Management of pubalgia with prolotherapy in the physical medicine service and rehabilitation of the central military hospital
DOI:
https://doi.org/10.28957/rcmfr.v27n2a5Keywords:
Pubalgia, Prolotherapy, Refractory Tendinopathy.Abstract
The pubalgia; Pain located in the pubic symphysis that can radiate to the groin, hypogastrium, hip and even the perineum and evidently the movement of the corresponding joints or the work of the musculature of these zones will reproduce the pain according to the activity.Prolotherapy helped in the recovery of pain from a patient who was present at the Physical Medicine and Rehabilitation service of the Central Military Hospital. Prolotherapy is the injection of an irritant agent in the insertion of a tendon, in a joint space or in a ligament as a medical management complementary to other clinical actions and whose main objective is the relief of pain and repair of an area of ??injury Using an injection of a hyperosmolar substance. It has increased the level of evidence in its use in refractory tendinopathies as a safe method and has optimized the management against musculoskeletal pain.
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2. Oliveira AL De, Andreoli CV, Ejnisman B, Queiroz RD, Guilherme O, Pires N. Epidemiological profile of patients diagnosed with athletic pubalgia. Rev Bras Ortop [Internet]. Sociedade Brasileira de Ortopedia e Traumatologia; 2016;51(6):692-6. Disponible en http://dx.doi.org/10.1016/j.rboe.2016.10.011
3. Puig PL, Trouve P, Savalli L. La pubalgie?: du diagnostic au retour sur le terrain Pubalgia?: from diagnosis to return to the sports field. 2004;47:356-64.
4. Ross JR, Stone RM, Larson CM. Core Muscle Injury / Sports Hernia / Athletic Pubalgia, and Femoroacetabular Impingement. 2015;23(4):213-20.
5. Murar J, Birmingham PM, Leblanc KAKE, Leblanc LL, Leblanc KAKE. Inguinal hernias: Diagnosis and management. Hip Arthrosc Hip Jt Preserv Surg [Internet]. Elsevier Inc; 2013;87(12):737-49. Disponible en http://dx.doi.org/10.1016/j.csm.2013.03.002
6. Kapandji AI, editor. Biomecánica del miembroinferior. Kapandji. Sexta edición. Editorial Médica Panamericana; 2012.
7. Oliveira AL de, Andreoli CV, Ejnisman B, Queiroz RD, Pires OGN, Falótico GG. Perfil epidemiológico dos pacientes com diagnóstico de pubalgia do atleta. Rev Bras Ortop [Internet]. Sociedade Brasileira de Ortopedia e Traumatologia; 2016;51(6):692-6. Disponible en http://dx.doi.org/10.1016/j.rbo.2016.03.012
8. Prather H, Camacho-Soto A. Musculoskeletal etiologies of pelvic pain. Obstet Gynecol Clin North Am [Internet]. Elsevier Inc; 2014;41(3):433-42. Disponible en http://dx.doi.org/10.1016/j.ogc.2014.04.004
9. Sailly M, Whiteley R, Read JW, Giuffre B, Johnson A, Hölmich P. Pubic apophysitis: a previously undescribed clinical entity of groin pain in athletes. 2015;(September 2009):828-34.
10. Findings RI, Maeder ME, Iraci JC, Klein DA. Referral Patterns for Chronic Groin Pain and Athletic Pubalgia / Sports Hernia: Magnetic and Outcomes. 2017;(August):251-6.
11. Larson CM. Evaluation and Management. 2014;6(2):139-44.
12. Ellsworth AA, Zoland MP, Tyler TF. Invited Clinical Commentary Athletic Pubalgia and Associated. 2014;9(6):774-84.
13. Hegedus EJ, Stern B, Reiman MP, Tarara D, Wright AA. Physical Therapy in Sport. A suggested model for physical examination and conservative treatment of athletic pubalgia. Phys Ther Sport [Internet]. Elsevier Ltd; 2013;14(1):3-16. Disponible en http://dx.doi.org/10.1016/j.ptsp.2012.04.002
14. Rabago D, Slattengren A, Zgierska A. Prolotherapy in Primary Care Practice. Vol. 37, Primary Care - Clinics in Office Practice. 2010. p. 65-80.
15. Yelland MJ, Glasziou PP, Bogduk N, Schluter PJ, Mckernon M, Dip G, et al. Prolotherapy Injections, Saline Injections, and Exercises for Chronic Low-Back Pain: A Randomized Trial. 2003;29(1):9-16.
16. Yelland MJ. Prolotherapy injections for chronic low-back pain [ Review ]. 2004.
17. D Arbp. A rationale for prolotherapy. 1991;13(3).
18. Distel LM, Best TM. Prolotherapy: A clinical review of its role in treating chronic musculoskeletal pain. PM R J Inj Funct Rehabil [Internet]. Elsevier Inc.; 2011;3(6, Supplement):S78-81. Disponible en http://dx.doi.org/10.1016/j.pmrj.2011.04.003
19. Rabago D, Mundt M, Zgierska A, Grettie J. Hypertonic dextrose injection (prolotherapy) for knee osteoarthritis: Long term outcomes. Complement Ther Med [Internet]. Elsevier Ltd; 2015;23(3):388-95. Disponible en http://dx.doi.org/10.1016/j.ctim.2015.04.003
20. DeChellis DM, Cortazzo MH. Regenerative medicine in the field of pain medicine: Prolotherapy, platelet-rich plasma therapy, and stem cell therapy-Theory and evidence. Tech Reg Anesth Pain Manag [Internet]. Elsevier Inc.; 2011;15(2):74-80. Disponible en http://dx.doi.org/10.1053/j.trap.2011. 05.002
How to Cite
1.
Esquiva Pájaro CT, Tolosa Cubillos JM. Management of pubalgia with prolotherapy in the physical medicine service and rehabilitation of the central military hospital. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2018 Feb. 21 [cited 2024 May 18];27(2):185-91. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/197
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Published
2018-02-21
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