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- 2008-12-14
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Prolotherapy
韧带不愈合尽快由于肌肉供血不足。 If ligaments are severely overstretched (sprained) they may take a very long time to heal and sometimes remain a little lax.如果韧带严重超负荷（扭伤），他们可能需要很长时间才能愈合，有时仍然有点松懈。 Ligaments also lose some strength and elasticity with aging and are more vulnerable to tearing when stretched beyond their normal limits.韧带也失去时效，而且更容易撕裂超过正常范围时，拉伸强度和弹性一些。
Ligaments, tough bands of fibrous tissue, connect the bones of a joint.韧带，纤维组织强硬带，连接一个联合的骨头。 In the spine, ligaments connect the vertebra and also connect the spine and pelvis (sacroiliac joint).在脊柱，韧带连接，并连接椎体的脊椎和骨盆（骶髂关节）。 Facet joints (spinal joints) and ligaments help protect the spine by limiting how far the spine can bend.小关节（脊柱关节）和韧带帮助保护通过限制多远脊柱可以弯曲的脊柱。 The ligaments have enough elasticity to allow a normal range of motion.韧带有足够的弹性，允许正常范围内的议案。
What is the Theory behind Prolotherapy?什么是落后Prolotherapy理论？
Proper spinal alignment depends upon strong balanced muscles but healthy ligaments also play an important role.正确的脊椎也取决于发挥了重要作用，但在牢固的健康均衡的肌肉韧带。
Muscles support the spine and allow movement.脊椎肌肉支持，并允许流动。 Muscles of the back, abdomen and buttocks stabilize the spine and maintain proper posture.在背部，腹部和臀部肌肉稳定脊柱和保持适当的姿势。 Muscles protect the spine by absorbing shock before it reaches the discs and facet joints. Ligaments connect the vertebrae and limit the range of motion of the spinal joints to protect the spine.肌肉保护脊椎小关节，吸收震动到达之前光碟及。 韧带连接椎体的范围和限制关节运动的脊髓保护脊椎。
Lax ligaments may result in muscle pain (if the muscles work harder to compensate) or the pain in the ligaments themselves.宽松的韧带可能会导致肌肉疼痛（如肌肉更加努力地工作，以补偿）或韧带在自己的痛苦。 Ligaments and tendons have many nerve fibers and pain may come directly from damaged ligaments and tendons, especially at the point where they attach to bone.韧带和肌腱有许多神经纤维和疼痛可能来自韧带和肌腱损伤，特别是在直接的地步重视骨。 The nerves fibers not stretch, and when the ligaments stretch there is a pulling on these nerve fibers.神经纤维的不伸展，当伸展韧带上有一个这些神经纤维的拉力。
If the ligaments are too loose, joints are not properly stabilized and abnormal stresses are placed on the spinal joints and vertebral discs.如果韧带太松，关节不正常和不正常的应力稳定放在脊柱关节和椎间盘。
What Causes Lax Ligaments是什么原因导致韧带松懈
Like muscles, ligaments and tendons may become injured due to overuse or acute injury.就像肌肉，韧带和肌腱受伤，可能成为因过度使用或急性损伤。 Sudden movements can cause injury to the ligaments because the muscles don't have time to react - eg in a fall or car accident.突然的动作可能会导致韧带受伤的肌肉，因为没有时间作出反应 - 在秋季或如车祸。 The muscles don't contract enough to keep the spine within its normal range of motion, causing ligaments to stretch or tear.合同的肌肉没有足够的运动保持在正常范围内的脊椎，造成韧带伸展或撕裂。
Unlike muscles, ligaments and tendons have limited blood supply and are much slower to heal.不同的肌肉，韧带和肌腱的血液供应受到限制，而且愈合慢得多。 If an acute injury causes severe overstretching or tearing of a ligament or tendon, it may never heal to its original strength.如果急性损伤导致严重的过度伸展或撕裂韧带或肌腱，它可能永远不会愈合到原来的实力。
Aging causes degeneration of discs that separate the vertebrae, causing the space between each vertebra to become smaller.老化导致光碟分开椎骨退化，造成各椎骨之间的空间变得越来越小。 The ligaments attaching the vertebrae will not be as tight as a result.椎骨韧带附着不会像结果紧。 The ligaments also lose strength and elasticity with aging and are more easily injured.韧带也失去强度和弹性与老龄化，而且更容易受伤。
Weight-bearing exercises help strengthen ligaments and tendons though not as quickly as muscle and bone. Click here for back exercises.负重锻炼有助于增强韧带和肌腱，但不尽快肌肉和骨骼。 点击这里返回演习。
How is Prolotherapy Performed如何Prolotherapy演出
Prolotherapy is an injection or series of injections (often containing a sugar solution, which is an irritant) into the affected ligament or tendon where it attaches to bone to cause irritation and trigger local inflammation, which is believed to stimulate repair and the growth of new healthy, dense, fibrous tissue. Prolotherapy是注射或注射系列（含经常到受影响的韧带或肌腱附着在骨头的地方糖的解决方案，这是刺激物）造成刺激，引发局部炎症，这被认为是刺激修复和新的增长健康，致密，纤维组织。
Prolotherapy causes acute inflammation. Prolotherapy导致急性炎症。 The inflammation goes away after about a week.在炎症消失后一个星期左右。 Anti-inflammatory medications are to be avoided for several days after a treatment as they dampen the effects of prolotherapy.消炎药是要避免在治疗，因为他们打击的prolotherapy影响了好几天。
A person who has received prolotherapy is usually given exercises to do to help the ligaments heal properly.阿谁收到prolotherapy人往往被做练习，以帮助韧带愈合正常。
Number of Prolotherapy Treatments Needed 治疗所需人数Prolotherapy
Usually five or six treatments (one treatment may consist of multiple injections) about two weeks apart are commonly performed.通常5或6个处理（1治疗可能包括多次注射）大约两个星期除了通常执行。
Risks and Side Effects of Prolotherapy 风险与Prolotherapy副作用
Temporary side effects that may last a few days include increased pain and stiffness.临时的副作用可能会持续数天，包括增加疼痛和僵硬。 As with any injection there is a small risk of infection, bleeding, bruising, tissue damage, and allergic reaction.对于任何一个有注射感染风险小，出血，瘀伤，组织损伤和过敏性反应。
Isn't inflammation harmful是不是炎症有害
Chronic inflammation is harmful.慢性炎症是有害的。 Chronic inflammation eventually causes damage to the tissues.慢性炎症，最终导致损害的组织。 Acute inflammation, though painful, is an essential part of the healing process.急性炎症，虽然痛苦，是对愈合进程的重要组成部分。
Conditions treated with Prolotherapy条件处理Prolotherapy
While most commonly used for chronic low back pain, prolotherapy is also used to treat shoulder pain, knee pain, and hip pain, etc .where it is believed that lax ligaments or tendons may be causing or contributing to the pain.而最常见的慢性腰背疼痛的，prolotherapy也被用来治疗肩部疼痛，膝盖疼痛，髋关节疼痛等。在那里，相信韧带和肌腱松弛，可导致或促成的痛苦。 Back conditions treated with prolotherapy include spinal osteoarthritis, sciatica, herniated discs, whiplash, and fibromyalgia.同prolotherapy处理回条件包括脊柱骨关节炎，坐骨神经痛，椎间盘突出光盘，鞭打和纤维肌痛。
Is there any proof that Prolotherapy relieves pain是否有任何证据证明Prolotherapy止痛
There is a lack of strong clinical evidence for the efficiency of prolotherapy.有一个强有力的临床证据的prolotherapy缺乏效率。 Large clinical trials are needed.大型临床试验是必要的。 Current evidence is conflicting.现有的证据是相互矛盾的。
From the Cochrane Database of Systematic Reviews : Five high quality randomized controlled trials with a total of 366 participants on prolotherapy injections for chronic low back pain was reviewed.从Cochrane系统评价数据库 ：五高质量随机对照试验低背部疼痛与慢性注射总额为366名与会者prolotherapy进行了审查。 Three studies showed that prolotherapy injections alone are not more effective for chronic low back pain than control injections. 3项研究表明，prolotherapy注射本身不是更比对照低注射治疗慢性背痛有效。 Two studies showed that when used in combination with spinal manipulation, exercises, and other treatments, prolotherapy injections are more effective than control injections in reducing pain and disability.两项研究表明，当用于与脊柱手法，练习相结合，和其他治疗，prolotherapy注射超过控制注射有效地减少痛苦和残疾。
The National Center for Complimentary and Alternative Medicine (NCCAM) is currently conducting a clinical trial titled The Efficacy of Prolotherapy in Osteoarthritic Knee Pain that began in 2004 and is due for completion March, 2008.该NCCAM）国家中心免费和替代医学（目前正在进行临床试验名为的疼痛疗效Prolotherapy膝关节骨关节炎是开始于2004年，2008年3月完成到期。
Prolotherapy in Summary Prolotherapy在摘要
Prolotherapy is gaining in popularity as a treatment for chronic musculoskeletal pain. Prolotherapy是越来越多的欢迎，作为慢性肌肉骨骼疼痛的治疗。 The risks of prolotherapy appear to be low.对prolotherapy的风险似乎较低。 More clinical studies are needed.更多的临床研究是必要的。 Health insurance does not usually cover prolotherapy (and many other alternative treatments) because of insufficient evidence of its efficiency.健康保险通常不包括prolotherapy（和许多其他替代疗法），因为它的效率不足的证据。 Like any therapy, results will vary from person to person.像任何治疗，结果会因人而定的人。
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