Updated in 3/21/2013 5:22:50 PM      Viewed: 1285 times      (Journal Article)
British journal of sports medicine 44 (2): 100-4 (2010)

The use of prolotherapy in the sacroiliac joint.

M Cusi , J Saunders , B Hungerford , T Wisbey-Roth , P Lucas , S Wilson
ABSTRACT

Abstract

OBJECTIVE:

In this study the effectiveness of prolotherapy in the treatment of deficient load transfer of the sacroiliac joint (SIJ) was determined.

DESIGN:

A prospective descriptive study.

SETTING:

Authors' private practice.

PARTICIPANTS:

25 patients who consented to treatment and attended for at least one follow-up visit and assessment.

STUDY PERIOD:

From April 2004 to July 2007.

INTERVENTION:

Three injections of hypertonic dextrose solution into the dorsal interosseous ligament of the affected SIJ, under CT control, 6 weeks apart.

MAIN OUTCOME MEASURES:

Quebec Back Pain Disability Scale, Roland-Morris 24, Roland-Morris 24 Multiform questionnaires and clinical examination by two authors independently.

RESULTS:

All patients included in this study attended at least one follow-up visit at 3, 12 or 24 months.. The number of patients at follow-up decreased at 12 and 24 months. Functional questionnaires demonstrated significant improvements for those followed-up at 3, 12 and 24 months (p<0.05). Clinical scores showed significant improvement from commencement to 3, 12 and 24 months (p<0.001).

CONCLUSIONS:

This descriptive study of prolotherapy in private practice has shown positive clinical outcomes for the 76% of patients who attended the 3-month follow-up visit (76% at 12 months and 32% at 24 months). Similar results were found in the questionnaires (Quebec Back Pain Disability Scale, Roland-Morris 24 and Roland-Morris 24 Multiform questionnaires) at 3, 12 and 24 months.

DOI: 10.1136/bjsm.2007.042044      ISSN: 0306-3674