The article discusses an observational study that compared the effectiveness of ultrasound-guided prolotherapy with 5% dextrose in water (D5W) in the multifidus muscle to ultrasound-guided mechanical needling and sterile water injections for the treatment of lumbar spinal stenosis (LSS). The data was extracted from medical records of aging patients with LSS who received either treatment. The study found that patients who underwent mechanical needling with injections of sterile water showed consistently better results in terms of chronic low back pain, radiating pain, and ability to walk compared to those who received prolotherapy in the multifidus muscles. The effects of mechanical needling with sterile water lasted for at least 6 months, while prolotherapy with D5W had a moderate effect for only three months
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal centre in UK
Published article
After receiving USG mechanical needling and sterile water, LSS patients reported significant improvements in low back pain, radicular pain, and ability to walk for at least 6 months. Prolotherapy with D5W in the multifidus muscle has a moderate effect for only three months.
Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Objective: This observational study aimed to compare ultrasound-guided (USG) prolotherapy with 5% dextrose in water (D5W) in the multifidus muscle to USG mechanical needling and sterile water injections for the treatment of lumbar spinal stenosis (LSS). Patients and methods: The data was extracted from the medical records of ageing patients with LSS who received,
Abstract
Objective: This observational study aimed to compare ultrasound-guided (USG) prolotherapy with 5% dextrose in water (D5W) in the multifidus muscle to USG mechanical needling and sterile water injections for the treatment of lumbar spinal stenosis (LSS).
Patients and methods: The data was extracted from the medical records of ageing patients with LSS who received USG D5W in the multifidus muscle or USG mechanical needling and sterile water injections for the treatment of LSS by the first author. Low back pain or axial pain and leg pain or radicular pain were assessed by the visual analogue scale, and gait ability with walking distance were obtained at six different time points.
Results: Among the 211 older people who were diagnosed with LSS, 104 got USG mechanical needling and sterile water injections over the course of four weeks, while the other 107 got D5W at the multifidus muscles in a single session. Chronic low back pain, radiating pain, and the ability to walk all got much better at 1 and 3 months after the intervention, compared to VAS measures taken at the start. Patients who underwent mechanical needling with injections of sterile water performed consistently and significantly better than those who received prolotherapy in the multifidus muscles on all measures at 1, 3, and 6 months.
After receiving USG mechanical needling and sterile water, LSS patients reported significant improvements in low back pain, radicular pain, and ability to walk for at least 6 months. Prolotherapy with D5W in the multifidus muscle has a moderate effect for only three months.
Keywords: LSS; USG; lumbar spinal stenosis; mechanical needling plus sterile water injection; multifidus muscle; prolotherapy with D5W; ultrasound-guided.
The London Spine Unit : most specialised spinal centre in UK
Read the original publication:
Prolotherapy at Multifidus Muscle versus Mechanical Needling and Sterile Water Injection in Lumbar Spinal Stenosis
