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ISSN: 2327-5162

Alternative & Integrative Medicine
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Review Article

Ultrasound Guided Dextrose Prolotherapy for Persistent Coccygeal Pain: A Case Series and Review of Literature

Yin-Ting Chen1*, Chelsea Brundage2, Sarah C Griffin3, Ian C Murphy3 and Arthur Jason De Luigi4

1Physical Medicine and Rehabilitation Service, Department of Orthopaedic and Rehabilitation, Ft. Belvoir Community Hospital, Ft. Belvoir, Virginia, USA

2Physical Medicine and Rehabilitation Service, Department of Orthopaedic and Rehabilitation, Womack Army Medical Center, Fayetteville, NC, USA

3Physical Medicine & Rehabilitation Service, Department of Orthopedic & Rehabilitation, Walter Reed National Military Medical Center, Bethesda, Maryland, USA

4Director of Sports Medicine, Department of Rehabilitation Medicine, MedStar National Rehabilitation Hospital/Georgetown University Hospital, Washington, DC, USA

*Corresponding Author:
Yin-Ting Chen
Ft. Belvoir Community Hospital
9300 DeWitt Loop, Ft. Belvoir, VA 22060, USA
Tel: 571-231-3224
E-mail: [email protected]

Received date September 27, 2013; Accepted date October 25, 2013; Published date October 28, 2013

Citation: Chen YT, Brundage C, Griffin SC, Murphy IC, Luigi AJD (2013) Ultrasound Guided Dextrose Prolotherapy for Persistent Coccygeal Pain: A Case Series and Review of Literature. Altern Integr Med 2:142. doi:10.4172/2327-5162.1000142

Copyright: © 2013 Chen YT, 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.

Abstract

Coccydynia is a common condition that has been difficult to treat effectively with conventional pain relief methods. There has been previous research demonstrating safety and efficacy of prolotherapy to treat coccydynia. Many of the original descriptions were performed utilizing landmark or palpation guided techniques. However, there is evidence that imaging guidance improves accuracy of injections for axial and appendicular injections. We describe the use of ultrasound guidance for prolotherapy to accurately guide treatment into the coccyx in three patients leading to pain relief, improvement of motor function, and decrease in analgesic usage after treatment.

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