When conveying ideas about neural therapy (or any other area
of medicine), case histories can be very
helpful. Short and concise histories
work best. Irrelevant material is
trimmed away to bring out certain teaching points.
As useful as they may be in teaching, straightforward cases
are the exception in real life. Most of
my patients present with a variety of complaints, complicated histories, and
"background issues" i.e. underlying nutritional, toxic, immune, emotional,
social or existential problems. Simple, one-answer solutions are the
Even when a simple solution seems within reach, the
general condition of the patient will often decide otherwise. Response to treatment may be disappointing or
temporary. Or other health problems
will crop up.
This month I want to
present a case which illustrates how complex decision-making can be in neural
therapy. The experienced neural therapist will recognize this scenario
immediately; the beginner will hopefully realize that complexity should not
come as a surprise.
(My comments - in red.) In
August of last year, an alert 87 year old lady accompanied by her daughter,
presented with severe right-sided neck
pain beginning a few weeks after a coronary artery stent procedure, 1½ years
before. She was an insulin dependent diabetic and was taking oxycodone-acetaminophen
for pain, glyburide, nifedipine,
fosinapril, pantoprazole and citalopram.
The neck pain was
unaffected by posture or movement and examination revealed no significant
somatic dysfunction in the neck or elsewhere. The history was highly suggestive
of interference fields in either the heart or the catheterization scar at the
right femoral artery, but autonomic response testing (ART) instead revealed (to my surprise) an interference field in the right
third lumbar sympathetic ganglion.
Neural therapy (using the Tenscam device) resulted in significant relief
from the pain for three days.
On the next visit,
autonomic response testing revealed no interference field in the lumbar region,
but instead one in a surgical scar over the right ankle. Surgery had been
performed for a fracture four years earlier (probably a
contributor to the lumbar sympathetic ganglion interference field at the
previous visit). This time neural therapy resulted in 10 days relief and
considerable improvement in energy and well-being.
Unfortunately, from this point, the patient no longer
responded to neural therapy even though interference fields were found in
the right stellate ganglion, right femoral artery puncture site, right
acromio-clavicular joint and other locations. Her pain was increasing and she
was becoming increasingly depressed and discouraged. "Fading
response" is often an indicator of cell membrane instability.
The patient's general
health was therefore evaluated more carefully. Signs of dehydration, (cool hands and feet, lack of skin turgor),
light-headedness, alterations of serum electrolytes and BUN were detected. In December the patient was prescribed oral
electrolytes and other nutritional support.
After this treatment,
neural therapy of her lumbar sympathetic ganglion provided a few days relief
and her analgesic requirements dropped by 50%. This response was encouraging, but with repeat neural therapy treatments,
progress again stalled.
On the next visit, (in
February) autonomic response testing indicated a need for vitamin B12. (The patient had reported that vitamin B12
injections had helped her energy in the past.) In February a course of daily vitamin B12
injections was undertaken. Again - a
good response to neural therapy with decreased pain and increased energy and
sense of well-being.
However B12 did not
prove to be the answer. Responses to neural therapy again faded even though the
patient was feeling overall better.
In April, the question of hydration was revisited and
the blood chemistry was repeated. Almost
no improvement was detected clinically or in the serum markers of hydration.
Further questioning revealed that in the seniors' home where she lived, a "low salt policy" was in effect. No
salt was added in cooking and the use of salt at the table was discouraged.
This time, the
daughter bought her mother a large-hole saltshaker and coarse-grained whole sea
salt. The electrolyte regimen was resumed and within weeks her pain level
subsided significantly. And then repeat neural therapy treatments became
Interference fields are more than just local disturbances of
the body's electrophysiology. They may
also reflect the body's general electrical and
energetic health, i.e. they may act as "canaries
in the coal mine". Although neural
therapy may be effective in the short run, taking steps to improve the
patient's general health may be necessary for lasting benefits.
Next introductory neural therapy course on November 12th and 13th, 2010 in
Ottawa, Ontario, Canada. http://www.neuraltherapybook.com/NTcourses.php.
neural therapy course in Sydney, Australia March 9-11, 2011. For more
information contact George Stylian DO: 02 9524 4620, 0425 237 995 or
firstname.lastname@example.org; FAX: 02 9525 9998