Torn, weak, or stretched ligaments or tendons easiest ways to make extra money – diagnose-me

If the healing process is completely successful, then the ligaments will be returned to their normal strength easiest ways to make extra money and length, and you can return to your normal activities. If this healing process does not completely work, the ligaments may heal stretched. This "stretched out" ligament will lead to a situation which can cause pain easiest ways to make extra money and discomfort with movement. Causes and development

Loose ligaments allow the joint to move beyond its normal easiest ways to make extra money range of motion. The abnormal motion allowed by the strained ligament will produce easiest ways to make extra money painful sensations and make you aware of the problem. These sensations also include feelings of "numbness and tingling" and a phenomena of referred pain. This referred pain is created by the ligament laxity around easiest ways to make extra money a joint but is felt at some distance from the easiest ways to make extra money injured joint.

There is a tendency to treat the muscle spasms as easiest ways to make extra money the primary cause of the problem and many medical treatments easiest ways to make extra money may be directed toward the muscular spasms, and not to the primary cause: the ligamentous strain. If the joint is slightly out of place because of easiest ways to make extra money the ligamentous laxity, it may respond to manipulative care. Such manipulative techniques will often give good relief and sometimes easiest ways to make extra money permanent relief.

If lax ligaments can lead to muscle spasm, loss of movement, and all sorts of painful sensations and feelings, what can be done? The only non-surgical treatment for this ligamentous strain or laxity problem is easiest ways to make extra money called prolotherapy. In order to understand prolotherapy, one must understand how the body heals ligament damage normally. This healing process is called inflammation.

Inflammation has several distinct phases: the acute inflammation phase, the granulation phase, and the remodeling phase. This "healing cascade" is basic to all injuries regardless of the site or easiest ways to make extra money tissue. These three phases each have their own cellular and chemical easiest ways to make extra money processes and changes. Each phase is dependent upon the previous phase for initiation easiest ways to make extra money of the next step.

Understanding inflammation is key to gaining an insight into how easiest ways to make extra money prolotherapy works. The first phase is called acute inflammation and is about easiest ways to make extra money one hundred hours long. This step begins at the time of the injury, when the ligament and the adjacent cells are broken open easiest ways to make extra money and their contents spill at the wound site. The ligamentous and cellular debris and a number of chemicals easiest ways to make extra money in the fluid or plasma around the broken-open cells attract an influx of white blood cells called easiest ways to make extra money leukocytes. Their job is to clean out the bacteria and prevent easiest ways to make extra money infection at the injury site. Many of the chemicals released during this phase will be easiest ways to make extra money broken down into messengers or chemical signals that tell cells easiest ways to make extra money to become active or inactive during this phase of inflammation. Some of these chemicals are called prostaglandins, which can cause pain at the injury site.

The leukocytes also secrete hormones which attract an important cell easiest ways to make extra money called the " macrophage". The arrival of the macrophages at the injury site signals easiest ways to make extra money the beginning of the next phase in the healing process, the granulation phase. As the macrophages arrive at the injury site, they begin to "clean up" the area through a combination of digesting the broken-down cell parts and secreting enzymes, which break down many of the damaged ligament molecules. The macrophages also release a number of hormones which will easiest ways to make extra money bring more cells to the injury site.

The macrophages also release chemicals (growth factors) which stimulate the growth of new blood vessels, intercellular matrix, and the cells that will make new ligaments. These specialized cells which make ligaments are called fibroblasts. The fibroblasts will be responsible for the actual repairing of easiest ways to make extra money the sprained ligament. The combination of all of these cells and the new easiest ways to make extra money blood vessels being formed causes the thickness and fullness that easiest ways to make extra money can be felt at the injury site. The granulation phase will be present for ten days to easiest ways to make extra money two weeks.

Fibroblasts will find the site where the ligamentous structures attach easiest ways to make extra money to the bone: the fibro-osseous junction. The fibroblasts will be stimulated, or "turned on", to make new ligaments by chemicals and hormones that have easiest ways to make extra money been released by the incoming macrophage. When the fibroblasts are "turned on", they rapidly make massive amounts of the basic building blocks easiest ways to make extra money of ligaments: collagen.

The third phase of healing is called "wound contraction". During this phase, the new collagen deposited at the injury site will be easiest ways to make extra money organized into a new ligament. The fibroblasts make single long molecules which, when outside of the cell, will begin to entwine around each other, forming what we call a collagen fiber, which is a "triple helix" of these molecules. The individual molecules are held together by strong chemical bonds, as the collagen fibers wind around each other, they begin to contract and the molecules become shorter and easiest ways to make extra money tighter. Water is squeezed out (like squeezing a sponge), which also causes shrinkage. As the millions of collagen fibers lose water and shrink, the ends of the ligament will be slowly pulled together easiest ways to make extra money and the laxity will decrease. We can see this in the healing of a skin easiest ways to make extra money wound as the edges of the wound pull tightly together easiest ways to make extra money near the end of the healing process.

During the third phase of the healing process, all of the cells originally present to "clean up" the wound are recalled by the body. All that is left at the injury site are the easiest ways to make extra money fibroblasts which have been "turned on" and are secreting the collagen and other substances which will easiest ways to make extra money be used to increase the integrity of the injury site. The third phase of inflammation lasts for a number of easiest ways to make extra money weeks, and the "new ligament" tissue will not reach its maximum strength for several months.

Now that it is understood how inflammation works, we can really understand what we need to do to easiest ways to make extra money create inflammation. Ligament injection therapy simply stimulates this healing process in a easiest ways to make extra money more controlled and less violent way than occurs during trauma easiest ways to make extra money in an automobile accident, slip or fall, twist or athletic injury. The technique of creating this inflammation and the creation of easiest ways to make extra money collagen is done by injecting proliferants. Proliferants are nothing more than irritants. These irritants are enough to break open the surface of easiest ways to make extra money the cell walls and allow the spilling out of their easiest ways to make extra money contents into the immediate and adjacent tissue spaces near where easiest ways to make extra money the fibroblasts reside at the junction of the ligament and easiest ways to make extra money the bone. This then stimulates the healing cascade.

A number of different proliferants may be used which are easiest ways to make extra money capable of causing this process. Osmotic shock agents are dehydrating agents that remove the fluids easiest ways to make extra money from the cells around the injection site. In the modem orthopedic medicine practice, this osmotic shock agent is primarily a concentrated solution of easiest ways to make extra money glucose, glycerin, and a very small amount of phenol. It is called "P2G".

Sodium morrhuate is another frequently used proliferant. This drug is the same long fat molecule that makes easiest ways to make extra money up the cell wall. When injected in dilute amounts it stimulates the production of easiest ways to make extra money the prostaglandins or the chemical messengers of inflammation. Sodium morrhuate is extracted from cod liver oil and has easiest ways to make extra money the same chemical formula as arachidonic acid.

All of these proliferants are injected at the fibro-osseous junction with a large amount of local anesthetic, usually procaine. The discomfort of prolotherapy, because it is an "artificial" injury, is an important signal that healing is under way. The pain, swelling, heat and the redness caused by the injections are all easiest ways to make extra money signs that the underlying cellular and chemical processes of 200 easiest ways to make extra money million years of evolution are safely underway. The body’s pain signals can be listened to, and as the pain decreases the joint movement can increase.

Why is this secondary treatment needed? If this process is a natural on in the body, why did it not do the job correctly the first easiest ways to make extra money time? Medical physicians do not understand all the reasons. Some of the more likely causes are: initially, there was continued joint displacement following the injury and the easiest ways to make extra money ligament healed in the "longest possible length" position, the nutrition of the patient during healing was inadequate, the genetic tendencies to heal are not complete, or that the healing process was itself suppressed by such easiest ways to make extra money medications as aspirin.

Aspirin and other nonsteroidal anti-inflammatories (nsaids) can knock out or suppress the healing response by interfering easiest ways to make extra money with the prostaglandin growth factor pathways. These drugs are frequently prescribed because they are thought to easiest ways to make extra money be safe and a conservative treatment modality. However, research has shown that aspirin is not without significant side-effects concerning inflammation. In addition to well-documented adverse effects this medication has upon healing in the easiest ways to make extra money stomach, they may directly inhibit the healing of injured ligaments.

Treatment with prolotherapy is not without risk. Since the intent of the technique is to create inflammation, pain, swelling, and redness the result can sometimes be more than anticipated. The injections are also painful because the placement of the easiest ways to make extra money needle at the fibro-osseous junction is also a tender site. Since the skin is broken with a needle, infection is a possibility, but very few infections have been reported. Serious complications are very rare. Deaths have been reported from prolotherapy, but not in the last 25 years.

Prolotherapy has proven a safe therapeutic technique in well trained easiest ways to make extra money hands, but is not easy to learn. The prolotherapist must have training in the form of workshops, apprenticeships, and be a true student of functional anatomy. Prolotherapy done by trained hands is an effective treatment method easiest ways to make extra money for the pain and dysfunction of ligament laxity.

In summary, accidents which cause ligament strains are normally healed by a easiest ways to make extra money process called inflammation. Inflammation is a multi-phased process, but the end product is the production of collagen which easiest ways to make extra money will form the threads of a new ligament. As the collagen losses water, it shrinks, becomes shorter and tends to pull the two ends of easiest ways to make extra money the ligament together. If this process is incomplete, the joint may remain in an abnormal position and this easiest ways to make extra money causes pain, numbness, and muscle spasms. Prolotherapy is an injection technique whereby drugs are injected at easiest ways to make extra money the fibro-osseous junction, which causes inflammation and the subsequent stimulation of fibroblast to easiest ways to make extra money make new collagen fibers. The technique is painful but safe and effective in decreasing easiest ways to make extra money the pain of abnormal joint movement or ligament laxity. References and further information

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