[caption id="attachment_4139" align="alignleft" width="737"]<img class=" wp-image-4139" src="https://www.drfields.com/wp-content/uploads/2019/06/arthritis-symptoms-500x500.jpg" alt="Arthritis Pain" width="737" height="737" /> <strong>                                 <em> Prolotherapy Is More Effective Than Other Treatments</em></strong>[/caption]
<h1>How Effective Is Prolotherapy versus Exercise Or Cortisone for Arthritis Pain?</h1>
<em>Researchers in the Journal of Pain Research compared dextrose Prolotherapy to different arthritis pain treatments such as exercise, local anesthesia injections, and even cortisone injections. </em>

<em>What did they conclude? </em>

<em>Dextrose prolotherapy provided a better effect than exercise, local anesthetics, and probably corticosteroids at their 6 months follow-up.</em>

<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/">Read the full article by clicking here.</a>

And take a look at the abstract below.
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<h2 class="content-title">Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis</h2>
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<div class="contrib-group fm-author"><a class="affpopup" href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Hung%20CY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816">Chen-Yu Hung</a>,<sup>1</sup> <a class="affpopup" href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Hsiao%20MY%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816">Ming-Yen Hsiao</a>,<sup>2,</sup><sup>3</sup> <a class="affpopup" href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Chang%20KV%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816">Ke-Vin Chang</a>,<sup>1,</sup><sup>2</sup> <a class="affpopup" href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Han%20DS%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816">Der-Sheng Han</a>,<sup>1,</sup><sup>2</sup> and <a class="affpopup" href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Wang%20TG%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=27799816">Tyng-Guey Wang</a><sup>2,</sup><sup>3</sup></div>
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<div class="togglers"><a class="pmctoggle" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#">Author information</a> <a class="pmctoggle" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/#">Copyright and License information</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer/">Disclaimer</a></div>
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<h2 id="idm140468391900000title" class="head no_bottom_margin ui-helper-clearfix">Abstract</h2>
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<h3 id="__sec1title">Background</h3>
<p id="__p1" class="p p-first-last">Increasing evidence has supported the use of dextrose prolotherapy for patients with osteoarthritis. However, the real benefits may be affected by differences in injection protocols, comparative regimens, and evaluation scales.</p>

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<h3 id="__sec2title">Methods</h3>
<p id="__p2" class="p p-first-last">PubMed and Scopus were searched from the earliest record until February 2016. One single-arm study and five randomized controlled trials were included, comprising 326 participants. We estimated the effect sizes of pain reduction before and after serial dextrose injections and compared the values between dextrose prolotherapy, comparative regimens, and exercise 6 months after the initial injection.</p>

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<h3 id="__sec3title">Results</h3>
<p id="__p3" class="p p-first-last">Regarding the treatment arm using dextrose prolotherapy, the effect sizes compared with baseline were 0.65 (95% confidence interval [CI], 0.14–1.17), 0.84 (95% CI, 0.40–1.27), 0.85 (95% CI, 0.60–1.10), and 0.87 (95% CI, 0.53–1.21) after the first, second, third, and fourth or more injections, respectively. The overall effect of dextrose was better than control injections (effect size, 0.36; 95% CI, 0.10–0.63).</p>
<p class="p p-first-last">Dextrose prolotherapy had a superior effect compared with local anesthesia (effect size, 0.38; 95% CI, 0.07–0.70) and exercise (effect size, 0.71; 95% CI, 0.30–1.11). There was an insignificant advantage of dextrose over corticosteroids (effect size, 0.31; 95% CI, –0.18 to 0.80) which was only estimated from one study.</p>

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<h3 id="__sec4title">Conclusion</h3>
<p id="__p4" class="p p-first-last">Dextrose injections decreased pain in osteoarthritis patients but did not exhibit a positive dose–response relationship following serial injections. Dextrose prolotherapy was found to provide a better therapeutic effect than exercise, local anesthetics, and probably corticosteroids when patients were retested 6 months following the initial injection.</p>

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<h3 class="sec">Reference:</h3>
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Hung, Chen-Yu, et al. "Comparative effectiveness of dextrose prolotherapy versus control injections and exercise in the management of osteoarthritis pain: a systematic review and meta-analysis." <i>Journal of pain research</i> 9 (2016): 847.

<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079700/">Read the full article by clicking here.</a>
<h3>Take a look at more articles on Regenerative Orthopedic treatments for arthritis:</h3>
<h4><a title="How Arthritis Affects Older Athletes" href="https://www.drfields.com/articles/regenerative-orthopedics/how-arthritis-affects-older-athletes/">How Arthritis Affects Older Athletes</a></h4>
<h4><a title="Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain" href="https://www.drfields.com/get-rid-of-knee-arthritis-symptoms-by-treating-the-source-of-the-pain/">Get Rid of Knee Arthritis Symptoms by Treating the Source of the Pain</a></h4>
https://www.drfields.com/articles/magazine-column/townsend-letter-arthritis/

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