For most joints of the body, a series of five to twelve injections are necessary to achieve the desired effect. A diagnosis of ligament laxity is made by taking a complete history combined with physical examination and review of X-rays of the effected area. The classical history would include joint or spine pain of several month's duration where efforts such as physical therapy or manipulation have not provided lasting relief. Limited range of motion is often present. The pain may be the result of an acute injury or it can develop over time from wear and tear.
Physical examination reveals very tender focal areas over the painful site.
X-rays do not show the ligaments themselves, but are often necessary to rule out other sources of pain or limited range of motion. Concentrated Dextrose, a corn sugar, to cause inflammation that leads to collagen deposition. Sodium Morrhuate, a derivative of Cod liver oil, used to further facilitate the inflammatory process. Significant improvement is usually noted after the third treatment, although each person will have their own unique response. There is a Board Certification available for Sclerotherapy offered by the American College of Osteopathic Pain Management and Sclerotherapy.