Stemcelldoc's Weblog

October 26, 2010

Buttock Pain: Sacroillac Joint and Associated Ligaments

Buttock pain can be disabling and may arise from many different sources.  Lumbar degenerative disc disease, lumbar facet dysfunction, lumbar disc herniation, piriformis syndrome, inflammation of the buttock and hip tendons can all lead to buttock pain.  Diagnostic ultrasound examinations at the Centeno-Schultz Clinic can demonstrate muscle tears as well as inflammation of the tendons.

The sacrolillac joint ( SI) and its supporting ligaments can be associated with debilitating buttock pain. 

 Clinical presentation varies as illustrated in pain diagram below. 

 Patients may have pain in the buttock, posterior thigh, lower back, groin, hip and calf.

NB is  34y/o patient with 5 year history of  buttock and groin pain which was progressive in nature and constant in duration and prevented her from walking, running or playing with her children.  Therapies to date had included exploratory surgery, consults with GYN, urologist and neurologist, PT and oral medications.

At the Centeno-Schultz clinic patient underwent prolotherapy of the SI joint and the supporting ligaments.  Successful outcome is dependent x-ray guided placement of proliferate solution into the joint as well as the supporting ligaments.  A recent article underscored the importance of the treating the iliolumbar ligament as it is essential to the stability of the SI joint.  This the quality of care one can expect at Centeno-Schultz ClinicStem cells utilizing the Regenexx procedure have also provided patients with SI joint pain significant relief.

NB returned to clinic recently and reported 80% improvement in her symptoms.

September 9, 2010

Stem Cell Therapy for Sacroiliac Joint Pain

The sacroiliac joint is common source of pain.  It is a cartilaginous joint between the base of the spine (sacrum) and the waist bone (ilium).   

SI joint pain can occur in patients who have undergone lumbar fusion due to the increased biomechanical forces or following trauma. Conservative therapy includes physical therapy, core stabilization, prolotherapy and intra-articular joint injections with low dose cortisone .

BM is a talented athlete who hit a tree after going over a cliff on his snowboard.  He struck his left back and buttock injuring his SI joint.  He underwent extensive therapy directed at both his lumbar spine and SI joint which included PT, chiropractic care, lumbar facet injections, lumbar facet radiofrequency ablation, steroid injection in the SI joint and  40 sessions of prolotherapy without significant relief.

 Surgery was the next option which BM declined.  Instead he opted to undergo the Regenexx procedure which allowed him to use his own mesenchyml stem  cells. The SI joint and associated ligaments were injected with stem cells.  Yesterday, patient returned to clinic, 4 months post stem cell therapy reporting 90% improvement in pain.  He is very excited about the results and is in training for the upcoming session.

Mesenchymal stem cells can differentiate into ligaments, bone, cartilage and tendons.  Stem cell therapy allowed BM to avoid surgery, significantly reduced his pain and to return to his passion.

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