Prolotherapy at the fringe of medical care, or is it the frontier?
2003; Elsevier BV; Volume: 3; Issue: 4 Linguagem: Inglês
10.1016/s1529-9430(03)00063-9
ISSN1878-1632
Autores Tópico(s)Shoulder Injury and Treatment
ResumoMost people involved in spinal care have heard of prolotherapy. A few advocate it. Many don't. Why can't this procedure get a little respect? The worthy goal of this therapy is to improve incompetent connective tissue by means of injection of a restorative solution into the tissue. The presence of these symptomatic, structurally inadequate tissues is assumed to be possible on a clinical basis, but that is often very difficult to prove. Magnetic resonance imaging cannot identify a small area of symptomatic soft tissue tear. This difficulty in objectively demonstrating the presence of these deficient tissues makes reports of efficacy in peer-reviewed medical literature difficult. Lacking a clear documentation of what is being treated, it is difficult to prove efficacy. Currently, the most common method of determining location for injection is by identifying areas of specific tenderness. This is very subjective. Vert Mooney, MD
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