EnglishNatural alternatives to NSAIDs in treatment of the soft tissue injuries in sports
Natural alternatives to NSAIDs in treatment of the soft tissue injuries in sports".
Dalius Barkauskas
Lithuanian Olympic team chief doctor
The successful practice of any kind of reflex therapy (manipulative therapy, biopuncture etc) heavily depends on precise diagnosis. Clinical (ortodox) diagnosis is only part of the picture, to practice biopuncture with maximum efficacy one need to know how to shape up and complement it with functional (working) diagnosis. Even in treatment of the chronic internal diseases it maybe important, so is a need to stress it once more. One need to bear in mind that active fields of disturbance (eg scars, foci of chronic infection (tonsillitis, tooth problems and etc) may ruin even well planned therapy. Even more so when treating pain in locomotor system in sports. If we rely only on instrumental methods of investigation (as often is seen now), diagnosis and treatment of locomotor system will have disturbing vagueness. Medical imaging methods are more useful for differential diagnostic purposes. Let’s say if one has pain in the area of long head of biceps brachii it may be the source of the problem, but it may be as well referred pain from C5 nerve root and then it will be totally different therapeutic approach. So it is about our ability to examine the moving parts of the body and their interrelations.
Soft tissue locomotor lesions have two main characteristics (S. De Coninck, 2002):
- Frequently the site of pain is not the site of the lesion
- There are no objective findings (even CT scans, MRI may prove false positive or false negative)
Functional examination includes: examination of the joint play (passive movement, which cannot be carried by the subject and consist of sliding of one joint surface against the other, even rotation and distraction (K. Lewit 1999)), active movements (but these do not enable to differentiate between inert and contractile structures), passive movements (provides information about integrity of the inert structures, one looks for pain, range of movement, end-feel), resisted tests (examine contractile structures. One assesses pain and muscle strength). (S. De Coninck, 2002). Phenomenon of the painful arc (painful section between two painless sections) is often a localizing sign.
Function and its disturbances are rarely confined to one site or structure, therefore diagnosis must take in the locomotor system as a whole (K. Lewit, 1999). It is paramount to remember that body always react as a complex structure. Faulty movement pattern may be the reason for chronic locomotor system overstrain and clinically therapy resistant case. So always look for the clinical phenomena as upper and lower crossed syndromes, stratification syndrome (V. Janda, 1979), faulty respiration (very often reason for chronic cervical problems). Recognition of those clinical entities will dictate different, but much more effective approach in biopuncture. It is useful to remember that inflammation never will be local, because of the immune system reaction and matrix. So incorporation in the therapy plan strategies of the detoxification and drainage, bioregulation according to the principles of the homotoxicology is very clinically rewarding as for the practitioner and even more so for the patient.
Biopuncture was introduced into mainstream medicine by doctor Jan Kersschot. It is defined as a bioregulatory therapy method in which specific biotherapeutics are injected in indication or tissue related bodily zones or points on the basis of clinical and functional diagnosis. This method is a bridge between natural and mainstream medicine.
Mainstream medicine:
• -biopuncture uses a conventional diagnosis
• -products are tested for safety and reliability
• -technique is performed with respect for the rules of orthodox medicine
Natural medicine:
• -biotherapeutics show no major side effects
• -injections stimulate natural healing instead of suppressing symptoms
If you as practitioner have never used injection therapy try to:
• Start with clear clinical cases as sports injuries, uncomplicated neck or lumbar pain, trigger point injections
• Use only individualized approach (some patient very sensitive, some may not respond at all)
• Avoid “tricky” areas
Main preparations used in biopuncture Traumeel, Lymphomyosot, Discus compositum are well known for alternative medicine practitioners. Usage of homotoxicological preparations have a strong theoretic and scientific background.
Presentation introduces that very effective method in treatment of sports injuries.In authors experience and opinion both doctor and athlete are winners when treatment is safe and stimulates natural forces of healing in our bodies.
Literature:
K. Lewit. Manipulative therapy in rehabilitation of the motor system. Butterworths, London 1999
Third Interdisciplinary World Congress on Low Back and Pelvic Pain. Vienna, Austria, November 19-21, 1998. Abstracts book.
J. Kersschot. Biopuncture and antihomotoxic medicine. Inspiration.1998.
S. De Coninck. Basic course in OM Cyriax. 2002
Πρόσφατες Ανακοινώσεις
Πέμπτη, 09 Σεπ 2010
2ND Congress European College of Sport & Exercise Physicians 12TH Annual Scientific Conference in SEM QMUL CSEM
Πρόσφατα Άρθρα
Laser στην Αθλητιατρική
Η θεραπεία laser αποτελεί μια ακίνδυνη και χωρίς πόνο θεραπευτική μέθοδο με την οποία μπορούμε να αντιμετωπίσουμε όχι μόνο τον απλό καθημερινό πόνο αλλά και τα πολύ σοβαρά προβλήματα του ασθενούς σε αρθρώσεις, μύες, τένοντες κ.λ.α. παθήσεις.
Σύνδρομο Κοιλιακών Προσαγωγών
Τενοντοπάθεια των προσαγωγών, Τενοντοπάθεια του λαγονοψοίτη, Τενοντοπάθεια του ορθού κοιλιακου, Κάταγμα εκ κοπώσεως του ηβικού οστού, Κάταγμα εκ κοπώσεως του αυχένα του μηριαίου, Τραυματικη Ηβική osteitis, Βουβωνοκήλη, Κήλη των αθλητών, Παγίδευση του θυρεοειδούς νεύρου
Ten year follow-up study comparing conservative versus operative treatment
Verhaar Br. J. Sports Med. 2009;43;347-351
ABSTRACT
Objective: To compare long term outcome of highly active patients with anterior cruciate ligament ruptures treated operatively versus non-operatively.Design: We reviewed high level athletes with an anterior cruciate ligament rupture on either MRI or arthroscopic evaluation more than 10 years previously, who were treated conservatively. They were pair-matched with
patients who had had an anterior cruciate ligament reconstruction with bone-patella-tendon-bone, with respect to age, gender and Tegner activity score before injury.Participants: In total 50 patients were pair-matched.Results: We found no statistical difference between the patients treated conservatively or operatively with respectto osteoarthritis or meniscal lesions of the knee, as wellas activity level, objective and subjective functional outcome. The patients who were treated operatively had a significantly better stability of the knee at examination.conclusion: We conclude that the instability repair using a bone-patella-tendon-bone anterior cruciate ligament reconstruction is a good knee stabilising operation. Both treatment options however show similar patient outcome at 10 year follow up.
D E Meuffels, M M Favejee, M M Vissers, M P Heijboer, M Reijman and J A N
ACL injuries. Diagnosis, treatment and rehabilitation
The ability to recognize the ACL deficient knee is lacking, even among orthopaedic surgeons. The history of an acute ACL tear is remarkably constant, because the injury is often non contact, and patients usually report a twist on the flexed knee, turning to the same side as the injured knee, although hyperextension or direct injury is the cause in some sports. Patients often remember a loud pop, but, because there are no nociceptors in the ACL, pain is not an immediate feature in the isolated lesion. Players may attempt to continue to play, but they usually stop because the knee feels insecure. Pain ensues in association with a hemarthrosis: 70% of acute hemarthroses of the knee are associated with a tear of the ACL. The diagnosis must be confirmed before treatment is offered.
