요통 환자에서 엉치뼈 비대칭위치의 진단과 치료 -프롤로테라피의 임상 적용

• Published in: The Korean journal of pain Vol. 20; no. 2; pp. 130 - 137
• Main Authors: 김현성, Hyeun Sung Kim, 정기호, Ki Ho Jung, 박인호, In Ho Park, 류재광, Jae Kwang Ryu, 선광진, Kwang Jin Sun, 임경준, Kyung Joon Lim, 조대현, Dae Hyun Jo
• Format: Journal Article
• Language: Korean
• Published: 대한통증학회 30.12.2007
• Subjects: back pain; prolotherapy; referred pain; sacral asymlocation; sacroiliac joint; sacroiliac joint; prolotherapy; sacral asymlocation; back pain; referred pain
• ISSN: 2005-9159; 1226-2579; 2093-0569

Background: We evaluated the role and effects of prolotherapy in patients presenting with lower back pain and detected sacral asymlocation, by retrospectively analyzing the results of prolotherapy performed at our institute. Methods: Twenty-three patients with referred pain in the lower back rather than distinct radiculopathy, were detected to have sacral asymlocation by simple X-ray from May 2004 through July 2005. The patients were treated with prolotherapy and manipulation by the Ongley's method around the lumbosacral junction, iliolumbar ligament, and sacroiliac joint. They were treated for approximately one to two week intervals, and during this period were rechecked by X-ray and evaluated using the visual analogue scale (VAS). Results: A total of 23 patients were included in the study (10 male and 13 female), and the average age was 41 years. The average VAS at the time of visit was B.5, the average treatment time was 4,7 days, and the average VAS after treatment was 2.1. Conclusions: Back pain, and associated leg and buttock pain, originate from several causes. In these case analyses, instability around the lumbosacral area and sacral asymlocation might have been important causes of patient back pain and associated buttock and leg pain. We therefore applied prolotherapy as well as manipulation techniques devised by Ongley to these patients, and obtained good results.