Dr. Reeves, Pain Management Clinic: Real Hope with Dextrose and Platelet Prolotherapy
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PIT treatment  of cubital tunnel syndrome

RCT#1 Cubital tunnel treatment with D5W versus a steroid, triamcinolone acetonide. (Ulnar nerve treatment at the elbow) 
This randomized, blinded, and controlled trial on hydrodissection using 5% dextrose in water  (D5W)  versus steroid was published in the Archives of Physical Medicine and Rehabilitation by Dr. Chen et al. in 2020.   

Chen L, Ho, TY, Shen YP, Su UC. :o TU. Tsao CL. Wu YT. Perineural dextrose and corticosteroid injections for ulnar neuropathy at the elbow: A randomized double-blind trial. Arch Phys Med Rehabil 2020;101:1296-303.

This was a single injection study of participants with cubital tunnel syndrome (compression of the "funny bone nerve, also known as the ulnar nerves" as it travels across the elbow. Ultrasound guidance was used to  hydrodissect about the ulnar nerve with either D5W or a steroid (triamcinolone acetonide), a total of 30 mg,  mixed with normal saline.   Pain improvements were similar and substantial in both groups.  The ulnar nerve size (swelling) decreased more in the dextrose group. Here is that abstract.

ABSTRACT
Objective: To assess the effects of perineural corticosteroid and 5% dextrose water (D5W) injections in patients with mild to moderate ulnar neuropathy at the elbow (UNE).
Design: Prospective, randomized, double-blind, controlled trial (6-month follow-up).
Setting: Outpatients of local medical center settings.
Participants: Patients (N=36) with mild to moderate UNE were randomized, and 33 participants were included in the final data analysis.
Interventions: Patients were administered a single perineural injection with 5 mL D5W and 3 mL corticosteroid (triamcinolone acetonide, 10mg/mL) mixed with 2 mL normal saline under ultrasound guidance in the dextrose and steroid groups, respectively.
Main outcome measures: The visual analog scale digital pain or paresthesia/dysesthesia score was the primary outcome. The secondary outcomes were the Disabilities of the Arm, Shoulder, and Hand questionnaire, motor nerve conduction velocity, and cross-sectional area (CSA) of the ulnar nerve. The measurement assessment was conducted before and 1, 3, 4, and 6 months after injection.
Results: Thirty-three patients completed the study. Both injections were found to be equally effective at most measurement points, although the dextrose group experienced larger reductions in symptom severity and CSA of the ulnar nerve from the third month onward.
Conclusions: We suggest D5W as a more suitable injectate for perineural injection in patients with UNE.
This randomized, blinded, and controlled trial on hydrodissection using 5% dextrose in water  (D5W)  versus steroid was published in the Archived of Physical Medicine and Rehabilitation by Dr. Chen et al. in 2020.   

"Real Hope for Chronic Pain"
We use dextrose and platelet prolotherapy to eliminate the causes of chronic pain.
           The treatment is like acupuncture but with injection of a solution that heals irritable nerves, stabilizes and calms arthritic joints  and repairs/regenerates sprains and strains in your body.
Contact us today for more information.

Location

Dr. K. Dean Reeves, MD P.A.
913-362-1600
4740 El Monte Street, Roeland Park, Kansas  66205


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  • Dr. Reeves, Prolotherapy, Kansas City
    • Prolo/PIT: Brief Summary of Both
    • Comparing Prolotherapy and PIT
    • FAQ: About Prolotherapy
  • RESEARCH
    • CO-AUTHORED RESEARCH
    • CLINICAL RESEARCH UPDATE (Brief videos)
    • Dextrose RCTs >
      • Achilles Tendinopathy
      • Ankle Osteoarthritis
      • Chondromalacia patella
      • Fibromyalgia
      • Hand Osteoarthritis
      • Hip Osteoarthritis
      • Knee Osteoarthritis
      • Lateral Epicondylosis
      • Low Back/Sacroiliac Pain
      • Osgood-Schlatter Disease
      • Plantar Fasciosis
      • Rotator Cuff Tendinopathy
      • Temporomandibular Dysfunction
    • Dextrose Non RCTs >
      • ACL Laxity
      • Groin Pain
      • Patellar Tendinosis
      • Shin Splints
    • PIT Basic Science & Mechanism
    • PIT RCTS >
      • CARPAL TUNNEL SYNDROME
      • CUBITAL TUNNEL SYNDROME
  • TRAINING IN PROLO/PIT
  • PATIENTS
    • Fiinding a Doctor
    • Dr Reeves Ratings, Publications, Lectures
    • New Patient Intake Forms
    • Directions to Office
    • What to expect in more detail
    • When Will I Feel Better With Prolotherapy?
    • PRP Use
    • Stem Cell Use
  • HOPE