The acutely sprained ankle is not a difficult thing to treat. In most cases, elevation
during the first day or two, taping and early mobilization does the trick. Within a few
weeks, normal activity can usually be resumed.
Why is the sprained ankle not healing?
However from time to time, the natural course of events is delayed or even arrested.
After several weeks, considerable swelling is still present and the ankle is painful to use.
When this occurs the question should be asked: what is impairing normal healing?
Osteopathic physicians usually recognize that untreated somatic dysfunction is present.
In other words, there is a local mechanical dysfunction accompanied by a local
autonomic nervous system reaction. The usual culprit is the distal fibula which is
displaced slightly anteriorly, posteriorly or inferiorly, relative to the rest of the ankle
bones. The displacement corresponds with a restriction of movement in the opposite
direction, e.g. a posterior displacement of the distal fibula limits the ability of the fibula
to move anteriorly, thus disturbing the mechanics of the whole ankle.
Displacement of the distal fibula cannot normally be detected by x-ray. The mobility and
position of the fibula must be assessed by palpation, not an easy task for untrained
hands. When somatic dysfunction is diagnosed, various manipulative techniques can be
used to restore normal position and movement of the fibula. The response is almost
immediate. Patients, often athletes or dancers, are immensely appreciative.
Neural therapy can fix it!
For those not trained in manual diagnosis or manipulation, neural therapy is an alternative
method of treatment. It is very simple and is as effective as manipulation. But before
describing its application, a few words about its rationale:
The displacement of a bone (or part of a bone) does not occur in a vacuum. The soft
tissues connected to the bones determine where the bones sit and the tension in the
tissues are regulated at least to a degree by the autonomic nervous system. As in the
spinal column, neural therapy of the soft tissues surrounding the dysfunctional
joint can correct the position and restricted movement of the joint. The technique,
(described in my book) is the injection of “quaddles” or blebs of dilute procaine
into the cutaneous or subcutaneous tissues overlying the area of concern, followed by a
small bolus of procaine into a vein on the same side of the body as the joint being treated.
In the case of the ankle, the quaddles are placed over the swollen area on the lateral
aspect of the ankle.
The response is usually immediate: normal ankle movement is restored, pain is reduced
and the swelling settles not long after. Usually only one treatment is required.
Neural therapy mid-winter retreat – Sam Jakes Inn, Merrickville, Ontario -
February 9th and 10th, 2007.
Plans are falling into place for this winter’s mid-winter retreat. This will be an
opportunity for those with some neural therapy training to refresh and develop neural
therapy skills – in a relaxed and informal environment. The emphasis will be on
diagnosis, trouble shooting and practical application of neural therapy. There will be lots
of time for discussion and sharing of experiences in integrating neural therapy
into medical practice.
Our keynote speaker is Professor Alasdair Ferguson, chairman of the Physiology
Department at Queen’s University in Kingston Ontario. An engaging speaker, he has a
special interest in autonomic nervous system physiology and is currently conducting
research into the circumventricular organs (CVO’s). The ability of CVO neurons to
respond to circulating factors which do not cross the blood-brain barrier provides the
portal through which these substances exert feedback control on the brain.
We expect that Professor Ferguson will provide us with fresh insights into how the
autonomic nervous system and biochemistry interact. Interference fields and their
successful treatment often depend on biochemical status, so this is practical
information, applied neurophysiology at its best.
Also on the program is Pierre Larose DDS who will speak on “Dentistry that every
physician should know”. Most physicians have only vague ideas about how dentists go
about their business. Since neural therapy so often involves teeth, this is information that
serious neural therapists need to know, if only to be able to communicate effectively with
their dental colleagues.
Lynne August MD, creator of Health Equations® www.healthequations.com, will be
speaking on nutrition, particularly as it pertains to cell membrane stability. Patients who
are nutritionally deficient or neurotoxic respond poorly to neural therapy because their
cell membranes are electrically unstable. This is a complex subject, but one in which
Lynne has a great deal of practical experience.
I intend to do a review of basic neural therapy, discuss diagnosis and treatment of
autonomic ganglia interference fields (including injection techniques), and provide
practical approaches to diagnosing and treating neurotoxicities. Diagnosis and treatment
strategies for chronic mercury toxicity will be discussed.
Participants are invited to present free papers. Even a few minutes reporting an
interesting case would be welcome. (Skill in neural therapy builds with experience and
pooling of experience helps everyone). Interspersed between lectures and demonstrations
will be opportunities for discussion and treatment of course participants and/or family
Course registration is only $350 Cdn (about $315 US). The price of accommodation is
very reasonable as this is the hotel’s off-season. For details check the website at
www.rfkidd.com/booksite/refreshcourseread.html or call my office at (613) 432-6596.
Your feedback is always welcome
I invite your comments and questions-as well as brief case histories. Please e-mail me at
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