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- W2249362571 abstract "The main purpose of prolotherapy is to strengthen and tighten ligaments around hypermobile joints. The challenge remains to: (1) determine when joint hypermobility is a cause of pain; (2) identify the affected joint or joints; and (3) decide whether ligament laxity is the cause of the hypermobility. For most prolotherapy practitioners, ligament tenderness is synonymous with ligamentous laxity. It is assumed that when pain demonstrably emanates from other sources, for example, muscle trigger points, the underlying cause is ligament laxity; however, these assumptions rest on minimal evidence. Deciding if ligament pain results from laxity, excessive tension, a combination of the two, or some other cause requires a reliable method of assessing primary joint hypermobility, that is, the impact of form and force. Such a method does not yet exist. Until primary hypermobility can be diagnosed accurately, the indications for rational low back prolotherapy should include (1) a history of injury; (2) physical findings consistent with joint hypermobility; and (3) a failure to maintain joint stability after skilled treatment for all potential causes of secondary hypermobility. (author abstract)" @default.
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- W2249362571 date "2005-01-01" @default.
- W2249362571 modified "2023-09-23" @default.
- W2249362571 title "Indications for low back prolotherapy" @default.
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