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Case Study: Physical Therapy as an Adjunct to Prolotherapy

1 May 2004


Background and Purpose: This case study evaluated the effectiveness of prolotherapy and physical therapy (PT) undergone concurrently using a single patient.

Methods: This was done utilizing a retrospective chart review, as well as a visual analog scale and disability measurement (Oswestry Disability Index). PT was initially performed two times per week, prior to beginning prolo injections. After injections began, PT was continued once a week to once every two weeks, while the patient performed an independent home exercise program (HEP). Injections were given to the affected ligaments one time per week for four weeks and once every other week for four more weeks after a month Iong break.

Results: The patient showed at least a 50% improvement in the VAS and minimal change in the disability measurement. The highest score on the VAS was 7.8 centimeters (cm). At completion of the case study, the patient reported her pain at 2.2 cm. On the disability measurement the scores ranged from a high of 52%, to a low of 26%.

Discussion and Conclusion: This case study provides an individual example of a patient undergoing concurrent physical therapy and prolotherapy. The patient exhibited objective signs of significant improvement in her pain and slight improvement in her functional capabilities. Future studies are warranted that investigate physical therapy in conjunction with prolotherapy using a larger patient population and a standardized treatment protocol.


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