Sternoclavicular joint pain- Prolotherapy treatment for chest and rib pain from joint instability

Ross Hauser, MD and Danielle Matias, PA-C discuss our approach using Prolotherapy to treat sternoclavicular joint and rib instability.

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**DISCLAIMER: As with any medical treatment, no guarantees or claims of cures are made as to the extent of the response to treatment that every person experiences. Every therapy/treatment has patients who experience varying levels of success and failure. Results may not be the same from patient to patient, even with a similar diagnosis, as the body’s internal status is unique to each individual.

[scottfink]

Outstanding video!!! This is such a frustrating and painful condition, and so few doctors have any idea even how to diagnose it, much less what to do about it. Looking forward to getting back to Florida several times this year to restart my treatment.

[thesingingviolinist]

Thank you for another detailed, INCREDIBLE video! I've been dealing with chronic shoulder pain off and on for 4 years but your videos have shown me there are ways to treat this and heal it.. I'll be getting PRP in Feb. All the other doctors I've seen just looked completely stumped by my symptoms! Thank you again for sharing this information with the world 🤍

[jarodallen]

Cartilaginous mosh pit is what I call it🙈 ...doc you literally made a video detailing my every ailment that I have been suffering from for the past 7yrs, oh not to worry...supposedly the surgeon that disappeared on me 2 yrs ago(along with handful of others out here in Oregon) is supposedly in the process of getting me "scheduled". After I've now been on 2+ yrs of med leave to the point I was terminated from my job for failure to return from leave 😑

... so short and sweet, when you told me a about a year or so ago that you would have me as an patient I should've have hanglided my ass over there with the 5k in hand !

Bc you good sir were /are right about EVERYTHING you have highlighted in our tele-consult and these beautiful gems of info- visual insight YOU BLESS US WITH.. are almost like exclusive stern reminders of whats actually the problem and WHO it is that I need to be seeing all along.

Needless to say, BUT THE fact you continue to meticulously and cognitively negotiate the pertinent anatomy from a functional perspective makes it so there's no room for a "secondary diagnosis" or ambiguity Of interventions. Something that I've yet to encounter in my seven yrs of constant bone-on-bone grinding of my humeral head against my acromial joints & my glenoid socket. Its to the extent now that it's being said to have a deformed disposition or more specifically a "bi-concavity", thanks to the aid of CT reconstruction also is and has been fractured along the anterior rim with the rogue portion of bone likely nestled comfortably (NOT😱) In my upper Axillary recess. But that's not the part that will make you pull out the it happens my post surgical report from partial shoulder replacement lists my humeral head that was removed in procedure, as being 17.5 millimeters measured transversely. The fragment that's found in my axillary recess is also 17.5 mm go figure 🤔🤔😪🤔🤷🏾

Now mind you this information was discovered almost a year or more ago yet no surgery has been performed. Despite several recommendations for such to take place or at the very least do a foreign object removal to give better QOL smh... the imaging tech referenced the unknown loose body as a "glenoid component" until I explained I don't have another prosthesis in my left side other than the humeral head.

Interestingly enough I have been for over a yr now complaining of PAIN symptoms in my sternal region that essentially inhibits full breathing bc @ peak of said breath the bony protrusion( about like half a gumball convexed) that resides in the center of my sternum at levels c5-c6 c7-t1 where I just so happen to be suffering the worst from severe degenerative changes, foramenal stenosis, ligamentum flavum hypertrophy, a nd most recently learned retrolithesis. I have good bit of the symtptoms outlines here today in this video and I'm glad bc I've been suspecting the cervical rib to be the culprit there and just beneath my sub-occipital region where I have a constant palpable knot w/ pain and swelling.

P.S.

The way you & your colleague speak of the interstitial nature of the ribs and shoulders as well as the whole skeletal topology.

Bc... I have a hunch that my drop foot could be pseudo in nature and simply is my body letting me know it's not stupid enough to walk regularly during injury. Its in the shifting of the weight from heel to toe, that one can assess their overall postural health. Considering posture directly is affected by anatomical stance down to the individual toes and gait pattern.

What I've found is that whenever I attempt to force myself to orient my great toe northward /medially to achieve a more positively controlled gait. Almost as instant as a zipper reminds a man that he has not properly put everything away following a urinal visit, the sharp pain, popping and overall brittle feeling start at the shoulder and emanates it's way medially ending at the protruded sternal site 😱🤔. Retrospectively It all makes for quite the plausible explanation as to why I suddenly stopped the heel-to-toe when walking on my left side 😳

[charlesmitchell]

This video helped me. After years of laying down and stretching my upper ribs on a lacrosse ball caused my ribs to be unstable. My pt found my clavical out of place, as well. I need to try prolotherapy in your office.

[sshh]

❤❤❤❤❤❤❤❤❤ thank you😢 now my long time questions got answered

[flam]

I’ve been getting prolotherapy in my AC and SC joints/bone every 5 weeks for the past 1.5 years for a permanently dislocated clavicle. Just had it done today in fact. It is EXTREMELY painful, but works

[buddhxful]

I got my SC joint back into place after a car accident by raising my arms over my head, keeping my elbows straight, and contracting my upper back/shoulders a few times

[DudeWheresMyCardz]

Good morning and thanks for the video.

My SC joint is enlarged and raised, however it isn't grinding or popping. I felt great for a week after backpacking. Is it possible the downward pull of the backpack helped my pain?

[Rebeka]

This is a great video, when that person was getting those shots that looked so rough 🫢could it be in a less aggressive way? 😰

[TT-pums]

Can you advise how long it typically takes for the body to start seeing health benefits of prolotherapy once the vagus nerve starts functioning better after treatment?

[laurachickadee]

I have always had floating ribs, A few months ago I was trying to get up in the bath tub and my left rib went so far over and then towards my stomach that I actually saw the out line of my intestines through my translucent skin, Very scary and I had to work to get it back over.

[AngelaGWillis]

So... since having large pregnancies which left me with a wide Diastasis Recti Abdominus, I have avoided belly breaths, intentionally. I also believe that with my hereditary kyphosis which causes my rounded shoulders, instability, and mild lower lumbar scoliosis causing weakness and making hard to have good posture is why my sternum/rib heads sublex and dislocate. The only way to get it back in was to flatten my back on the floor - it was sooo painful. Strengthen my chest muscles helped a little, so it doesn't happen quite as often, now. I also have a few lower slipping ribs on my right side. My guess it's from my hEDS, rather than any kind of force. Thanks again for all your knowledge. At this point, I think you might as well create a solution I can bathe in that will treat all my ligaments at once! 🤣 Happy New Year to you, Danielle, and your staff. Hoping this is the year we finally get to meet.💜

[kelliez]

Rolling, clicking shoulder and clicking, popping and grinding, stiff neck- you are describing me! Can this cause my sternum to be swollen? Also I have a rib that sticks out from my son being very large in uterus and his foot was pushing against this rib. Can it go back into place 27 years later?

[almataralmatar]

Im in Japan i need to travel to get your treatment for my meniscus tear in both knees
What is the first

[mahesmuniandy]

Hello doctor ...I have slip disc c5c6...if have tis problem have breathing issue?

[johnhank]

Can prolotherapy help with cranial settling

[brandonwilson]

My friend has this and keeps getting put on medication and passed around the workman's comp Dr said he can't do nothing for him he has to learn to live with it

[tonetone]

I have some inflammation and pain in my sternoclavicular joint.

[Michellepuccio]

Can this block blood flow to your heart? I usually have to lay down because I feel like the blood isn’t flowing down to my heart but open up when I lay

[TT-pums]

Also, do dying/dead brain cells return after prolotherapy to improve brain function or are they lost forever (permanent brain injury and dysfunction)?