Abstract | OBJECTIVE: DESIGN: Consecutive case series. SETTING: Orthopedic and trauma institute in Argentina. PARTICIPANTS: Twenty-two rugby and 2 soccer players with chronic groin pain that prevented full sports participation and who were nonresponsive both to therapy and to a graded reintroduction into sports activity. INTERVENTION: Monthly injection of 12.5% dextrose and 0.5% lidocaine into the thigh adductor origins, suprapubic abdominal insertions, and symphysis pubis, depending on palpation tenderness. Injections were given until complete resolution of pain or lack of improvement for 2 consecutive treatments. MAIN OUTCOME MEASURES: Visual analog scale (VAS) for pain with sports and the Nirschl Pain Phase Scale ( NPPS), a measure of functional impairment from pain. RESULTS: The final data collection point was 6 to 32 months after treatment (mean, 17 mo). A mean of 2.8 treatments were given. The mean reduction in pain during sports, as measured by the VAS, improved from 6.3+/-1.4 to 1.0+/-2.4 ( P <.001), and the mean reduction in NPPS score improved from 5.3+/-0.7 to 0.8+/-1.9 ( P <.001). Twenty of 24 patients had no pain and 22 of 24 were unrestricted with sports at final data collection. CONCLUSIONS:
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Authors | Gastón Andrés Topol, K Dean Reeves, Khatab Mohammed Hassanein |
Journal | Archives of physical medicine and rehabilitation
(Arch Phys Med Rehabil)
Vol. 86
Issue 4
Pg. 697-702
(Apr 2005)
ISSN: 0003-9993 [Print] United States |
PMID | 15827920
(Publication Type: Journal Article)
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Chemical References |
- Growth Substances
- Glucose
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Topics |
- Adult
- Athletic Injuries
(rehabilitation)
- Chronic Disease
- Complementary Therapies
- Cumulative Trauma Disorders
(rehabilitation)
- Football
(injuries)
- Glucose
(administration & dosage)
- Growth Substances
- Humans
- Injections, Intralesional
- Male
- Osteitis
(drug therapy)
- Pain Measurement
- Pubic Symphysis
- Soccer
(injuries)
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