The use of sclerosant injections in orthopaedic medicine
The product used is P2G, consisting of
- Phenol 2 %
- Dextrose 25 %
- Glycerol 30 %
- Water 43 %.
The sclerosant solution causes a local strengthening of ligaments or tendons by local increase of fibroblasts and collagen, as a reaction to the locally induced inflammation. Moreover, the sclerosant solution has also a neurolytic effect.
Indications of sclerosant injections
1. Recurrent carpal subluxations.
2. Recurrent type 2 tennis elbow, if treatment by transverse friction massage / Mill's manipulation and local steroid infiltrations have failed.
3. Recurrent thoracic and lumbar disc protrusions. (first focus on intensive prophylactic measures)
4. Intractable lumbar backache, if all other treatments have failed.