Medicina Alternativa e Integrativa

Ultrasound Guided Dextrose Prolotherapy for Persistent Coccygeal Pain: A Case Series and Review of Literature

Abstract

Yin-Ting Chen, Chelsea Brundage, Sarah C Griffin, Ian C Murphy and Arthur Jason De Luigi

Coccydynia is a common condition that has been difficult to treat effectively with conventional pain relief methods. There has been previous research demonstrating safety and efficacy of prolotherapy to treat coccydynia. Many of the original descriptions were performed utilizing landmark or palpation guided techniques. However, there is evidence that imaging guidance improves accuracy of injections for axial and appendicular injections. We describe the use of ultrasound guidance for prolotherapy to accurately guide treatment into the coccyx in three patients leading to pain relief, improvement of motor function, and decrease in analgesic usage after treatment.