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Prolotherapy
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Increase in Cross Sectional Area
of the Iliolumbar Ligament using Prolotherapy Agents: An
Ultrasonic Case Study
In a case history published in the
Journal of Prolotherapy. The effectiveness of
Prolotherapy
for the Iliolumar ligament was examined in a case study.
Below is an introduction,
following is the link to the entire article now free access at
the Journal of Prolotherapy.
Ann Auburn, DO, Scott Benjamin, PT, DScPT, Roy Bechtel, PT, PhD,
& Stacey Matthews
abstract
Background Content: This case study examined the effects of a
single Prolotherapy injection series on the left iliolumbar
ligament. The ligament measurements were split between medial
and lateral portions of the iliolumbar ligament and we
hypothesized that growth would occur increasing the cross
sectional area and thus provided added stability to the pelvis
and lumbar spine.
Purpose: The purpose of our study was to answer two questions:
1) how do you know that the Prolotherapy injectant actually
reaches the ligamentous structure you are attempting to heal;
and 2) how long does it take for the ligament to recover?
Study Design: Single case study.
Methods: One subject, 32 year-old female with no history of
lower back pain (LBP) participated in our study. Her job tasks
as a physical therapist required her to twist turn and bend;
putting pressure on her pelvis and ligamentous system. The
primary author (A.A.) assessed her pelvic ligaments which lead
to using a specified Prolotherapy solution for the left
iliolumbar ligament. Ultrasound (US) guided imaging was used to
take baseline measurements of the left iliolumbar ligament prior
to Prolotherapy. Bi-weekly US measurements were up to six weeks
to determine cross-sectional area (CSA) changes within the
ligament.
Results: The results indicated that after the initial Prolotherapy treatment, there was growth in the left iliolumbar
ligament at both the medial and lateral sites. The CSA increased
by 27% for the medial measurement and 21% for the lateral
measurement compared to baseline. The left iliolumbar ligament
also appeared to change its characteristics and looked more
uniform as a result of one Prolotherapy treatment.
Conclusion: Patients that experience lower back pain and or
pelvic shifting may benefit from the usage of Prolotherapy to
strengthen the ligaments surrounding their pelvis. Our study
also brings out the positive effects of using US to capture
changes that occur within specific tissue.
Read the entire article
Iliolumbar ligament and Prolotherapy
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