Prolotherapy in the treatment of chronic migraine — Case report
DOI:
https://doi.org/10.48208/HeadacheMed.2023.23Keywords:
Prolotherapy, Chronic migraine, Dextrose, MigraineAbstract
Introduction
Chronic migraine is a socioeconomic and individual burden since it is the largest cause of disability in people under 50 years of age. Although there are several prophylactic drug alternatives, some patients are vulnerable to refractoriness with significant damage to their quality of life. Prolotherapy, a subcutaneous injection of dextrose in peripheral nerves, advocates as a promising tool in the management of this pathology.
Case report
A patient with refractory chronic migraine to drug therapy who was submitted to neurofascial prolotherapy. Weekly administration of a 2 ml solution of 1% ropivacaine and 10% glucose in the head peripheral nerves for 6 weeks. Reduced disability and frequency of migraine attacks for a period of 8 weeks after interventions.
Conclusion
Prolotherapy proved itself to be a notable technique for reducing the number of days in a month that a patient with refractory chronic migraine to standardized therapy has had headaches. However, placebo group studies are needed to determine the efficacy of the procedure.
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Copyright (c) 2023 Ítallo Bernardo Souto, Fernanda Fabiola Santos de Lima, Vanessa Arapiraca Ferreira, Camila Emily Batista Lopes, Laylla Gabrielly Lacerda Sousa, Victor Egypto Pereira, Luiz Severo Bem Junior (Author)
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