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Dextrose Prolotherapy for Unresolved Neck Pain

Interventions. Each patient received 40 to 70 injections of a 15% dextrose, 0.2% lidocaine solution with a total of 30 to 60 cc of solution used per neck and upper back. Injections were given into and around the back of the head, neck and upper back. The typical spots injected each with 0.5 to 1cc of solution are illustrated in Figure 1. Tender areas injected included the superior and inferior nuchal ridge, occiput, mastoid process, facet joints, transverse processes, supraspinous processes, scapular border, and clavicle. Typically the attachment of the suboccipital muscles, upper trapezius, levator scapulae, and vertebral ligaments were injected. No other therapies were used. The patients were asked to cut down or stop other pain medications and therapies they were using as much as the pain would allow.

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