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Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report

INTRODUCTION: This case report aims to discuss the clinical and radiological outcomes of prolotherapy at a patient whom to total knee prosthesis had been planned but surgery couldn’t be performed due to co-morbidities. CASE PRESENTATION: A 72 year old woman presented with severe pain at her knees fo...

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Autores principales: Solmaz, Ilker, Deniz, Suleyman, Cifci, Onder Taylan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961030/
https://www.ncbi.nlm.nih.gov/pubmed/24660149
http://dx.doi.org/10.5812/aapm.9171
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author Solmaz, Ilker
Deniz, Suleyman
Cifci, Onder Taylan
author_facet Solmaz, Ilker
Deniz, Suleyman
Cifci, Onder Taylan
author_sort Solmaz, Ilker
collection PubMed
description INTRODUCTION: This case report aims to discuss the clinical and radiological outcomes of prolotherapy at a patient whom to total knee prosthesis had been planned but surgery couldn’t be performed due to co-morbidities. CASE PRESENTATION: A 72 year old woman presented with severe pain at her knees for over 5 years. Treatment methods include weight loss, decreasing the weight bearing on the joint, stretching exercises, nonsteroid anti-inflammatory and steroid drugs, and physiotherapy. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale was applied to measure the osteoarthritis level of the patient: Pain level; 25 points, stiffness level; 10 points, Physical function loss; 80 points, and total WOMAC 115 points. At radiological evaluation, the patient was diagnosed as grade IV osteoarthritis due to significant osteophyte presence and complete joint space narrowing. Six sessions of knee prolotherapy protocol was applied to the patient, one session monthly. CONCLUSIONS: Significant improvement was noted at WOMAC scale (Pain level; 5 points, stiffness level; 2 points, Physical function loss; 15 points, and total WOMAC 22 points). Osteoarthritis level of the patient was improved to grade I at radiological evaluation after a year. Our case is the report that presents radiological evidence in addition to clinical findings of improvement of osteoarthritis level. As a result of this case report, further studies aiming to offer a different minimally invasive treatment option to the patients before surgery may be performed. We are in the opinion that prolotherapy may be preferred more commonly as an efficient method once the importance of ligamentous structures at pathogenesis of osteoarthritis is established.
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spelling pubmed-39610302014-03-21 Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report Solmaz, Ilker Deniz, Suleyman Cifci, Onder Taylan Anesth Pain Med Case Report INTRODUCTION: This case report aims to discuss the clinical and radiological outcomes of prolotherapy at a patient whom to total knee prosthesis had been planned but surgery couldn’t be performed due to co-morbidities. CASE PRESENTATION: A 72 year old woman presented with severe pain at her knees for over 5 years. Treatment methods include weight loss, decreasing the weight bearing on the joint, stretching exercises, nonsteroid anti-inflammatory and steroid drugs, and physiotherapy. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale was applied to measure the osteoarthritis level of the patient: Pain level; 25 points, stiffness level; 10 points, Physical function loss; 80 points, and total WOMAC 115 points. At radiological evaluation, the patient was diagnosed as grade IV osteoarthritis due to significant osteophyte presence and complete joint space narrowing. Six sessions of knee prolotherapy protocol was applied to the patient, one session monthly. CONCLUSIONS: Significant improvement was noted at WOMAC scale (Pain level; 5 points, stiffness level; 2 points, Physical function loss; 15 points, and total WOMAC 22 points). Osteoarthritis level of the patient was improved to grade I at radiological evaluation after a year. Our case is the report that presents radiological evidence in addition to clinical findings of improvement of osteoarthritis level. As a result of this case report, further studies aiming to offer a different minimally invasive treatment option to the patients before surgery may be performed. We are in the opinion that prolotherapy may be preferred more commonly as an efficient method once the importance of ligamentous structures at pathogenesis of osteoarthritis is established. Kowsar 2013-12-16 /pmc/articles/PMC3961030/ /pubmed/24660149 http://dx.doi.org/10.5812/aapm.9171 Text en Copyright © 2014, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM) http://creativecommons.org/licenses/by/3.0/ 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 work is properly cited.
spellingShingle Case Report
Solmaz, Ilker
Deniz, Suleyman
Cifci, Onder Taylan
Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title_full Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title_fullStr Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title_full_unstemmed Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title_short Treatment of Advanced Stage Gonarthrosis With Prolotherapy: Case Report
title_sort treatment of advanced stage gonarthrosis with prolotherapy: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961030/
https://www.ncbi.nlm.nih.gov/pubmed/24660149
http://dx.doi.org/10.5812/aapm.9171
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