resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
October, 2011, Vol. 11, Issue 10
The Benefits of Reconstructive Proliferant Therapy
By Ben Benjamin, PhD
Millions of people live in pain and don't know what to do about it. Something profound changes for these sufferers. The pain makes it hard to think, work or play. It saps energy and enthusiasm for life. Frequently, depression sets in. Many of these clients come to us for help. Some we help and some we don't.
For many years, I felt helpless to ease the pain of clients that I and all my colleagues could not help. As my practice grew, I saw people from all around the country who had tried every conceivable therapy, from surgery, to physical therapy, to chiropractic, to osteopathy, to massage therapy, to structural integration and movement modalities like Alexander technique and Feldenkrais practitioners. These people had also tried medication, exercise and meditation. Every treatment had failed for these individuals. Many of the people I saw had been in pain for 15 to 20 years.
When I discovered reconstructive proliferant therapy, I felt like I'd found the golden key to helping many of the clients with intractable pain that I, and everyone else I knew, couldn't seem to help. In my experience, 85 to 90 percent of those for whom nothing seemed to work got well with this therapy if treated by an experienced and skilled physician.
What is reconstructive proliferant therapy and how does it work?
Reconstructive proliferant therapy (also called prolotherapy) is a technique that stimulates the body's ability to repair itself when that process does not occur naturally. Just as a cut or scratch initiates the skin's regenerative processes, a proliferant causes the production of new tissue by stimulating cell reproduction in the connective tissues. Until proliferants were discovered, it was believed to be impossible for connective tissues to regenerate in this way.
The proliferant is injected into the affected ligaments, tendons or joints, and causes local inflammation. This controlled inflammation triggers an accelerated wound-healing process, resulting in new collagen and fibroblastic proliferation (fibroblasts are the cells that actually grow the ligaments and tendons). The new collagen shrinks as it develops, which tightens the structure and makes it stronger.
What kinds of cases respond best to prolotherapy?
Prolotherapy has been shown to be very effective at reducing or eliminating chronic pain in cases where injuries have resulted in painful adhesive scar tissue and/or laxity or weakness of ligaments, tendons or joints. This treatment is especially effective in treating chronic pain in the neck, low back, thorax, shoulders, elbows, wrists, hips, knees and ankles. It also strengthens weak joints by shortening and thickening the ligaments supporting those joints. For example, if a ligament in the knee is damaged and permenantly stretched, it cannot effectively hold that joint in place, and therefore leaves the structure more vulnerable to further injury. The proliferant strengthens the integrity of the joint by tightening the ligament so it can do its job more effectively.
What can a client do to get maximum benefit from prolotherapy?
During proliferant therapy, it is vitally important for the patient to do gentle exercises several times a day, to ensure that the healing and new tissue development take place in the presence of a full range of motion. This can make or break the effectiveness of the treatment. Each area of the body requires particular exercises to make sure the healing is effective. When clients do their exercises daily and don't return to stressful activity too soon, the results are usually excellent.
How long does the treatment process take?
Proliferants are usually slow-acting because they stimulate the body's ability to heal itself. They are most active in the first 3 to 7 days but keep working for months at a slower pace. The number of treatment sessions depends on the part of the body and the severity of the case, ranging from two or three sessions for a wrist to eight or so for the low back. Individuals heal at different rates depending on their age, strength, flexibility, level of stress and nutritional health, so there is some variation in the number of sessions needed by specific clients.
What are the side effects?
Unlike many medicines, proliferants have no side effects and have a lower drug content than aspirin. While there are many different proliferant formulas in use, the most frequently used solution (the Ongley solution developed in 1960) contains common chemical substances that have been tested for safety and effectiveness. The Ongley solution includes dextrose (a pure sugar that serves as the main irritant stimulating connective tissue production), Xylocaine (the numbing medicine your dentist uses), glycerine (to help in blood clotting), and phenol (a proliferant that prevents infection).
How can I connect my clients to prolotherapy professionals?
Since this is a relatively unknown treatment in the United States, it may be difficult to find doctors who are experienced in reconstructive proliferant therapy. Once you have located one, see if he or she has been doing it for at least 5 years. Ask if you can speak to several of the doctor's patients to learn what their experience has been. If you would like a recommendation to an experienced physician, feel free to contact me either by phone (617-576-0777) or email at .
Click here for more information about Ben Benjamin, PhD.
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