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Sacroiliac Joint Prolotherapy
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Sacroiliac joint prolotherapy is sometimes used to treat sacroiliac joint pain. Protocols vary for this procedure.
Study Protocols
Cusi et al (RCT): Dorsal interosseous injection, done under CT guidance, for clinically diagnosed source of pain. 22-g spinal needle. 5mL syringe, 1.8mL of 50% dextrose, 2.3mL bupivacaine 1%, 0.8mL iopamidol contrast. 0.8mL injected into the ligament as it moves up and down the ligament. [1]
Kim et al (RCT): Intraarticular injections. 25% dextrose solution, done by diluting 50% dextrose in bupivacaine.[2]
Hoffman et al (Retrospective cohort): 15% dextrose in lidocaine monthly three times.[3]
References
- โ Cusi et al.. The use of prolotherapy in the sacroiliac joint. British journal of sports medicine 2010. 44:100-4. PMID: 18400878. DOI.
- โ Kim et al.. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. Journal of alternative and complementary medicine (New York, N.Y.) 2010. 16:1285-90. PMID: 21138388. DOI.
- โ Hoffman & Agnish. Functional outcome from sacroiliac joint prolotherapy in patients with sacroiliac joint instability. Complementary therapies in medicine 2018. 37:64-68. PMID: 29609940. DOI.
Literature Review
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