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Prolotherapy in the USA 

Prolotherapy in the USA
Chapter:
Prolotherapy in the USA
Author(s):

Thomas Dorman

DOI:
10.1093/med/9780199674107.003.0054
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date: 24 October 2020

Scar tissue has a number of mechanical properties which differ from those of normal connective tissue and are considered disadvantageous. It was George Hackett who realized that when ligaments are ‘relaxed’ (his term for ligament insufficiency), hypertrophy of the ligament represented an advantage, contrasting with scar formation which would be a disadvantage. It later transpired that a great deal of benefit could be achieved clinically, in patients with injured ligaments, by the use of a number of proliferant agents. Evidence of the proliferant effect, and a classification of those proliferating solutions that initiate the wound-healing cascade, are outlined in this chapter. The chapter then discusses the treatment by prolotherapy of a number of low back syndromes, all with one underlying phenomenon—that of ligament relaxation and asymlocation in the pelvis. The chapter highlights the potential for prolotherapy as a suitable treatment in other parts of the body, including the neck.

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