Dear. Dr. B,

I am writing you to update you on the progress of my chronic lateral epicondylitis.  At our last conversation, I had mentioned that I was opting for Prolotherapy vs. Surgical intervention.  The reason for my decision was financial, have to rest post-surgery for up to 12 weeks.  I couldn’t imagine closing my practice for that amount of time and retaining my patient base.  Even with a practice relief doctor, the results would have been catastrophic.  You were very honest in our conversation and expressed doubt that Prolotherapy would benefit me.  I appreciated, and still do, the honest and good natured conversation we had on that day.  You may recall, one of the last things you said was, “Call me when you’re all better so I can hear about your success.” and you wished me best of luck,.

Well, I’m ready to update you on my progress and will go into detail on my treatment and ancillary care.

I have been treating with Dr. Mark Wheaton in Excelsior, MN, on Lake Minnetonka.  I am including excerpts from Dr. Wheaton’s bio on his website.  (The bio is not included on this part of the letter.)

The reason I included this bio is because I really believe there are different levels of expertise in Prolotherapy, including protocols and techniques.  I also believe this is why there is a less than 70% success rate in Prolotherapy patients.  I went to the clinic with those numbers in mind but was told by his staff that they had never seen anyone not be helped by Dr. Wheaton.

I will now describe my therapy.  My first treatment was June 12 of this year.  It consisted of palpation examination, followed by a series of 30-40 injections into the tendons and musculature associated with lateral epicondylitis.  I remember him discussing the radial collateral ligament as crucial area to treat.  The injections consisted of primarily Dextrose and lidocaine.  He explained the lidocaine let him know if he hit the right spot, palpating the area after injection (which was then painless).  He describes his method as “peppering” the area, to be sure to “hit” all the needed sites.  His regiment then required me to take a large number of dietary supplements, to provide building blocks for tissue repair.  He had me use OrthoMolecular products:  Prolomax (now MSM 900), Soft Tissue Support packets, and Mitocore.  The following restrictions were placed on me:  no anti-inflammatory medicine, no icing of the affected area.  I can take Tylenol for pain and use hot packs for comfort.  He does allow ultrasound therapy.  I was only to use a sleeve type brace during work, no band.

At the first visit, he said series of treatments would be necessary for, what he expected, total resolution of the lateral epicondylitis.  He estimated 10 treatments over 10 month for completion.  I have undergone 5 sessions, with varying lengths of time between them.  At first my treatments were 2-3 weeks apart.  Currently I am 6 weeks between visits.

On June 12, I reported the pain in the elbow at a constant 8/10 in severity.  There was noticeable improvement after the second treatment and continued improvement after every treatment since.  Right now, I have 0/10 pain for 80% of my day.  There will be irritation, 2-3/10, if I overdue certain activities, or just do dumb stuff.  Ha ha!  I am still in treatment and will continue to do so as long as Dr. Wheaton recommends.

I write this with great joy at the results of Dr. Wheaton’s care. I have not missed a day of work because of the treatments.  I have modified my schedule and technique to reduce the stress on the elbow and will continue that also.

I want to thank you for your excellent care of my elbow and for your candor when I decided to try an alternate therapy  You have my highest respect as a surgeon and I will gladly continue to refer patients to you and many others at the Orthopedic Institute.  This letter is only meant to inform and explain my experience after choosing a “road less traveled”.

Best regards,

Mitch L. R., Doctor of Chiropractic