His pain started after participating in bowling, which is a new sport to him. He experience decreased strength and mobility and was not able to twist a doorknob or shake hands without experiencing pain. The patient sought out prolotherapy for relief, which included a dextrose, Sarapin, and lidocaine solution. After four prolotherapy sessions, the patient had an 80% improvement but still experienced pain with exercise, bowling, and weakness with lifting. Then, the patient was injected with three milliliters (mL) of PRP solution into the lateral epicondyle and extensor tendons. At six weeks he was reassessed and had a dramatic improvement in pain relief and the ability to exercise again without pain. He was also able to start bowling again (Alderman, …show more content…
This article examines the case reports and the treatments used. The case reports used combinations of lidocaine, Sarapin, B12, dexamethasone, and anti-inflammatory drugs for treatment. This report included 75 patients at a private podiatry office. The diagnoses ranged from plantar fasciitis, metatarsalgia, Morton’s neuroma, and tarsal tunnel syndrome. These patients were also diagnoses with biomechanical causes of foot pain and treatment would include orthotics. These patients were not included or excluded in the report based on demographics of age, weight, gender, job status, or onset of pain, but these characteristics are included in the chart. The main inclusion criterion was pain, specifically neuritis. Patients that complained of a burning, numbness, tingling, and pain were included in the report. The 75 patients were then randomly assigned to on of three groups. Patients in group one received somatic nerve blocks with a combination of lidocaine, Sarapin, vitamin B12, and dexamethasone. Patients assigned to group two received somatic nerve blocks with a combination of lidocaine, Sarapin, and B12. Patients assigned to group three received somatic nerve blocks with a combination of lidocaine, bupivacaine, and vitamin B12. These groups were seen weekly for four treatments and then every other week for four treatments. The patients received a total of eight