Article

Prolotherapy is a technique that involves the injection of an irritant, usually a
hyperosmolar dextrose solution, typically in the treatment of chronic painful
musculoskeletal conditions. Despite its long history and widespread use as a form
of complementary therapy, there still are disparities over its optimal
indications and injection preparations. There are, however, numerous studies
available regarding the use and efficacy of prolotherapy for various
musculoskeletal conditions.
The most frequently published indication is in the
treatment of chronic low back pain, but there are recent studies that examined
its use in the management of refractory tendinopathies as well as osteoarthritis.
There is growing evidence to suggest that prolotherapy may be helpful in treating
chronic low back pain when coupled with adjunctive therapies, such as spinal
manipulation or corticosteroid injections. There is also evidence to suggest that
prolotherapy is effective in treating refractory tendinopathies, particularly for
lateral epicondylosis and Achilles tendinopathy. Additional larger, randomized
controlled trials are needed to make specific recommendations regarding ideal
protocols and indications. There is emerging evidence for the use of prolotherapy
as a treatment option for osteoarthritis; however, further studies are needed to
conclusively demonstrate its efficacy. Overall, prolotherapy remains a promising
option for the treatment of painful musculoskeletal conditions, particularly when
other standard treatments have proved ineffective.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.
- Prolothérapie

Langue : ANGLAIS