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Prolotherapy Doctor
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● ARIZONA
PHOENIX
Fred Arnold, DC, NMD
Kent L.
Pomeroy, M.D.
SCOTTSDALE
Michael Cronin, N.D.
David Tallman, DC, NMD.
TEMPE
Robb D.
Bird, NMD
TUCSON
Jorge B. Cochran, ND.NMD
● ARKANSAS
Merl
B. Cox, D.O.
●
BRITISH COLUMBIA
Christoph Kind, N.D.
●
CALIFORNIA
ANAHEIM
AREA
Hanson
Wong, M.D.
Howard Rosen,
M.D.
AUBURN
Rodney Van Pelt, M.D.
BAKERSFIELD
Payam Kerendian, D.O.
BEVERLY HILLS
Behzad Emad, M.D.
Payam Kerendian, D.O.
CLOVIS
Kevin Wingert, M.D.
GARDEN GROVE
Howard Rosen,
M.D.
GLENDALE
G. Megan Shields, M.D
IRVINE
Allan
Sosin, M.D.
Los Angeles
Donna Alderman,
D.O.
Marc Darrow, M.D
Hanson
Wong, M.D.
Los
GATOS
Joshua M, Donaldson, N.D.
Marin County
Paul
Handleman, D.O.
John Monagle, NMD
Monterey
Howard Rosen,
M.D.
SAN
DIEGO
Andrew
Kulik, D.O.
Gary Matson, D.O.
SAN FRANCISCO EAST BAY
Donna Alderman,
D.O.
SAN FRANCISCO NORTH BAY
Paul
Handleman, D.O.
John Monagle, NMD
San
Ramon
Richard I.
Gracer, M.D.
SANTA
BARBARA
Allen
Thomashefsky, M.D.
SANTA
CRUZ
Joshua M, Donaldson, N.D.
SANTa monica
Peter Fields, M.D.,D.C.
SANTa
ROSA
Justin Hoffman, NMD
Temecula
Edward A.
Venn-Watson, M.D.
UKIAH
AREA
Rodney Van Pelt, M.D.
● COLORADO
BOULDER
Gary Clark, M.D.
BROOMFIELD
Christopher J. Centeno, M.D.
John
R. Schultz, M.D.
COLORADO SPRINGS
Mary Harrow, D.O,
DENVER
Joel A. Berenbeim, D.O.
Thomas Ravin, M.D.
FORT COLLINS
Mark Kelley, N.D. LAc
LITTLETON
Jo
Ann Douglas, M.S.,D.O
PARKER
John
A. Littleford, D.O.
STEAMBOAT SPRINGS
Jon Freckleton, D.O.
● CONNECTICUT
AVON
Valley Sports Physicians & Orthopedic
Medicine
Paul Tortland, D.O.
Albert Kozar
WEST
REDDING
Perry M.
Perretz, D.O.
● DELAWARE
SOUTHERN NJ
Scott R. Greenberg, M.D.
SOUTHERN PA
Brian J.
Shiple, D.O.
● FLORIDA
ORLANDO AREA
Nelson Kraucak, M.D.
ORMAND BEACH
Hana Chaim, DO
Clearwater
Felix Linetsky, M.D.
PLANTATION
Alvin Stein,M.D.
SARASOTA/TAMPA BAY
Mark Walter, M.D.
Wellington Chen, M.D.
Matthew Burks, M.D.
TAMPA BAY AREA
Felix Linetsky, M.D.
Robinson Family Clinic
● GEORGIA
WARNER ROBINS
E.
Glynn Taunton, D.O.
MARIETTA
Robert C. Shuman, M.D.
● HAWAII
HAIKU
Kevin Davison, N.D.
HILO
Liza Maniquis-Smigel, MD
Honolulu, Hawaii
Liza Maniquis-Smigel, MD
● ILLINOIS
CHICAGOLAND
Ross Hauser, M.D
PEORIA
Yibing
Li, M.D.
Jay Harms,
M.D.
WESTERN ILLINOIS
Anwer Rasheed, M.D.
● INDIANA
CLARKSVILLE
Steven
M. Johnson, D.O.
LAFAYETTE
Carolyn
G. Kochert, M.D.
Mishawaka
Mark S. Cantieri, D.O.,
● IOWA
CLINTON
Anwer Rasheed, M.D.
IOWA CITY
John
Macatee, DO.
WEST DES MOINES
Jacqueline M Stoken, D.O
● KANSAS
KANSAS
CITY AREA
K. Dean Reeves, M.D.
TOPEKA
Doug Frye, M.D.
● KENTUCKY
LOUISVILLE
Steven
M. Johnson, D.O.
● LOUISIANA
NEW ORLEANS AREA
Thomas K. Bond, M.D.
● MARYLAND
Rockville
Ingrid Gheen, M.D.
● MASSACHUSETTS
MALDEN
Albert V. Franchi, M.D.
WORCESTER
Jon Trister, M.D.
● MICHIGAN
Howell
Jerald Gach, DO
SHELBY TWP
Robert Krasnick,
M.D.
Southfield
Jerald Gach, DO
WARREN
Robert Krasnick,
M.D.
● MINNESOTA
EXCELSIOR/Menahga
Mark T. Wheaton, M.D.
MINNETONKA
George H. Kramer, M.D.
● MISSOURI
KANSAS CITY
Edward McDonagh, D.O
ST. Peters
Michael J.
Adams
● MONTANA
HAMILTON
Mark Kelley, N.D. LAc
● NEVADA
CARSON CITY
Alfred N.
Grimes, M.D.
RENO
Andrew C.
Wesely, M.D.
● NEW JERSEY
BLAIRSTOWN
Walter R. Grote, D.O
CENTRAL NJ
Edward Magaziner, M.D.
WAYNE/NORTH NJ
Robert
Kramberg, M.D.
SOUTH NJ/PHILADELPHIA
Scott R. Greenberg, M.D.
(Cherry Hill)
Joseph P. Mullane, M.D.
(Hamilton)
Brian J.
Shiple, D.O.
(Springfield PA)
●
NEW MEXICO
Albuquerque
R. Dean Bair, D.O.
James
E. Baum,
D.O.
SANTA FE
James
E. Baum,
D.O.
Jonas R. Skardis, DOM
● NEW YORK
BALDWIN
Pandu Tadoori, M.D.
BUFFALO AREA
Timothy L. Speciale, D.O.
BROOKLYN
Neil Raff, MD, CNS
David Zirkitev,
P.A.
EAST MEADOW
Christopher Calapai, D.O.
FLUSHING
Neil Raff, MD, CNS
HICKSVILLE
David Borenstein, M.D.
MANHATTAN
Richard Ash, M.D.
David Borenstein, M.D.
John H. Juhl, D.O.
Robert Kramberg, M.D.
NEW YORK METRO AREA
Perry M. Perretz, D.O.
Edward Magaziner, M.D.
Scott R. Greenberg, M.D.
ORANGE
Neil Raff, MD, CNS
ROCKLAND
Neil Raff, MD, CNS
WESTMINSTER
Neil Raff, MD, CNS
● NORTH CAROLINA
ASHEVILLE AREA
Stephen
Blievernicht, M.D.
CARY
Catherine Duncan, D.O.
Huntersville
Dr. Mark Hines
● OHIO
AKRON/CANTON
Vladimir Djuric, M.D.
BLUFFTON
L. Terry Chappell, M.D.
CENTERVILLE
Rick
Buenaventura, M.D.
CINCINNATI
Michael J. Bertram, MD
TOLEDO
AREA
Jay W. Nielsen, M.D.
● OKLAHOMA
BROKEN ARROW
Shirley J.
Welden, M.D.
● OREGON
ASHLAND
Allen
Thomashefsky,M.D.
EUGENE
Thomas
Peterson, M.D.
HILLSBORO
Kevin C. Wilson, N.D.
LAKE OSWEGO
Noel S. Peterson, N.D.
MEDFORD
Carl Osborn, D.O.
OREGON CITY
Joanne Gordon, ND,MS,PT
PORTLAND
Rick Marinelli, N.D.
Chiaoli
Lu, ND. LAc. DAOM.
Patrick Chapman, N.D.
Joshua David,
N.D.
REDMOND
E. Payson Flattery, D.C.,N.D.
SALEM
Donald McBride, Jr, ND
● PENNSYLVANIA
BALA CYNWYD
Harvey Kleinberg, D.O.
BETHLEHEM
James F. Frommer, M.D.
ELKINS PARK
Kab S. Hong, M.D.
JEANNETTE
Martin
P. Gallagher, M.D., D.C.
MEADVILLE
Paul Peirsel,
M.D.
PITTSBURG
Paul S. Lieber, MD
SOUTHERN NJ - PA
Scott R. Greenberg, M.D.
Allan Magaziner, D.O
Edward Magaziner, M.D.
SPRINGFIELD
Brian J.
Shiple, D.O.
WOMELSDORF
Peter J Blakemore, D.O,
● SOUTH CAROLINA
GREENVILLE/SPARTANSBURG
Robert Schwartz, M.D.
CHARLESTON
Marc N.
Dubick, M.D.
MOUNT PLEASANT
Patrick
Lovegrove, D.O.
● TENNESSEE
BRENTWOOD
Mark L.
Johnson, M.D.
CLARKSVILLE
Rafael Prieto, M.D.
JACKSON
Marcus
E. Meekins, M.D.
MEMPHIS
Marcus
E. Meekins, M.D.
NASHVILLE
Mark L.
Johnson, M.D.
● TEXAS
AUSTIN
Mihnea Dumitrescu, M.D.
David
K. Harris, M.D.
Brad Fullerton, M.D.
DALLAS
Michael Ellman, M.D.
DENTON
Carlos
J. Garcia, M.D.
FORT
WORTH
Gerald Harris, DO
Dennis E. Minotti II, D.O
David E. Teitelbaum, D.O.
HOUSTON
Robert Battle, M.D.
Adam Weglein,
D.O
HOUSTON AREA
Joseph
G. Valdez, M.D
John P. Trowbridge
MESQUITE
Michael Ellman, M.D.
PARIS
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
PLANO
Michael Ellman, M.D.
RICHARDSON
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
SAN ANTONIO
Annette M. Zaharoff,
M.D.
SHERMAN
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
SUNNYVALE
Gregg
Diamond, M.D.
Norberto Vargas, M.D.
TOMBALL
Shaun Lehmann, M.D.
Curtis Fandrich, D.O.
● UTAH
PARK CITY
Harry Adelson, N.D.
Kenneth Hurwitz, M.D.
SALT LAKE CITY
Harry Adelson, N.D.
E. Alan Jeppsen
SPANISH FORK
David Taylor Roberts, M.D
● VERMONT
WINOOSKI
Jonathan
E. Fenton, D.O
● VIRGINIA
ALEXANDRIA
Robert H. Wagner,
M.D.
BLUEFIELD
Lenny
Horwitz, DPM
FAIRFAX
Mayo
Friedlis, M.D.
McLEAN
David Wang, D.O.
VIRGINIA BEACH
Lisa
Barr, M.D.
● WASHINGTON
ISSAQUAH
Jena
Schliiter., M.D.
SEATTLE
AREA
Richard
A. Sandler, M.D.
JoAnna Forwell, N.D.
Adam R.
Geiger, N.D.
● WEST VIRGINIA
MORGANTOWN
Nori Onishi, D.O.
● WISCONSIN
EAU CLAIRE
Deborah Raehl, DO
WAUWATOSA
Neal Pollack, D.O.
MILWAUKEE
William
J. Faber, D.O.
|
 Neural
therapy in the treatment of acute pain and chronic pain
Alvin Stein, MD
Neural therapy is a treatment program that
works to restore normal function to the autonomic nervous system of the
body. Local anesthetic is a major component of
Prolotherapy. Its effect
in
Prolotherapy is the neural therapy aspect of the local anesthetic.
Autonomic Nervous System
The autonomic nervous system is the body’s regulatory system that
controls all of the automatic aspects of body function, those that have
no voluntary control. The autonomic nervous system works in the
background and is involved in such things as fight or flight,
temperature regulation, heart rate, and all other behind the scenes
activity. It is also analogous to the computer’s hard drive, and it acts
as the body’s hard drive keeping a record of toxic insults to the body.
The autonomic nervous system is a very low voltage electrical system
operating at somewhere between 40 and 80 nanovolts of electricity. Any
type of increased electrical activity over and above that baseline can
be a disturbing influence on the autonomic nervous system and create a
blockage or interfere with regulation of the autonomic nervous system.
This leads to various disease states or pain states in the body.
Well-known interference areas involve scars anywhere on the body, dental
foci, toxic autonomic ganglia from various environmental poisons,
emotional disturbances, electromagnetic field influence, and things such
as multiple chemical sensitivities. In many cases these create serious
difficult patient problems for relieving the patient's discomfort. A
scar can generate 1.5 V of electricity and in the presence of a scar the
autonomic nervous system is overwhelmed by the electrical output of the
scar creating a major interference field. This distorts blood flow to
organs and the body’s ability to regulate itself.
Identification of interference fields is one of the goals of proper
neural therapy and then the appropriate discharge or release of the
interference field will affect normalization of function in the area.
Acute trauma acts as an interference field. An acute injury to an area
creates a shock-like state which shuts down circulation through
excessive autonomic nervous system impulse release. Arterial blood flow
is cut down by spasm and venous drainage is cut down by the inflammatory
aspect of an acute injury. This stagnation of blood supply in and out of
an injured area leads to several days, perhaps weeks, of pain and
discomfort and loss of productivity and work for many individuals. Delay
in healing occurs as a result of this.
Local anesthetic appropriately utilized is
the mainstay of neural therapy. The local anesthetic is asked to turn
off the autonomic nervous system in the area and allows the interference
area to clear, and restore normalcy when it turns on again. It is
analogous to a computer that freezes. In order to make the computer
work, a computer has to be turned off and rebooted for it to work again
properly.
Local anesthetic has the effect of turning
off the autonomic nervous system ganglia in a damaged or injured area
for just a short enough period of time or a long enough period of time
to allow for the clearance of the interference field and restarting of
the autonomic function in a normal fashion. In an acute injury, the
arterial spasm and the stagnation in the blood vessels of the injured
area is relieved immediately and circulation returns to and through the
damaged area allowing for normal physiological function to follow.
The case for the use of local anesthetic
injections is most simply demonstrated in the following cases
Case #1: A 40-year-old dentist was
driving his automobile when he was suddenly confronted with another
vehicle that crossed his pathway and he unavoidably strikes the other
vehicle. He was wearing his seatbelt and was thrown forward against the
restraint of his seatbelt and braces his body with his hand and arm on
the steering wheel. After being initially dazed by the effect of the
accident, the patient was able to get out of the automobile, but
experienced almost immediate
neck pain radiating into his left
shoulder
and down his left arm into the thumb area. The patient's pain persisted
unabated for 24 hours until evaluated in my office. He was unable to
work as a dentist in his own practice.
Examination revealed spasm in the
cervical
spine with restriction of flexion, extension and rotation, and
especially lateral bending. He had tenderness at the interspinus
ligament at
C5-6.
Shoulder shrugging was normal. There was an abrasion
over the left shoulder at the
acromioclavicular
joint area from the
shoulder harness of his seatbelt. There was exquisite tenderness in the acromioclavicular joint, but no separation. There was pain on movement
of the shoulder most prominently at the acromioclavicular joint with no
evidence of any weakness in rotator cuff strength or in internal or
external rotation activities. Elbow movements were normal and strength
was normal.
The left wrist demonstrated tenderness in
the area of the distal radius and at the carpometacarpal area of the
thumb and second metacarpal. Attempts at grasping with his left hand
were halted by the pain in the wrist.
X-rays of the shoulder and wrist failed to
show any evidence of fractures, dislocations, or other abnormalities.
The diagnosis included significant sprains to the
cervical spine
especially at C5-6, the left acromioclavicular joint, and the radial
side of the wrist joint into the thumb area.
Treatment was neural therapy using 1%
procaine with no preservative buffered with sodium bicarbonate for the
injections. In the cervical spine three rows of the blebs or wheals were
made from the occipital line to the C7-T1 area. One line was in the
midline and the other lines were approximately an inch and a half wide
off the midline. Approximately 10cc of procaine were used in the neck.
The left shoulder area was similarly
injected with wheals around the skin over the acromioclavicular joint
and underneath the contusion from the seatbelt injury. A small amount of
local anesthetic was injected into the capsule of the acromioclavicular
joint. In the left hand around the radial side of the wrist local
anesthetic was injected into the skin area and down to the distal end of
the radius and the proximal end of the carpal bones at the
carpometacarpal joint.
In total the patient received
approximately 20 cc of procaine for this procedure. Immediately after
the injections, range of motion of the neck improved to 90% of normal.
Shoulder range of motion was carried out completely asymptomatically.
The left hand movement and
finger movement was completely normal with
complete restoration of strength and flexibility on grip twisting and
turning and other manipulative functions of the left hand and wrist.
No other medication was prescribed, and no
other treatment was rendered. Follow up with the patient 48 hours later
revealed that the patient was back at work in his office doing a full
day’s dental surgery with no symptoms.
Case #2: A 24-year-old law school student was involved in a serious
rear end collision in which his head was severely jolted and experienced
neck pain into both arms. With inability to clearly think, and the
patient expressing that he felt that he was in a fog, the patient was
unable to study for his law school examinations. He was seen for his
first appointment two weeks after the accident.
Clinical examination was essentially
normal with the exception of some local spasm in the neck. The patient
was treated with local anesthetic 1% procaine. A crown of thorns was
given and local anesthetic was administered to the posterior cervical
area. The crown of thorns is local blebs or wheals of procaine in a
circumferential fashion about the crown of the head and also along the
suture lines on the cranium. Approximately 7-10 cc of local anesthetic
is used in total to the crown of thorns.
Because of the cervical spine complaints,
the neck was treated with three rows of wheals applied from the occiput
to C7-T1, down the midline and approximately an inch and a half on each
side of the midline with injections approximately corresponding to each
vertebral level. Again approximately 10cc of local anesthetic was used
on the neck.
The patient reported almost immediate and
complete relief (within five minutes) of the cranial fog and cloudiness.
The room became brighter and lighter immediately with the injections.
The neck spasm was relieved and range of motion restored to about 80% of
normal. The patient reported at the follow-up visit that he was able to
go back and resume his studies for his law examination and ultimately
passed his examination as a result of getting the treatment. No other
treatment was administered except for the local anesthetic in the neural
therapy.
Observations:
Local anesthetic does not just numb the area. Local anesthetic has a
much wider application and is used to open up the autonomic nervous
system and restore physiological blood flow in and out of the damaged
area, taking away the stagnating aspects of an acute injury and allowing
the physiological healing process to move along at an incredibly faster
rate and in so doing, alleviate pain and speed the healing process in
general.
Our local anesthetic is contains no
preservatives. The local anesthetic effect of numbness lasts for no more
than 20 minutes. The pain relief, opening up the autonomic nervous
system, and restoring physiological function is often completely
permanent even with one session. However, if the patient gets 6-12 hours
of relief with what you do, you are pretty close to being exactly in the
right place and need to repeat the treatment several more times. If your
therapy relief lasts greater than 12 hours and then recurs, you are
exactly in the right place and need to repeat it several more times. If
the relief was shorter than six hours, you have to look for additional
interference locations or additional injury over and above the autonomic
nervous system alone.
We have seen this with fractures of toes,
metatarsals,
ankle injuries, including sprains and fractures, lower back
injuries with accompanying spasm, as well as many other applications of
acute pain. We see these beneficial effects almost every day in our
practice.
The treatment is 100% benign in everyone except if you are allergic to
the specific local anesthetic. There is no down side. There is only
major upsides for the patient, more rapid healing, less pain, no need
for heavy-duty
Narcotics, muscle relaxants, and other mind bending
drugs. The body is able to heal itself once the interference is removed.
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Prolotherapy
Information and Research
Prolotherapy
●
Prolotherapy
●
How
Does Prolotherapy Work?
●
Why
Does Prolotherapy Work?
●
How
Prolotherapy Helps?
●
Indications - Contraindications
●
Introduction to Prolotherapy
● Why Get Prolotherapy?
● What is Prolotherapy?
●
How Does Prolotherapy Work?
● Are You A Prolo Candidate?
● Ligament Reconstruction
●
How Safe Is Prolotherapy?
●
Finding a Prolotherapy doctor
●
When Prolo May Not
Work
●
20 Questions - Prolotherapy
●
The History of Prolotherapy
●
Curing Chronic Pain
●
Sclerotherapy?
●
Turning to Prolotherapy
●
Prolotherapy and Chronic
Pain
● Proof Prolotherapy is Working
●
Creating Collagen
●
How To
Support Treatment
·
Platelet Rich Plasma PRP
●
Prolotherapy
and Inflammation
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Prolotherapy
In The News
Prolotherapy
Videos Online
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Shoulder treatments
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Prolotherapy Information sites
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