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Article
July 19, 1941

THE USE OF SURFACE ANESTHESIA IN THE TREATMENT OF PAINFUL MOTION

JAMA. 1941;117(3):217. doi:10.1001/jama.1941.02820290059024

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Abstract

To the Editor:—  Kraus's article "The Use of Surface Anesthesia in the Treatment of Painful Motion" (The Journal, June 7, p. 2582) presents another aspect in the treatment of pain in the soft tissues.It is unfortunate that he has not read widely on the use of injections of procaine hydrochloride; American and English workers have gone far beyond Leriche's original work. A patient with a sprained ankle can be quickly relieved by having 10 to 20 cc. of a 1 per cent solution of procaine hydrochloride injected into the torn ligaments and returned to work or sport.The injection treatment does have the disadvantage of a needle prick; it has all the advantages of specificity. It directly relieves the painful point which causes the pain (see Sir Thomas Lewis and Kellgren's work on skin, fascia and muscle pain). Anesthetization of the skin alone is not adequate as I have

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