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The Ligament Injury Connection to Osteoarthritis
Mark T. Wheaton, MD & Nichole Jensen

In this Prolotherapy research article from the Journal of Prolotherapy, the relationship of ligament injury and osteoarthritis is  examined and shown to be a convincing one. When there is insufficient ligament support to stabilize joint motion, the resultant increase in joint laxity leads to the development and acceleration of articular cartilage injury. The biomechanical abnormalities caused by joint instability greatly increase impact loading via increased shear and compression forces across areas of contact on opposing cartilage surfaces. Even with early recognition of ligament injury and deficiency, traditional medical interventions do not treat the etiology of the disease. It is for this reason that the prevalence of osteoarthritis will increase as will the number of joint replacements.

When it comes to greatly reducing or eliminating the pain and dysfunction from osteoarthritis due to ligament injury, no other treatment compares with Prolotherapy. It is simple, safe, and effective, affording both doctor and patient a satisfying long-term outcome. It is low-cost when compared to surgery or the long-term use of drugs. It deserves prominent recognition by the health care industry and the public alike. Prolotherapy truly is the natural solution for pain!

The Ligament Injury Connection to Osteoarthritis
Mark T. Wheaton, MD & Nichole Jensen

Osteoarthritis (OA) or degenerative joint disease (DJD) is more common than all the other types of arthritis combined. It is well-established that injury to a joint increases the chances that the joint will develop osteoarthritis over time. Precipitating causes include sudden impact or trauma, overuse or repetitive motion injuries, biomechanical abnormalities (congenital or acquired), ligamentous injury, joint hypermobility, obesity, intra-articular or systemic corticosteroids, avascular necrosis, and hereditary factors. Osteoarthritis, though the accepted term used to describe degenerative joint disease, is misleading because it primarily relates to cartilage, not bone, and involves degeneration, not inflammation. A lack of understanding about the development of osteoarthritis has resulted in a broad array of symptom-based treatment options such as rest, ice, heat, analgesics, anti-inflammatories, narcotics, braces and wraps, physical therapy and exercise, chiropractic, viscosupplementation, corticosteroid injections, and surgery. While advances have been made in joint replacement, cartilage repair, cartilage replacement, and spinal procedures, treatments to limit or even reverse articular cartilage breakdown have been lacking. Being that ligament injury, excess laxity, joint hypermobility, and clinical instability are known to be major causes of osteoarthritis, any treatment which can address restoration of ligament function would help reduce the incidence, pain, and dysfunction of osteoarthritis. This article will review the literature on the prevalence, costs, common sites, causes, and treatments for osteoarthritis and discuss the use of Prolotherapy for ligamentous injuries and cartilage loss which could lead to a significant reduction in medication use and arthroscopic and replacement surgeries.

This article is continued at the free access section of the Journal of Proloherapy under The Ligament Injury Connection to Osteoarthritis