Comparative Effectiveness of the Corticosteroid Injection and Prolotherapy in Patients With Hallux Rigidus: A Clinical Trial

Objectives: Hallux rigidus is one of the main etiologies disability in elderly. It a degenerative disease first metatarsophalangeal joint causing restriction movement as well pain and swelling. This study was conducted to evaluate effectiveness methylprednisolone dextrose prolotherapy reduction functional improvement patients with hallux rigidus. Methods: A randomized double-blind control trial designed inclusion 32 assigned two groups. Group received mixture 1 cc 40 mg lidocaine 2% while second group combination 50% 2%. Standard questionnaires, including visual analog scale (VAS) Manchester-Oxford foot questionnaire (MOXFQ) were completed by all at baseline 1, 4, 8 weeks after injections. Results: Both groups revealed significant VAS MOXFQ scores post-injection no difference between follow-up. Discussion: corticosteroid injections are effective but neither superior other.