Download - Biopuncture and Antihomotoxic treatment
-
8/20/2019 Biopuncture and Antihomotoxic treatment
1/65
1
© IAH 2008
Biopuncture and AntihomotoxicTreatment
The Extra Dimension of Local Injections
IAH Presentations Library
Biopuncture describes the use of biotherapeutics for injection in specific
spots or areas. These biotherapeutics stimulate natural healing in a direct
and efficient way because they are injected directly into the target area.This technique offers medical professionals new possibilities in their goal
to help their patients where other measures have failed or have produced
too many side effects.
These slides will inform physicians about the extra power of giving local
injections with antihomotoxic remedies.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
2/65
2
2© IAH 2008
History of Biopuncture
• 1991:
First use of the word “biopuncture” by Dr. Jan Kersschot on a
medical congress on sports medicine in Belgium to describe
injections with biotherapeutics
• 1995:
First book on biopuncture (Dutch)
• 1998:
First English book on biopuncture
(later available in Spanish and Russian)
• 2004:
Biopuncture in General Practice
• 2008:
Biopuncture and Sports Injuries (USA)
The use of injections of biotherapeutics was introduced in Germany more
than 50 years ago. Millions of ampules are injected worldwide every year.
Meanwhile, the use of biotherapeutic injections did not acquire a specificname in medicine until 1991, when the term “biopuncture” was introduced
during a medical congress in Belgium, organized by Bruno Van Brandt.
Kersschot J, Biopunctuur, Oostende (Belgium): Biomedical Therapy
Congress, November 17,1991.
As a result, Dr. Jan Kersschot is worldwide considered as the “father” of
biopuncture. Over the years, he further developed the use of
antihomotoxic remedies in injection form, by blending ideas and
techniques from for example neuraltherapy, mesotherapy, prolotherapy
and trigger point therapy.
Having a specific name to describe this technique gives it more exposure,
both for medical professionals as well as for patients. The books, lectures
and workshops worldwide have further promoted the use of antihomotoxic
injections.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
3/65
3
3© IAH 2008
Definition of biopuncture
• Biopuncture is 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.
Specific biotherapeutics
Each patient and each condition may need a specific product for healing.
For example: Gelsemium-Homaccord for neck pain radiating into the arm,Zeel for joint degeneration, Hepeel for liver drainage.
Indication or tissue related bodily zones or points
We inject into pain zones, reflex zones
We inject into pain points, trigger points
Clinical and functional diagnosis
-We use a Western diagnosis and conventional terminology
(not based on Chinese medicine nor a homeopathic diagnosis).
-We add specific questioning, clinical and functional testing to guide our decision making.
--Questioning: e.g., what makes your pain worse? How did it start?
--Clinical and functional testing: e.g., testing the strength of a particular
muscle, looking for pain points or trigger points, testing the range of
motion in a joint.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
4/65
4
4© IAH 2008
Extra dimension of injection
INJECTION = TURBO EFFECT:
• A. Direct effect on the tissues:
• Local effect of the medication
• B. Indirect reactions at a distance
• Segment therapy
• Trigger point injections
Why should we give injections?
A. Direct effect on the tissues: Traumeel injected in a muscle injury
influences the local muscle fibers immediately.We have direct influence on the matrix.
We have also a deeper tissue penetration than with an ointment (=
max 2cm).
B. -Jnjections under the skin in the stomach area will influence the
function of the stomach (= segmental reaction).
-Injections under the skin in the thorax will influence the function of the
bronchi (= segmental reaction).
-Injections in a trigger point in the quadriceps muscle can take away
pain in the knee.
-Injections in a trigger point in the gluteus minimus muscle can take
away pain in the lateral side of the leg.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
5/65
5
5© IAH 2008
What to inject?
Biotherapeutics are medical products that
• stimulate natural healing
• do not suppress the immunological response of the body
• do not interfere with the neural reflexes
• do not suppress pain
• do not suppress the local inflammatory response
The majority of products used in biopuncture are microdoses : we don’t
use ampules which only contain dilutions beyond Avogadro’s number.
The majority are antihomotoxic remedies.
Sodium chloride and dextrose may be added.
Other products may be added at the physicians own responsibility (e.g.,
local anesthetics), but are not considered as biopuncture in the strict
sense, but as supplementary tools which can improve the efficacy of
biopuncture.
In biopuncture, a lot of physicians add low concentrations of lidocaine or
procaine to make the injection less painful and to evoke an additional
effect on the neural system (as in neuraltherapy).In some cases, conventional medication such as tramadol or piroxicam
are added to avoid injections of corticosteroids or to avoid an operation.
This again is not biopuncture in the strict sense. Corticosteroids and
phenol are not used.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
6/65
6
6© IAH 2008
Differences between biopuncture and other
injection techniques (see also table next s lide)
• Difference with mesotherapy (MS):
• MS only injects superficially
• MS only injects locally
• Difference with homeosiniatry (HS):
• HS only injects in acupuncture points
• HS uses a Chinese diagnosis
• Difference with neuraltherapy (NT):
• NT uses only local anesthetics
• NT also injects into autonomic ganglia
Biopuncture describes the use of biotherapeutics for injection in specific
spots or areas.
These biotherapeutics are mainly injected in muscles, tendons and
ligaments as well as subcutaneously. Some techniques described in
biopuncture books, such as injections into joints and near peripheral
nerves are becoming less popular. They are not regarded as standard
treatment protocols any more.
In the beginning, biopuncture also allowed the use of acupuncture
injections, but since 2004 we leave the injections into acupuncture points
to “homeosiniatry”.
The next slide gives an overview.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
7/65
7
7© IAH 2008
x(x)Joint injections
x Autonomic ganglia (e.g., stellatum)
xxMuscle, ligament
xxxxSubcutaneous
x Acupuncture points
xxTrigger points
xxxLocal injections
xUndiluted medication, e.g., minerals and vitamins
xx(x)Local anesthetics
(x)(x)x Antihomotoxic medication
(x)(x)xMicrodose (>D23), complex homeopathicmedication
xHomeopathic single remedy (>D23)
NTHSMSBP
In mesotherapy (MT), they only inject superficially. Usually thesetechniques are used for esthetic medicine. Originally, mesotherapy usedconventional medication (Dr. Pistor) and not homeopathic products. Lateron, also natural products were used for subcutaneous injections. Thelatter is also described as homeo-mesotherapy or bio-mesotherapy.
In homeosiniatry (HS) according to Dr. de La Fuye, they usehomeopathics (originally only single remedies) on acupuncture points.Both homeopathy and Chinese Medicine (Siniatry) are used for diagnosisand treatment protocols. Later on, the description “homeosiniatry” has alsobeen used for injection of antihomotoxic remedies in acupuncture points.
Neuraltherapy (NT) only injects local anesthetics. They also inject intoorgans (e.g., prostate, thyroid) and into autonomic ganglia – the lattertechniques are never applied in biopuncture.
Prolotherapy injects mainly into ligaments and bands, not subcutaneouslyor in muscles. They also use phenol, a product which is not allowed inbiopuncture for safety reasons.
Trigger point injections (according to Travell) only describe injections oflocal anesthetics into myofascial trigger points (not subcutaneously, not inmuscle gellings or in ligament pain points).
-
8/20/2019 Biopuncture and Antihomotoxic treatment
8/65
8
8© IAH 2008
Frequency and needles
• Frequency:
• Injections are usually given once a week
• Needles:
• 0.3 x 13 mm 30G x ½"
• 0.4 x 20 mm 27G x 3/4"
• 0.4 x 40 mm 27G x 1 ½"
Frequency:
-When dealing with an acute situation (e.g., an acute sports injury),we can inject two or even three times a week (In most acute cases,
we need only between 1 and 3 sessions to have complete healing).
-When dealing with chronic problems, we start with weekly
sessions and can lower the frequency as soon as the patient gets
better (once every two weeks, once every four weeks). After about
six weekly sessions, we sometimes wait for about six weeks to see
how the clinical picture evolves before continuing the injections (the
6-6 rule)
Needles: as thin as possible
0.3 x 13 mm 30G x ½"
0.4 x 20 mm 27G x 3/4"
0.4 x 40 mm 27G x 1 ½"
0.5 x 40 mm 25G x 1 ½"
0.6 x 80 mm 23G x 3 1/8"
-
8/20/2019 Biopuncture and Antihomotoxic treatment
9/65
9
9© IAH 2008
Reaction after injection
• Sometimes there is an immediate improvement within a few
seconds (or minutes) after injection. But usually this doesn’t last.
That’s why we have to repeat the treatment (sometimes “layer
by layer”) until complete cure is established.
• When chronic or more complicated situations occur, the pain
may get worse the next day. Such a “reaction phase” usually
occurs within the first 24 hours after the injection and subsides
by itself. It’s important to warn the patient about such a reaction
phase.
• Sometimes there can also be complications or side effects (next
slide).
Sometimes there is an exacerbation of symptoms. The latter means that
the patient may actually have more pain, especially the day after the
injection. This is not a side effect or a complication, but a sign that thebody is responding. In biopuncture, this is known as the reaction phase.
Sometimes the pain shifts to another area during a reaction phase, and
such reactions are also considered as positive reactions. Usually it means
that the body is responding through changes in the posture due to
alterations in the muscular tensions in the area. These issues should be
discussed with the patient after each session.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
10/65
10
10© IAH 2008
Technical complications
• Local complications include
• allergic reactions, itching or skin rash
• hematomas (superficial or deep)
• swelling of the injected area or local stiffness
• infections after injection
• Damage to organs can occur after accidental injections in the
pleura, kidney, liver, etc.
• Accidental injections into important blood vessels, peripheral
nerves or into central nervous system (epidural space)
Temporary discomfort at the point of the injection is quite common.
Prolonged reactions with stiffness and soreness are observed in some
cases, as well as painful hematomas under the skin or in the injectedmuscle - especially when using thick needles. This is particularly liable to
occur in those on steroids/anticoagulants and in the elderly.
Local complications include allergic reactions, skin rash, hematomas,
swelling of the injected area, or local stiffness.
Infections after injection are avoided by using sterile injection techniques.
Damage to organs can occur after accidental injections in the pleura,
kidney, liver, etc. These complications can occur when dealing with
enlarged organs (spleen, liver), anatomical variations or when dealing with
patients that make unexpected movements during injection.
Accidental injections into blood vessels, peripheral nerves or the epidural
space.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
11/65
11
11© IAH 2008
Prevention of complications
• By competent clinical examination
• By detailed knowledge of local anatomy
• By injecting with respect to anatomic limits and/or by using
radiological control (before or during injection)
• By taking the thinnest needle possible
• By using safe injection techniques (by starting with the safest
techniques first)
• By using sterile injection techniques
• By using safe products
-
8/20/2019 Biopuncture and Antihomotoxic treatment
12/65
12
12© IAH 2008
Contraindications
• An uncooperative patient/psychiatric patient
• A patient who doesn’t understand the strategy
• Fear of the procedure or needle phobia
• Patient is in a very bad (unstable) medical condition
• Neoplastic lesions in the area
• Anatomic deformations in the area
• Acute non-reduced subluxations, dislocations, or fractures
• Bleeding diathesis secondary to disease or anticoagulants
• Allergy to injectable solutions or their ingredients
• Allergy/hypersensitivity to botanicals like arnica (e.g., Traumeel, Zeel)
• Allergy/hypersensitivity to botanicals like echinacea (e.g., Traumeel)
• Allergy to local anesthetics (e.g. procaine, lidocaine)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
13/65
13
13© IAH 2008
Sharing information on biopuncture
• Sharing information between doctor and patient:
Every patient should receive a biopuncture pamphlet.
• Sharing information between doctors:
Biopuncture forum, biopuncture training, biopuncture books,
biopuncture lectures
-
8/20/2019 Biopuncture and Antihomotoxic treatment
14/65
14
14© IAH 2008
Biopuncture strategy
• Part 1. Local strategy for musculoskeletal complaints
• Part 2. Local strategy for functional complaints
• Part 3. General approach of the patient
We will now discuss three subjects:
Part 1. Local strategy for musculoskeletal complaints: here we will discusshow we treat musculoskeletal problems by giving local injections into for
example muscles, tendons and ligaments.
Part 2. Local strategy for functional complaints: here we will discuss how
we treat functional complaints (e.g., asthma, gastritis, bronchitis) by giving
local injections into the segment of the organ; these injections are usually
given subcutaneously.
Part 3. General approach of the patient: this means that in some cases wedon’t attack the symptoms (as in part 1 and 2) but we have to treat the
general condition of the patient (terrain treatment). This may include a
detox program with injections, a drainage with injections and a regulation
of the hormonal system with injections. The general treatment is especially
important in chronic and complicated situations.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
15/65
15
15© IAH 2008
Part 1. Strategy for musculoskeletal complaints
• Four phases
• Four injection techniques
As an overview, we can say that there are four different phases and four
different injection techniques available in biopuncture to treat orthopedic
complaints.
This overview is a way to illustrate the possible approaches in
biopuncture. This table is not written in stone. Each physician will distillate
his or her own favorite approaches, adapted to the clinical situation.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
16/65
16
16© IAH 2008
Strategy for musculoskeletal complaints: 4 phases
• Phase 1: Lymphomyosot
• Phase 2: Traumeel
• Phase 3: Spascupreel, Colocynthis-Homaccord,
Ferrum-Homaccord, Gelsemium-Homaccord,..
• Phase 4: Zeel, Discus compositum,
Coenzyme compositum
There are four phases when we approach the patient. Theoretically, theseshould be followed step by step, but in some cases we can skip the firstphase and/or combine one or two phases (e.g., Phase 1+2 or phase 1+3).
Phase 1: Lymphomyosot is injected to stimulate local blood circulation andto support local lymphatic drainage. This phase is especially importantwhen dealing with sensitive patients. It is also a good preparation beforegiving more specific remedies.
Phase 2: Traumeel injections to regulate local inflammation throughimmunomodulation.
Phase 3: Here we will inject more specific remedies, which match thesymptomatology of the patient. When there is muscle spasm we give e.g.,Spascupreel. All the Homaccords belong to phase three (e.g.,Colocynthis-Homaccord, Ferrum-Homaccord, Gelsemium-Homaccord).
Phase 4: Here we use products which are designed for cellular support ororgan support. These are e.g., Zeel and all the compositae like e.g.,Discus compositum and Coenzyme compositum.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
17/65
17
17© IAH 2008
Strategy for musculoskeletal complaints:
4 techniques
• A. SC (segment therapy)
• B. IM (myofascial therapy)
• C. Tendon/tendon sheath/bursa
• D. Ligament/enthesopathy/periost
There are four major techniques when we approach the patient.
Theoretically, these should be followed step by step, but in some
cases we can skip the first phases and go to the target tissueimmediately. We can also combine one or two different techniques in
one session if necessary.
A. The subcutaneous injection is the easiest one, and works through the
local reflexes, as in mesotherapy (segmental therapy). It’s interesting
for physicians who don’t have much experience with injections yet.
B. Intramuscular injections are given when the muscles are involved.
C. Injections around tendons, into tendon sheaths or into bursae are given
when these soft tissues are related to the clinical picture.
D. Injections into ligaments, into enthesopathies or to the bone (into the
periost) are given when these tissues are related to the clinical picture.
These injections are more aggressive and more painful, but can be
interesting in difficult and chronic cases. We usually add hypertonic
sugar to the antihomotoxic remedies for these injections.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
18/65
18
18© IAH 2008
Overview:
16 ways to approach the patient
D4D3D2D1D.Ligament
C4C3C2C1C.Tendon
B4B3B2B1B.IM
A4 A3 A2 A1 A.SC
4. Cellular
Compositae
3. Symptomatic
e.g., Homaccords
2. Modulation
Traumeel
1. Drainage
Lymphomyosot
When we combine the four phases (1,2,3,4) with the four techniques
(A,B,C,D), we have sixteen possibilities of approaching the patient.
The more we use an approach in the left higher corner (e.g., A1), the more
gentle the technique (less painful, less side effects, less reaction phase,
easy to perform). These are interesting for patients who are very sensitive
(they had previously serious reactions after other treatments or they show
a jump sign during examination).
The more our approach is in the right lower corner (e.g., D4), the more
aggressive the technique. The results will be quicker, but we see more
reaction phases after the treatment (e.g., pain worse the next day).
-
8/20/2019 Biopuncture and Antihomotoxic treatment
19/65
19
19© IAH 2008
A. SC (segment therapy)
• Subcutaneous injections are given when deeper injections are
not possible.
• Target tissue can’t be reached.
• Injection into the target would be too painful.
• Injection into the target would be too dangerous.
• They are easy and safe to give.
• And can be very effective in acute and uncomplicated disorders.
• They are also used to prepare the area for more advanced
techniques.
Subcutaneous injections are given when we want to influence deeper
layers underneath, for example:
the cutaneo-muscular reflexes to influence deeper muscular layersunderneath without giving injections in those muscles themselves
the cutaneo-articular reflexes to influence joints underneath without giving
injections in those joints themselves
-
8/20/2019 Biopuncture and Antihomotoxic treatment
20/65
20
20© IAH 2008
Injection technique.
Pincer palpation
Always use
“Pincer palpation”:
you lift the skin with your left hand
while you inject with your right hand
• Less painful during injection
• Safer (no injection in deep
organs)
Volume: about 0,1 – 0,5 ml at each spot
-Injections depth: subcutaneously
Keep your fingers away from the needle to prevent injecting your own
fingers.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
21/65
21
21© IAH 2008
SC injections shoulder
SC = subcutaneous
This is an example of four subcutaneous injections in the shoulder area for
a patient where the reason for the pain was not clear. By giving theseinjections we can evoke a natural healing through the segmental reactions
of our subcutaneous injections.
Sometimes a few sessions on a weekly basis can be enough to have
complete healing. Sometimes we will have to give deeper injections (e.g.,
in the ligaments or the muscles of the shoulder) in order to have complete
healing. But even then, the local SC injections were a good preparation for
the deeper injections.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
22/65
22
22© IAH 2008
Local subcutaneous injections for tennis elbow
This is an example of four subcutaneous injections in the elbow area for a
patient who was afraid of deep injections. By giving these superficial
injections we can evoke a natural healing through the segmentalreactions.
Sometimes a few sessions on a weekly basis can be enough to have
complete healing. Sometimes we will have to give deeper injections (eg in
the ligaments of the elbow or the muscles of the arm) in order to have
complete healing.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
23/65
23
23© IAH 2008
B. IM (myofascial therapy)
Clinical picture muscle factor (M-factor):
• Pain (not obligatory: only if “active” zone)
• Local pain
• Referred pain (= trigger point)
• Weakness!
• Restriction of movement
M-factor = every patient where the main problem is muscular (even when
other doctors said it was related to osteoarthritis, a hernia, or
psychogenic)
Biopuncturists think about muscles when
there was an overuse before the symptoms came up
there is loss of power in the area
there is restriction of movement because some muscle fibers are
tighter and shorter (continuous contraction)
Patients with muscle-based symptoms often show relief while in
movement and when the area is heated
Muscular pain does not show on X-rays or scans, so:
Look for it during clinical examination
-
8/20/2019 Biopuncture and Antihomotoxic treatment
24/65
24
24© IAH 2008
Muscle tissue infiltration
Always use “Pincer palpation”:
• Less painful during injection (gate control)
• Safer (no injection deeper than our own finger tips to avoid
injection in e.g., underlying organs)
We always useWe always use “ Pincer palpationPincer palpation”:
This means that we take the muscle between our thumb and secondfinger and grasp it while lifting it
As a result, the injection is
1.1. less painful (gate control: the thick nerveless painful (gate control: the thick nerve fibersfibers inhibit the thin nerveinhibit the thin nerve
fibersfibers))
2. safer (no injection deeper than our own finger tips to avoid2. safer (no injection deeper than our own finger tips to avoid injection ininjection in
e.g. underlying organs)e.g. underlying organs)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
25/65
25
25© IAH 2008
Muscle tissue infil tration technique
• Volume: about 0,5 - 2 ml at each spot
(about 5 to 10 ml can be injected during each session)
• Injections: at a depth of about 1 to 4 cm
(up to 8 cm for the gluteus/piriformis)
• We inject several layers in one injection (retrograde infiltration
technique)
• Frequency: usually once a week
You can give several injections at several depths in the area
You penetrate until the deepest point in the muscle
Then you continue to inject while withdrawing the needle
So you inject different layers with one needle penetration
You also avoid to give all the liquid into a vessel
In BP we call this the “retrograde infiltration technique ”
-
8/20/2019 Biopuncture and Antihomotoxic treatment
26/65
26
26© IAH 2008
Reaction after IM injections
• Reaction phase
• Pain is worse the day after (usually within first 24 hrs)
• Muscular shift
• Pain shifts to another area because the muscle chains are
adapting
• Organ regulation
• IM injections also have a segmental effect (see later)
• Change in posture
• Adaptation of the agonists and antagonists also leads to
change in posture
Reaction phase
Pain may be worse the day after the injections (usually within first
24 hrs, more likely after the first injection).
Muscular shift
The patient thinks that the pain is only moving to another placewhile in fact healing is on its way, but the pain shifts to another areabecause the muscle chains are adapting after the biopuncturetreatment.
Organ regulation
IM injections also have a segmental effect (see later). For example,
injections in the dorsal paravertebral muscle may influence healingof stomach problems.
Change in posture
If one muscle relaxes (e.g, biceps), other muscles in the area (e.g.,triceps) have to adapt as well. Even muscles in the neck may haveto adapt to the new situation. Sometimes the treatment of chronicmuscle tensions leads to change in posture.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
27/65
27
27© IAH 2008
Four types of IM injections:
• MPZ injections: intramuscular (IM) injections in the pain zone
• MPP injections: intramuscular (IM) injections in myofascial pain
points
• MG injections: intramuscular (IM) injections in muscle gellings
(myogeloses)
• MTP injections: intramuscular (IM) injections in myofascial
trigger points
MPZ injections: intramuscular (IM) injections in the pain zone
You inject IM in the area where the patient says he or she experiences the
pain (PZ = pain zone) or you inject in those muscles who show weaknessor higher muscular tension.
MPP injections: intramuscular (IM) injections in myofascial pain points
You inject IM in the points you find are painful in those muscles who are
painful, show weakness or show a higher muscular tension.
MG injections: intramuscular (IM) injections in muscle gellings
(myogeloses)
You inject IM in the muscle gellings you find during clinical examination.
MTP injections: intramuscular (IM) injections in myofascial trigger points
You inject IM in the myofascial trigger points (at a distance from the pain
zone) you find during clinical examination.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
28/65
28
28© IAH 2008
B1. MPZ injections:
intramuscular in the pain zone
• MPZ = Intramuscular injections in the pain zone (PZ)
• The physician simply injects the muscles in the area that the
patient has indicated as being the painful zone
• Needling technique: at random (as in mesotherapy), but deeper
(into the muscle tissues instead of SC)
MPZ injections: intramuscular (IM) injections in the pain zone
You inject IM in the area where the patient says he or she experiences the
pain (PZ = pain zone) or you inject in those muscles who show weaknessor higher muscular tension.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
29/65
29
29© IAH 2008
6 MPZ injections low back
in: Musculus Erector Spinae, left and right
fig 33 p. 91 in “Biopuncture in General Practice”
-
8/20/2019 Biopuncture and Antihomotoxic treatment
30/65
30
30© IAH 2008
B2. MPP injections: intramuscular injections in
myofascial pain points
• MPP:
• Spots YOU FIND in the pain zone
• show an extra sensitivity on compression
• The patient indicates that particular muscle area as unpleasant
when you put pressure on it (see next slide)
MPP injections: intramuscular (IM) injections in myofascial pain points
You inject IM in the points you find to be painful in those muscles who are
painful, show weakness or show a higher muscular tension.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
31/65
31
31© IAH 2008
You look for PPs with your hands in the patient’s
PZ (pain zone)
• While you examine:
• You look for hard parts
within the injured muscle.
• You check when the
patient has sensations of
pain or discomfort.
• A. Feel his body move
away
• B. by making grimaces
• C. by screaming
• D. by moving other body
parts.
PP = Pain point (you find with finger pressure)
PZ = Pain zone: the zone or area where the patient has the pain
PPs = Pain points you can find during clinical examination
MPPs = Muscular Pain points
The patient indicates MPPs as painful on digital compression:
A. By trying to move away from the digital pressure = jump
sign,
B. by making grimaces (check facial expression!),
C. by saying “au!” (listen to the patient’s sounds he makes!),
D. by moving other body parts (sometimes very obvious,sometimes only subtle movements).
-
8/20/2019 Biopuncture and Antihomotoxic treatment
32/65
32
32© IAH 2008
B3. MG injections:
intramuscular (IM) injections in muscle gellings
Muscle gellings
• = Hardened parts in muscles = Myogeloses
• Can be felt :
• taken between 2 fingers
• by snapping palpation
• Sometimes painful by palpation
• Unpleasant feeling when identified!
• Sometimes rope-like bands
• Need many treatments with BP (chronic: years)
Sometimes we find hardened areas in muscles. They are like strings or
nodules and are referred to as "myogeloses" or muscle gellings (MGs).
They are not always painful, but they are related to chronic muscletensions, for example in the calf muscles (e.g., runners) or in the piriformis
muscle (car racers).
MG injections: intramuscular (IM) injections in muscle gellings
(myogeloses)
You inject IM in the muscle gellings you find during clinical examination.
Sometimes we can take them between two fingers (see next slide).
-
8/20/2019 Biopuncture and Antihomotoxic treatment
33/65
33
33© IAH 2008
Rope-like bands (MGs)
• MG in dorsal back
• Disturbed muscle chains
• Low(!) back pain
-
8/20/2019 Biopuncture and Antihomotoxic treatment
34/65
34
34© IAH 2008
B4. MTP injections:
IM injections in myofascial trigger points
MTP injections =
• Intramuscular injections in the trigger points that you find during
clinical examination
• But outside the actual pain zone!
• The patient indicates MTPs as painful on digital compression
and by pulling away (= jump sign)
• Active MTPs also give referred pain
The latter means the injection is given at a distance from the pain
zone!
MTP injections: intramuscular (IM) injections in myofascial trigger points.
You inject IM in the myofascial trigger points (at a distance from the pain
zone) you find during clinical examination.
These MTPs are based on the books of Travell and Simons.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
35/65
35
35© IAH 2008
Headache from superficial MTPs in trapezius
muscles
-
8/20/2019 Biopuncture and Antihomotoxic treatment
36/65
36
36© IAH 2008
Referred pain from deep myofascial trigger points
in the hip area
• Pain in the leg: from MTP in Glut min
-
8/20/2019 Biopuncture and Antihomotoxic treatment
37/65
37
37© IAH 2008
Looking for MTPs in thigh muscles (adductor
magnus) for patient with pain in the groin
-
8/20/2019 Biopuncture and Antihomotoxic treatment
38/65
38
38© IAH 2008
Looking for MTPs in quadriceps for patient with
pain in the knee
-
8/20/2019 Biopuncture and Antihomotoxic treatment
39/65
39
39© IAH 2008
C. Tendon/tendon sheath/bursa
• Tendons are bands of fibrous tissue that connect muscle to
bone
• Tendonosis/tenosynovitis/bursitis
• Repetitive strain on tendon/tendon sheath
• Related to muscle overuse
-
8/20/2019 Biopuncture and Antihomotoxic treatment
40/65
40
40© IAH 2008
D. Ligament/enthesopathy/periost
• Ligament injections
(also: bands, fascia, joint capsules)
• Injections in the enthesopathy
• Injections in the periost
We will mainly discuss the ligament injuries.
Injections in the enthesopathy and in the periost will not be discussed.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
41/65
41
41© IAH 2008
Ligament injuries
• A. Sensory nerve endings irritated
• B. Ligamentous tissue damage
• Poor blood supply to ligaments
slow healing (may become chronic!)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
42/65
42
42© IAH 2008
Clinical picture of the ligament factor
(in biopuncture: “L-factor”)
A. Pain
• A1. Local pain (LPP)
• A2. Referred pain (LTP)
B. Joint instability
• B1. Clicking sound
• B2. Degenerative changes (if chronic)
L-factor = every patient whose main problem is a ligament (even when
other doctors said it was related to osteoarthristis, a hernia, or
psychogenic)
Biopuncturists think about ligaments when
there was an accident or trauma
there is nerve-like pain
Patients with ligament based symptoms often show relief while in
movement and when applying ice
Ligamentous pain does not show on X-rays or scans, so:
Look for them during clinical examination.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
43/65
43
43© IAH 2008
Two types: LPPs and LTPs
• Ligament injections in LPPS
• e.g., LPP in ankle ligament
ankle swelling and local pain
• e.g., LPP in acromio-clavicular ligament
pain in shoulder
• Ligament injections in LTPS (also referred pain!)
• e.g., LTP in nuchal ligament
neck pain/headache
•e.g., LTP in iliolumbar ligament pseudo-sciatic pain
-
8/20/2019 Biopuncture and Antihomotoxic treatment
44/65
44
44© IAH 2008
Part 2. Strategy for functional complaints
• Strategy for functional complaints
-
8/20/2019 Biopuncture and Antihomotoxic treatment
45/65
45
45© IAH 2008
Reflex zone injections (RZ):
• This is referrred to as SEGMENT THERAPY
• These injections have no direct contact with the target organ
These injections are given:
• A. Subcutaneously (SC)
• They work through the viscero-cutaneous reflexes
• B. Intramuscularly (IM)
• They work through somato-visceral reflexes
-
8/20/2019 Biopuncture and Antihomotoxic treatment
46/65
46
46© IAH 2008
Overview
B4B3B2B1B.IM
A4 A3 A2 A1 A.SC
4. Cellular/OrganCompositae
3. Symptomatice.g., Homaccords
2. Modulation
Traumeel
1. Drainage
Lymphomyosot
Four phases
Phase 1: Lymphomyosot
Phase 2: Traumeel
Phase 3: Homaccords, Hepeel, Engystol
Phase 4: Coenzyme compositum or more specific compositae
Two techniques
A. Subcutaneous injections (= most common technique for segment
therapy)
B. Intramuscular injections (usually in the paravertebral muscles)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
47/65
47
47© IAH 2008
Asthma/bronchitis
• Phase 1: Lymphomyosot
• Phase 2: Traumeel
• Phase 3: Drosera-Homaccord, Engystol or Ignatia-Homaccord
• Phase 4: Echinacea compositum or Coenzyme compositum
• Where?
• SC: Front (sternal side)/back (dorsal side)
• IM: in the paravertebral back muscles (dorsal level)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
48/65
48
48© IAH 2008
Fig: asthma or bronchitis
(anterior and posterior)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
49/65
49
49© IAH 2008
Tracheitis/Bronchitis
• Day after: a lot of sputum
(expectoration)
• = reaction phase
• = good reaction
• You have to tell your patient in
advance!
• And always give a BP
pamphlet to each patient.
-
8/20/2019 Biopuncture and Antihomotoxic treatment
50/65
50
50© IAH 2008
Functional disorders of stomach
• Phase 1: Lymphomyosot
• Phase 2: Traumeel
• Phase 3: Nux vomica-
Homaccord
• Phase 4: Coenzyme
compositum
• Where?
• SC: Front/back (dorsal
side: midline T2 - T9)• IM: in the paravertebral
back muscles (dorsal level)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
51/65
51
51© IAH 2008
Functional disorders of the intestinal tract
(ileum/colon)
• Phase 1: Lymphomyosot
• Phase 2: Traumeel
• Phase 3: Colocynthis-Homaccord, Spascupreel
Nux vomica-Homaccord or Veratrum-Homaccord
• Phase 4: Coenzyme compositum or Podophyllum compositum
• Where?
• SC: Front + back (dorsolumbar side: midline)
• IM: in the paravertebral back muscles (dorsolumbar level)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
52/65
52
52© IAH 2008
Fig: RZ (reflexzone)
Ileum SC colon SC
-
8/20/2019 Biopuncture and Antihomotoxic treatment
53/65
53
53© IAH 2008
IM reflex injections for ileum/colon
Segment therapy:
• One can give injections with the same remedies (Spascupreel,
Nux vomica-Homaccord)
• into the paravertebral musculature
e.g., on the lumbar level on both sides:
-
8/20/2019 Biopuncture and Antihomotoxic treatment
54/65
54
54© IAH 2008
Functional disorders of pelvis
• Phase 1: Lymphomyosot
• Phase 2: Traumeel
• Phase 3: Berberis-Homaccord,
Sabal-Homaccord,
Hormeel
• Phase 4: Solidago compositum,Testis compositum,
Ovarium compositum or
Coenzyme compositum
• Where?
• SC: front/back (dorsal side:
sacral midline)
• IM: in the buttock muscles
-
8/20/2019 Biopuncture and Antihomotoxic treatment
55/65
55
55© IAH 2008
Part 3. General approach using biopuncture
• 1. Drainage:
Lymphomyosot for lymphatic detoxification
• 2. Detoxification:
Hepeel (Hepar compositum) for liver
Berberis-Homaccord (Solidago compositum) for kidneys
• 3. Bioregulation of the hormonal system:
Hormeel (Ovarium compositum or Testis compositum)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
56/65
56
56© IAH 2008
1. Drainage
Lymphomyosot for lymphatic detoxification
Where?
• Submandibular area (Waldeyer)
• Thoracic area (reflex zone of thymus/bronchi)
• Epigastric area (liver/pancreas/gastric area)
• Abdominal area (reflex zone ileum/colon)
• Pelvic area (reflex zone bladder/genitals)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
57/65
57
57© IAH 2008
Drainage of lymphatic system
Standard treatment with biopuncture:
• Airways (BALT): reflex points thorax front/back side (air
pollution, smoking)
• Liver/stomach/colon: reflex points front/back side (pollution of
food and medication)
• Ileum (GALT): reflex points front/back side also
immunomodulation
-
8/20/2019 Biopuncture and Antihomotoxic treatment
58/65
58
58© IAH 2008
Drainage of lymphatic system
• After mononucleosis
• Chronic intoxication
• Air pollution (airways)
• Food, medication (liver, intestinal tract)
• As a major detoxification for any chronic disease, such as:
• Migraine
• Chronic fatigue
• Allergy
• Multiple pathology
-
8/20/2019 Biopuncture and Antihomotoxic treatment
59/65
59
59© IAH 2008
2. Detoxification
• 2A. Hepeel (Hepar compositum) for liver
• 2B. Berberis-Homaccord (Solidago compositum) for kidneys
-
8/20/2019 Biopuncture and Antihomotoxic treatment
60/65
60
60© IAH 2008
Detoxification of the liver
• What?
• Hepeel (first choice remedy)
• Hepar compositum (chronic, tissue damage)
• Where?
• SC: Front + back
• IM: in the paravertebral back muscles
(dorsal level)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
61/65
61
61© IAH 2008
Liver detoxification:
Reflex therapy by us ing SC injections in liver area
-
8/20/2019 Biopuncture and Antihomotoxic treatment
62/65
62
62© IAH 2008
Detoxification of the kidneys/ureter/bladder
• What?
• Berberis-Homaccord (first choice remedy)
• Solidago compositum (chronic, tissue damage)
• Where?
• SC: Front + back
• IM: in the paravertebral back muscles (dorsolumbar level)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
63/65
63
63© IAH 2008
Kidney detoxification: reflex therapy by using
SC injections in kidney areas
-
8/20/2019 Biopuncture and Antihomotoxic treatment
64/65
64
64© IAH 2008
3. Bioregulation hormonal system:
• Hormeel or Ovarium compositum
• To treat all symptoms which are related to the female
cycle/hormonal system
• E.g., Hormonal migraine injections into the reflex zone of the
ovaries (next slide)
-
8/20/2019 Biopuncture and Antihomotoxic treatment
65/65
65© IAH 2008
Reflex zone of ovaria: give two or three SC
injections on each side in the fossa iliaca