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November 24, 1956

Joint Ligament Relaxation Treated by Fibro-Osseous Proliferation

JAMA. 1956;162(13):1268. doi:10.1001/jama.1956.02970300068036

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This monograph propounds the theory that most backache and pain in or about other joints is due to chronic relaxation of ligaments. While it is true that chronic relaxation of ligaments may and does at times produce localized and referred pain, such as the author has described and treated by his method of injection, there are many other conditions, such as fibrositis, bursitis, or chronic edema at the insertion of ligaments or tendons, that frequently cause local soreness and referred pain. Although it may not be possible to agree with the author that the cause of localized tenderness and referred pain is mainly relaxation of ligaments, the treatment he advocates is logical for many of the conditions that produce backache with referred pain. Many orthopedists have found the use of a local anesthetic for the injection of "trigger points," with or without the added injection of other substances such as

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