Dextrose prolotherapy for recalcitrant coccygodynia.

نویسندگان

  • S A Khan
  • A Kumar
  • M K Varshney
  • V Trikha
  • C S Yadav
چکیده

PURPOSE To present the results of dextrose prolotherapy undertaken for chronic non-responding coccygodynia in 37 patients. METHODS 14 men and 23 women (mean age, 36 years) with chronic coccygodynia not responding to conservative treatment for more than 6 months were included. 27 of them had received local steroid injections. A visual analogue score (VAS) was recorded for all patients before and after injection of 8 ml of 25% dextrose and 2 ml of 2% lignocaine into the coccyx. In 8 patients with a VAS of more than 4 after the second injection, a third injection was given 4 weeks later. RESULTS The mean VAS before prolotherapy was 8.5. It was 3.4 after the first injection and 2.5 after the second injection. Minimal or no improvement was noted in 7 patients; the remaining 30 patients had good pain relief. CONCLUSION Dextrose prolotherapy is an effective treatment option in patients with chronic, recalcitrant coccygodynia and should be used before undergoing coccygectomy. Randomised studies are needed to compare prolotherapy with local steroid injections or coccygectomies.

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عنوان ژورنال:
  • Journal of orthopaedic surgery

دوره 16 1  شماره 

صفحات  -

تاریخ انتشار 2008