Dr. Reeves, Pain Management Clinic: Real Hope with Dextrose and Platelet Prolotherapy
  • Dr. Reeves, Prolotherapy, Kansas City
    • Prolo/PIT: Brief Summary of Both
    • Comparing Prolotherapy and PIT
    • FAQ: About Prolotherapy
  • RESEARCH
    • Basic Science Dextrose >
      • Analgesia
      • Chondrogenesis
      • Tendon injection safe
      • Thickens lIgament
    • 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
    • FINDING RESEARCH
  • TRAINING IN PROLO/PIT
  • PATIENTS
    • PRP Use
    • Stem Cell Use
    • New Patient Intake Forms
    • What to expect in more detail
    • Directions to Office
    • Fiinding a Doctor
    • When Will I Feel Better With Prolotherapy?
  • HOPE
HIP OSTEOARTHRITIS
Gül et al published a randomized trial of osteoarthritis  of the hip  specifically in those with developmental dysplasia of the hip, comparing dextrose prolotherapy to a supervised progressive exercise program.   Here is that citation --> Gül D, Orsçelik A, Akpancar S. Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip with Prolotherapy Injection versus a Supervised Progressive Exercise Control. Med Sci Monit. 2020 Feb 11;26:e919166. doi: 10.12659/MSM.919166. PMID: 32045406; PMCID: PMC7034518.
The link to a secure site to to full full text of the article is below 
Link to Gül et al Hip Osteoarthritis Study
Here is a summary of that article
Design:  This was a randomized study with supine position injection of up to 8 ml of 13.5% dextrose into iliopsoas and adductor tendon insertions,  and 8 ml intraarticular, (except in Crowe III and IV), and lateral decubitus injection of the gluteus medius, minimus and piriformis insertions every 21 days until pain reduction by 75% or a maximum of 6 sessions versus 12 weeks of supervised progressive resistive exercises according to American College of Sports Medicine guidelines followed by home exercise plan. 
Participants:    Those with 6 months of symptomatic osteoarthritis secondary to developmental dysplasia of the hip (Crowe Type I-IV on AP radiographs)  refractory to 3 months of standard care (Weight loss,  partial weight-bearing heel risers, and physical therapy) and on a waiting list for total hip arthroplasty.
Study size:  46 hips in 44 participants (20 DPT and 21 exercise control)  Dropout from study data collection was not mentioned.
Bias: Computer-derived randomization charts for assignment to groups.  Blinding of allocation until after initial data collection was not mentioned.  
Measures: VAS  (0-10) for pain and  Harris Hip Score (HHS) to 12 months. Standard scoring measures. 
ITT versus Per Protocol Analysis:   Analysis as by intention to treat.   
Other treatments offered:  Home exercise program for DPT patients starting 3 days post injection.
Results:  Both groups improved substantially to 1 year follow up. From day 21 on dextrose injection outperformed exercise, and at 12 months dextrose injection recipients outperformed exercise controls for  VAS pain change score (–4.5±2.4 versus –2.9±2.5; P=0.017)and HHS change score (24.3±13.4 versus 16.5±11.3; P=0.018).  The dextrose group averaged close to the maximum number of allowed sessions (5.26±0.92)
Limitations:  Lack of placebo control. This would be a B- level of that evidence for that reason but this is not an easy group to treat and DPT group performed substantially better 
Bottom Line 2020 Gül: DPT > Exercise control @ 1 year In DDH-related OA

"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


ReevesOffice@gmail.com

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  • Dr. Reeves, Prolotherapy, Kansas City
    • Prolo/PIT: Brief Summary of Both
    • Comparing Prolotherapy and PIT
    • FAQ: About Prolotherapy
  • RESEARCH
    • Basic Science Dextrose >
      • Analgesia
      • Chondrogenesis
      • Tendon injection safe
      • Thickens lIgament
    • 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
    • FINDING RESEARCH
  • TRAINING IN PROLO/PIT
  • PATIENTS
    • PRP Use
    • Stem Cell Use
    • New Patient Intake Forms
    • What to expect in more detail
    • Directions to Office
    • Fiinding a Doctor
    • When Will I Feel Better With Prolotherapy?
  • HOPE