Korean J Pain.  2007 Dec;20(2):130-137. 10.3344/kjp.2007.20.2.130.

Diagnosis and Treatment of Sacral Asymlocation in Back Pain Patients: Clinical Application of Prolotherapy

• Kim HS
• Jung KH
• Park IH
• Ryu JK
• Sun KJ
• Lim KJ
• Jo DH

• KMID: 2278053
• DOI: http://doi.org/10.3344/kjp.2007.20.2.130

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 8.5, 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.

Keyword

back pain; prolotherapy; referred pain; sacral asymlocation; sacroiliac joint

MeSH Terms

Back Pain*
Buttocks
Diagnosis*
Humans
Leg
Ligaments
Low Back Pain
Male
Pain, Referred
Radiculopathy
Retrospective Studies
Sacroiliac Joint