.

Marshall I strongly suggest receiving prolotherapy or art before that. Prolotherapy will run you about 250$. The New England Journal of medicine and Havard Journal of medicine have done numerous studies on it where there is about a 80-90% success rate due to the skill of the practioner.

The wave of the future…

This is the best site on the net to find a good prolotherapist…the guy on here looks suspect, but he actually helped alvin harrison among many other athletes and celebs get on the playing field. Look at his list of proltherapists it is excellent.
click on find a therapist

In the last 10 years, there has been an explosion in our understanding of how torn muscles, broken bones, and stretched ligaments heal1. If the injuries to the ligaments, bones and muscles are not too severe, they return to an uninjured state by the processes of inflammation and wound healing. The natural healing process is replicated in a treatment therapy known as prolotherapy. To understand how prolotherapy works, a short review of the healing process is helpful.

Natural Healing

The healing process has several distinct phases: the acute inflammation phase, the granulation phase, and the remodeling phase. Each phase is dependent upon the previous phase for initiation of the next step, and each has its own cellular and chemical processes and changes2.
The acute inflammation phase begins at the time of the injury, when the ligament and the adjacent cells are broken open and their contents spill at the wound site. The ligamentous, cellular debris and a number of chemicals in the fluid or plasma around the broken-open cells attract an influx of leukocytes. Many of the chemicals released during this phase of inflammation will be broken down into messenger or chemical signals that tell cells to become active or inactive. Some of these chemicals are prostaglandins and cause pain. The leukocytes also secrete hormones which attract macrophages.

The arrival of the macrophages at the injury site signals the beginning of the next phase in the healing process - the granulation phase. The macrophages begin to “clean up” the area through a combination of digesting the broken-down cell parts and secreting enzymes that break down many of the damaged ligament molecules. The macrophages release a number of hormones that will bring more cells to the injury site3. The macrophages also release chemicals (growth factors) that stimulate the growth of new blood vessels, intercellular matrices, and fibroblasts, which are responsible for the actual repairing of the sprained ligament. The combination of these cells and the new blood vessels being formed causes the thickness and the fullness that can be felt at the injury site. The granulation phase is present for 10 days to two weeks. The fibroblasts are stimulated to make new ligaments by chemicals and hormones released by the macrophages. When the fibroblasts are “turned on” they rapidly manufacture the basic building blocks of ligaments - collagen. This cellular proliferation is not a systemic event and is strictly limited to the region of the injury.

During the third phase of healing, called “wound contraction” the new collagen deposited at the injury site is organized into new ligament tissue. As the collagen fibers wind around each other, they begin to contract, and the molecules become shorter and tighter; water is squeezed out, increasing the shrinkage. As the millions of collagen fibers shrink, the ends of the ligament are slowly pulled together, and the laxity is decreased. During wound contraction, the cells originally present to “clean up” the wound are recalled by the body. All that is left at the injury site are the fibroblasts that have been “turned on” and are secreting collagen and other substances that will be used to increase the integrity of the injury site. This third phase of inflammation lasts for a number of weeks, and the “new ligament” tissue will not reach its maximum strength for several months.


The most commonly used proliferant consists of 50% local anesthetic (1% procaine to numb the skin), 45% P2G (a combination of 25% glucose, 25% glycerin, and 2% phenol) and 5% sodium morrhuate. Over the last 30 years, this proliferant combination has proven to be safe and creates reliable results.

Large ligaments, like the iliolumbar, require 5-6 cc’s of the proliferant agent. The lumbosacral ligaments can use up to 25 cc’s. Intensive proliferative treatment usually requires three to five treatment sessions, treating the ligaments at two to four week intervals. The wounds created by prolotherapy heal like any other wounds, so the 21/2-3 week intervals between treatments allow both the patients and the doctor to accurately evaluate progress.

After the injection, patients should be encouraged to be active and move the injured area. The movement will actually enhance the healing of the ligamentous injury.

Ligament injuries are the most common minor traumas experienced by humans in the modern industrial world and represent a major source of impaired function and chronic pain complaints. This may be the result of the increased speed of our cars and our active and often aggressive leisure activities. Prolotherapy is the only non-surgical treatment for ligamentous laxity currently available. It is safe if the practitioner understands the anatomy, biomechanics, and biochemistry of the body and as long as the proliferant is injected only where the ligament attaches to the bone. It is at this “fibroosseous” junction that most lumbosacral ligament injuries occur. This is the safest area to inject, because when the needle is against the bone, it is not at risk of injuring a nerve, artery, or other vital structure. Needle against the bone is the number one rule of prolotherapy for this reason.

The treatment of sacroiliac joint and low back pain with prolotherapy is now more than 50 years old. The techniques have remained almost unchanged since first described by George S. Hackett, MD, in the late 1930s. This useful therapeutic method has not achieved its rightful place in back pain and other ligament treatment paradigms for a number of reasons. One is that ligaments still have not received the respect they deserve as pain generators in the low back. Two is that the scientific principles that explain why it works have only recently been elucidated. The third reason is that prolotherapy doesn’t generate as much money for hospitals and drug companies as surgery does. What are needed now to win greater acceptance by the medical community are double-blind studies that document its safety and efficacy so that it may gain its rightful place in the array of treatment options for ligamentous injuries. Prolotherapy is a great, but underutlilized, treatment modality.

Editor’s Note: Because of the controversial nature of prolotherapy, we decided to seek an expert opinion about its validity as a treatment option. We interviewed Vert Mooney, MD, a professor of orthopaedic surgery and the University of Southern California, San Diego. Here’s what he had to say:

“Prolotherapy does what it is purported to do. After having been asked to observe a clinical trial in which it was tested and seeing its positive results firsthand, I have incorporated prolo-therapy into my medical practice. However, I think prolotherapy remains on the fringe of medicine for a number of reasons. First, it is not taught in medical school, which makes many physicians unaware of it and its potential. Also, because proliferant is injected into the soft tissue area, which in itself is hard to define, the results are hard to document quantitatively with MRI’s and other scanning equipment. Physicians have to rely on the visible results of patients regaining their functionality and no longer being in pain.”

Dr. Mooney was the observer of a study of prolotherapy conducted in 1992 in Santa Barbara, CA of 95 people with chronic back and pelvic pain. Half of the group was injected with xylocaine for six consecutive weeks. The other half was injected with a proliferant that consisted of hypertonic dextrose, glycerin, and phenol. After six months, participants’ progress was assessed. There was a noticeable reduction of pain and improved functional outcome in patients who had received the proliferant injections. The study was published in the Journal of Spine Disorders, 1993; 6(1): 23-33.

Readers interested in further documented results of the treatment should refer to the following article: Dorman TA, Prolotherapy: A Survey, Journal of Orthopaedics, 1993; 15(2): 49-50.


  1. Hurme T, Kalimo H, Lehto M, Jarvinen M, Healing of skeletal muscle injury: An ultrastructural and immunohistochemical study, Medicine and Science in Sports and Exercise, 1991; 23: 801-10.
  2. Banks AR, A rationale for prolotherapy, Journal of Orthopaedic Medicine, 1991; 13: 54-9.
  3. Hay EH. ed., Cell biology of the Extracellular Matrix 2nd ed. New York, NY:Plenum Press. 1993.
  4. Clark RAF and Henson PM, The Molecular and Cellular Biology of Wound Repair. New York, NY:Plenum Press. 1988.
  5. Iverson, OH, Cell Kinetics of the Inflammatory Reaction. Berlin:Springer-Verlag. 1998.

ANOTHER ARTICLE… ON GEORGE HACKETT the inventor of prolotherapy…

econstructive Therapy
Download PDF version (248kb)

Note: The following article was taken from the book “Alternative Medicine: The Definitive Guide”
(courtesy of the Center for Physical Medicine and Pain Management)

Reconstructive therapy uses injections of natural substances to stimulate the growth of connective tissue in order to strengthen weak or damaged tendons or ligaments. As a simple, cost-effective alternative to drug and surgical treatment, reconstructive therapy is an effective treatment for degenerative arthritis, low back pain, carpal tunnel syndrome, migraine headaches, and torn ligaments and cartilage.

Joint, tendon, ligament, cartilage, and arthritic problems are among the most common afflictions Americans suffer from today. Many remedies are used to treat those problems, such as rest, medication, traction, exercise, cortisone injections, physical therapy, and surgery, but for many patients these fail to provide lasting relief. In many cases, however reconstructive therapy (also known as sclerotherapy, prolotherapy, or proliferative therapy), a nonsurgical method that stimulates the body’s natural healing abilities to repair injured tissues and joints, can provide an answer.

“Ligaments, tendons, cartilage, and bones have poor healing abilities due to the lack of blood supply to these tissues,” says William Faber, D.O., Director of the Milwaukee Pain Clinic and a leading authority in the field of reconstructive therapy. “This is why injuries to these areas are so long lasting. When these tissues become damaged, the joint becomes unstable, and in order to compensate, the body forms bony, arthritic spurs. This causes increased friction, increased pain and weakness, and a loss in joint mobility. Further injury often results.”

Reconstructive therapy can facilitate the healing process for specific injuries. In the case of injured joints, a local anesthetic and a natural irritant (sodium morrhuate, a purified derivative of cod liver oil), dextrose, phenol, minerals, or other natural substances are injected into areas where ligaments, tendons, and cartilage are torn or weak. “The injection stimulates the body to produce more connective tissue, which helps to strengthen the weak or damaged areas,” says Dr. Faber. “As a result, the patient will often experience less pain and greater strength and endurance.”

How Reconstructive Therapy Works

According to Dr. Faber, “Mild, irritating reconstructive solutions cause dilation of blood vessels and a migration of fibroblasts (healing cells) to the injured areas. These healing cells lay down collagen (a structural protein) to repair the area.” This regrowth has been substantiated by research studies dating back almost forty years.

In a study conducted in the 1950s by surgeon George Hackett, M.D., 1,600 patients with severe sacroiliac sprain were treated with reconstructive injections. When the patients were examined by independent physicians two to twelve years later, 82 percent had remained free of pain or recurrences. Dr. Hackett’s experiments were repeated in 1983 and 1985 by the University of Iowa’s Department of Orthopedic Research. Both studies found that the patients’ tendons became more firmly attached to the bone and increased in strength and structure by 30 to 40 percent above normal.

In 1987, at the Sansum Medical Clinic of Santa Barbara, CA, rheumatologist Robert Klein, M.D., and internist Thomas Dorman, M.D., conducted a double-blind study of eighty-one patients who suffered from continuous low back pain for more than ten years. They found that 88 percent of the patients injected with a reconstructive solution of dextrose, glycerine, and phenol demonstrated moderate to marked improvement. A similar study, reported in the Journal of Spinal Disorders, showed an 80 percent improvement. Both studies supported Dr. Hackett’s findings.

Studies conducted by Harold Walmer, D.O., of Elizabeth, Pennsylvania, have also shown that reconstructive therapy increases mechanical strength in ligaments and joints. This may explain why so many patients with advanced degeneration of bones and soft tissues, or those who suffer from a wide range of musculoskeletal problems, have improved so dramatically when given reconstructive injections.

Conditions Benefited by Reconstructive Therapy

Reconstructive therapy has been practiced in the United States for over sixty years as a treatment for America’s most common afflictions: Tendon, ligament and arthritic problems. To date, over six hundred thousand patients have been successfully treated with reconstructive therapy. Common symptoms and conditions that respond well to reconstructive therapy include:

* Degenerative arthritis
* Back and neck pain
* Torn ligaments and cartilage
* Degenerated discs
* Migraines
* Bursitis
* Carpal tunnel syndrome
* Achilles tendon tears
* Tennis elbow
* Rotator cuff tears
* Bunions
* A wide range of musculoskeletal problems caused by failed surgery, compression fractures, degenerated disks, polio and muscular dystrophy

Reconstructive therapy is also recommended for weak joints; joints requiring a brace; joints that continually pop, snap and grind; or joints that cannot maintain alignment (particularly when chiropractic or osteopathic manipulations fail to help).

Reconstructive therapy can provide a more cost-effective solution to musculoskeletal and joint problems than traditional surgery.

One of Dr. Faber’s cases involved a physician who had been experiencing chronic low back pain since the age of fourteen. At the age of thirty he had sprained his neck, worsening his condition, and a cervical laminectomy (removal of a cervical disk) was surgically performed. However, his back problems persisted, and ten years later, he injured his back once again. Diagnosis showed a herniated lumbar disk. Another operation followed, but his back pain persisted, and when it became so severe that he could barely move without pain, he sought reconstructive therapy. The pain was relieved immediately, Dr. Faber reports, with his neck and back steadily strengthening during the days after his first treatment. Further treatment provided more relief. “He told me the reconstructive therapy was the most valuable of any of the treatments he had received and it only cost a fraction of the $120,000 he had spent on surgery, medications, and other physical therapies,” say Dr. Faber.

Another case reported by Dr. Faber involved a college football player who had suffered repeated injuries to his left shoulder. He relied upon various medications and therapies until the pain became too great, and then underwent orthopedic surgery, but his condition worsened. Chiropractic treatments afforded him only temporary relief, and his chiropractor suggested reconstructive therapy. After receiving reconstructive injections, his condition improved dramatically. In fact, in a metered punching test, it was found that he wound up with more strength in the left shoulder than in the right.

James Carlson, M.D., a sports medicine specialist in Knoxville, Tennessee, and past President of the American Association of Orthopedic Medicine, believes that reconstructive therapy is the most effective treatment for Osgood-Schlatter disease, a muscle ailment that strikes adolescents between the ages of eleven and sixteen. “These kids have such severe pain in the knees, they can’t participate in exercise, sports, or dance, and traditional medicine just dictates ‘don’t do anything athletic,’” says Dr. Carlson. “Reconstructive therapy is the best thing I’ve ever seen.” His own son, an aspiring baseball catcher, couldn’t squat down or kneel. After therapy, he made the team as a catcher, and later, became a top school athlete.

Another patient of Dr. Faber suffered from lumbar spondylolisthesis (a forward slipping of one vertebrae on to the one below it) for more than two years. He experienced constant pain caused by a break in a vertebra. After receiving reconstructive therapy from Dr. Faber he was pain free. Eight years later he reported no recurrences. Today he does landscaping, hunts, and even waterskis.

What to Expect from Reconstructive Therapy

Reconstructive therapy is estimated to be three to ten times more effective than surgery or joint replacment. Dr. Carlson notes that the pain or discomfort associated with receiving multiple injections is compensated for by the benefits received from reconstructive therapy. According to Kent Pomeroy, M.D., an Arizona physical medicine and rehabilitation specialist, and co-founder and past President of the American Association of Orthopedic Medicine, “Dramatic results should be noted by the patient within the first week of treatment. But if swelling occurs, improvement may not be noticed until the swelling subsides. If marked improvement is not obtained after the first six treatments, then further examination is recommended to find out why the patient’s body is failing to reconstruct tissue.”

Generally, a patient improves dramatically after the first six injections. Most patients will need twelve to thirty treatments to bring the joint back to full strength and function. The benefits of reconstructive therapy over other methods of treatment include:

* Eliminating the need for drugs or surgery
* Stimulating the body's natural healing mechanism, causing natural regrowth of structural tissue
* A low risk of side effects, when performed correctly
* Permanent results when full treatment course is completed

Research into the effectiveness of reconstructive therapy is needed. This type of therapy could provide a revolution in orthopedic medicine by offering regeneration rather than surgery.

The Future of Reconstructive Therapy

Although reconstructive therapy has been used to treat a wide range of musculoskeletal conditions for over forty years, its practice has not become widespread in the United States. In recent years, however, according to Dr. Faber, the number of practitioners has been growing, and currently approximately two hundred physicians practice reconstructive therapy.

“One major reason for the slow growth of reconstructive therapy,” Dr. Faber suggests, “may be the fact that the substances used in reconstructive therapy are not patented and therefore would not provide the huge profits that other pharmaceutically-backed drug therapies receive. Reconstructive therapy also requires specialized training, and a serious commitment on the part of the physician to master the procedure.”

Reconstructive therapy can play an important role in the medicine of the future. It may well be the first nondrug, nonsurgical approach to result in a much-needed change in medical treatment of long-lasting musculoskeletal problems, currently addressed by orthopedics, neurosurgery, physical medicine, and physical therapy.

“The initial turning point will be the discovery of reconstructive therapy by professional athletes,” according to Dr. Faber. “Although reconstructive therapy is well documented in science and through the case histories of thousands of successful patients, the recovery of a single famous athlete by reconstructive therapy is what’s needed to bring the therapy into the spotlight it so richly deserves.”

Sorry about all the articles

Koop thinks its unreal too…

Prolotherapy: Dr. C. Everett Koop’s Story
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by C. Everett Koop, M.D., ScD
Former United States Surgeon General

Prolotherapy is the name some people use for a type of medical intervention in musculoskeletal pain that causes a proliferation of collagen fibers such as those found in ligaments and tendons, as well as a shortening of those fibers. The “prolo” in Prolotherapy, therefore, comes from proliferative.

Other therapists have referred to this type of treatment as Sclerotherapy. “Sclera” comes from the Greek word “sklera”, which means hard. Sclerotherapy, therefore, refers to the same type of medical intervention which produces a hardening of the tissues treated – just as described above in the proliferation of collagen fibers.

Not many physicians are aware of Prolotherapy, and even fewer are adept at this form of treatment. One wonders why that is so. In my opinion, it is because medical folks are skeptical and Prolotherapy, unless you have tried it and proven its worth, seems to be too easy a solution to a series of complicated problems that afflict the human body and have been notoriously difficult to treat by any other method. Another reason is the simplicity of the therapy: Injecting an irritant solution, which may be something as simple as glucose, at the junction of a ligament with a bone to produce the rather dramatic therapeutic benefits that follow.

Another very practical reason is that many insurance companies do not pay for Prolotherapy, largely because their medical advisors do not understand it, have not practiced it, and therefore do not recommend it. Finally, Prolotherapy seems too simple a procedure for a very complicated series of musculoskeletal problems which affect huge numbers of patients. The reason why I consented to write the preface to this book is because I have been a patient who has benefitted from Prolotherapy. Having been so remarkably relieved of my chronic disabling pain, I began to use it on some of my patients – but more on that later.

When I was 40 years old, I was diagnosed in two separate neurological clinics as having intractable (incurable) pain. My comment was that I was too young to have intractable pain. It was by chance that I learned that Gustav A. Hemwall, M.D., a practitioner in the suburbs of Chicago, was an expert in Prolotherapy. When I asked him if he could cure my pain, he asked me to describe it. When I had done the best that I could, he replied., “There is no such pain. Do you mean a pain…” And then he continued to describe my pain much better than I could. When I said, “That’s it exactly,” he said, “I can fix you.” To make a long story short, my intractable pain was not intractable and I was remarkably improved to the point where my pain ceased to be a problem. Much milder recurrences of that pain over the next 20 years were retreated the same way with equally beneficial results.

I was so impressed with what Dr. Hemwall had done for me that on several occasions, just to satisfy my curiosity, I watched him work in his clinic and witnessed the unbelievable variety of musculoskeletal problems he was able to treat successfully. Many of his patients were people who had been treated for years by all sorts of methods, including major surgery, some of which had left them worse off than they were before. Many of his patients had the lack of confidence in further treatment and the low expectations that folks inflicted with chronic pain frequently exhibit. Yet I saw so many of them cured that I could not help but become a “believer” in Prolotherapy.

I was a pediatric surgeon, and there are not many times when Prolotherapy is needed in children because they just don’t suffer from the same relaxation of musculoskeletal connections that are so amenable to treatment by Prolotherapy. But I noticed frequently that the parents of my patients were having difficulty getting into their coats, or they walked with a limp, or they favored an arm. I would ask what the problem was and then, if it seemed suitable, offer my services in Prolotherapy at no expense, feeling that I was a pediatric surgeon and this was really not my line of work. The results I saw in those many patients were just as remarkable as was the relief I had received in the hands of Dr. Hemwall. I was so impressed with what Prolotherapy could do for musculoskeletal disease that I, at one time, thought that might be the way I would spend my years after formal retirement from the University of Pennsylvania. But the call of President Reagan to be Surgeon General of the United States interrupted any such plans.

The reader may wonder why, in spite of what I have said and what this book contains, there are still so many skeptics about Prolotherapy. I think it has to be admitted that those in the medical profession, once they have departed from their formal training and have established themselves in practice, are not the most open to innovative and new ideas.

Prolotherapy is not a cure-all for all pain. Therefore, the diagnosis must be made accurately and the therapy must be done by someone who knows what he or she is doing. The nice thing about prolotherapy, if properly done, is that it cannot do any harm. How could placing a little sugar-water at the junction of a ligament with a bone be harmful to a patient?

C. Everett Koop, M.D., ScD
Former United States Surgeon General

Excerpts from Prolo Your Pain Away
by Dr. Ross Hauser

Alvin Harrison

Alvin Harrision, Two-Time Olympian and twice gold medal winner in the men’s 4 x 400 meter relay (1996, 2000) and silver medallist in the 400 meters (2000) came to Caring Medical for chronic right hip pain in July 2001. He has had problems with his right hip flexor since 1995, which has bothered him sporadically over the years. He noted that his right hip flexor pain would cause difficulty in pushing off during a race. The discomfort definitely affected his running. The pain was increased when doing a hard run, or doing an abdominal workout.

In questioning him further, it was clear that the hip pain was in the front, the back and also involved the right lower back. Prior to coming to Caring Medical for Prolotherapy he had had a myriad of other treatments, primarily including physical therapy and massage therapy which only gave temporary relief. On physical examination, he was noted to have significant tenderness about the right hip, both posterior and anterior. He had some definite tenderness about the right Sacroiliac joint. His ranges of motion of his hip joints were excellent.

He underwent Prolotherapy to the right hip ligaments both anterior and posterior, including the Ischiofemoral and Iliofemoral ligaments as well as the Greater Trocanter and the right Sacroiliac joints. He noted within a week of the treatment that his hip was feeling stronger. He resumed full activity within two weeks. Since the treatment he has been able to train at 100% and has had no subsequent problems.


Lou Ferrigno (HULK)
Johnie Morton Detriot Lions
Ronald Agenor Oldest ranked tennis player
Ernie Banks hall of fame baseball

ect…ect the list goes on and on and these are people that have claimed to try everything else and prolo was the only thing that worked 100%


Meniscal Injury

The menisci consist of semilunar fibrocartilage, partly filling the space in the knee between the femoral and tibial bones. Four principal functions are ascribed to the menisci: 
    1. To spread a thin film of synovial fluid which provides nutrition to the articular cartilage 
    2. To act as shock absorbers 
    3. To increase the stability of the knee joint 
    4. To aid in the complex rotatory mechanics of the knee joint.

    Meniscus injuries occur in most sports, but most commonly occur in contact sports, especially football. They often occur in combination with ligament injuries, particularly when the medial meniscus is involved. This is partly because the medial meniscus is attached to the medial collateral ligament and partly because tackles are often directed towards the lateral side of the knee, causing external rotation of the tibia. Injury to the medial meniscus is about five times more common than injury to the lateral meniscus. By knowing the function of the meniscus, it is possible to predict what will happen when meniscal tissue is shaved or removed. Since it provides some of the nutrition to the articular cartilage, its removal will aid in the demise of the cartilage. If the cartilage is damaged, then the pressures on the bone will be too great and arthritis will soon follow. This is not the only reason why articular cartilage damage is sure to follow after meniscectomy. The removal of the menisci allows too much pressure to be put on the articular cartilage, thus lessening the shock absorption. This is why cartilage damage and proliferative arthritis must be the end result of meniscal removal. No other option is available. If the surgeon removes the meniscus, arthritis is the end result. If that were not enough, the menisci aid in the stability of the knee. If they are removed, the knee is left with too much motion and becomes unstable. This also increases the likelihood of articular cartilage damage and subsequent arthritis. Arthroscopic shaving and removal of the meniscus would therefore be expected to result in the progression of arthritis in the knee. Prolotherapy, on the other hand, would be expected to heal the meniscus, since Prolotherapy stimulates the body to repair the injured tissue. Prolotherapy given to the injured menisci stimulates fibroblastic growth of new stronger meniscal tissue, thereby repairing the area. This makes a lot more sense than its removal.

Menisci are normally shaved or removed because they are believed to repair so poorly. Menisci, like many of the soft tissues treated with Prolotherapy, have a poor blood supply. This lack of circulation is a main reason why they heal so poorly. The best treatment option is to increase the circulation to the damaged menisci. Athletes with meniscal injuries are generally given RICE treatment, which dramatically further decreases circulation to the damaged menisci. The MEAT protocol and Prolotherapy, on the other hand, improves blood circulation to the damaged area and stimulates repair.

Partial Meniscectomy: More Arthritic Changes Result Luis Bolano, M.D., and associates at the Oklahoma Center for Athletes and the University of Oklahoma wanted to determine the long-term results of arthroscopic partial meniscectomy. They noted that the short-term results of arthroscopic partial meniscectomy had been excellent-to-good in 80 to 95 percent of patients in the already published studies. What they found surprised them. The patients, many of whom were athletes, were functioning fairly well. Eighty percent experienced satisfactory results, 66 percent maintained their activity levels, but 26 percent decreased their activity levels after the surgery. Despite the apparent success of the surgery, almost all of the patients showed arthritic changes on x-ray. Forty-one percent had advanced arthritis. The problem with arthroscopic surgery is that it does not induce the healing of the menisci. The athlete feels better for a while, but the injured tissue remains injured. This causes the arthritic process to start immediately. If left unchecked, the athlete's abilities will decline, symptomatology will increase, and more arthroscopic or orthopedic surgeries will follow. If the athletes want this, then by all means, continue to be scoped. If they want to avoid arthritis, they must see a Prolotherapist and receive Prolotherapy to stimulate the body to heal the menisci and other injured tissue.

Clemson or Charlie any thoughts on prolotherapy?

Timothy…while up in Boston I had plenty of time to help you. I suggest you go to a to level physio and ask what he needs and work backwards. Trying to get an MRI? If you have the money you can get one up in MGH for 900 usd…


CLemson your in boston when I am in Virginia and so on and so on. Unlucky timing I would say. Anyways Im going to the childrens hospital in boston. Its the number one ranked hospital in the country right now. I am going to see a guy Dr. Gerbino he is suppossed to be the best bone/joint specialist in the country. I have heard he is very caring towards the patients and too the point also. That is if you want an MRI he will get you one.

So are you going to get a solution?

OK I see Mass General hospital, but I would need a recomendation from a doctor which I do not have yet. Its a state law I believe. No MRI without dr.s permission. I was even thinking of going to the hospital across the street from where I live and walk in there limping saying I just got hit by a car.:o What else can I do. :devil: Hopefully Dr. Gerbino will have mercy on me.

If you are paying out of pocket their will be a doctor more then willing to write a prescription!:baddevil::

Ill talke anything I get. Fake perscription real perscription. Got any names of shady people who would do it? :baddevil::

Give me 200 dollars I will get you a very well respected sports doctor(100% legit) that will write you one. Also a steak dinner with wine at Fifth and Luis would be expected as well.

What other types of perscriptions can he write:baddevil:: I might need it if Gerbino doesnt come through. Would their be a special deal on the MRI too?