"Holistic” method of treatment for back pain
Pains related to tumoral or degenerative vertebral body compressions that can only benefit from this method in a complementary manner are excluded from this description. The standing position has weakened the lower part of the vertebral column (figure 1). Disk pathology, which is often located at the level of the lower lumbar inter-vertebral disks, is usually the direct consequence of the poor functioning of muscles supporting the region. It is common to see atrophy of vertebral muscles alongside a disk herniation, with the perimuscular void being filled by fat. (figures 2 and 3). The therapeutic method suggested here claims to be “holistic”, that is, it combines percutaneous local procedures that are non invasive (no surgical opening) with treatment of all of the anatomical, environmental and emotional factors that contribute to the support of the vertebral column, or alternatively to its destabilization. Therapeutic tools : According to each case, therapeutic tools classified into three large groups are used, either alone or associated with another tool :
- 1) When a disk herniation has developed and its symptoms resist classic medicaltreatment, the treatment applied must fulfill 3 criteria :
- It must respect the anatomy of the vertebral column to avoid adding a more or less long term destabilizing factor.
- It must make the intra-dikcal hyperpressure drop. We have developed a substance made of opaque gelified ethanol (Figure 4) which is injected into the disk. Immediate and long term results are excellent. (Théron J, Guimaraens L, Casaco A, Sola T, Cuellar H, Courtheoux P. “ Percutaneous treatment of intervertebral disk hernias with radiopaque gelified ethanol. A preliminary study”. J Spinal Disord Tech, October 2007,Vol 20, Number 7, 526-532). The results on a series of lumbar disk herniations were published (Figures 5, 6) but they are also satisfactory a the cervical level (Figure 7) and at the thoracic level (Percutaneous treatment of cervical disk hernias using gelified ethanol , J. Theron, H. Cuellar, T.Sola, L. Guimaraens, A. Casasco, P. Courtheoux, American Journal of Neuroradiology 2009).
- It must treat the “regional” suffering as a whole. Often, suffering is not just limited to one disk level and we frequently treat several disks, as well as the inflammation of joints close to the discs. The latter are either treated at the same time or subsequently. (figure 8).
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- 2) In more complex cases, notably in painful chronic lumbar symptomatologies that are resistant to medical treatment, we have developed a technique that allows us to significanly improve the support of vertebral lesions that are often old and this consequently improves the symptoms. We have developed a technique for liposuction of the fat situated around the atrophied muscles of the vertebral column (figure 9). . This technique allows these muscles to re-expand (figures 10 et 11) and thus allows for improvement of the active support of the vertebral column (Théron J, Guimaraens L, Casasco A, Cuellar H, Sola T. “Lumbosacral Liposuccion, a new tool for the treatment of low back pain”. Interventional Neuroradiology 2007;13 : 153-160,). This technique has also turned out to be very effective for pains in the coccyx that is often difficult to treat as well as for crippling painful symptoms of adult scolioses.
- 3) Clinical examination in a standing position (figure 12) of the patients that we have treated for a disk herniation has shown that the vertebral muscles presented obvious anomalies in terms of functioning. We have called this “Paraspinal muscular disharmony” (J.Théron “Concept of paraspinal harmony”, American Society of Spine Radiology, Palm Springs, September 2007). We have also noticed that these anomalies are accompanied by an equally obvious weakness of distant muscles (figure 13).
The correlation between anomalies in the functioning of the vertebral muscles and a muscular weakness at a distant location has led us to develop a clinical examination method that is not only useful for to diagnosing this “disharmony” but also to test the therapies that are used to treat it
We use a combination of investigations to document the disharmony and its correction due to the therapeuties used. The techniques that are used most frequently are Bio-Electrography GDV (Pr Korotkov) (figure 14,16, 23,25), Thermography (22), MRI Cerebral Spectroscopy and Photography (figure 19, 20, 24 et 26). . The therapeutic harmonization method is based on the stimulation of vertebral muscles by original acupuncture and selected homeopatic techniques (figure 15) allowing immediate recuperation of vertebral muscle harmony and normal muscular strength at distant location via a mechanism that we assume to be purely energy related (figure 16). It was thus possible to highlight a notion that has not yet beedescribed in detail, that of an “energizing dose” and to note that acupuncture and homeopathy act upon what is referred to the same energy “channels”. This technique is constantly evolving. We call it postural “central” harmonization because we think that it acts upon the central postural command of the body, ie, the vertebral muscles. In contrast, we call the other harmonization techniques “peripheral”, consisting of techniques that act exclusively on the peripheral sensors (eyes, jaw, feet, scars). We also use these .Therefore we can complete the “central” harmonization technique (figure 17) ; through the implementation of auto molded orthopaedic soles to memorize the stimulation of the vertebral muscles and through a Bach Flowers “cocktail” to treat the emotional component that is frequently associated with the painful spine pathology. The composition of this “personalised cocktail” is determined solely by the clinical examination of the vertebral muscles. This has allowed us to demonstrate that Bach Flowers act upon different and complementary energy “channels” to those acted upon by acupuncture and homeopathy. In addition we attach a lot of importance to the energy disturbances to the vertebral muscles that can be caused by wearing certain metallic objects. We are able to recognize them via the method of clinical examination of the vertebral muscles that we have developed. (figure 18). This technique of harmonisation of the vertebral muscles currently not only allows us to treat pains in the vertebral column and other joints (shoulder) but alsonumerous postural troubles (figures 19) and moderate scolioies (figures 20,21,22). We have also discovered that this method can successfully treat, or at least significantly improve pathologies that could appear quite different, such asdyslexia in children (figures 23,24) or fibromyalgia (figures 25,26).
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