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Fantastic
Findings
Prolotherapy for Pelvic Ligament Pain: A Case Report
Ann Auburn, DO, Scott
Benjamin, PT, DScPT,
& Roy Bechtel , PT, PhD
Background Content: This case study examines the effect of the
addition of Prolotherapy to manual therapy, and pelvic and trunk exercises, in
a treatment regime for a patient with pelvic and chronic low back pain (CLBP)
who had previously failed manual therapy and exercise alone and in combination.
We hypothesized that with continued exercise and the combination of Prolotherapy
and manual therapy, there would be better improvement than any single intervention
to reduce pain and improve stability in the lumbar spine and pelvis.
Purpose: The purpose of our case study was twofold.
| 1. |
If the tenderness in the above ligaments would be reduced
using the combination of Prolotherapy, therapeutic exercise,
and manual therapy. |
| 2. |
Whether our subject would show functional improvement after
treatment. |
Study Design: Single case study.
Methods: One subject, a 44 year-old male with a
history of left L5-S1 laminectomy and ligamentous laxity in the
pelvis and sacral ligaments, was assessed and treated by the primary
author, using Prolotherapy and manual therapy. Therapeutic exercise
was performed five days a week with an emphasis on the pelvic and
deep trunk stabilizers.
Results: After treatments, the patient demonstrated
less tenderness, improved ligamentous stiffness, and displayed improved
pelvic joint stability. Function also improved as measured by his
ability to work, exercise, and perform home activities with less
stiffness and pain than previously noted.
Conclusion: Patients with LBP may benefit from
Prolotherapy to aid in reducing pelvic and lumbar instability in
conjunction with manual therapy and exercise to improve dynamic
pelvic stability.
Journal of Prolotherapy. 2009;2:89-95.
KEYWORDS: chronic low back pain, Prolotherapy, ligamentous laxity, multifidus,
sacroiliac joint. |
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