LISA BLACK Ph.D, BCN, QEEG/D. Could Medication Be Blocking Improvements With ILF Training? CENTER FOR OPTIMAL BRAIN PERFORMANCE, NORMAN, OK

Transcription

1 LISA BLACK Ph.D, BCN, QEEG/D Could Medication Be Blocking Improvements With ILF Training? CENTER FOR OPTIMAL BRAIN PERFORMANCE, NORMAN, OK

2 68 / FEMALE Presenting Concerns and Symptoms Migraine and Seizure History Burning Mouth Syndrome - for past 9 years (since replacement of 5 front teeth) Dental Work Re-done 1 Year Later (no decrease in pain) Neurosurgery 3 years afterwards (90% relief of pain but 0% relief of burning sensation) Uses Hand Signals To Speak Somnolence, Sleeping hours/day - due to meds (cognitive fog, poor word finding and fatigue) 160 s/90 s with pulse rate around 100

3 Presenting Concerns and Symptoms Continued Constant Pain and Burning (tongue and left side of mouth and cheek) Increase In Pain When Talking Tinnitus Sciatica Isolation Depression Suicidal Ideation Constant Burning Pain- Level 8-10 (0-10 scale) Nerve pain in feet

4 Current Medications Neurontin: 4400 mg/day Clonazapam Nortriptyline: 40 mg/day Prevastatin Metoprolol Meloxicam Levothyroxin: 125 mg/day

5 SESSION 1 Started ILF HD with T3-T4 (for migraine and seizure history). Began at 0.5 mhz and worked down by steps to 0.01 mhz and then up to 1.0 mhz. No change in burning pain. 0.9 mhz was the only frequency at which she did not feel she was fighting sleep.

6 SESSION 2 T4-P4 (for increased sensitivity in discovering ORF). Began at 0.9 mhz and worked up by steps to 2.0 mhz and then down trying RF s that were noted as possibilities in first session. Change in burning at bottom of mouth from an 8 to a 6 with RF 0.01 mhz. SESSION 3-12 T3-T4 and T4-P4 at 0.01 ORF. Added HRV training; Level 1 (4 second pace and choppy).

7 SESSION 3-12 CONT. Pain decreased in each session and able to talk in the evening by session 4. First Neurontin decrease at session 3 by 400 mg/prescribed. (clue: pain decrease only lasting till evening, but longer after decrease.) Second Neurontin decrease at session 5 (same pattern) Third Neurontin decrease at session 10 (came pattern)

8 SESSION Added T4-Fp2 at 0.01 mhz to beginning of session Fourth Neurontin decrease at session 15 for decreased pain levels and decreased pain spikes at night. Fifth Neurontin decrease at session 19 Pain levels mostly in the 6 s SESSION Arrived for session 20 with a 3-day, level 7 headache Continued with training at T4-Fp2, T3-T4, and T4-P4 Headache resolved and pain decreased at mhz Sixth Neurontin decrease.

9 SESSION 17 SESSION 29

10 SESSION CONT. Continued sessions at T4-Fp2, T3-T4, and T4-P4 at ORF mhz. Seventh Neurontin decrease at session 26. Decreased Clonazapam by ½ again/prescriber. (Suspected culprit in early AM waking at session 29). Arrived for session 30 without benefit of sleep (effect of Clonazapam decrease). Anxious and shaky - considered going slower with med decreases. Re-optimized mhz with positive effect on sleep.

11 SESSION Continued at T4-Fp2, T3-T4, and T4-P4 at ORF mhz. Sleep back on track after session 31 but off again after another ½ decrease in Clonazapam. Complete d/c of Clonazapam at session 33. (Used Alpha-Stim successfully to take the edge off symptoms of withdrawal) Ninth Neurontin decrease at session 34. Tenth Neurontin decrease and d/c Meloxicam (due to back spasms) at session 37.

12 SESSION CONT. By session 39 BP and HR WNL, sleep is restful. Eleventh Neurontin decrease at session 39 = 0. Decreased Nortriptyline by ½ (20 mg). (Since decrease pain only lasted 2 days) SESSION 40 Added Fp1-Fp2 (before trying T3-Fp1 for sleep maintenance). Immediate response, I have NO bad feeling in my whole tongue!.

13 SESSION 41 Added T3-FP1 at mhz and P3-P4 to existing mix. Best yet, This feels really good!. No improvement in sleep maintenance but foot cramping and cough improved. SESSION 42 Homologous placements only: Fp1-Fp2, T3-T4, and P3-P4. No pain change in session, but pain levels are ranging in the 5 s and 6 s. Second decrease in Nortriptyline (10 mg)

14 SESSION Replaced FP1-FP2 with T4-FP2, and P3-P4 with T4-P4 for improved pain decrease Due to inconsistent sleep (sometimes up till 4:30 am), considered overmedication effect of thyroid or bp meds BP now 130 s/80 s with pulse rate in the 90 s Nortriptyline discontinued at session 44 Metoprolol decreased by ½ & Levothyroxin decreased from 125mg to 100 mg for decreased cough SESSION Added T4-O2 at the end of the session for further pain decrease Sleep back on track, partly because cough is better BP ranges /75-85 with pulses around 90 Metoprolol d/c and Lovothyroxin decreased to 50 mg at session 50

15 SESSION 50

16 SESSION 52 Back to homologous placements to resolve a level 4 h/a that had lasted 5 days and mouth pain level at low 8 BP ranges: 140/85 124/85; pulse ranges Sleep good except for 1 night with early am awakening SESSION 53 Pain increasing the day following training and pain levels in 8 s rather than 7 s Sciatica and foot pain improved Cough continues, though improved from former levels BP range: 149/83-112/74; pulse Re-optimize (Up!) -.3

17 SESSION 54 Pain back in 7 s T4-FP2, T3-T4, T4-P4 Further optimization to.35 Added Alpha-Theta (no improvement & she didn t like it) BP range: 135/84 109/75; pulse Very happy that she has been able to plan and prepare with ease a special meal for her grandkids! SESSION 55 Pain increase to mid 9 BP range: 120 s/70 s-80 s; pulse 80 s Re-optimize -.35 gives greater pain relief than.005 in session

18 SESSION Mid 9 pain level Add Synchrony: No change with 10 Hz, but 40 Hz decreases pain in session, but pain spike after session T3-T4 only; trying higher frequencies for decreased pain (5.0 mhz) in session SESSION 58 Lower pain level back to 7 s was maintained Continued trek up frequency spectrum using 1 channel EEG.1 Hz found to be most numbing, but began to wear off Returned to.005 mhz for comparison and discovered that she could achieve better numbing Pain was more stable following this session for levels in the 7 s

19 Outcome / Re-assessment Able to: Use increase in negative body symptoms as cues to decrease meds that were supposed to decrease that body symptom. (pain decrease didn t last, didn t change, or spiked-decreased meds resolved issue) Focus her thinking (get in and out of the store in 20 minutes vs. 60+ minutes) Sleep more normally (less than hours) Use her mouth normally and give up hand signals in the evening Sing again Move back into interactive, full life Be happy and social again

20 Lessons Learned Medication can block improved regulation. Getting unstuck may involve comparison with less optimal frequencies helps the brain appreciate it s achievements