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Original article| Volume 32, ISSUE 1, P45-47, April 1936

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Treatment of sprains by interligamentary injection of novocaine

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      Abstract

      As the result of clinical experience and study we have found that the interligamentary injection of novocaine satisfactorily relieves symptoms and speeds the healing of sprains, where no associated fracture or ligamental tear can be demonstrated. This treatment is based upon the conception that local anesthesia of the irritated, complex nervous elements of injured articular ligaments, quickly restores the functional state and greatly reduces the otherwise prolonged convalescence. The technique, results and contraindications are discussed. The best results are obtained in: (1) simple sprains with articular impotence but when no fracture or torn ligaments are found, (2) patients suffering from the after-effects of sprains, namely pain and muscular atrophy, and (3) orthopedic cases where surgical maneuvers may have strained the ligaments about a joint resulting in what we have termed an “operation sprain.” This simplified form of treatment should be of special value in athletic centers where sprains are common.
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