We use dextrose 25% to 16% ; if this doesn't give satisfying results we go for the P2G alternative.
Alternative : 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
Recurrent carpal subluxations.
Recurrent type 2 tennis elbow, if treatment by transverse friction massage / Mill's manipulation and local steroid infiltrations have failed.
Recurrent thoracic and lumbar disc protrusions. (first focus on intensive prophylactic measures)
Intractable lumbar backache, if all other treatments have failed.
Many doctors don't know where exactly and why they inject the shoulder ?
