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Biomedical
Therapy
J o urnal o f
Integrating Homeopathy
and Conventional Medicine
Treating
Sports Injuries
Contents
I n Fo c u s
W h a t E l s e I s N e w ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Practical Protocols
Re f r e s h Yo u r H o m o t ox i c o l o g y
M a r ke t i n g Yo u r P r a c t i c e
Specialized Applications
Re s e a r c h H i g h l i g h t s
Making of ...
C r o s s w o r d P u z z l e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Published by/Verlegt durch: International Academy for Homotoxicology GmbH, Bahnackerstrae 16,
76532 Baden-Baden, Germany, e-mail: journal@iah-online.com
Editor in charge/verantwortlicher Redakteur: Dr. Alta A. Smit
Print/Druck: Konkordia GmbH, Eisenbahnstrae 31, 77815 Bhl, Germany
2007 International Academy for Homotoxicology GmbH, Baden-Baden, Germany
Welcome to the
New Journal of Biomedical Therapy!
Dr. Alta A. Smit
porate executives to weekend warriors. In the words of Dr. Barkauskas, modern sports physicians must
not only understand the pathologies
they encounter but must also have a
holistic grasp of the complexity of
being a healthy sportsperson. Last
but not least, specialists in sports
medicine must understand sports as
a social, economic, and psychological phenomenon.
Competitive sports have financial
and professional repercussions. Especially when the patients are elite
athletes, the practice of sports medicine requires a multidisciplinary approach. Thus biomodulatory therapies offer realistic alternatives, with
the added benefit of not being on
banned lists. Thats why we asked
several experts to write on this important topic for this issue. Most of
these contributors are directly involved in the care of elite athletes,
some even on the Olympic level.
Alta A. Smit, MD
Reference:
1. Sands RR (ed.). Anthropology, Sport, and
Culture. Westport, CT: Bergin and Garvey,
1999.
Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1
) I n Fo c u s
) I n Fo c u s
Homotoxicology in sports
medicine: why and how?
For the physician or other professional in the field, biological medicine offers unique approaches and
treatment modalities. The possibilities include:
Drainage therapy
Stimulation of
enzymatic systems
Treating acute and
chronic injuries
Immunomodulation in
cases of immunodeficiency
Treating viral infections
Safety is the main feature of biological approaches, along with the
possibility of combining different
techniques. Antihomotoxic medicine
is a regulatory therapy. In addition
to syndromes related to overextension and overtraining, sports physicians frequently see cases of dysbiosis. Biological medicine in general
and homotoxicology in particular
are very effective in such cases. Another factor to consider is tissue acidosis, which is very important in
sports not only because of anaerobic
activity but also because of unrestricted use of sports supplements,
many of which have not been determined to be safe for long-term use.
Even the common supplement glucosamine, for example, may cause
allergic skin reactions or gastrointestinal disturbances and is not recommended for use during pregnancy.
) I n Fo c u s
Antihomotoxic medication
Low/medium
potency
High
potency
Biophysical
action
Matrix drainage
Fig. 1:
Modes of action
of biotherapeutic
medications
Biochemical
action
Immunomodulating
action
Information
transfer
Immunological
bystander reaction
Radical trapping
Enzyme
activation
) I n Fo c u s
Example
Infiltration of 2 ampoules of Traumeel
and 3 ampoules of Lymphomyosot in
the area of the lig. talofibulare anterius
after acute ankle sprain in a basketball
player; needles 27G-3/4 inch. Dramatic
improvement in walking ability was
evident the next day.
Fig. 2:
Antigen
Antigen
IL
Th 1 Th2
Histamine
Heparin
TGF-
Traumeel
Phospholipids
Phospholipase
Th3
MAST CELL
lg
Interleukin
Lipoxygenase
B lymphocyte
Plasma cell
Arachidonic acid
Cyclooxygenase
Leukotrienes
Prostaglandins
Inflammation
Pain
) I n Fo c u s
Relaxation and
function and cause pathological motor patterns to become fixed. Therefore, we see more musculoskeletal
problems in psychologically labile
athletes. The main changes may be
grouped into three categories:
Changes in stereotyped
movements
Upper and lower cross
syndromes
Myofascial trigger points
With regard to injecting trigger
points, it is always important to realize that there are both silent trigger
points (usually the main ones, at the
core of the problem) and active (usually satellite) ones. Therefore, the
use of this technique requires skillful palpation and the ability to incorporate muscular chain reactions
and interrelationships into the clinical picture. (In treating problems of
the biceps, for example, it may be
necessary to inject the peroneus tertius.) The products of choice here
are Traumeel and Spascupreel. For
very persistent problems, Coenzyme
compositum is helpful because it
stimulates aerobic tissue metabolism.
For long-term results, prophylactic
measures such as matrix detoxification (the most familiar prescriptions
for this purpose are Detox-Kit, Thyreoidea compositum, and GaliumHeel) and corrective exercises are
essential.
Conclusion
For sports physicians, antihomotoxic medicine offers a very safe and yet
very powerful approach to the human body, permitting treatment
strategies that are simultaneously
gentle and aggressive. From the perspective of functional medicine, predictability of any intervention is a
paramount requirement. In conclusion, I would like to stress a few
points:
Not all techniques from professional body building are suitable
for health-club clients. This is a
major problem in modern fitness.
Being able to control your body
and its movements is important;
mountains of muscle are not.
Dont disregard the genetic
factor.
Use food supplements intelligently.
Be prepared for intensive
training.
The main factors in fitness
are the brain, the will, and
knowledge.
Do not compare yourself
with others.|
Further reading:
1. Lewit K. Manipulative therapy
in rehabilitation of the locomotor system. Oxford, Boston: But
terworth-Heinemann, 1999.
2. Kibler WB, ed. ACSMs handbook for the team physician. Champaign: Williams &
Wilkins, 1996.
3. Brukner P, Khan K. Clinical
sports medicine. Sydney: McGraw-Hill, 2003.
4. Kreider RB, Fry AC, OToole
ML, eds. Overtraining in sport.
Champaign: Human Kinetics,
1998.
5. Denegar C, Saliba E, Saliba
S. Therapeutic modalities for
musculoskeletal injuries. Champaign: Human Kinetics, 2006.
6. De Coninck, S. Basic course in
OM Cyriax: Generalities. DeHaan, Belgium: ETGOM.
7. Biotherapeutic Index. Ordinatio
Antihomotoxica et Materia Me
dica. Baden-Baden: Biologische
Heilmittel Heel GmbH, 2006.
Muscle Tear
in the Lower Leg
By Johann A. W. Kees, MD
Head physician of the German volleyball team VfB Friedrichshafen
(German Champion, German Cup winner, and
European Champions League winner 2007)
The patient:
The treatment:
Hormone deficiency
increases risk of falling
another six months. Isotope technology was used to measure unreported calorie intake. In the first six
months, participants lost an average
of 10.4 kg and 9.1 kg on the low
and high glycemic diets, respectively. After twelve months, the difference had vanished, and the average
weight loss for both groups was 8
kg. The study concludes that the
number of calories ingested is all
that counts, not their sources. In
addition, a second study demonstrated that sensations of hunger and
how much food is eaten are independent of foods glycemic index
ratings, thus disproving the contention that high-glycemic foods make
people feel hungrier due to insulin
spikes.2
1. Am J Clin Nutr 2007;85:1023
2. Diabetes Care 2005;28:2123
F O R P RO F E S S I ONA L U S E ON LY
10
The information contained in this journal is meant for professional use only, is meant to convey general and/or specific worldwide scientific information relating to the
products or ingredients referred to for informational purposes only, is not intended to be a recommendation with respect to the use of or benefits derived from the
products and/or ingredients (which may be different depending on the regulatory environment in your country), and is not intended to diagnose any illness, nor is it
intended to replace competent medical advice and practice. IAH or anyone connected to, or participating in this publication does not accept nor will it be liable
for any medical or legal responsibility for the reliance upon or the misinterpretation or misuse of the scientific, informational and educational content of the
articles in this journal.
The purpose of the Journal of Biomedical Therapy is to share worldwide scientific information about successful protocols from orthodox and complementary practitioners. The intent of the scientific information contained in this journal is not to dispense recipes but to provide practitioners with practice information for a better
understanding of the possibilities and limits of complementary and integrative therapies.
Some of the products referred to in articles may not be available in all countries in which the journal is made available, with the formulation described in any article or
available for sale with the conditions of use and/or claims indicated in the articles. It is the practitioners responsibility to use this information as applicable
and in a manner that is permitted in his or her respective jurisdiction based on the applicable regulatory environment. We encourage our readers to share
their complementary therapies, as the purpose of the Journal of Biomedical Therapy is to join together like-minded practitioners from around the globe.
Written permission is required to reproduce any of the enclosed material. The articles contained herein are not independently verified for accuracy or truth. They have
been provided to the Journal of Biomedical Therapy by the author and represent the thoughts, views and opinions of the articles author.
Dark chocolate reduces high blood pressure but is not recommended for longterm treatment due to its high sugar
and fat content.
Chocolate diet
for hypertension?
IAH course
on homotoxicology
11
) Practical Protocols
A Biotherapeutic Approach
to Common Sports Injuries
By Dalius Barkauskas, MD
Head physician of the Lithuanian Olympic team
2 Epicondylitis
(lateral epicondylitis or tennis elbow;
medial epicondylitis or golfers elbow)
Diagnosis:
Medical history, physical examination, and diagnostic tests (X-ray, CT,
MRI, or blood tests) may be necessary to make a final diagnosis.
Treatment
(biotherapeutic approach):
RICE (Rest Ice
Compression Elevation)
Biotherapeutics (please refer
to the Table of Suggested
biotherapeutic medications)
Etiopathogenesis: In epicondylitis,
inflammation of the extensor or
flexor muscle/tendon is secondary
to overuse or overstressing from athletic or professional activities that
require repetitive, forceful forearm
supination and/or pronation of the
muscles and tendons that originate
at the epicondyle.
In time, if the situation is not corrected, the condition will result in
sub-periosteal hemorrhages, calcifications, spur formation, and ultimately tendon degeneration.
Treatment
(biotherapeutic approach):
see Table of Suggested biotherapeutic medications
12
) Practical Protocols
Anterior Knee
Epicondylitis
Shoulder Injuries
Primary tissues
Cartilage
Tendons
Ligaments
Biotherapeutic
Traumeel
Traumeel
Traumeel
Zeel
Coenzyme
Kalmia
Involved tissues
medications
tablets, ointments,
or injection solu-
tions according to
Pain Syndrome
Synovial lining
Cartilago
suis-Injeel
patient compliance.
(More than one form
may be used if avail-
compositum
+
Kalmia
compositum
+
Ferrum-
Homaccord
+
Tendons/muscles
compositum
+
Ferrum-
Homaccord
Lymphomyosot
+
may be administered
For chronic
In cases of chronic
via biopuncture.)
scar formation,
connective tissue,
conditions with
add:
Graphites-
Homaccord
weakness of
add:
Silicea-Injeel
or
Thyreoidea
compositum
13
By Fanie Blignaut
Even though these two legends never had the opportunity to meet each
other, their worlds finally came together on May 1, 2007. At exactly
6:30 that morning, a single shot
from the starters gun heralded the
start of the First Memorial Traumeel Wally Hayward Marathon,
and 7000 athletes entered a new era
in road running in South Africa.
too big for him and he could not afford new ones.
14
Winners of the
Physical therapists
received gold-
42.2 km run
embroidered
championship
blazers.
and chiropractors
runners before,
Although the Traumeel Wally Hayward Marathon of 2007 already attracted some international athletes (mostly from
neighboring African countries), the organizers plan to launch a marketing drive to attract more athletes from other
parts of the world. Runners from Germany have already expressed interest in participating in the 2008 event. For
more information about the race, e-mail Fanie Blignaut at fbheel1@mweb.co.za.
15
) Re f r e s h Yo u r H o m o t ox i c o l o g y
By Alta A. Smit, MD
Key words:
Acute inflammation, repair,
chronic inflammation,
fibrosis, immune regulation,
Traumeel
leads to tissue destruction and fibrosis.3 The result is organ damage and
sometimes death.
Typically, inflammation is a Th1 response driven by pro-inflammatory
cytokines such as IL-1, TNF-, and
IL-6. Although other mechanisms
are also involved, fibrosis is primarily a Th2 response.4 It is therefore
important to restore the normal
physiological balance between these
two processes.
The aim of any therapy for injury
should thus be to subdue inflammation to a level adequate to produce degeneration of damaged tissue yet permitting normal tissue
remodelling. Especially in athletes,
it is important to achieve normal re-
16
) Re f r e s h Yo u r H o m o t ox i c o l o g y
Immune regulation
How, then, can a balance between
inflammation and repair be achieved
in acute injury? As always in complex systems, interfering with just
one aspect is unwise because it may
negate normal feedback mechanisms
and interactions, as is the case
with nonsteroidal anti-inflammatory
agents. Apart from increasing the
risk of adverse events, full suppression of inflammation is not desirable
because a certain level of inflammation (as we saw above) is needed to
eliminate degraded tissue.
This delicate balance can be achieved
through immune regulation. The
hallmark of any biological regulation therapy is that it acts on multiple points in the process and supports the bodys own mechanisms
for achieving resolution. The combination product Traumeel is one
such inflammation-regulating medication.
Traumeel has a long history of use,
and a great deal of empirical evi-
References:
1. Wynn TA. Common and unique mechanisms
regulate fibrosis in various fibroproliferative
diseases. J Clin Invest 2007;117(3):524-9.
2. Stramer BM, Mori R, Martin P. The inflammation-fibrosis link? A Jekyll and Hyde role
for blood cells during wound repair. J Invest
Dermatol 2007;127(5):1009-17.
3. Van Brandt B. The Disease Evolution Table.
Journal of Biomedical Therapy 2007;
Spring:13-5.
4. Meneghin A, Hogaboam CM. Infectious disease, the innate immune response, and fibrosis. J Clin Invest 2007;117(3):530-8.
5. Smith LL. Tissue trauma: the underlying
cause of overtraining syndrome? J Strength
Cond Res 2004;18(1):185-93.
6. Suzuki K, Nakaji S, Yamada M, Totsuka M,
Sato K, Sugawara K. Systemic inflammatory
response to exhaustive exercise. Cytokine kinetics. Exerc Immunol Rev 2002;8:6-48.
7. Clarke S, Lecky F. Do non-steroidal anti-inflammatory drugs cause a delay in fracture
healing? Emerg Med J 2005;22:652-3.
8. Heine H, Schmolz M. Induction of the immunological bystander reaction by plant extracts. Biomedical Therapy 1998;16(3):2246.
9. Porozov S, Cahalon L, Weiser M, Branski D,
Lider O, Oberbaum M. Inhibition of IL-1
and TNF-secretion from resting and activated human immunocytes by the homeopathic medication Traumeel S. Clin Dev
Immunol 2004;11(2):143-9.
10. Zell J, Connert W-D, Mau J et al. Treatment
of acute sprains of the ankle. Biological
Therapy 1989;7(1):1-6.
11. Singer SR, Amit-Kohn M, Weiss S, Rosenblum J, Lukasiewicz E, Itzchaki M, Oberbaum M. Efficacy of a homeopathic preparation in control of post-operative pain A
pilot clinical trial. Acute Pain 2007;9(1):712.
12. Birnesser H, Oberbaum M, Klein P, Weiser
M. The homeopathic preparation Traumeel S
compared with NSAIDs for symptomatic
treatment of epicondylitis. Journal of Musculoskeletal Research 2004;8(2-3):119-28.
13. Schneider C, Klein P, Stolt P, Oberbaum M.
A homeopathic ointment preparation compared with 1% diclofenac gel for acute symptomatic treatment of tendinopathy. Explore
2005;1(6):446-52.
17
) M a r k e t i n g Yo u r P r a c t i c e
How Efficient Is
Your Practice Marketing?
Marketing is certainly a subject many of us dont view as essential. For you as a therapist,
marketing could be defined as organizing your practice in ways that bring in more patients,
either through advertising or by being more focused in your efforts. This sounds complicated,
but it simply means building patient loyalty and improving your outreach and/or the organization of your practice. Many practitioners are already effectively marketing their practices on a
purely intuitive level. With this column, however, we hope to stimulate your thinking in ways
that may help you improve your everyday work and increase your success. Well start the series
with a brief test of your own marketing status.
The Test
Managing a business or a practice
isnt difficult if you factor in a few
basic principles such as: common
sense; setting long-term goals and
sticking to them; patience, consistency, and perseverance; recognizing connections; self-motivated innovation; good planning and
implementation; and last but not
least enjoying your work. Often,
however, we fail to consider these
things because theyre too simple
and basic. Put yourself to the test by
checking the statements that best
apply to you.
1. Defining goals
18
) M a r k e t i n g Yo u r P r a c t i c e
2. Marketing to patients
(2) It is very difficult for healthcare practices to influence patients
or to attract new patients in the ways
that other businesses use to draw in
customers. Especially in tough economic times, we need to be able to
rely on our regular patients and try
to limit our losses.
(4) Marketing to patients is
somewhat important to me. I try to
provide what my patients want, and
friendly interactions with them are
my top priority.
(6) I am intent on providing the
greatest possible benefits to my patients, including intangible benefits.
Human relationships, credibility, enthusiasm, image, service, and enthusiastic customers are top priorities in
my practice. Sound marketing is one
of the few areas we still have any
control over. When planning marketing events such as patient seminars, I factor in all the information
(age distribution, catchment area,
etc.) I have in my database, and I
seek competent advice if I need it.
3. Reorganizing and implementing new strategies
(2) I respond meticulously to
changing situations (decreasing
numbers of patients, an employees
resignation). Of course its difficult
to be active on multiple fronts at the
same time, but the complexity of my
practice demands it.
Scoring
Add up the number of points you
checked and compare them to this
scale:
6-10 points: In changing situations
(policy shifts, more stringent legislation, more demanding patients),
clinging to old habits is not desirable. If you continue to shoot from
the hip, youll lose track of your
truly important goals. Youll probably give up on good solutions prematurely because you cant wait for
them to be effective. Be patient!
A concluding comment
I find it important to do just a few
things right rather than attempting
to do everything at once. In the end,
the most important thing is the enjoyment and satisfaction you find in
your work, although sometimes that
too is hard to achieve. You may not
have been dealt the hand youd like,
but you can make the best of what
you have.|
19
) Specialized Applications
By Jan Kersschot, MD
Fig. 1: Lateral band injury in
Subcutaneous injections
Subcutaneous (s.c.) injections are administered when deeper injections
are impossible for technical or practical reasons. For example, instead
of injecting medication into small
joints such as the temporomandibular joint or finger joints, biopuncturists first start with subcutaneous
injections into the pain zone. Subcu
taneous injections may also be
administered for sports injuries
for example, when cutaneomuscular reflexes are used to
influence deeper layers.
Case study:
A basketball player (age 25) had
been in pain for three days after injuring her right ankle during a club
competition. She had difficulty
walking and the ankle was swollen,
especially laterally. An ultrasound
showed signs of swelling and lateral
band injury.
I suggested using local subcutaneous injections to stimulate healing.
In each session, about 1.5 ml of a
mixture of Traumeel (2 ml), Lymphomyosot (1 ml), and lidocaine
0.5% (3 ml) was administered by s.c.
injection into each of four spots
(Figure 1). She also applied Traumeel ointment to the ankle and took
Traumeel tablets. After two sessions
(one week apart), she noted about
80 percent improvement. She had
no further trouble playing basketball.
20
Journal of Biomedical
) Specialized Applications
Fig. 2: Arthritis
Intramuscular injections
When treating athletes with minor
orthopedic complaints, biopuncturists focus heavily on the muscular
system. Patients may suffer from
pain in affected muscles and complain about weakness in those muscles. During examination, certain
areas or spots may be very tender on
palpation. Such points are called
myofascial pain points (MPPs). Some
of these points (called myofascial trigger points, or MTPs, in biopuncture)
also trigger pain elsewhere in the
body. For example, a patient presenting with heel pain may be experiencing pain referred from MTPs in
the calf muscle, so the injection will
be administered into the calf muscle.
Referred pain on the side of the leg
may be due to MTPs in the gluteus
minimus muscle. In biopuncture,
these MPPs and MTPs are injected
with Spascupreel, Traumeel, or
Zeel.
Case study:
A tennis player (age 53) had pain in
the right knee for six months. It was
worse after playing tennis. X-rays
revealed arthritis in both knees, especially on the right side; ultrasounds were normal. An NSAID
prescribed by his doctor gave quick
relief but had to be discontinued
due to gastric pain.
During his initial visit, the patient
pointed out the painful area (the
right patellar region). On clinical
examination, however, I discovered
several trigger points in the right
quadriceps muscle (above the area of
pain) and injected a mixture of Zeel
(2 ml), Spascupreel (1 ml), and procaine 1% (2 ml) into those MTPs at
a depth of 1 to 2 cm. The patient
received three injections at each of
the weekly sessions (Figure 2). After
the first session, he complained
about increased pain and discomfort. I explained that this was simply
a reaction phase; it meant that the
medications had started to work. He
experienced great improvement after three sessions and achieved complete and lasting relief after seven
sessions.
Case study:
A woman (age 30) had experienced
pain in the right groin for three
months, especially while running
(800 m). When NSAIDs didnt help,
she decided to try biopuncture. Initially, I injected Traumeel (s.c.) into
the pain zone on a weekly basis.
When these local subcutaneous injections failed to produce results, I
looked for myofascial trigger points
(MTPs) and found several in the adductor longus muscle. These spots
were injected with Traumeel at a
depth of about 2 to 3 cm (Figure 3).
The patient experienced more than
50 percent improvement after the
first set of injections into the MTPs
(without injecting the groin) and
achieved permanent relief after three
weekly sessions of injections into
the same trigger points.
Fig. 3: Pain in
21
) Specialized Applications
Case study:
A 29-year-old professional football
(soccer) player was experiencing
chronic neck pain that had begun
two years earlier when he collided
with another player on the field. Xrays and CT scan were normal, but
on clinical examination, palpation
caused significant tenderness along
the nuchal ligament on the midline
of the neck. I injected four pain
points (LPPs) with a mixture of
Traumeel (2 ml), hypertonic sugar
(2 ml of glucose 20%), and 2 ml
lidocaine 1% on a weekly basis (Figure 4). After five weekly sessions,
the patient was symptom-free.
Conclusion
Increasingly, sports medicine specialists are seeking alternatives to
cortisone injections. Athletes are
also becoming interested in medications that are safe and not on any
banned substance lists. The time is
right for physicians to discover the
benefits of biopuncture, and workshops that include demonstrations
of injection techniques on actual patients are a good introduction. Interested physicians are usually surprised and pleased to discover how
easy and accessible this approach is
and how safe and beneficial it can
be for their athletes.|
22
) Re s e a r c h H i g h l i g h t s
Reference:
Alejandro Orizola, MD
Oral Presentation: The efficacy of Traumeel versus diclofenac and placebo ointment in tendinous
pain in elite athletes: a double-blind randomized
controlled trial.
World Congress 2007
Society for Tennis Medicine
and Science
16 & 17 February 2007
Antwerp, Belgium
23
) Making of ...
24
) Making of ...
Most of the active
Empty tubes
Traumeel ointment
machine (top),
ingredients in
25
South Africa:
Homotoxicology in the
Rainbow Nation
Rainbow Nation among its citizens. For example, South Africa has
no fewer than eleven official languages, which include nine tribal
languages, English, and Afrikaans
a language spoken in no other part
of the world but South Africa.
26
Commitment in education
and sports
Homotoxicology found its way into
South Africa as early as 1986, when
Heel was represented by a local distributor; six years later, Heel South
Africa was founded. Since that time,
countless seminars and continuing
medical education programs have
been offered to support physicians
and pharmacists in treating their patients with homotoxicology. Heel
South Africa along with Traumeel,
of course has also been a constant
presence at major sporting events.
For the first time this year, the company is the main sponsor of the
Traumeel Wally Hayward Marathon,
historically one of the most popular
standard marathon road races in
South Africa (see the article on page
14). Another important event is the
Comrades Marathon, an annual 90
km ultra-marathon between Pietermaritzburg (the capital of KwazuluNatal province) and the coastal city
of Durban.
Heel South Africa was one of the
first international companies to of-
) Crossword Puzzle
27
N E W
e-learning program
free of charge