Effectiveness of prolotherapy for chronic musculoskeletal conditions

Prolotherapy is one of the injection-based alternative therapeutic options for the treatment of chronic musculoskeletal pain. However, for chronic musculoskeletal conditions, corticosteroid and local anesthetic preparation like Lignocaine is widespread and initial injection therapy of choice. There...

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Main Authors: Saurabh Agarwal, Abhishek Nagaich, Nikhil Jain, Arvind Kumar Shah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:http://www.jotr.in/article.asp?issn=0975-7341;year=2023;volume=15;issue=1;spage=1;epage=4;aulast=Agarwal
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author Saurabh Agarwal
Abhishek Nagaich
Nikhil Jain
Arvind Kumar Shah
author_facet Saurabh Agarwal
Abhishek Nagaich
Nikhil Jain
Arvind Kumar Shah
author_sort Saurabh Agarwal
collection DOAJ
description Prolotherapy is one of the injection-based alternative therapeutic options for the treatment of chronic musculoskeletal pain. However, for chronic musculoskeletal conditions, corticosteroid and local anesthetic preparation like Lignocaine is widespread and initial injection therapy of choice. There are several other techniques also such as autologous whole blood, platelet-rich plasma, bone marrow, dry needling, and extracorporeal wave therapy. In prolotherapy, a very small amount of irritant or sclerosing solution is injected into joint space, ligament, or tendon insertion sites as a complementary medical treatment over several treatment seasons. Hyperosmolar dextrose, phenol–glycerine–glucose, and morrhuate sodium are the three most commonly used prolotherapy solutions. There are several studies and evidence available regarding the efficacy of prolotherapy over various musculoskeletal conditions such as chronic low back pain, osteoarthritis of joints, subluxation and joint instability, ligament laxity, hypermobility of joints, and tendinopathy. The efficacy of prolotherapy for different musculoskeletal conditions with different injections is different, and the precise mechanism of prolotherapy effect is still not clear, so further studies and clinical trials are recommended.
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spelling doaj.art-aea90ddafcaf4fe78105a2dd47596b1e2023-07-23T11:42:00ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412023-01-011511410.4103/jotr.jotr_4_23Effectiveness of prolotherapy for chronic musculoskeletal conditionsSaurabh AgarwalAbhishek NagaichNikhil JainArvind Kumar ShahProlotherapy is one of the injection-based alternative therapeutic options for the treatment of chronic musculoskeletal pain. However, for chronic musculoskeletal conditions, corticosteroid and local anesthetic preparation like Lignocaine is widespread and initial injection therapy of choice. There are several other techniques also such as autologous whole blood, platelet-rich plasma, bone marrow, dry needling, and extracorporeal wave therapy. In prolotherapy, a very small amount of irritant or sclerosing solution is injected into joint space, ligament, or tendon insertion sites as a complementary medical treatment over several treatment seasons. Hyperosmolar dextrose, phenol–glycerine–glucose, and morrhuate sodium are the three most commonly used prolotherapy solutions. There are several studies and evidence available regarding the efficacy of prolotherapy over various musculoskeletal conditions such as chronic low back pain, osteoarthritis of joints, subluxation and joint instability, ligament laxity, hypermobility of joints, and tendinopathy. The efficacy of prolotherapy for different musculoskeletal conditions with different injections is different, and the precise mechanism of prolotherapy effect is still not clear, so further studies and clinical trials are recommended.http://www.jotr.in/article.asp?issn=0975-7341;year=2023;volume=15;issue=1;spage=1;epage=4;aulast=Agarwalchronic low back painchronic musculoskeletal conditionsdextroseosteoarthritisprolotherapytendinopathy
spellingShingle Saurabh Agarwal
Abhishek Nagaich
Nikhil Jain
Arvind Kumar Shah
Effectiveness of prolotherapy for chronic musculoskeletal conditions
Journal of Orthopedics, Traumatology and Rehabilitation
chronic low back pain
chronic musculoskeletal conditions
dextrose
osteoarthritis
prolotherapy
tendinopathy
title Effectiveness of prolotherapy for chronic musculoskeletal conditions
title_full Effectiveness of prolotherapy for chronic musculoskeletal conditions
title_fullStr Effectiveness of prolotherapy for chronic musculoskeletal conditions
title_full_unstemmed Effectiveness of prolotherapy for chronic musculoskeletal conditions
title_short Effectiveness of prolotherapy for chronic musculoskeletal conditions
title_sort effectiveness of prolotherapy for chronic musculoskeletal conditions
topic chronic low back pain
chronic musculoskeletal conditions
dextrose
osteoarthritis
prolotherapy
tendinopathy
url http://www.jotr.in/article.asp?issn=0975-7341;year=2023;volume=15;issue=1;spage=1;epage=4;aulast=Agarwal
work_keys_str_mv AT saurabhagarwal effectivenessofprolotherapyforchronicmusculoskeletalconditions
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