The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Diagnosis and Treatment of Sacral Asymlocation in Back Pain Patients - Clinical Application of Prolotherapy -

요통 환자에서 엉치뼈 비대칭위치의 진단과 치료 - 프롤로테라피의 임상 적용 -

  • Kim, Hyeun Sung (Departments of Neurosurgery, Mok-Po Han Kook Hospital) ;
  • Jung, Ki Ho (Departments of Neurosurgery, Mok-Po Han Kook Hospital) ;
  • Park, In Ho (Departments of Neurosurgery, Mok-Po Han Kook Hospital) ;
  • Ryu, Jae Kwang (Departments of Neurosurgery, Mok-Po Han Kook Hospital) ;
  • Sun, Kwang Jin (Departments of Rehabilitation Medicine, Mok-Po Han Kook Hospital) ;
  • Lim, Kyung Joon (Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University) ;
  • Jo, Dae Hyun (Department of Pain Medicine, College of Medicine, Pochon CHA University)
  • 김현성 (목포한국병원 신경외과) ;
  • 정기호 (목포한국병원 신경외과) ;
  • 박인호 (목포한국병원 신경외과) ;
  • 류재광 (목포한국병원 신경외과) ;
  • 선광진 (목포한국병원 재활의학과) ;
  • 임경준 (조선대학교 의과대학 마취통증의학교실) ;
  • 조대현 (포천중문의과대학교 통증의학교실)
  • Received : 2007.03.31
  • Accepted : 2007.11.13
  • Published : 2007.12.10
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Abstract

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.

Keywords

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