The evolution of pain management
I suffered from chronic thoracic back pain from bending over for years doing cardiologic procedures in the hospital. I have undergone traditional treatment with multiple epidurals as well as radio-frequency. Neither have helped. Several years ago i went to Stanford and had back injections, which also failed. My search for pain relief resulted in the following techniques.
Due to my chronic, disabling back pain, i have formulated a program that i have been using, and am now introducing to the scottsdale and phoenix area. The program is a combination of both conventional and alternative.
The program is multifaceted. I believe that a natural approach is best, although at times i resort to prescription medications. The aim is to restore your body and eliminate your pain.
Stem cell therapy
Platelet rich plasma
Pemf therapy as seen on dr. Oz
All images are performed using in office musculoskeltal ultrasound . This is currently the standard of care for imaging.
It allows visualization of the current physiologic state, and to accurate placement of medication and needle visualization
Ten reasons to perform musculoskeletal ultrasound……….. It’s better than mri
Every patient can undergo ultrasound examination. Pacemakers, metal implants are prohibited with mri. There are also no enclosed mri tubes for claustrophobic patients
Ultrasound can resolve finer detail than mri and can see small abnormalities not seen on mri
Ultrasound allows dynamic evaluation when you are moving. These are not seen with mri or cat
Ultrasound can image right where it hurts
Ultrasound can see impingement of soft tissue by surgical hardware
Can see current physiologic state of soft tissue
Can differentiate between fluid filled and solid masses
Has a more mobile longer field of view to view long structures along their whole length
Allows bilateral comparison to verify enlargement or atrophy
Allows needle visualization during therapeutic injections. We can avoid hitting arteries, veins and nerves
Who is using ultrasound ?
Rheumatology, physiatry, pain management , orthopedics, sports medicine doctors and anti aging restorative doctors
Stem cell therapy ………………………….. You have two options
Option one for stem cells from your own fat cells
I am involved with a fda approved stem cell therapy program here in scottsdale. Using a mini liposuction technique we can harvest your own stem cells and reinject them into your painful areas of your body. To regrow, restore and regenerate..
The stromal vascular stem cell fraction is then injected under ultrasound guidance to your areas of pain generation.
Option two for stem cells
A less invasive procedure using mesencymal stem cells from amniotechnology is used to supply the stem cells to regenerate our tissues and calm the areas of pain.
This is preformed under ultrasound guidance to assure precise localization and administration.
Prp may be done at the same time if indicated.
Platelet rich plasma or prp
Is blood plasma with concentrated platelets.
The concentrated platelets found in prp contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and
These bioactive proteins initiate connective tissue healing, bone, tendon and ligament regeneration and repair, promote development of new blood vessels, and stimulate the
Wound healing process.
Prp is injected all over the body and especially useful to use along with stem cells therapy or alone
What causes chronic pain?
There is poor circulation to ligaments, tendons, muscles and pain generating areas.
Aging further decreases circulation and oxygen utilization.
Trauma produces edema, inflammation and depolarization of the cell membrane causing a further decrease in circulation which causes decreased oxygen and nutrient
Delivery to the tissues.
This whole process results in localized acidosis and free radical production production which perpetuates the cycle of injury and pain.
So what cures chronic pain?
By breaking the cycle of injury by delivering mitochondrial nutrients, bicarbonate, and oxygen with ozone to the area of pain.
Ozone stimulates increased oxygen stimulation by forming peroxides which oxidize nadh to nad to heal. When stem cells and blasts cells get increased circulation and
Oxygen there is decreased pain. The peroxides stimulate many different growth factors to help you heal.
Mechanisms of oxygen ozone mixture
In the journal of neuroradiology june 2004 the following was said…..
Studies have shown that the oxygen ozone mixture has the same anti-inflammatory and anti- pain effect as steroids without the side effects.
Studies have also shown that there is enhanced oxygenation and reduced inflammation in the diseased site due to the oxidizing effect on the pain producing mediators such as
The cytokines and others
There is also a direct shrinkage of the disc with rupture of the water molecules and shrinkage of the disc
There is also improved microcirculation due to resolution of venous stasis and edema after surgical compression and scar tissue
No complications have ever been reported and conclusion was ozone is cheaper, safer, and easier to repeat than other treatments
Prolozone is a homeopathic /oxygen/ nutrient, anti inflammatory injection developed to help all form of pain.
The oxygen ozone mixture is analgesic, anti-inflammatory and has a oxidant effect on the disc.
It is well known that between 40 to 80 percent of patients undergoing back surgery continue to experience persistent pain a condition called failed back surgery syndrome.
In a study published in the journal of neuroradiolgy 2004 there was a 75% persistent good outcome over 18 months in 1400 patients
It is excellent for all forms of musculosketletal and joint pain including chronic neck and back pain, hips, knees, discs, shoulder, wrist and elbow and foot pain.
Prolozone uses the power of oxygen to cause damaged tissues, joints, ligaments and tendons to regenerate.
What to expect?
You will see a immediate decrease in pain. Some patients only need one injection, but others vary from 3 to 5 injections.
Some studies show a cure rate up to 75 percent with chronic pain. Each case is different
A canadian retrostudy of many different studies showed it to be as effective in many cases as in surgury in back pain patients
Transdermal homeopathic creams after your treatment
I am also using a product that is applied transdermally over the affected area of pain.
The purified natural substances have a potential to inhibit pain pathways in several ways.
The gmp/protein kinase g pathway, which mediates inflammation and is the switch between acute and chronic pain is addressed.
In addition, the protein kinase g pathway involved in the formation of thromboxane’s a2 and flagrant aggregation is addressed. Other
Avenues addressed are the nitrous oxide pathways, the histamine pathways, and the arachidonic pathways.
The products are incorporated into a product that contains no paraben, sodium laurel sulphate (sls) or petroleum.
There are no strong odors involved, and they are quickly absorbed.
I have developed three products that act in a synergistic way and are formulated for deep penetration.
They are amphiphilic and yield superior absorption. Natural products include homeopathics and other essential fatty
Acids, and anti-inflammatories that are effective for pain control.
These products should be used in combination for deep penetration.
At times, prescription transdermal medications are used when needed.
Application of photons with
Extremely low current called “gas light protons” to transfer energy frequency patterns to the cells in the targeted areas.
It works synergically to re-balance the charge of the electrical field.
The light is able to separate these cells and their accumulated fluids and protein waves resulting in the rapid dispersal and swelling of these cells.
It stimulates blood circulation, reduces edema and swelling, and eliminates waste products
Stored in the tissue. I, myself, and other physicians involved with pain have found it extremely useful, especially for soft tissue damage and congestion, sciatica, arthritis, bursitis, fibromyalgia, etc.
Pemf is pulse electromagnetic field therapy, and was explored in a recent “dr. Oz show”. I suggest all people with acute or chronic pain need to view these videos. I have been using a medical grade pemf unit for a
Pproximately one year, and it has made a dramatic improvement in my pain. As noted in the links on this website, there have been over 2000 university peer review studies showing positive effects of magnetic therapy. The
Effects are noted for pain of all types, resulting in significant improvement. These are double-blind medical studies, and everyone needs to review these.
So, what is pemf technology?
It is a device that makes a pulsating electromagnetic fields (pemf for short). These are not the toxic emf’s of cell phones, or wyfi, etc. This technology has its origins in the genius of nikola tesla, who brought us our modern
Ac current technology. But healers as far back as the 1600′s were using lodestones, which are natural magnetic rocks for healing.
Pemf works like a magnet, but it is different from the type of magnet you are familiar with. The magnets you played with as a child were static, meaning an unchanging field. Pemf pulsates its fields. Biologic systems are
Extremely sensitive to such fields. Cells actually generate their own electromagnetic fields, and the laws of physics say that cells do respond to such fields. So, it makes a perfect sense that external pulsating fields could
Interact with biologic cellular fields.
I also recommend patients using a specific magnetic, negative-pole mattress, which i still sleep on and have for the past 10 years. I am convinced that this negative-pole static magnet also helps a variety of pain symptoms.
The pemf is the subject of intense research. There are literally thousands of the university reports on its value. In 1976, we knew that pemf could greatly aid fracture healing, even in difficult-to-fix fractures. The field simply
Stimulates bone cells to grow and do their healing things at the fracture site.
Pain is the key indication for pemf.
Studies have shown that pemf helps improve the pain of carpal tunnel syndrome and 93% of cases, and in 83% of those with rotator cuff tears of the shoulder.
Migraine sufferers can expect total improvement in 73%, while
45% of users get substantial improvement in just three weeks of use.
Female disorders such as endometriosis, painful periods, painful intercourse, etc., respond with up to 90% marked or dramatic improvement.
Patients receiving pemf will find significant pain control after an operation.
One study on tennis elbow compared therapeutic pemf to placebo pemf and to steroid injections. Those receiving real pemf got far better reduction in pain and improved activities in the third month than the other groups.
The pemf trumps dangerous steroids.
A study has shown that pemf stimulates cultured fibroblasts to make more collagen. Thus, it will help strengthen and give flexibility to the tendons and ligaments.
If you suffer from diabetic neuropathy, i have good news. Pemf reduces pain and assistance near repair in just a few weeks.
So, how does it work?
Let us start with the cell. New research has found that the action of a cell really occurs at the membrane, which has switches connecting directly to the nucleus, like your keyboard controls which your computer hard drive is
Doing. As your cells get sicker, the voltage in the interior cell rises. In all sick cells, the membrane electric potential is significantly less-negative than normal. This significantly, greatly reduces metabolism and the energy
Production, since it takes a lot of a cell’s energy to maintain that charge.
Cells degenerating towards cancer had considerable rise in their voltage. Pemf improves the flux of electrons across and through your cell membranes improving the critical, negative charge. Cell health is directly related to
Its negative-membrane potential. That is why we see great literature confirming pemf used in reducing pain and inflammation, increasing range of motion, less muscle loss after surgery, more tensile strength of ligaments,
Faster healing of wounds, enhanced capillary formation, accelerated nerve regeneration and bone healing, less tissue death, etc. The improved membrane charge enhances dna function.
Putting it simply, pemf is a massage for your cell membrane, preserving and restoring the membranes with this energy can make way for damaged cells to divergent its precious energy resource to heal rather than simply
Stay alive. Additionally, it induces the growth of new blood vessels by stimulating your vascular endothelium to release the growth factors. This may be one of the mechanisms in fostering the repair of complex fractures and
A study of erectile dysfunction showed improvement in sexual parameters with pemf, compared to only 30% who received placebo. Pemf improved nitric oxide generation, which is critical for an erection.
Pemf therapy delivers an energy that increases the spin of electrons. This does not create heat, nor does it excite the electrons to create a free radical. Rather, the increased spin enables your mitochondria to make more atp
Or energy, so it just might help otherwise and partially treat conditions.
Pemf is great for your brain. Take stroke, for example. One study found pemf exposure reduced ischemia, which is lack of blood flow, neuronal damage in the targeted brain areas by a stunning 69%. The author wrote, “
Preliminary data suggests that exposure to a pemf of short duration may have implications for the treatment of acute stroke.”
Pemf also improves neurologic status of patients with multiple sclerosis. Specifically, body control, cognitive functions, fatigue level, mobility, spasticity and vision.
A recent study found that pemf induces re-myelinization of nerve fibers that are recruiting stem cell in the brain to do the repair. Another study showed that pemf can accelerate cell differentiation and repair. Cell
Differentiation is important in getting primitive cells held in reserve in order to do specific duties, like repair your myelin for collagen.
Another study found pemf can resolve many of the symptoms of incontinence.
Is pemf approved by the fda?
While that is not a measurement of its effectiveness, pemf is actually approved by the fda for the treatment of depression, bone healing, and brain cancer
Our own space agency, nasa, received a u.S. Patent for the application of pemf for enhancing tissue repair in animals.
The research found that pemf stimulates the growth of the fiercely researched stem cells.
Nasa asked dr. Bob dennis, a ph.D. In biomedical engineering to design pemf for cellular studies. He is now an ardent believer in pemf, and believes that the mechanism of action is actually electrical.
Pemf is used as current in tissues quite differently than other devices.
You might know that turning a magnet around a wire or conductor generates electricity. That creates energy within the wire to make electrons flow,
Which is current.
Well, when you expose your fields to a magnetic field which pulsates, you are doing the same thing to your body, making electrons flow or generate electricity.
However, with pemf, what touches you are magnetic pats, not electrodes. You are bathed in a magnetic field. It turns out that your body is transparent to the field, and the field is virtually unaltered going through your body.
When the magnetic field pulsates, it generates electrical flow, or micro-currents through the distribution of the pulsating magnetic fields.
These micro-currents generate right inside of the tissues.
As for myself and dr. Dennis, and other physicians, we feel the common denominator of pemf is healing.
These include reductions in pain, swelling, bruising, muscle spasm, and inflammation. It stimulates stem cells, wound
Repair, tissue regeneration, genes, bone healing, and circulation. It also heals tears, sprains, strains, tendinitis, muscle function and metabolic function. Pemf also enhances sleep and relaxation as well as oxygen delivery to
The tissues, and absorption of nutrients. Wow, isn’t this incredible!
In a four week double-blind study on 101 patients, pemf induced substantial or complete relief of insomnia in up to 70% of its experimental group.
Needless to say, i think pemf is one of the essentials in your pain management. The unit i use is a medical grade unit. It is generating 19,200 gallops per pulse, which is equivalent to 1.92 teslas per pulse. The frequencies go
From 1-hz to 50-hz, and are generated in a sign-wave.
Putting it all together the evolution of pain management
New therapies with ultrasound direct imaging and stem cells, platelet rich plasma, prolozone. Transdermal creams, photons and pemf can really make the difference in your pain.
If you are interested please call my office for a consultation. You don’t have to live with pain.
Best in health,
Dean R. Silver, M.D.