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Ralph R. Fitch, M.D.
JAMA. 1934;102(2):148-149. doi:10.1001/jama.1934.02750020060027.
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To the Editor:—  The Paris correspondent under date of September 20 (The Journal, November 4, p. 1492) states that "the medical profession is indebted to Professor Leriche of Strasbourg for a method of treatment of sprains and mild luxations, which consists in injecting a cubic centimeter of a solution of procaine hydrochloride (1: 1,000) at the level of the painful areas.... A person with a sprain thus treated can walk immediately after the injection."A person so treated can walk immediately, but should he do so? I think that he should not, unless the sprained part is efficiently splinted (as with adhesive strapping). If by medication one stops pain and muscle spasm and then permits strain to be thrown on the injured tissues, those tissues have not a good chance to heal by first intention. Prolonged convalescence and impaired function are likely to be the result.The correspondent continues: "Schulmann


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