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Dextrose Prolotherapy for Chronic Shoulder Pain: A Case Report
Alternative Therapies in Health and Medicine
|November 5, 2017
Summary
Dextrose prolotherapy effectively treated chronic shoulder pain, reducing pain by 90% and restoring function after three sessions. This injection therapy offers a potential alternative to surgery for musculoskeletal conditions.
Area of Science:
- Musculoskeletal Medicine
- Regenerative Medicine
- Pain Management
Background:
- Shoulder pain is a prevalent complaint with varied treatment approaches.
- Prolotherapy, an injection therapy, shows promise for musculoskeletal pain.
- Dextrose prolotherapy is explored for chronic shoulder pain management.
Observation:
- A case study focused on a middle-aged male with chronic, untreated shoulder pain.
- Injections targeted the glenohumeral, acromioclavicular, and subacromial joint spaces, plus supraspinatus insertion.
- The treatment solution contained 50% dextrose diluted with lidocaine, bupivacaine, and methylcobalamin, achieving a ~22.8% dextrose concentration.
Findings:
- Following three prolotherapy sessions, the patient reported a 90% decrease in pain.
- The patient experienced a full restoration of normal shoulder activity.
- Pain levels were assessed using a numerical rating scale from 0 to 10.
Implications:
- Dextrose prolotherapy may be a viable treatment for chronic shoulder pain.
- This approach could serve as an alternative to surgical interventions.
- Further research may validate prolotherapy for widespread musculoskeletal pain conditions.

