Efficacy of dextrose prolotherapy in elite male kicking-sport athletes with chronic groin pain

Autor: Gastrin Andres Topol, K. Dean Reeves, Khatab M. Hassanein
Rok vydání: 2005
Předmět:
Zdroj: Archives of physical medicine and rehabilitation. 86(4)
ISSN: 0003-9993
Popis: Topol GA, Reeves KD, Hassanein KM. Efficacy of dextrose prolotherapy in elite male kicking-sport athletes with chronic groin pain. Arch Phys Med Rehabil 2005;86: 697–702. Objective To determine the efficacy of simple dextrose prolotherapy in elite kicking-sport athletes with chronic groin pain from osteitis pubis and/or adductor tendinopathy. Design Consecutive case series. Setting Orthopedic and trauma institute in Argentina. Participants Twenty-two rugby and 2 soccer players with chronic groin pain that prevented full sports participation and who were nonresponsive both to therapy and to a graded reintroduction into sports activity. Intervention Monthly injection of 12.5% dextrose and 0.5% lidocaine into the thigh adductor origins, suprapubic abdominal insertions, and symphysis pubis, depending on palpation tenderness. Injections were given until complete resolution of pain or lack of improvement for 2 consecutive treatments. Main outcome measures Visual analog scale (VAS) for pain with sports and the Nirschl Pain Phase Scale (NPPS), a measure of functional impairment from pain. Results The final data collection point was 6 to 32 months after treatment (mean, 17mo). A mean of 2.8 treatments were given. The mean reduction in pain during sports, as measured by the VAS, improved from 6.3±1.4 to 1.0±2.4 (P Conclusions Dextrose prolotherapy showed marked efficacy for chronic groin pain in this group of elite rugby and soccer athletes.
Databáze: OpenAIRE