Hi Y’all! How was your weekend? Mine is going great. I’ve been stopping at the store randomly so I don’t really have a grocery shopping picture but here is what is on the meal plan.
Breakfast Options
– I got a Starbucks gift card from my reward points on my credit card, so I see many feta wraps in my future.
– Pumpkin Green Protein Smoothie or Pumpkin Coffee Smoothie
– Coconut Almond Banana Bread (recipe coming soon!)
Lunch Options
– smoothies
– leftovers
– salads
Dinner Plan
Honestly, I’ve been deviating from my meal plan but I’m still always thankful to have a plan for those nights that I’m like crap what are we going to have????
Sunday- wing it
Monday- Chile Verde Shrimp Tacos
Tuesday- Mac and Cheese with black beans and green beans
Wednesday- Roasted Red Bell Pepper Sausages with Spicy Quinoa (From freezer)
Thursday- Chicken Chorizo and Butternut Squash Enchilada Skillet
Friday- wing it
Saturday- out
Looking for more sample meals plans? Check out THIS page, I redesigned it so all my meal plans are in one easily accessible place!
Prolotherapy
So I’m usually the wait it out and post about what works type person, but I decided maybe I should go ahead a record this one for the books now. Warning this post is long and maybe boring for you but I’m throwing it out there, feel free to skip over it!
What is prolotherapy? According to the Mayo Clinic “Prolotherapy is a complementary treatment for muscle and joint pain. The treatment involves repeated injections of an irritant solution into part of a joint — the joint’s interior, for example, or a supporting tendon or ligament. The irritant, usually a sugar solution, is thought to trigger growth in the connective tissue of the joint, eventually leading to reduced pain.” (Source)
So, basically the goal is to alert the body’s immune system to the injury by causing microtrauma. In theory, those immune responses then begin rebuilding new tissue. I first read about it on STUFT Mama Blog and then I did a TON of research. I found this article and this article which helped me understand what prolotherapy was and the chances of it working on SI joint pain/piriformis pain. I asked my PT about it and he was very supportive and gave me the green light to try it out. What I didn’t do was research prolotherapists well.
The first appointment was on 10/24 at a local office by a NMD (naturpathic medical doctor.) He had told me on the phone prolotherapy is good for pain, ANY kind of pain. I went in, he talked to me about how I should wear less supportive running shoes, gave me two shots in my SI joint region and one in my hip region and sent me on my way. I had researched enough about prolotherapy to know this was not a legit treatment, it didn’t hurt at all. The idea is to recreate inflammation and pain and let the body do its healing thing. I didn’t have a reaction AT ALL, so I knew it was bogus. $250 dollars wasted.
I kept researching and FINALLY found a chiropractor/NMD that performed the injections. I would have preferred a MD, but beggars can’t be too choosy. This time he looked at my MRI’s on my low back and hip. He was convinced that the slight bulging disk in the lower part of my back is the root cause of my pain. Since I wasn’t having pain there I told him I could only afford to treat the pain. He agreed to treat all areas for the price of one, ha ha that included back, SI joint, and hip. He didn’t say it but I think he agreed for two reasons: one we discussed my previous round of bad prolotherapy and he mentioned that he can’t stand when bad prolotherapy is administered. Two, he knew I had been told repeatedly that the slight bulges should not be an issue by multiple doctors so it was hard for me to pay to get that treated. I received I don’t even know how many injections maybe 5-6 in my lower back 2-3 in my SI joint, 2 directly into my butt and the evil one to the hip.
The injections aren’t anything nice, let me tell you, they HURT. He warned me one injection would come close to a nerve and I may feel a shock if he comes in contact with it. I felt it radiate to my groin, it was more scary then painful and that is when the tears started. The last injection was in the hip since I have a history of hip pain that accompanies my SI joint dysfunction/pelvic instability. Apparently lidocaine (a pain killer in the injection) is not good for cartilage so the hip injections has no lidocaine in it. Wonderful.
To be honest the hour and half it took me to get home (in rush hour) was the worse part of the whole thing. I was tired emotionally and physically and in a ton of pain, again, emotionally and physically. Anyone into sports/athletics that’s ever had a chronic injury can probably relate to this, it just sucks.
The day after the injection I felt sore in the back and EXHAUSTED, like I had just been in a car accident is the best way to explain it. I took it easy, light walking, lots of protein, and sleeping. For the first two days my lower back was very sore, but I could only feel pressure in the SI joint, not pain. By day three the irritation in the SI joint was back (when driving) and so was the accompanying soreness in the glutes/IT band (aka piriformis syndrome). I’m trying to be patient, I know that it takes up to 10 days for the ligaments to strengthen and even longer for that to lead to reduced irritation and pain. Trying to eat lots of protein, limit inflammatory foods and simple sugars (okay except puffins, protein cereal = puffins + Formulx Recovery Protein Shake w/ Almond Milk = amazing), keep my pelvic alignment with exercises my PT taught me, and heat. Lots of heat to stimulate blood flow and nutrient delivery to the newly “injured” ligaments. I’m not allowed to run for at least two weeks and have to keep exercise to a minimum for a week and half, oh joy. What’s two more weeks after 10 months of on and off injury though?
I also read on some forum that this guy cured his piriformis syndrome (which for me is symptom of poor pelvic alignment) by doing self massage on it every day for an hour in the shower. So I’m upping my time spent rolling on that little torture ball that Missy thinks is a toy, from 5 minutes to 30-40 minutes (okay one whole episode of whatever Mr. Hungry is watching) DAILY. I did this last night and it seems to have really helped!
Note: The information in this post is not intended to provide advice or suggest treatment for anyone elses injury. I know it’s helpful to see how others handle their injuries but I am only sharing my personal experience with my personal injury. If you are injured please seek advice of a qualified medical professional.
Chat with me:
Have you had prolotherapy, acupuncture or other alternative treatments?
Debbie says
Hang in there girl! Things will get better. I know how frustrating injuries can be. Are you able do any yoga stretches for your lower back/hip? When I was having lower pain issues a few years ago restorative yoga really helped with the pain.
Kelli Shallal MPH RD says
Thanks Debbie! I have tried it, seem to help a bit but I think I need to build strength too!
toni says
Hi, I’m currently having prolotherapy treatments on my knee. Just had the third of what will be 6 visits for the treatment in total. I found your blog, curiously enough, because I notice I feel very hungry after the treatment and wanted to see if this something other people might be experiencing as well. What a nice find your site is with all these lovely recipes! The treatments wipe me out a bit. I guess because your body is working so hard to recover! Whew! I am trying my best to keep my nutrition as good as I can during this. It surprised me the doctor didn’t mention this really – glad I thought to look it up for myself. Still, I wish people would quit offering me sugary things. But I don’t eat bread, pasta, or drink sugary drinks, so while it is not zero at least my sugar intake is lower than it would be. 🙂 Thank you!
Kelli Shallal MPH RD says
Good luck with your treatment I hope it helps!
Amanda says
This is a much later comment related to when the original post was, but I thought I would offer my 2 cents:
Prolotherapy is for very specific issues- only for hypermobile joints. If hypermobility is not your problem then it will do nothing for you. It doesn’t work for everyone but it DOES work for a lot of people, especially people with hypermobile SI joints. I am going through the process right now, with an MD using x-ray guided injections, no woo-woo doctors. I am being evaluated in between sessions by a high-level physical therapist, and even after the first injection she evaluated my joints and said that they were more stable.
I did not experience nearly as much pain as I expected to for the days after the shots (I will get at least 3, because it takes several to do the work), but I was informed that level of pain does not correlate with level of healing. The average improvement rate for hypermobile SI people getting prolo is ~ 40%, with those on either end either getting no benefit or nearly 100 percent cure of the problem.
Prolo is NOT bogus, but it is not a guaranteed fix either, and it only works for specific problems. It will do nothing for things such as bulging discs, HYPOmobile joints, or nerve damage. I just don’t want people reading this to think that it’s something you should never consider as a treatment. But only get it done by an MD using x-ray guidance.
Kelli Shallal MPH RD says
Thanks for sharing Amanda!