title: The use of prolotherapy in the sacroiliac joint.
abstract: OBJECTIVE
  In this study the effectiveness of prolotherapy in the treatment of deficient load transfer of the sacroiliac joint (SIJ) was determined.
  
  
  METHODS
  A prospective descriptive study.
  
  
  METHODS
  Authors' private practice.
  
  
  METHODS
  25 patients who consented to treatment and attended for at least one follow-up visit and assessment.
  
  
  METHODS
  From April 2004 to July 2007.
  
  
  METHODS
  Three injections of hypertonic dextrose solution into the dorsal interosseous ligament of the affected SIJ, under CT control, 6 weeks apart.
  
  
  METHODS
  Quebec Back Pain Disability Scale, Roland-Morris 24, Roland-Morris 24 Multiform questionnaires and clinical examination by two authors independently.
  
  
  RESULTS
  All patients included in this study attended at least one follow-up visit at 3, 12 or 24 months.. The number of patients at follow-up decreased at 12 and 24 months. Functional questionnaires demonstrated significant improvements for those followed-up at 3, 12 and 24 months (p<0.05). Clinical scores showed significant improvement from commencement to 3, 12 and 24 months (p<0.001).
  
  
  CONCLUSIONS
  This descriptive study of prolotherapy in private practice has shown positive clinical outcomes for the 76% of patients who attended the 3-month follow-up visit (76% at 12 months and 32% at 24 months). Similar results were found in the questionnaires (Quebec Back Pain Disability Scale, Roland-Morris 24 and Roland-Morris 24 Multiform questionnaires) at 3, 12 and 24 months.
authors.affiliation: University of Notre Dame, Sydney, New South Wales, Australia. manuel.cusi@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Cusi
authors.forename: J
authors.initials: J
authors.lastname: Saunders
authors.forename: B
authors.initials: B
authors.lastname: Hungerford
authors.forename: T
authors.initials: T
authors.lastname: Wisbey-Roth
authors.forename: P
authors.initials: P
authors.lastname: Lucas
authors.forename: S
authors.initials: S
authors.lastname: Wilson
mesh_terms: D000328:Adult; D000368:Aged; D002985:Clinical Protocols; D005260:Female; D005950:Glucose Solution, Hypertonic; D006801:Humans; D007270:Injections, Intra-Articular / Q000379:methods; D008023:Ligaments, Articular / Q000187:drug effects* / Q000503:physiopathology; D017116:Low Back Pain / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011446:Prospective Studies; D012446:Sacroiliac Joint / Q000187:drug effects* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D005950:Glucose Solution, Hypertonic