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local anesthetic applied Injection Points: Typically include the AC joint capsule and coracoclavicular ligament attachments Solution Used: 15-25% dextrose + 1% lidocaine or procaine Guidance: Can be done freehand or under ultrasound guidance for precision Post-Injection Care Mild soreness or swelling is expected for 13 days Avoid anti-inflammatory medications (they may blunt the desired response) Gentle range of motion exercises encouraged Physical therapy may be added at any time Treatment Frequency Prolotherapy is typically performed every 34 weeks 36 sessions are usually recommended depending on severity and how you are progressing Clinical Evidence Supporting Prolotherapy for AC Joint Injury While large randomized controlled trials are limited for AC separation specifically, prolotherapy has demonstrated efficacy in multiple musculoskeletal conditions involving ligament and joint instability: Rabago et al

doi: 10.3390/biom12050627 209 LyimoGAjayiRFMabozaEAdamR

Glutathione performs several important functions: neutralizes free radicals, binds and removes toxins, participates in the synthesis of other antioxidants, prevents cell death, protects brain neurons, supports the immune system

The integration of sulforaphane into clinical practice may eventually advance personalized treatment approaches that address underlying biological pathways, offering hope for improved outcomes in ASD.

PubMed CrossRef Janicak PG