CR is 21y/o patient with ankle pain following a high-speed rear-end motor vehicle injury. At time of impact he has his right foot on the brake. Conservative therapy in the form of NSAIDs, physical therapy and massage failed to improve the debilitating ankle pain. On physical exam the ankle was noted to be loose. After three prolotherapy injections into the lateral ankle igaments as well as the intersosseus ligaments he reports 90% improvement. If left untreated unstable joints often undergo an acceleration of the degenerative process due to uneven and tear.