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Rehabilitation Practice and Science

Translated Title

關節周圍葡萄糖增生療法治療原發性膝骨關節炎：病例報告及文獻回顧

Abstract

Knee osteoarthritis (OA) is a common disease that primarily afflicts older adults. The mainstream management of knee OA involves integrative practice, including patient education, weight reduction, exercise, pharmacological therapy, and non-pharmacological modalities. However, prolotherapy with hypertonic dextrose via either intra-articular or periarticular injection, or a combination of both techniques, has become a strong evidence-based treatment or adjuvant therapy that may be used in addition to conservative management. In the literature, two studies have compared the effects of intra-articular and periarticular prolotherapy for knee OA and reveal comparable effects. In addition, the periarticular approach has fewer side effects and post-injection pain. Therefore, periarticular prolotherapy may be a favored method given the lower complication rate. We reported on a patient suffering from long-term knee OA in whom conservative treatment had failed. On our suggestion, he received prolotherapy with ultrasound- guided hypertonic dextrose injection over ligament-bone insertions of the medial collateral ligament of the knee for six sessions. After the therapy, both his pain and disability index improved.

Language

English

First Page

213

Last Page

220

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