Prolotherapy Injection Application in Craniectomy Pain

Abstract

Many patients may experience chronic and persistent headache after suboccipital craniectomy. Prolotherapy is a form of treatment characterized by injection of proliferant solutions to strengthen and restore old joints, cartilage ligaments and tendons. It can be added to treatment in many degenerative cases where blood circulation is impaired.A 43-year-old female patient had undergone a suboccipital craniectomy operation 8 months ago with a diagnosis of right cerebellar mass. The patient was admitted to the neurosurgery outpatient clinic for nausea, vomiting and pain. The patient was injected (15% dextrose 20 cc + 2% lidocaine 1cc). 4 sessions of the patient's sessions were performed in 3 week intervals. Pain pill was evaluated with visual analog scale. The pain severity decreased by 50% after the first prolotherapy session, visual analog scale severity was zero after the 4.session. No complications were seen.Prolotherapy can also be applied repetitive back surgery operations with painful conditions.

Keywords

• Prolotherapy
• VAS
• craniectomy
• pain

Kraniektomi Ağrısında Proloterapi Enjeksiyon Uygulaması

Abstract

Suboksipital kraniektomiden sonra birçok hastada kronik ve inatçı başağrısı görülebilir. Proloterapi zayıflamış eski işlevini kaybetmiş eklemleri, kıkırdakları ligamentleri ve tendonları güçlendirmek ve tekrar eski haline getirmek için proliferant solüsyonların enjeksiyonu ile karakterize bir tedavi şeklidir. Kan dolaşımının bozulduğu pek çok dejeneratif vakada tedaviye eklenebilir. 43 yaşında bayan hasta, 8 ay önce sağ serebellar kitle tanısı ile suboksipital kraniektomi operasyonu geçirmiş. Hasta beyin cerrahi polikliniğine bulantı, kusma ve ağrı nedeniyle başvurdu. Hastaya (%15 dekstroz 20 cc+%2 lik lidokain 1cc) enjeksiyonu yapıldı. Hastanın seansları 3 hafta aralıklarla totalde 4 seans yapıldı. Ağrı skalası vizual analog skala ile değerlendirildi. Hastanın ilk proloterapi seansı sonrası ağrı şiddeti %50 azaldı, 4. Seans sonrası vizual analog skala şiddeti sıfırdı. Herhangi bir komplikasyon görülmedi. Proloterapi tekrarlayan bel cerrahisi operasyonları sonrasında da geçmeyen ağrılı durumlar da uygulanabilir.

Keywords

• PROLOTERAPİ
• VAS
• kraniektomi
• ağrı

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