Archive for the ‘Chronic Pain’ category

How We (or is it just me?) Think

January 10, 2016

Two cases I want to share with you so that you can get an idea where it is I am now in the development/training in becoming an Osteopathic Thinker.  I am hoping that I am not the only doctor to think this way.  I am in my fifteenth year, so any new young DOs hoping to achieve near miraculous instantaneous results, you cannot think like a conventional doctor!  If this helps you to get there faster, great.  Keep digging on!

Several weeks ago I saw a new complicated but rather easy case.  I was really excited to help her figure out the puzzle of her.  She flew in from out of state to visit family and her family wanted me to consult her.  She has been having hip pain which is affecting her gait for the last year.  In the last several months her her right shoulder has been acting up.  Orthopedic doctors evaluated and recommended pain pills and a conservative watch and wait approach.  Two years ago, she had a partial right kidney resection for cancer.  She was born with wacky kidneys.  The left kidney is small.  The right kidney was a “superkidney.”  Her kidney doctors explained that the right kidney was compensating for the sluggish little left one.  I thought that explains the cancer.  All her life, the big one has been trained to overwork; it became so used to that pace of overworking that it tried to grow more kidney. The surgery completely threw her out of balance.  It yanked her left hip high (what i call the intubated left hip) and got it stuck.  So for the last year she has been walking around on imbalanced hips.  Her posture was also affected by the intubation.  So she has been bearing her weightload inefficiently forward and on the right for two years.  Now, her shoulder is becoming unhappy.  You can read about consequences of the intubated neck and left hip in my book, Osteopathy for Children, for a more detailed explanation.  I treated her and after an hour, she got up and walked looser, lighter and freer.  They were very impressed.  I wasn’t.  I have been doing this for years.  I do tell new patients that by the time they walk out of their first visit, they will know whether they want to come back or not.

During the visit, I surmised that the kidneys were disrupted in their development.  I suggested that her mother must have fallen when she was pregnant with her and did not know it, about 1 month, 4 weeks gestation.  The next day, she called me and her mother confirmed that that was the case.  She was thrown off a horse before she even knew she was pregnant. With this information confirmed, her kidneys can be saved.  I gave her names of several DOs in her area.  I hope her new doctor uses this info as I would.

The other patient is new by a few days but fortunately her mother came with her.  She has a large 8 cm ovarian cyst that the doctors insist must be removed.  Two years ago, she had surgery to the same side to remove a smaller cyst.  They told her that it was an easy procedure, that she would be up and about in 1 week (probably because she is young).  She said it took her two months to get out of bed. She was also born with a smaller left ovary and that the right ovary was perhaps overcompensating for the left.  I asked the mother if she fell when she was pregnant with her.  The answer is yes.  At 7 months, she slipped down two steps and fell on her belly.

Do you recognize the conventional approach pattern here?  She had a horrible recovery for a smaller cyst.  Don’t you think she’s going to keep making cysts?  They will cut each time after the fact and load her up with birth control to try to regulate and prevent their formation.  Isn’t that insane?  I like our approach better.  Get the truama out of the body.  How about that?

I hope that these two cases, however dissimilar, have demonstrated to you the common link of traumatic causation in one’s formation.  All your medical problems, from an osteopathic standpoint are connected and linked to events that have happened to your physical body.  Once you are tired of being sliced and diced and picked apart by the conventional medical system and you are ready to hear something else that can explain how you became you, that is the first step on the path to healing.

 

Heavy Legs II

January 10, 2016

Ok guys, hold on.  This one is gonna be a long one.

It seems that by far, human beings suffer from this the most and conventional medicine has been unable to address it to the satisfaction of the sufferers.

Once again, the reason you suffer the heavy legs syndrome is there is stiffness and tension in the deep muscles of the pelvis.  In anatomy 101 in medical school, we call this the “pelvic bowl.”  Just think of the walls of this bowl lined with muscles.  Because of a recent or past injury in adulthood, this bowl is distorted.  The muscular tensions are out of balance.  There will be a tighter side that, for most of the time, you will not be aware.  It is stiffer and is the apparent “stronger” side.  Most patients will complain of the other side.  This tends to be the side that is “looser” and “weaker.”   The chronic problem side is really the squeaky wheel that is hoping to get the oil.  It is freer, so it is doing all the work of supporting your truncal weight load, moving you forward in space against the downward drag of gravity.  That is a lot of work!  Over time, it becomes overworked; You go to the doctor and the xray is negative or maybe the cartilage looks worn and you are told that it is arthritis from age and “wear and tear.”  There is not very much to be done.  You are offered a pain pill or a cartilage supplement.

Finally, age and more trauma take a toll.  It hurts to move and so you are less likely to move.  But you have to eat and some of you really want to eat (in an attempt to self treat and stretch) and so you gain weight.  More weight distorts the pelvic imbalance.  Then it is all downhill from here.  Now, picture your guts and intestines plopped in this bowl.  For the women, imagine your reproductive organs in the mix.  All those imbalanced tensions begin pulling here and there on your insides.  It is an unusual patient who does not have bowel problems with those heavy legs.

On your slow heavy walk towards death (hey, aren’t we all heading there?), maybe you start to have problems regulating your salt and water balance.  Your hands may, but mostly your feet start to swell.  Then it gets really bad.  At this point, it doesn’t matter what changes you make to diet and exercise, you are King Sysiphus daily rolling that stone uphill, getting near the top, only to have in roll back down.

In a prior comment, someone suggested that in addition to confirming your suffering, I should help provide answers for what you can do for yourself.  I responded, “??<*&X#$%&, huh?”  How can I guide you safely, in a matter of a few paragraphs, to treat all your old past accumulated injuries?  It cannot be done.

I have found that patients who are open-minded, willing to learn and still seeking are willing to read my book, Osteopathy for Children, available on Amazon.com.  This cheap easy to read, digestable book will help you understand my thinking on the mechanical human body.   Why should you read a book about treatment for children?  ….because it is a primer, Book One, on the philosophy of how we think about treating the human body and undoing all past old injuries.  At the end of the book, I give away a few of my newest and safest exercises for you to free yourself up, somewhat.  Book Three is actually the book you want.  I intend for it to be a big gigantic encyclopedia of how to treat yourself with specific exercises.   But I cannot do it on my own.  The demand would have to be there to make it worthwhile for the publisher to invest their time on it.

In short, you can relieve a little bit of that heaviness by treating the pelvis. It is in the book.  You also need to read the section on pillows and neck exercises.  If we correct the tensions from above to help you be more “plumb” and in line with your posture, those pelvic exercises will be easier and relief more apparent.  Good luck.

New Book & Rethinking Reviews

November 25, 2015

Hello all,

My new book below, Osteopathy for Children, is now officially available on Amazon.  My publishers would like to thank you ahead of time for your 5 star review of my book that you will post here at http://www.amazon.com/Osteopathy-Children-Holistic-Treatments-Developing/dp/1578266157/

So far the direct feedback I have been given are appreciated.  Please feel free to comment however you wish.  For whatever you have to say, my feeling is that either extremes make the review more “real.”

For instance, when I read Yelp reviews and I see over 50 reviews of someone, and they are all perfect, I want to “call it BS.”  Of course they were prompted to do it, so it is all fake.  I have read my own reviews and applied my contrarian views to myself.  I have been advised several times to respond to the “bad” reviews because the professionals have told me that it really affects people’s decisions.  I have read other doctors responses to bad reviews and it seems like it is too much for me.

  1. if I have time to address every bad review, then I must be a not so good doctor because I am trying to reel in more patients; even the ones who can’t find the balance between the good and the bad.
  2. I really do not have time because I am too booked seeing patients.
  3. I could farm out the responses, but then it would not be me and that would really be fake.
  4. My worst review and my best were written without my being aware of them:
    1. the worst – people will just have to read between the lines to get a sense of the person writing it; it was a frustrating relationship for me too.
    2. the best – Thanks Hillary! seems to me so genuine because it is and because I did not even think to ask.  Man, what a compliment, I never thought was MIT material.

osteo8

Villain #2

August 19, 2013

All right…here it is…after discovering The Intubated Head and Neck Syndrome as a huge contributing factor in human disease, pain and suffering, I have decided that I found the second most villainest villain in all the history of villainy to be… the…dentist…

Most doctors studying the development of the head and neck focus on the first 3 cervical vertebrae because their structure are significantly different for different functions. These neck bones form from different parts. As they mature, these parts fuse to form permanent solid adult bony structure. On average, stages of fusion occur at 3, 5 and 7 years of age…The dental associations now have a pediatric dental subspecialty. Pediatric dentists say that children should start their first dental exam at around 3 years of age. Supposing their primary teeth are rotted out because of milk bottle caries, it is so bad that they want/have to do baby root canals and other procedures…So these kids are anesthetized, their heads and necks are positioned for ease and convienence of the dentist to access and yank, tug, drill, etc. Their undeveloped brain and spinal cord, once they wake up, are now reset to a hyperextended head and neck position as being “normal.” They grow up not knowing any different. Until they age, have sports injuries, head injuries, get into car accidents, have babies and one day the wake up with a migraine, or have symptoms of a herniated disc. Then they have chronic pain for which the CMS prescribe meds, injections or surgeries. If they seek nonmeds, nonconventional options they have massage, deep tissue massage, chiropractic, acupuncture, PT, other types of “bodyworkers” whose imprecise hands at best help the injuries peripherally and at worst, imparts additional force and strain. it is unfortunate but the conventional medical system does not take into account all these procedures as injuries loaded onto and straining a system. even worse still, osteopathic medical education does not teach us this either. i had to come to this understanding on my own 13 years after becoming a pediatrician. In effect, these injuries are permanently embedded because no one in the world recognizes them as such. Even now that i am shouting out to the world the insidious pernicious dangers, the public may take heed, but to find an osteopathic physician who can undo them is pretty much close to impossible (other than me).

I am increasingly skeptical and cynical that human health and preventative services really serve to improve over health conditions. Maybe what we should do is practice common sense traditional ways of raising our children, eating whole unprocessed diets, staying in an active lifestyle and then waiting for problems to show up and then only intervening when they are severe. Maybe we should continue to be ever skeptical, cynical and vigilant against guilds and professional ‘trade associations’ and their proclamations of ‘preventative visits’ as a means of early intervention in the service of mankind.

This week, one of my old established patients came in for a minor eye infection. I had not seen her in a few months. In the meantime she completed the first phase of braces, which is palate expansion. i looked at the way her head sat on her first cervical vertebrae and her chin and nose seemed angulated/cocked upwards…Her head and neck thought that she was still sitting in that dental chair. I watched her through the visit and she and her mother were unaware. We discussed the problem but the parent reported that the dentists really want to get these corrections done early before dental permanence…but lets consider their rationale…the trade off then would be imparting changes in the head and neck and locking those injuries in permanently…

Yes…i am now an anti-dentite. My kids are 5 and 3.5 years. So what if their primary teeth have cavities? Those teeth would have to be rotted before i take them in. I am going to try to not take them in until they are 10 years old at least. Yeah, I know, some people are going to say…hmmm…bad mommy…well…i will just have to tolerate it quietly to myself…because i do know better…hopefully you will consider this for yourself and your family.

Update: It is 7 months later and my work on a daily basis, confirms my this post and my feeling that we are doing much too much, much too soon…this is something I label “The Dental Chest.” All you men out there who look at yourselves in the mirror, while you are showering, and wonder but have never thought to ask, “Doctor, why is my chest caved in?” Well, now at least this doctor will read your mind and provide you with some insight. Concomittant with sunken in chest, the structure of the rib cage is such that the lower ribs flare out and appear raised (when you lay down) and down the middle of the rib cage there is a narrowing. These are adaptations to the strain in the neck caused by the insidious dental positioning. Unfortunately, there are also long term alterations to the drainage of the veins in your skull. When I see this in my patients, I am always horrified at how heavy the head is and even more so by the fact that you patients are unaware of it. So yes guys, if this sounds and looks like you, I can predict that you had a lot of dental work and/or braces in your teenage years. The good news is that this is fixable, your body wants to change. The bad news is…they don’t teach this to us in school…you will have to find a good DO osteopathic physician who can understand this post and fix it for you.

This is Jason's sternum. Note the depression in the middle of his chest.  His sternum is caved in and sunken.

This is Jason’s sternum. Note the depression in the middle of his chest. His sternum is caved in and sunken.

Here is Jason's chest.  I call it The Dental Chest.  He had braces for 3 years in his mid teens.

Here is Jason’s chest. I call it The Dental Chest. He had braces for 3 years in his mid teens.

Hashimoto’s Thyroiditis and the Intubated Neck Syndrome

August 7, 2013

Here i go again, haranging on this subject…it seems to be the top offender on my list of acquired iatrogenic traumas of the head and neck (#2 and #3 i will reveal in future posts) it might just be as dangerous as the all time top accidentally acquired sudden deceleration injuries of the neck from car accidents and falls…it is insidious because in the long term, it leads to a deranged structure that eventually influences our metabolism and how our body functions on a day to day basis and it just goes downhill from there. It is pernicious in that the patient may or may not have neck pain, maybe just chronic tension as a warning symptom. This week one of my patients reminded me that I stabilized her thyroid hormone levels just with osteopathic treatments. The reason I completely forgot about that is because another healthcare provider was monitoring her blood levels, and he was flummoxed as to how she was able to do it…so while we were in a treatment for a completely different reason (pelvic issues) i shared with her my recent discovery of the Intubated Neck Syndrome and my rationale for why it can eventually lead to Hashimoto’s. The gland is a very delicate tissue. It is adhered to the front of the neck and it can be felt just underneath the skin of the neck. Where does it get its blood supply? certainly not through the front…the answer is that it is fed from…underneath…so there are branches off the carotid arteries that flow in front of the neck and they pierce the underside of the thyroid gland that just sits right on top of it. so any injury that causes that neck to hyperextend will actually kink those blood vessels. over time, that poor gland is choking and struggling to survive…it starts to sputter in its function…i actually think that Hashimoto’s is probably on the rise. Why? The neck is a delicate structure that has no external bracing of support. Any sort of injury will almost always cause hyperextension. Very rarely do i ever see hyperflexion injuries of the neck. It is the very nature of the 7 neck bones stacked one on top of the other that leads to this problem and life in general. i see hyperextension injuries also in spinning, cycling, sitting at a desk, sitting at a computer screen, adults delivered by forceps as infants, falls to the tailbone, dental work, hair salon, lets not forget the intubations. although these are injuries that cause an upward shear of tissues, even downward gravitational drags on the neck from pregnancies, weight gain and aging can throw off the balance of tensions to affect the blood supply…how many of you out there know people who have at least 1 of theses types of injuries? i would venture to guess that we all have had some form and combinations of these injuries, which means we all have varying degrees of neck hyperextension…which means everyone in the world is potential sufferers of the consequences of neck hyperextension when i address the neck, my patients feel better, their head feels lighter, why shouldn’t their thyroid recover over time as well? I am treating a new patient with only half a thyroid gland, the other half was taken because it had too many nodules. She had surgery several years ago and is on synthroid (18 surgeries, so far, is her lifetime total). She asked that I blog about my theory so that others who are still searching may be helped…despite all the exercising, it is the insidious metabolic changes that makes Hashimoto’s so tough for patients. you feel like you do not have any control over what is supposed to be your body…i believe my words will resonate with many of you sufferers out there…seek osteopathic treatment…
ADDENDUM: If you want to take a look at some great before and after treatment photos, i have the new beverly hills website at http://www.holisticpaindoc.com

Insomnia and Being Out of Body

May 7, 2013

insomnia and being out of body, they go hand in hand. My latest set of patients this month, the diagnosis du mois, has led me to a discovery. I am starting to think that there are many, many of you out there lost and still searching for answers. Here are the constellation of symptoms: all your life you have not felt right in your body, you feel disconnected from and almost existing outside of your body; in the medical terminology you are dissociated, you have anxiety, you cannot sleep, as you get older the physical body ages and you develop “medical disease” with a diagnosis…i am starting to understand this as very real and your body bears this type of posture/appearance. you are locked in a body that is beyond your control and beyond your conventional doctors’ understanding. you report your symptoms but they look at you as if you are speaking a foreign language, that’s if they have any sympathy for your issues. if they don’t, they blow you off as a psycho, new age, hippie. despite this, you continue to search all your life. you tend to be very narrow in the face, you walk with a lordosis (curve, in the old terminology, a “swayback”) and you feel like your butt sticks out, even though it may or may not look like it. The cause is ancient…sometime in your early beginning, in the newborn period or in infancy up to the first two years, you had a…surgery under general anesthesia. the action of intubation is a physical violation, but just prior to that they gave you an anesthetic. your conscious mind is suppressed while it is forcibly yanked up and out your dead, weightless, anesthetized body. you, the infant or toddler you recovers, but things are never the same. because you are neurologically naive and not yet fully formed, you grow up into that body as “normal.” then life happens and you…slip and fall and whiplash your neck, you get into a car accident and whiplash your neck, or need multiple dental procedures and end up confined in a dental chair that keeps your head and neck in a hyperextended position, or eventually all those visits to the hairstylist washing your head in that cut-out sink add up and lock you in a static whiplash position. unfortunately, the rest of your body cannot help but follow. and if you look back, exacerbations of the “out of body-ness” will coincide with events such as these. i don’t know what to tell you…i don’t believe it will be very easy to find an osteopathic physician doing OMT, make sure you do your research. It took me this long to recognize the issue of “dissociation” as both a pyschological and physical state (13 years in practice). These last two weeks, i believe i have found the cure…my patients still cannot describe what they are feeling as i induce changes in the physical body with a treatment, but within a day or two they have a sleep that they have never had in their life. unfortunately, it only last several days. each subsequent treatment helps to reset the body and allows the concious mind to descend and gel down into the “self.”

Down An Artificial False Path

March 18, 2013

I just cleaned up a new case in my Beverly Hills office and i wanted to share it with the readers because it showcases how our health slowly declines despite our best efforts. If we have full faith in how medical issues are addressed in such a fragmented manner as is offered by the CMS (conventional medical system), then getting the “best” from multiple specialists may not be the best; they will be missing the forest by focusing on the trees. My patient is a young slim man, there should be no reason to have recently developed sleep apnea requiring a CPAP machine (forcibly pushing air through a face mask every night). He has always had flat feet since childhood. He already has shoe inserts/orthotics. He has a retainer, a bite guard and the newest is the CPAP machine. How is this healthy? The decline of his health towards a false, artificial path of needing appliances to function without pain, to live, to sleep without the risk of dying in his sleep, is slow and insidious but is not recognized as such by the multiple professionals who treat him (the falsness, i mean). They did for him according to the standards of their profession, there is no negliegence, no liability. The standard is the “standard of care” what everybody else would have done. Of course the sleep specialist has only this answer, but does not ask the fundamental question of why it is that an apparently healthy, slim, young man should stop breathing in his sleep? When i present it to you like this, it stinks, doesn’t it? It is very insidious and deceiving the patient does not see this perspective himself. I proposed that all these problems were related, that the return of his health would be marked by the backwards process of not needing these appliances, the health “props” or crutches of health. His arches started to come back. Within the week, the lowest setting on the CPAP felt like his eardrums were going to pop.
So the lesson of this post is…when you need a lot of services for a lot of seemingly disparate medical conditions, if the proposed treatments are non-invasive and reversible it should be okay to proceed…rethink the slow, insidious progression and perhaps a more global, holistic philosophical medical and osteopathic approach might be beneficial or even curative.
For those of you who like medical mysteries, for those suffering, for those who like closing cold case files, would you like to know the sole cause i forensically attribute to final decline? Ooohh, it is really good…all this from…(drumroll)…in childhood during a critical developmental period where there is elongation of the spine and limbs, he had multiple traumas to the trunk, which stunted him at critical structural areas eventually leading him to this structural state, and compounded by the ageing process and an increasing gravitational workload on a strained and compromised system…whooo…there are many of you out there like him, just getting lost in the forest…