The Diagnosis and Management of Upper Gluteal Pain

Posted on Posted in James Inklebarger, MD, Volume 12 : 2020

The sacroiliac joint (SIJ) can become dysfunctional through trauma and/ or pregnancy. The mechanism involves direct or repetitive microtrauma to the buttocks/ lower back. Treatment with specialised physiotherapy alleviates the problems in ~ 80% of cases. The remainder may respond to prolotherapy (hypertonic glucose injections into the dorsal intra-osseous ligament (DIOL) after multiple injections. We hypothesised that the response may be more rapid with injection of platelet enriched plasma (PRP) into the DIOL under ultrasound guidance.

Prolotherapy for Lumbar Segmental Instability Associated with Degenerative Disc Disease

Posted on Posted in James Inklebarger, MD, Simon P. Petrides, MB BS DM-S Med DO Dip Sports Med FFSEM (UK&I), Volume 8 : 2016

Prolotherapy is an injection-based therapy that may be used in the management of chronic lower back pain. In principle, injection solutions are formulated to produce an inflammatory response, which in turn promotes ligamentous and tendonous regeneration. This case study series offers some ideas as to how Prolotherapy might be advantageous in the management of discogenic lower back pain through improving vertebral segmental stability. When the disc is of normal height, the ligaments that hold the spine together remain at normal length…