Prolotherapy: Practices, Experiences and Observations Concerning Adverse Effects of Physician in Turkey
Journal Title: THE ULUTAS MEDICAL JOURNAL - Year 2019, Vol 5, Issue 1
Abstract
Background: Prolotherapy is a newly emerging field in Turkey and the aim of this study was survey physicians involved in prolotherapy concerning their practices, experiences, and observations concerning adverse effects during prolotherapy administration in Turkey. Material Methods: The study was cross-sectional and observational in nature. A purposeful sample of physicians (n=14), who practiced prolotherapy were invited to participate in this study. A questionnaire consisting of items on socio-demographics, training, and practice of prolotherapy was applied to these volunteering practitioners, who gave verbal consent before participating. Data of this study has been analyzed with descriptive analysis. Results: The participants mainly men (85.7%). Their age were 38.8 and trained in the Turkish Prolotherapy Clinic, Istanbul (50.0%). All participants (100%) mentioned, that prolotherapy is safe They were practicing prolotherapy since 3.6 years. Most participants (n=13; 92.9%) stated that they felt, that prolotherapy was safe for their patients. Problems like pain (100%), ecchymosis (64.3%), numbness (28.6%), and edema (14.3%) were the most commonly observed problems at the site of injection. Four (28.6%) participants observed at least one adverse incident after prolotherapy injection. Two (14.3%) stated, that their patient was hospitalized due to this incident. Their reasons for hospitalisation was pneumothorax and anaphylactic shock (n=1; 7.1%). None (100%) were sued for malpractice due to these adverse effects. Conclusion: The procedure-related risks should not be underestimated. Prolotherapy seems to be safe medical procedure in the extremities. Special caution should be given to areas like the thorax and spine. Prolotherapy performing physicians and practices should be prepared for anaphylaxis- or bleeding-related medical adverse conditions.
Authors and Affiliations
Hakan Yaman, Ismet Akcay, Sedat Yildiz
Keywords
Related Articles
- EP ID EP609211
- DOI 10.5455/umj.20190605072500
- Views 89
- Downloads 0
Treatment Response to Phototherapy in Patients with Mycosis Fungoides and Parapsoriasis
Background: Early stage mycosis fungoides (MF) and parapsoriasis are treated by phototherapy techniques. In this study, we aimed to assess treatment responses to narrow-band ultraviolet B (NB-UVB) and psoralen plus ultra...
Results of Single and Double Flap Anastomosis in External Dacryocystorhinostomy Surgery
Background: Dacryocystorhinostomy (DCR) is one of the most common oculoplastic surgeries. In this study, we aimed to compare single and double flap anastomosis results in external dacryocystorhinostomy surgery. Material...
What is the Role of Metabolic Syndrome and Obesity for Postoperative Atrial Fibrillation after Coronary Bypass Grafting?
Background: We aimed to determine whether obesity and metabolic syndrome are independent risk factors in postoperative atrial fibrillation and if so, to determine the magnitude of their effect. We also analyzed the effec...
The Use of Fibrin Sealant in Chiari Malformation Type-1 Surgery; Is It Effective in Preventing the Formation of CSF Fistula?
Background: Symptomatic disease requires surgical intervention comprising of posterior fossa decompression with or without an expansile duraplasty. Until date, the optimal surgical treatment for CM-1 has not been delinea...
Pelvic Actinomycosis Associated with Intrauterine Device
Actinomycosis caused by Actinomyces genus is a subacute or chronic suppurative disease.1 Pelvic actinomycosis is usually associated with the longstanding use of IUDs.2 Because the clinical manifestation of pelvic actinom...