Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report
The main complaint in knee osteoarthritis (KOA) is knee pain and limited range of motion (ROM) which affects the patient's quality of life. Dextrose prolotherapy successfully reduced pain and enhanced functional status and quality of life in chronic knee pain, which is classified as KOA grade...
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Interna Publishing
2024-10-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/2389 |
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| author | Juwita Raudlatul Salsabil Rita Vivera Pane Hasan Hasan Aufar Zimamuz Zaman Al Hajiri |
| author_facet | Juwita Raudlatul Salsabil Rita Vivera Pane Hasan Hasan Aufar Zimamuz Zaman Al Hajiri |
| author_sort | Juwita Raudlatul Salsabil |
| collection | DOAJ |
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The main complaint in knee osteoarthritis (KOA) is knee pain and limited range of motion (ROM) which affects the patient's quality of life. Dextrose prolotherapy successfully reduced pain and enhanced functional status and quality of life in chronic knee pain, which is classified as KOA grade II or III by the Kellgren-Lawrence classification. We present a case of grade IV KOA with co-morbid obesity who refused surgical management but got dextrose prolotherapy instead. She received prolotherapy for the right knee 5 times with a gap of 4 weeks between treatments. Western Ontario and McMaster Universities Osteoarthritis (WOMAC score), Numerical Rating Scale (NRS), knee ROM, Barthel index, count test, and Timed Up and Go Test (TUG) were evaluated 1 day after each treatment and compared to each post-injection score. This patient is also comorbid of grade II obesity which is associated with mechanical loads on the knee joint causing inflammation and progression of KOA. After 5 months of prolotherapy treatment, strengthened quadricep muscle exercising and static cycle endurance exercising, she improved her pain, WOMAC score, and cardiorespiratory function. Hypertonic dextrose prolotherapy (HDP) is one of the choices for interventional therapy of its advantages, inexpensive, easily conducted, safe with minimal or even no recorded complications, and long-term efficacy even for grade IV of KOA like this patient.
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| format | Article |
| id | doaj-art-5ec4b8eae6ec47f5a652f8a8c99f2070 |
| institution | OA Journals |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-5ec4b8eae6ec47f5a652f8a8c99f20702025-08-20T02:37:16ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-10-01563Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case ReportJuwita Raudlatul Salsabil0Rita Vivera Pane1Hasan Hasan2Aufar Zimamuz Zaman Al Hajiri3Physical Medicine and Rehabilitation Specialization Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia1. Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Indonesia. 2. Department of Physical Medicine and Rehabilitation, Hajj General Hospital of East Java, IndonesiaFaculty of Medicine, Universitas Airlangga, Indonesia.Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Indonesia The main complaint in knee osteoarthritis (KOA) is knee pain and limited range of motion (ROM) which affects the patient's quality of life. Dextrose prolotherapy successfully reduced pain and enhanced functional status and quality of life in chronic knee pain, which is classified as KOA grade II or III by the Kellgren-Lawrence classification. We present a case of grade IV KOA with co-morbid obesity who refused surgical management but got dextrose prolotherapy instead. She received prolotherapy for the right knee 5 times with a gap of 4 weeks between treatments. Western Ontario and McMaster Universities Osteoarthritis (WOMAC score), Numerical Rating Scale (NRS), knee ROM, Barthel index, count test, and Timed Up and Go Test (TUG) were evaluated 1 day after each treatment and compared to each post-injection score. This patient is also comorbid of grade II obesity which is associated with mechanical loads on the knee joint causing inflammation and progression of KOA. After 5 months of prolotherapy treatment, strengthened quadricep muscle exercising and static cycle endurance exercising, she improved her pain, WOMAC score, and cardiorespiratory function. Hypertonic dextrose prolotherapy (HDP) is one of the choices for interventional therapy of its advantages, inexpensive, easily conducted, safe with minimal or even no recorded complications, and long-term efficacy even for grade IV of KOA like this patient. http://www.actamedindones.org/index.php/ijim/article/view/2389osteoarthritisobesityhypertonic dextrose prolotherapy |
| spellingShingle | Juwita Raudlatul Salsabil Rita Vivera Pane Hasan Hasan Aufar Zimamuz Zaman Al Hajiri Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report Acta Medica Indonesiana osteoarthritis obesity hypertonic dextrose prolotherapy |
| title | Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report |
| title_full | Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report |
| title_fullStr | Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report |
| title_full_unstemmed | Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report |
| title_short | Hypertonic Dextrose Prolotherapy Injection in Grade IV Knee Osteoarthritis with Obesity: A Case Report |
| title_sort | hypertonic dextrose prolotherapy injection in grade iv knee osteoarthritis with obesity a case report |
| topic | osteoarthritis obesity hypertonic dextrose prolotherapy |
| url | http://www.actamedindones.org/index.php/ijim/article/view/2389 |
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