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

Abstract:

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, 17 mo). 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 <.001), and the mean reduction in NPPS score improved from 5.3+/-0.7 to 0.8+/-1.9 ( P <.001). Twenty of 24 patients had no pain and 22 of 24 were unrestricted with sports at final data collection. CONCLUSIONS:Dextrose prolotherapy showed marked efficacy for chronic groin pain in this group of elite rugby and soccer athletes.

journal_name

Arch Phys Med Rehabil

authors

Topol GA,Reeves KD,Hassanein KM

doi

10.1016/j.apmr.2004.10.007

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

697-702

issue

4

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(04)01295-X

journal_volume

86

pub_type

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