Treatment Protocol in Neural Therapy
1- Comprehensive Anamnesis and Examination:
The history taken from the patient in neural therapy differs in some aspects. In addition to the general history taken in this context, it is necessary to take a special history that will evaluate the person with the neural therapy approach. This is because the temporal relationship between the events that coincide with the onset of the disease is very important. In order to establish the temporal connection, the following questioning should be carried out in detail in order to identify the events that occurred in the same period with the onset of the disease.
Ø Surgical interventions: What are the changes that occur in the patient after an operation or dental treatment? Are these related to the onset of the patient's complaints?
Ø Traumas: It should be questioned whether there was a trauma before the onset of the complaints. This trauma may be localized anywhere in the body or it may be widespread. Examples include swelling and distortion.
Ø Previous diseases: Is there any previous illness, antibiotic use or drug abuse that may be related to the occurrence of complaints?
Ø Emotional intensification and trauma: Did the onset of symptoms occur after an emotional intensity? How long have stress, grief, sadness, distress and anger been present?
2- Local/Surface Treatment:
The first approach is local treatment. Locally, quadel-shaped injections are given wherever the pain is located.
Superficial injections can also be made into special acupuncture points (acu-points). Acupuncture treats the perivascular sympathetic plexus and the sympathetic and parasympathetic nerve fibers. These are important structures in the body that can translate the signal from the needle tip into an action potential.
Acupuncture points do not actually exist; they are located where there is a high density of vegetative nerve fibers, especially around the blood and lymph vessels (research: Schnorrenberger, Germany). Acupuncture points on the body, ears, scalp, inside the mouth, tongue and other areas are very important for the regulation of the autonomic nervous system.
The advantage of the application of the Neuraltherapy approach to acupuncture points over Traditional Chinese Acupuncture treatment is that the injection of appropriate drugs into acu-points has a dramatic effect.
3- Segmental and Deep Injections:
In cases where local treatment is ineffective, segmental treatment is applied. The definition of segment is not the same as dermatome; segment covers the dermatome. The essence of segmental treatment is that any irritation causes a reflex response in all or part of the segment and an interaction occurs from periphery to organ and from organ to periphery by finding a path through the medulla spinalis (cutaneo visceral reflex line).
HEAD and MACKENZIE observed that a diseased organ produces various reactions in the skin and subcutaneous zones, which are organized and clearly demarcated. From this they concluded that any organ may communicate with a certain superficial region of the body through cutaneo-visceral reflex channels.
The human body can be divided into a total of 30 segments, 8 in the cervical region, 12 in the thoracic region, 5 in the lumbar region and 5 in the sacral region. These zones are called “Head Zones”.
All the formations within a segment are in relationship with each other. Therefore, an obstacle or stimulus that will occur within the segment will affect not only the problematic area but the whole segment. This mechanism is utilized in neural therapy.
For example, quadel or periosteal stimulation applied to a segment is not only limited to the treated area, but also positively affects the organs, muscles and all other structures within the segment and increases the blood supply of that area.
The segment is also diagnostically important. The color changes and muscle tone observed by palpation give us information about the functions of organs and joints.
Even the interference fields within that area can cause localized skin and subcutaneous changes. As a result of successful treatment, the tone and turgor within the segment also improves.
With procaine injection into the irritated segment, membrane polarization is restored, pathogenic conductions in the reflex lines are eliminated and normal conduction is ensured. Thus, all vegetative processes return to their optimal function.
An example of deep injections is sacroiliac joint injection.
If the patient's complaints increase after segment stimulation, three things should come to mind:
1. The number of warnings issued is high
2. The problem is elsewhere rather than in this segment
3. Investigate the disturbance field
Attention!!!
Using a few drops of procaine in the right place is more meaningful and effective than using liters of medication.
The patient should be checked 24 hours after each application and any changes in symptoms should be recorded. If there is a response to treatment, segmental application should be continued until the disease is cured. If there is no response to treatment, the patient's anamnesis should be reviewed and the temporal relationship of the disease should be re-evaluated.
4- Ganglion Treatment:
In cases where there is no response to treatment, it is necessary to intervene in the higher acting organs. In this sense, ganglion or trigger points in the area of the disease are also stimulated and included in the treatment. Autonomic ganglia can become toxic and remain so for a long time. Ganglion injection is the fastest way for ganglion detoxification.
5- Disruptive Field Treatment:
As mentioned above, a previous or existing local irritation in any part of the body can become a pathological site (interference field) and disrupt the neurovegetative system and cause disturbances in some of the body functions. For this reason, it is extremely important to investigate and treat the interference fields in case of no response to treatment. Of course, first of all, it is necessary to examine whether the Adler points are sensitive or not and to regulate the problematic region or area.
Maximum dose for LAs used in neural therapy (for a person weighing 70 kg):
Ø Lidocaine (1%): 20 ml
Ø Procaine (1%): 50 ml
Ø The use of 2% preparations should be avoided, because they perfuse rapidly and there is a greater risk of reaching the maximum dose.
In addition to Neural Therapy, utilizing other complementary therapies such as acupuncture, reflex therapy, manual therapy, magnetic field, biophoton, homeopathy, ozone therapy, colon hydrotherapy, etc. in the treatment of diseases will further increase the success of us physicians.
Dr. Hüseyin Nazlikul, M.D., PhD.
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