Has anyone heard of or tried neural therapy. It is commonly used in Germany to treat conditions like rsd and many other disorders. I have been told it is usually successful if you can pinpoint the orgin of or the onset of your Pain. For most of us that is very easy. There is a woman in Tampa that claims to have "cured" several people wtih full body rsd using this therapy as well as many people with other severe chronic pain issues. I am curious if anyone has heard of this therapy or knows of anyone who has tired it. Below is the link and a quote fromt he site. I'm really interestd in this, could it be this simple?? She swears her results have been incredible. Please let me know what you think. I'm considering this but I am really tenative.The one time I begged my Pain management doctor to inject directly into my foot because I thought it would help the severe pain I was having- it was a huge mistake. The swelling and fire that followed lasted for weeks. I could not walk at all. so the thought of letting someone inject diretly into my scar on my shin, my orginal injury site is terrifying. But when you speak to this doctor she is very convincing. Next Im going to ask to speak to people she says she has helped I think. I need advice. thanks so much, CZ


The simple theory is below, I think it makes alot of sense. what do you think?


The link to this site is : www.drkaslow.com

No one has any advice on this? No one has heard of it?

I haven't hear of this before CZ but I'm checking with my German medical contact.

I'll let you know when I hear back.

MsL

There's a guy in LA, Aaron G. Filler, MD, PhD, who used to be on the UCLA faculty, who's been doing this surgery - under an MRI thank you - for years. Although his website used to list a number of unpublished papers dealing with the treatment of CRPS, I can't seem to find them now. Here's his specific page on Nerve Entrapment, you can link to the rest of his site from there: http://www.nervemed.com/nerve-entrapment/

What I'm advised is that there may be just as much risk in creating new scar tissue/adhesion in the surgery as you were attempting to alieviate in the first place. That said, I spoke to a lady a few years ago who swore by the procedure. So who knows?

Mike

My German medical contact has used the neural therapy in his practice for years with good results. Yes it is true that it is widely practiced throughout Germany. His experience is that it was best used for people who had neck or lumbar associated pain.

He said he would be very hesitant to use it on an RSD patient because of the punctures.

MsL

Mike thanks so much for your help with this, if I decide to do this I will let you know what happens. cz

MsL thank you so much for weighing in on this, my post was getting pretty lonely out there!I will proceed with caution. cz

CZ
I have nerve entrapment in the back of my heel,,Which is where the rsd [may ] have started. Ive heard that there are dr's who are willing to do the surgery to free the nerve but theres alot of dr's who will not ,due to the fact as mike stated,it can create more scar tissue,,Ive heard that alot of dr's who do the surgery will put your foot in a boot for weeks at a time so that the surgery can heal and no scar tissue forms[Scar tissue after surgery ussally occurs because of going back to activitys too soon in which the body forms the tissue to protect the area ,but in alot of cases ,hinders} similar to letting a open wound heal from the inside out instead of stiching it up. But the problem with wearing the boot,with a rsd patient , is the inactivity can make the rsd worse therefore we have a catch 22.........My hope is in God

bobber -

In light of an August, 2009 article from the Journal of Neurosurgery, for which I only have an impressive abstract, and assuming that the not insubstantial cost is somehow covered by insurance, you might very well want to get an MR Neurography, in case there is any ambiguity as to what's going in down there:

J Neurosurg. 2009 Aug 7. [Epub ahead of print]

Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders.

Du R, Auguste KI, Chin CT, Engstrom JW, Weinstein PR.

Department of Neurological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachussetts; and the Departments of. [sic]

Object Treatment of spinal and peripheral nerve lesions relies on localization of the pathology by the use of neurological examination, spinal MR imaging and electromyography (EMG)/nerve conduction studies (NCSs). Magnetic resonance neurography (MRN) is a novel imaging technique recently developed for direct imaging of spinal and peripheral nerves. In this study, the authors analyzed the role of MRN in the evaluation of spinal and peripheral nerve lesions. Methods Imaging studies, medical records, and EMG/NCS results were analyzed retrospectively in a consecutive series of 191 patients who underwent MRN for spinal and peripheral nerve disorders at the University of California, San Francisco between March 1999 and February 2005. Ninety-one (47.6%) of these patients also underwent EMG/NCS studies. Results In those who underwent both MRN and EMG/NCS, MRN provided the same or additional diagnostic information 32 and 45% of patients, respectively. Magnetic resonance neurograms were obtained at a median of 12 months after the onset of symptoms. The utility of MRN correlated with the interval between the onset of symptoms to MRN. Twelve patients underwent repeated MRN for serial evaluation. The decrease in abnormal signal detected on subsequent MRN correlated with time from onset of symptoms and the time interval between MRN, but not with resolution of symptoms. Twenty-one patients underwent MRN postoperatively to assess persistent, recurrent, or new symptoms; of these 3 (14.3%) required a subsequent surgery. Conclusions Magnetic resonance neurography is a valuable adjunct to conventional MR imaging and EMG/NCS in the evaluation and localization of nerve root, brachial plexus, and peripheral nerve lesions. The authors found that MRN is indicated in patients: 1) in whom EMG and traditional MR imaging are inconclusive; 2) who present with brachial plexopathy who have previously received radiation therapy to the brachial plexus region; 3) who present with brachial plexopathy and have systemic tumors; and 4) in patients under consideration for surgery for peripheral nerve lesions or after trauma. Magnetic resonance neurography is limited by the size of the nerve trunk imaged and the timing of the study.

PMID: 19663545 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/1...ubmed_RVDocSum

While you're at it, you might also want to check out "The value of MR neurography for evaluating extraspinal neuropathic leg pain: a pictorial essay," Moore KR, Tsuruda JS, Dailey AT, AJNR Am J Neuroradiology, 2001 Apr;22(4):786-94, free full text at http://www.ajnr.org/cgi/reprint/22/4/786.pdf

Department of Radiology, Section of Neuroradiology, University of Utah School of Medicine, Salt Lake City 84132, USA.

SUMMARY: Fifteen patients with neuropathic leg pain referable to the lumbosacral plexus or sciatic nerve underwent high-resolution MR neurography. Thirteen of the patients also underwent routine MR imaging of the lumbar segments of the spinal cord before undergoing MR neurography. Using phased-array surface coils, we performed MR neurography with T1-weighted spin-echo and fat-saturated T2-weighted fast spin-echo or fast spin-echo inversion recovery sequences, which included coronal, oblique sagittal, and/or axial views. The lumbosacral plexus and/or sciatic nerve were identified using anatomic location, fascicular morphology, and signal intensity as discriminatory criteria. None of the routine MR imaging studies of the lumbar segments of the spinal cord established the cause of the reported symptoms. Conversely, MR neurography showed a causal abnormality accounting for the clinical findings in all 15 cases. Detected anatomic abnormalities included fibrous entrapment, muscular entrapment, vascular compression, posttraumatic injury, ischemic neuropathy, neoplastic infiltration, granulomatous infiltration, neural sheath tumor, postradiation scar tissue, and hypertrophic neuropathy.

PMID: 11290501 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/pubmed/1...ubmed_RVDocSum

Simply put, MR Neurography appears to be gaining traction that it didn't have a few years ago, subject to at least one unique technological issue in the interpretation of the scans. "Magic angle effects in MR neurography," Chappell KE, Robson MD, Stonebridge-Foster A, Glover A, Allsop JM, Williams AD, Herlihy AH, Moss J, Gishen P, Bydder GM, AJNR Am J Neuroradiology 2004 Mar;25(3):431-40, free full text at http://www.ajnr.org/cgi/reprint/25/3/431.pdf

Comment in:
AJNR Am J Neuroradiol. 2004 Mar;25(3):352-4.

Department of Imaging, Hammersmith Hospital NHS Trust, London, England, UK.

BACKGROUND AND PURPOSE: Magic angle effects are well recognized in MR imaging of tendons and ligaments, but have received virtually no attention in MR neurography. We investigated the hypothesis that signal intensity from peripheral nerves is increased when the nerve's orientation to the constant magnetic induction field (B(0)) approaches 55 degrees (the magic angle). METHODS: Ten volunteers were examined with their peripheral nerves at different orientations to B(0) to detect any changes in signal intensity and provide data to estimate T2. Two patients with rheumatoid arthritis also had their median nerves examined at 0 degrees and 55 degrees. RESULTS: When examined with a short TI inversion-recovery sequence with different TEs, the median nerve showed a 46-175% increase in signal intensity between 0 degrees and 55 degrees and an increase in mean T2 from 47.2 to 65.8 msec. When examined in 5 degrees to 10 degrees increments from 0 degrees to 90 degrees, the median nerve signal intensity changed in a manner consistent with the magic angle effect. No significant change was observed in skeletal muscle. Ulnar and sciatic nerves also showed changes in signal intensity depending on their orientation to B(0). Components of the brachial plexus were orientated at about 55 degrees to B(0) and showed a higher signal intensity than that of nerves in the upper arm that were nearly parallel to B(0). A reduction in the change in signal intensity in the median nerve with orientation was observed in the two patients with rheumatoid arthritis. CONCLUSION: Signal intensity of peripheral nerves changes with orientation to B(0). This is probably the result of the magic angle effect from the highly ordered, linearly orientated collagen within them. Differences in signal intensity with orientation may simulate disease and be a source of diagnostic confusion.

PMID: 15037469 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/pubmed/1...ubmed_RVDocSum

Finally, there remains the possibilty that if this imaging technology really is as good as it has been claimed (and operated by people who are equally aware of its foibles and limitations) it may indeed become possible to successfully resolve nerve entrapments through surgery, through the insertion of something more pliable that an external boot, but from what I can tell, neurosurgeons are still stuggling with the problem in the presumeably more straitforward situation of treating carpal tunnel syndrome, and although I did see a reference in an abstract to the use of so-called "fat pads," I have no idea whether that's in lieu of the standard cast, which I doubt. (And treatment oucomes for carpal tunnel syndrome appeared to predominate running a PubMed search under "nerve entrapment surgery scarring.")

For what it's worth.

Mike

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The doctor I am talking with does not use surgery, especially since I do not have nerve entrapment or didnt, she uses injections of provicaine around the orginal injury site, actually directly into the scar. the belief is if these nerves are rewired the rest of the bodys nervous system will follow. It sounds so simple, the only thing holding me back is , well two things, the pain of the procedure, and the pain that could follow the procedure. I belivie there is a chance it could make things much worse for me if thats possible. this doctor is so confident and keeps asking" if youd do the coma , Why wouldn't's you try something as simple as this?" It just that question she keeps posing that makes me hesitate. If she doesnt understand what can happen if this damages the nerves further and really fires them up again precoma statue- it worries me. thank you for adding to this, Im just very nervous. it seems like out of all of us someone else would have heard of this or tried it.Thank you again and God bless, cz