Customized and unique multi-modal protocol.

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2 Customized and unique multi-modal protocol. Focused therapy at the site of injury to increase tissue healing from the inside out.

3 Inflammation & Edema Anglogenesis & Neovascularization Angiogenesis Nerve Regeneration Collagen Production Cartilage Production Muscle Regeneration & Muscle Atrophy Bone Formation Angiogenesis & Neovascularization: An increase in oxygenated blood to the injured tissue accelerates tissue healing. Collagen Production: Proper alignment and remodeling of collagen reduces internal scar formation and enhances tissue elasticity. Muscle Regeneration & Muscle Atrophy: Repair of damaged muscle fibers and activation of myogenic satellite cells leads to regeneration of muscle tissue. Inflammation & Edema: Increase in inflammatory mediators such as macrophages, neutrophils and lymphocytes accelerates and resolves the inflammatory process. Nerve Regeneration: Proliferation of growth factors promotes neuronal sprouting and myelin formation for optimal nerve recovery. Cartilage Production: Increase in chondrocyte and collagen production allows for improved cartilage deposition and joint function. Bone Formation: Proliferation of osteocytes and remodeling of bone extra cellular matrix results in accelerated bone repair.

4 Typical Treatment Pipeline Shoulder, Knee or Hip replacement surgery Steroids & other anti-inflammatories Arthroscopic surgery PRICE Addictive narcotics and anti-depressants Physical therapy Pain killers and steroids: 30 million NSAID users, 103,000 hospitalizations, 16,500 deaths Steroid Injections: short-term relief, progressively less effective, potential joint damage Knee Surgery Facts: all standard risks of surgery and anesthesia, rehab lasts for weeks or months, 54,000 replacements undergo more extensive revision surgery, half within 2 years, and no guidelines exist. Knee replacement was the 14th most common inpatient procedure in More than 4.5 Million Americans are currently living with at least one Total Knee Replacement. Over 650,000 knee replacements occurred in Common Complications: mechanical complications of implant, deep vein thrombosis (DVT) (blood clots), complications due to hemotomas, cardiac complications, postoperative infection, complication of operative wound, and respiratory complications.

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6 Patella Femur Lateral collateral ligament Medial collateral ligament Lateral meniscus Medial meniscus Fibula Tibia Mechanics of the Knee The integrity of the knee joint depends upon the muscles and tendons about the knee, the articular capsule, the intrinsic ligaments of the joint, and the bone architecture of the tibia and femur. Rolling and glide motion, mechanical limits imposed by anterior and posterior cruciate ligaments (restricts forward and posterior translation). Patella (kneecap) acts as a lever and stabilizer in complex flexion and extension movements. The menisci cushion hyperextension and hyperflexion. The lateral collateral ligament prevents medial translation of the knee joint.

7 Healthy Joint Knee Osteoarthritis Rheumatoid Arthritis of Knee Osteoarthritis of the Knee Osteoarthritis: Commonly known as wear-and-tear arthritis, is a condition in which the natural cushioning between joints -- cartilage -- wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock absorbing benefits of cartilage. The rubbing results in pain, swelling, stiffness, decreased ability to move and, sometimes, the formation of bone spurs. Osteoarthritis in the knee is the leading cause of Total Knee Replacement (96% of all cases). Fourth most common cause of hospital visits. Affects over 27 million Americans and expected to exceed 67 million by Osteoarthritis is the most common type of arthritis. While it can occur even in young people, the chance of developing osteoarthritis rises after age 45. According to the Arthritis Foundation, more than 27 million people in the U.S. have osteoarthritis, with the knee being one of the most commonly affected areas. Women are more likely to have osteoarthritis than men. Possible Causes: age, weight, heredity, gender, repetitive stress injuries, athletics and other illnesses.

8 True Story of a KNEE PAIN SURVIVOR You could call him a survivor, fighter, or champion over his knee pain... Case: Col. Leon McCall Condition: knee pain Pain Scale: 7/10 Suffering: for five years I am an 85 year old retired boots on the ground soldier who has had knee problems since retirement. I m not surprised I have knee problems because I use to leap out of aircraft, climb mountains and jump out of helicopters which is not conducive to keeping your knees in good shape. I had knee surgery on my right knee in 2005, it worked well. Then, my left knee began to deteriorate a couple years ago, I dreaded having to get another knee replacement. I was reading the Post and Courier and an ad from Dr. McPhail was in there and it pointed directly to me. It said there was a new technique, noninvasive, cold laser treatment. I thought that sounded like what I would be interested in. I made an appointment and was immediately impressed with Dr McPhail, his presentation and what he could do for me. I have enlisted in his care for a full regiment of treatments. I have completed them. Before I came here I was walking with a shuffling gait and now I m walking with a normal gait. I have minor knee pain periodically (not very often). The treatment is noninvasive and is cold laser, there is no heat generated and no pain associated with it. In fact, I would meditate while taking the treatment. I m looking forward to more extensive use of my left knee now, especially in my golf swing. I am a knee pain survivor, and this is my story. Col. McCall MCPHAIL PAIN RELIEF CENTER TESTIMONIAL

9 Hip Replacement Pelvis Ball of Femur Damaged Cartilage Femur Femur Normal Hip Arthritic Hip Osteoarthritis Hip Replacement Osteoarthritis is a degenerative type of arthritis that occurs most often in people 50 years of age and older, though it may occur in younger people, too. In osteoarthritis, the cartilage in the hip joint gradually wears away over time. As the cartilage wears away, it becomes frayed and rough, and the protective joint space between the bones decreases. This can result in bone rubbing on bone. To make up for the lost cartilage, the damaged bones may start to grow outward and form bone spurs (osteophytes). Osteoarthritis develops slowly and the pain it causes worsens over time. Sometimes called "wear-and-tear" arthritis, osteoarthritis is a common condition that many people develop during middle age or older. In 2011, more than 28 million people in the United States were estimated to have osteoarthritis. It can occur in any joint in the body, but most often develops in weight-bearing joints, such as the hip. Osteoarthritis of the hip causes pain and stiffness. It can make it hard to do everyday activities like bending over to tie a shoe, rising from a chair, or taking a short walk. Because osteoarthritis gradually worsens over time, the sooner you start treatment, the more likely it is that you can prevent or lessen its impact on your life.

10 True Story of a KNEE PAIN SURVIVOR You could call him a survivor, fighter, or champion over his knee pain... Case: Daniel Muldoon Condition: knee pain Pain Scale: 9/10 Suffering: for over 30 years I had a motorcycle accident, a bad one when I was 19; because of that I had atrophy in the left leg. After I got the cast off and everything, I started running and found that the left leg couldn t take the weight and I was in a lot of pain. I ve been babying this leg for over 30 years. Five years ago I was running into work through the parking lot in the rain and I experienced a lot of pain and found out I had a meniscus tear had to miss 8 weeks of work and get it scoped out. Then a couple years later I was doing an incline bench and tore both the left and right menisci, got it scoped out again and since then about a year ago I started having shooting pain. I d be walking and all of a sudden I would have shooting pain and I would have to stop and reset my gait. With the LKP and the laser, it retrained my knee and basically the pain is gone and I can squat now without grimacing or having to grab a table or something like that. About a month ago I was coming out with a platter of food onto my back deck, I have about a four foot drop off my steps, and my foot hooked, I was looking at landing face first down on the ground and really hurting myself, instead I jumped, I jumped about 6 or 8 feet and I landed on both feet and they took all the shock. Unbelievably my knee didn t even hurt and just took all the shock. I am a knee pain survivor, and this is my story. Daniel M. MCPHAIL PAIN RELIEF CENTER TESTIMONIAL

11 There is a Proven Solution Even If Nothing Else Has Worked! About the McPhail Pain Relief Center Dr. Drew K. McPhail developed the MLP Protocol because of the prevalence in the incidence of diagnostic hurdles patients face and the concerns and risks about hip and knee replacement surgery. The MLP Protocol has proven to be an extremely successful and safe alternative to surgery. The MLP Protocol is the most advanced treatment protocol available to U.S. doctors for nonsurgical treatment. The treatment utilizes a combination of treatment elements which includes nonsurgical, noninvasive, drug-free therapies. Results produced are increased blood flow to the injured area, decreased pain, increased function and mobility, and tissue repair. The outcomes are astounding, and all without invasive or painful procedures such as surgery! Dr. McPhail develops a customized treatment program for each patient based on his or her specific condition. The MLP Protocol is noninvasive and drug-free. There is absolutely no concern about drug interactions. It is completely safe and it works! Dr. Drew K. McPhail In addition to having good outcomes, patients are able to get off of addictive pain medications and other drugs that can affect them both physically and mentally! Millions of people seek relief from the pain and failed surgeries. The mission of the McPhail Pain Relief Center is to help those sick and suffering with chronic pain - bringing only the most advanced and successful treatment protocols to our community and surrounding area. I help people who suffer everyday, and I know what we do is a solution. I hate to see pain robbing people of their lives and their relationships with their children and families. That is why I have dedicated my life to helping the sick and suffering -Dr. Drew K. McPhail About Dr. Drew K. McPhail Chiropractic Physician Dr. Drew K. McPhail is a nationally recognized Doctor of Chiropractic, lecturer, national consultant and contributing author of a recent book Neck Pain Neck Pain: Why Your Neck Hurts and What You Can Do About It. Because of his professional prominence he is on the leading edge of the most progressive, nonsurgical treatment technologies and proven care available. Dr. McPhail, a native of Gainesville, FL, attended Valdosta State University for undergraduate studies before completing his Doctorate of Chiropractic Medicine from Parker College of Chiropractic, Dallas, TX, and he is the founder of the McPhail Pain Relief Center in Summerville, SC. As a true pioneer of cutting edge technology, he was one of the first doctors in the state of South Carolina to introduce high powered cold laser therapy.

12 McPhail Chiropractic 1709 Old Trolley Road Summerville, SC (843)