Dr. Irwin Abraham Prolotherapy doctor in New York City and Goshen, New York
Dr. Abraham is a graduate of the University of Chicago and received his MD Degree from the University of Southern California.
He is a member of :
- American College of Physicians
- American Society of Internal Medicine
- American Association of Orthopedic Medicine
- American Association of the Study of Headache
Dr. Abraham works within a integrated model of body posture and movement, using the work of his teachers. He believes that one must first do a careful evaluation, with a complete history and physical exam, to find the most precise and accurate injured sites within the body. Many persons, especially those with chronic injuries, have more than one site of discomfort. Patients have most often more than one injured body structure of ligament, disc, tendon, etc.
He has 28 years of experience with English system of Orthopaedic Medicine, as founded by the late Dr. James Cyriax, an Internist and Orthopaedic surgeon at St. Thomas’ Hospital in London, England. He attended a workshop in NY taught by the late Dr. James Cyriax of England, and then, deeply interested, went to more courses . In 1992 he began as a teacher in local and national conferences.
The one most important principle is this: Dr. Cyriax insisted on specific diagnoses before treatment, saying: “the treatment is easy; it is the diagnosis that is hard.”
Dr. Abraham believes from his training and experience that most so-called mechanical low back pain problems have distinct identifiable causes. A variety of treatments may be needed, but cure or marked improvement is the obtainable objective with most patients. He is pleased to have authored a paper that successfully challenged the prevailing viewpoint that most low back is non-specific or undiagnosable. (see list below).
Also published is a study of prolotherapy for chronic headaches in the journal, Headache (see list below).
Dr. Abraham sees the physician’s responsibility as:
- To find the proper clinical problems before suggesting any prolotherapy or other treatment.
- To then utilize non-invasive treatment as needed.
- Use prolotherapy in the proper context of adequate nutrition and exercise as tolerated that will enhance healing.
- To guide the patient in decision making: this is a partnership.
- Be aware that patients, as people, have their own ideas and internal resources for problems solving and recovery.
- Educate the patient that treatment is a process, which may take a month, months or up to a year or more, depending on the severity of problems.
- Inform patients that no treatment is without risk nor guaranteed and that no physician is perfect, nor knows everything.
Grateful thanks are given to mentors who have taught so much over many years:
- Stephanie Saunders PT (England)
- Howard Dananberg PDM (New Hampshire)
- Richard Don Tigny PT (Montana)
- The Physician Work Force in the United States, (letter to the editor) New England Journal of Medicine: August 1996, p. 598.
- “Prolotherapy for Chronic Headache”, (letter to the editor) Headache:April 1997, p. 256.
- A New Paradigm for Low Back Pain: Application of Specific Clinical Criteria for Diagnoses and Treatment. (abstract) Journal General Internal Medicine: April 1998, Vol. 13, suppl. 1, p. 48.
- Q & A Diagnosis and Treatment of Low Back Pain, CORTLAND FORUM:August,1999, p. 173-183.
- Preliminary Report on NCECA Convention Questionnaire (to participants) On Skeletally and other work-related medical problems of the Ceramicist. NCECA Newsletter: Fall 1999.
- Lack of evidence-Based Research for idiopathic Low Back Pain, in “Controversies In Internal Medicine” in Archives of Internal Medicine Vol. 162, July 8, 2002. p. 1442-1444.
- Letter, The Don Tigny method for sacroiliac dysfunction, Journal of Orthopaedic Medicine, 27(3): pp. 139-140, 2005.