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Case Report of Whiplash Related Chronic Neck Pain Treated with Intraarticular Prolotherapy *

Introduction. Thirty-seven-year-old male heavy-duty mechanic with two-year history of whiplash related neck pain reached maximum improvement with physiotherapy and extraarticular prolotherapy. He subsequently obtained further temporary relief with radiofrequency zygapophyseal neurotomy before attaining long-term relief with intraarticular prolotherapy.
Methods. Intraarticular prolotherapy was done on four occasions under fluoroscopic guidance by placing 1cc of 20% dextrose and 0.75% lidocaine solution into the zygapophyseal joints. Solution was prepared by diluting D50W with 1% lidocaine.
Results. Pre-treatment neck disability index score was 24. Post-treatment scores were 9 (2 months), 9 (1 year), and 2 (3 years). Visual analogue scale pre-treatment was 4/10 and 0/10 post-treatment. Patient was able to return to work.
Conclusions. Intraarticular prolotherapy was more effective than extraarticular prolotherapy and provided longer lasting relief than radiofrequency zygapophyseal neurotomy.

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As with any procedure, there could be pain or other substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.

THE INFORMATION IN THIS WEBSITE IS OFFERED FOR GENERAL EDUCATIONAL PURPOSES ONLY AND DOES NOT IMPLY OR GIVE MEDICAL ADVICE. No Doctor/Patient relationship shall be deemed to have arisen simply by reading the information contained on these pages, and you should consult with your personal physician/care giver regarding your medical treatment before undergoing any sort of treatment or therapy.

Published on 06-02-2008