Abstract
Topol GA, Reeves KD, Hassanein KM. Efficacy of dextrose prolotherapy in elite male
kicking-sport athletes with chronic groin pain. Arch Phys Med Rehabil 2005;86: 697–702.
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, 17mo). 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.
Key words
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No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the authors is/are associated.
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Copyright
© 2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
