Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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Ultrasound Guided Dextrose Prolotherapy and Platelet Rich Plasma Therapy in Chronic Low Back Pain: Three Case Reports

Glenna Tolbert, Devika Roy and Valencia Walker

These three case reports describe a regenerative medicine approach for geriatric patients with chronic low back pain who previously failed conventional treatment options for osteoarthritis (OA) of the lumbo-sacral spine. The regenerative medicine-based treatment programs successfully integrated spine prolotherapy with platelet rich plasma injection therapy. Ultrasound guidance was used to identify sacroiliac joint/ligaments, facet capsule and epidural space (sacral hiatus). All procedures were performed safely in the outpatient office setting without adverse events.