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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Utility of Prolotherapy for Upper Extremity Pathology
Shashank Dwivedi1, Andrew D Sobel1, Manuel F DaSilva1
1Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI.
The Journal of Hand Surgery
|June 28, 2018
Summary
Prolotherapy injections offer a safe, effective, and affordable nonsurgical treatment for painful musculoskeletal conditions like osteoarthritis and tendinosis by repairing connective tissues.
Area of Science:
- Orthopedics
- Regenerative Medicine
- Musculoskeletal Health
Background:
- Prolotherapy is a regenerative injection technique.
- It involves injecting a sclerosing agent into damaged connective tissues.
- This aims to stimulate tissue repair and reduce pain.
Purpose of the Study:
- To provide a historical overview of prolotherapy.
- To discuss the proposed mechanisms of action for prolotherapy.
- To review existing literature on prolotherapy for upper extremity conditions.
Main Methods:
- Literature review of prolotherapy studies.
- Focus on upper extremity pathologies including hand osteoarthritis, lateral epicondylitis, and rotator cuff disease.
Main Results:
- Prolotherapy is presented as a safe and effective nonsurgical option.
- Evidence supports its use in specific upper extremity conditions.
- It is considered a relatively inexpensive treatment modality.
Conclusions:
- Prolotherapy is a viable treatment for painful musculoskeletal issues.
- Further research supports its application in hand osteoarthritis, lateral epicondylitis, and rotator cuff disease.
- Its cost-effectiveness and safety profile are notable advantages.
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