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KMID : 0361420070310010020
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Journal of Korean Academy of Rehabilitation Medicine
2007 Volume.31 No. 1 p.20 ~ p.24
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Comparison between the Effect of Local Steroid Injection and Prolotherapy on Iliac Crest Pain Syndrome
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Kim Hee-Sang
Ahn Kyung-Hoi
Lee Jong-Ha
Lee Kyu-Tae
Yun Jee-Sang
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Abstract
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Objective: To evaluate the therapeutic effect of local steroid injection and prolotherapy on the iliac crest pain syndrome (ICPS) in patients with nonspecific low back pain.
Methods: 44 patients with ICPS were chosen randomly. The treatment groups were divided into two. The first group received a mixture of triamcinolone and lidocaine. The second received with a mixture of dextrose and lidocaine. The patients in each group were injected once a week over 4 weeks. The effectiveness of treatment was evaluated by a visual analogue scale (VAS), a pressure threshold and patient’s life activities with modified Oswestry questionnaire before injection, 30 minutes, 1 week, 4 weeks and 3 months later after injection respectively.
Results: VAS, pressure threshold and patient’s life activities of two groups were all improved at 30 minutes, 1 week, 1 month and 3 months after injection compared with those of pre-injection, and there was no significant difference between groups.
Conclusion: The low back pain on ICPS can be significantly improved by local steroid injection and prolotherapy equally. Therefore, patients with risk of steroid injection could be treated by prolotherapy.
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KEYWORD
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Iliac Crest Pain Syndrome, Local Steroid Injection, Prolotherapy
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