You might wonder why you still have pain in an injured area or why that area remains weak, even after a healing period of weeks, months or years. Or Why Prolotherapy treatment needed if inflammation (following initial injury ) is naturally followed by repair?
The answer lies in the fact that both ligaments and tendons have very poor circulation and it is this lack of blood supply that deprives them of the nutrients they need to heal properly. So Natural healing of tendons and ligaments is slow and the most often than not, tendons and ligaments may not heal back to their original strength and endurance. At the same time, the nerve supply to tendons and ligaments is superior to other parts of the body. That’s why you may feel a significant amount of pain and triggers muscle spasms. Such pain can often radiate to arms and legs, resembling severe radicular pain. (Hackett Ligament Referal Patterns ).
Also, doctors prescribe their patients presenting with recent trauma, back pain, or any other joint pain to take pain killer drugs. (Pain killers are not without side effects like- ) These tablets inhibit the inflammation, also inhibit the healing cascade.
Also, few doctors prescribe corticosteroids or cortisone shots locally which will make you feel better in the short run. This will not only impair your healing processes but also cause more damage to the tissue in long run.
One more important thing to remember that Do not ICE(except for acute muscle injury).
The RICE (Rest, Ice, Compression, Elevation) strategy works well for muscle injury. DO NOT USE THIS STRATEGY FOR CONNECTIVE TISSUE INJURY(Ligaments, Tendons). I know this is countercultural, and even sounds radical, but try it and see if it does work better for you. I can cut many examples of patients in my practice who have proven this point for themselves.
Relaxed and weak ligaments lead to increased cartilage degeneration and finally bone-on-bone friction, which may result in arthritis-type pain. Additionally, nerves around the soft tissues become stretched and irritated, also producing pain.
Dr. Vikram Rajguru is one of the Country’s First Interventional Regenerative Orthopedic and OrthoBiologic Surgeon. He is one of a small bunch of specialists in the Nation that is both an Orthopedic Surgeon and a master in the field of Interventional Regenerative Orthopedics and Sports Medicine. This mix of degrees gives Dr. Rajguru an expansive subject matter and ability that benefits his patients generally. Through his aptitude, he has assisted numerous patients with returning to a dynamic way of life by giving agony resolution and recapturing lost portability through noncareful just as careful treatment. He accepts to consistently give guidance that is equivalent to that which he would suggest for ourselves or our own family.
