As a physician, I have never been interested in using even minimally invasive medical procedures, until now. My patients are having incredible success with certain low risk injection protocol treatments. Safe, and easy, we’ve been able to dramatically address somatic complaints with trigger point injections, as well as address both somatic and visceral symptoms using neural therapy subcutaneous injections of specific homeopathic solutions. The positive effects of these procedures far exceed most other approaches available in our naturopathic or western medicine portfolio of treatments.
Since my practice was not focused primarily on joint and muscle problems, and I did not specialize in manual therapies, I initially had few tools at my disposal to treat patients with acute muscle spasms or injury, and chronic muscle, nerve or joint pain. Often I referred patients to practitioners who specialize in body manipulation such as massage, chiropractic, acupuncture, and/or physical therapy. These methods can often take a long time to resolve patient complaints. Given the variability of these cases, sometimes patients reach a plateau in improvement, and sometimes there is no ascertainable improvement at all.
“Chronic pain patients who’ve had cortisone injections recommended to them rarely need one after homeopathic injection therapies treatments. Even patients from cortisone injection trial failures, find they are highly likely to get their symptoms relieved with the homeopathic injections.”
This led me to a last resort of wanting to prescribe muscle relaxants and pain relievers. It’s interesting that since I’ve begun using homeopathic injections, there has been little need for pain medications.
Thus, out of my frustration and desperation to help a number of patients with acute and chronic musculoskeletal complaints, I sought out training in injection therapies. This dramatically improved my successes with this patient group. And now, I get many referrals from other practitioners whose patients have plateaued or have been treatment failures.
This therapeutic modality has produce successful outcomes in about 90% of cases with challenging patients. Chronic pain patients who’ve had cortisone injections recommended to them rarely need one after homeopathic injection therapies treatments. Even patients from cortisone injection trial failures, find they are highly likely to get their symptoms relieved with the homeopathic injections.
Patients are able to dramatically reduce or discontinue their NSAID analgesics, removing them from the risk of death or long-term injury from chronic use of this class of drugs. Many surgeries have been avoided, careers have been saved, patients have been able to return to the workforce, and acute and chronic pain patients have become pain free. This includes patients with spinal disc issues.
Trigger Point injections
Trigger points are discrete, focal, hyperirritable nodules located in a taut band of skeletal muscle. Palpation will elicit pain both over the area of the trigger point and to referred locations. Acute trauma or repetitive micro-trauma are usually the causes of these painful muscle fiber knots. The architecture of the body contributes to common locations for these points, often due to recruitment to maintain body posture. Their presence often results in decreased range of motion, and can aggravate tension headaches and vertebral disc displacement symptoms.
The classic method of treating trigger points is to identify, isolate, and inject into the specific point. Either dry needling or injection of a local anesthetic, lidocaine or procaine, is traditionally used. Both methods have been effective, leading to an assumption that mechanical disruption is the main reason for its effectiveness, though dry needling causes more post-injection pain. In order to reach and disturb the point, fairly large needles are used, often 22G 1&1/2”, or even 21G for thicker muscles. If using an anesthetic, along with directly injecting the trigger point, a somewhat more cumbersome process of further injections are administered to the superior/inferior, and medial/lateral sides of the point.
The use of homeopathic inflammation modulators such as injectable Traumeel (Heel) – makes the injection process simpler and less invasive, while providing equal to superior results. Unlike the traditional western medicine techniques it is not necessary to reach the Trigger Point to have an effect. Injecting over the point using needle sizes of 25G or 27G, with a depth range of ¼ – ½ inch (maximum ¾” for large muscles) is sufficient.
Immediate reduction in pain levels and increased ROM are most often achieved. Repeated treatments have progressive improvements, likely due to the homeopathic effect of stimulating healing. Patients often tell me “I couldn’t believe I was looking forward to coming in for more injections”! Once patients have reached a significant level of improvement, I refer them back to ancillary treatments, which then have much more benefit.
Subcutaneous injections can be used in a variety of ways, and the term neural therapy encompasses several different methods and treatment goals.
Neural therapy can relieve disc displacement symptoms contributing to sciatica, joint inflammation/arthralgia, and extremity strain/sprain/pain including carpal tunnel syndrome, plantar fasciitis, and edema. Neural therapy is also extremely useful for visceral conditions. Due to the visceral-cutaneous reflex, specific homeopathic formulas injected superficially can stimulate healing in smooth muscle and organs below the treated area. This includes caudal symptoms such as acute migraine or headache symptoms, sinus headache symptoms, and local lymphangitis. Neural therapy treatments can also be used for: bronchial symptoms such as spasmodic cough; renal conditions; abdominal and pelvic symptoms including nausea, biliary colic, intestinal inflammation and cramping, menstrual cramps, ovarian rupture pain, bladder pain, plus groin lymphangitis. Autonomic nervous system dysregulation can also be addressed.
Positive Practice Effects
Homeopathic injection therapies benefitted me, as well as my patients. Daily successes with immediate gratification make a challenging job much easier. I can provide my patients with expanded care. While patients may be seeing you primarily for other reasons, they will often have musculoskeletal complaints identified in their review of symptoms, or may have something occur during a period of treatment. Referrals and repeat visits fill up my schedule, and are billable to insurance. Also, these treatments require less charting and post-appointment follow-up.
In order for prospective patients to fully appreciate the benefits of these injection therapies, I recently started posting patient testimonials on my website. See www.QANC.com, under “Our Patients Speak.”
Because this is such an effective treatment, I’d like to see it as widely available as possible. If you are interested in training for these injection techniques, call me at (206) 281-4282, for information about classes given by myself or other practitioners in the area.