Ultrasound Guided Dextrose Prolotherapy and Platelet Rich Plasma Therapy in Chronic Low Back Pain: Three Case Reports
Glenna Tolbert*, Devika Roy and Valencia Walker
Department of Medicine, Division of Physical Medicine and Rehabilitation, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA 90095, USA
- *Corresponding Author:
- Glenna Tolbert
Assistant Adjunct Clinical Professor
Department of Medicine
Division of Physical Medicine and Rehabilitation
David Geffen School of Medicine at University of California Los Angeles
Los Angeles, CA 90095, USA
E-mail: [email protected]
Received Date: July 31, 2013; Accepted Date: August 20, 2013; Published Date: August 25, 2013
Citation: Tolbert G, Roy D, Walker V (2013) Ultrasound Guided Dextrose Prolotherapy and Platelet Rich Plasma Therapy in Chronic Low Back Pain: Three Case Reports. Int J Phys Med Rehabil 1:149. doi: 10.4172/2329-9096.1000149
Copyright: © 2013 Tolbert G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
These three case reports describe a regenerative medicine approach for geriatric patients with chronic low back pain who previously failed conventional treatment options for osteoarthritis (OA) of the lumbo-sacral spine. The regenerative medicine-based treatment programs successfully integrated spine prolotherapy with platelet rich plasma injection therapy. Ultrasound guidance was used to identify sacroiliac joint/ligaments, facet capsule and epidural space (sacral hiatus). All procedures were performed safely in the outpatient office setting without adverse events.