Prolotherapy for pain in iliocostal friction syndrome
INTRODUCTION AND OBJECTIVE Iliocostal friction syndrome (ICFS) is a rare painful condition due to friction of lower ribs against iliac crest leading to irritation of soft tissues in contact with these structures. Structures damaged by iliocostal friction includes the inserting tendons and musc...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | en |
| Published: |
Clinical Research Centre Hospital Raja Permaisuri Bainun
2022
|
| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/39596/1/Prolotherapy%20for%20pain%20in%20iliocostal%20friction%20syndrome.pdf http://ir.unimas.my/id/eprint/39596/ https://myjms.mohe.gov.my/index.php/pmj/article/view/19107 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | INTRODUCTION AND OBJECTIVE
Iliocostal friction syndrome (ICFS) is a rare painful condition due to friction of lower ribs against iliac crest
leading to irritation of soft tissues in contact with these structures. Structures damaged by iliocostal friction
includes the inserting tendons and muscles. The treatment for ICFS mentioned in literature are rib
compression belt, orthosis, prolotherapy and surgical removal of lower ribs. This case report illustrates the
use of prolotherapy in pain management for ICFS.
CASE PRESENTATION
This is a case report of an 82-year-old lady with degenerative thoracolumbar scoliosis and osteoporotic
vertebral compression fracture of L1. She presented with clinical features of ICFS. Her main complaint was
severe pain at right pelvic region with standing and walking. Prolotherapy was done at the tender area of
right iliac crest and right lower rib with ultrasound guidance for pain relief. Prolotherapy was done using 4cc
hypertonic dextrose 12.5% and 1cc 1% lignocaine. 2.5cc of this solution deposited at tender area of right iliac
crest and right lower rib each. Procedure was done under ultrasound guidance. Significant pain relief
reported by patient which is measured by Numerical Rating Scale (NRS). The effect of pain relief persists one
month post injection.
CONCLUSION
Prolotherapy with hypertonic dextrose 12.5% and 1% lignocaine HCl is an effective treatment for pain cause
by irritation of inserting tendon at the iliac crest and lower rib in ICFS. |
|---|