Ivancic PC, Ito S, Tominaga Y, Rubin W, Coe MP, Ndu AB, Carlson EJ, Panjabi MM.
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Whiplash causes increased laxity of cervical capsular ligament.Clin Biomech (Bristol, Avon). 2007 Oct 22; [Epub ahead of print] PMID: 17959284 [PubMed - as supplied by publisher]
More evidence that instability plays a role in many patients with traumatic neck pain. This time facet capsule ligament injury is documented. This fits with clinical observations seen on DMX.
We often see incompetent facet capsules when performing facet injections, so this study fits with my clinical observations. We've had success in healing these tears using prolotherapy and will be trying autologous mesenchymal stem cells in the near future.
2 comments:
Surprised that there was no significant difference between spinal levels. Clinically the C5-7 was the most prevelant pain generators in pts who have been rear-ended.
What are your results using prolotherapy? Any complications?
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