Prolotherapy: Can it help your patient?

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Abstract

Prolotherapy appears to be effective for Achilles tendinopathy and knee osteoarthritis, but has limited efficacy for low back pain. Find out when—and whether—to consider this option.

PRACTICE RECOMMENDATIONS

> Advise patients with Achilles tendinopathy that a combination of prolotherapy and eccentric exercise is likely to provide more rapid and sustained pain relief than either option alone. (A)

PRACTICE RECOMMENDATIONS

> Offer a third round of prolotherapy to a patient whose pain and/or function has not improved or has returned after 2 treatments. (C)

PRACTICE RECOMMENDATIONS

> Consider prolotherapy administered by a physician with expertise in the technique for adolescents with recalcitrant Osgood-Schlatter disease. (B)

Strength of recommendation (SOR)

(A) Good-quality patient-oriented evidence

Strength of recommendation (SOR)

(B) Inconsistent or limited-quality patient-oriented evidence

Strength of recommendation (SOR)

(C) Consensus, usual practice, opinion, disease-oriented evidence, case series

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