Natural 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):

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

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