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1 Treatment of post-traumatic pain and vertebral pain syndromes without side effects Dr. med. Willmar Schwarze, Wurzen 1. INTRODUCTION The annual BICOM congresses are an exciting highlight in the continuing professional development of BICOM users. Having attended these events with growing interest since 2000, it is a particular honour to be given the opportunity to present my own experience here today Significance of diagnosis and treatment of painful disorders as part of basic medical care Pain which is experienced as a sign of possible pathological changes in the body is one of the most common reasons for consulting a doctor or naturopath Brief consideration of the pathophysiology of pain Pain is not a state but a negative experience for the individual concerned. Nociceptors, specialised nerve sensors in the peripheral nervous system, record signals that various thresholds are being exceeded and convert this information into impulses capable of being transmitted from nerve pathways towards the centre (bone marrow and brain). These impulses are transmitted via A-delta- and C-fibres to the bone marrow, up through the bone marrow to the brain stem, then via synapses to central neurons where they are perceived in the cortex, an intricate set of signals of highly complicated integrative achievements of the biological system. Certain aspects of this integrative process can be assigned to certain structures (fig. 1). These in turn form the point of departure for the system s responses which are designed to help protect normal vital processes. In this way, pain in its varied manifestations with sensory, motor, vegetative and cognitive components can be regarded as the result of the integration of a complicated interplay between biological subsystems. Virtually every study on the pathophysiology of pain includes structural systems between nociceptors and cortex and describes the processes in the structures with the much studied biochemical course of these processes. Far less attention is devoted in these studies to how these complicated processes are controlled, especially the biophysical regulatory processes in the living organism. We have come together in Fulda to strengthen our conviction that life is not just a complicated structure made up of matter. We know that this complicated structure made up of matter only comes to life with its other manifestation, namely the electromagnetic wave structure. With the BICOM device a tool has been made available to us which allows us to exploit the various manifestations of matter effectively for diagnosis and therapy. 2. PAIN THERAPY IN MEDICAL PRACTICE The various manifestations of pain play an important part in my practice which specialises in internal medicine, especially in my role as a family doctor. 46 th International Congress for BICOM Users, 28 to 30 April 2006 in Fulda REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April

2 2.1 Review For more than 20 years my actions as a doctor, in accordance with my university education, were shaped by the standards which are still valid today: Treatment based on the patient s case history, physical examination and diagnosis supplemented, if necessary, by laboratory and technical tests. Today 85 % of treatment still consists of using medication according to the well-known WHO guidelines for cancer pain management. A far smaller aspect of pain therapy is concerned with physical applications. WHO Guideline The World Health Organisation (WHO) recommends a three-stage guideline in pain therapy: Stage 1: In the begin and with light pains, only NSAR 1 (if necessary also regularly) Stage 2: Light opiates if NSAR are insufficient Stage 3: Combination of strong opiates and NSAR Learning about acupuncture and neural therapy constituted a turning point in my medical understanding of diagnosis and treatment. It enabled me to understand regulatory mechanisms which still fascinate me to this day. In searching for further opportunities I became more involved in biophysics. The icing on the cake was the chance purchase of a BICOM device in 1999 and subsequent initial and further training through Regumed. I have gradually upgraded the device with BICOM 2000 being a particular step forward. Since January 2006 I have also been experimenting with BICOM Multisoft. My first experience and also first taste of success came with diagnosing and treating allergies. I increasingly observed that, when basic allergic disturbances were treated successfully, the patient s 1 non-steroidal antirheumatics; cyclooxygenase inhibitors; analgesic, antipyretic, anti-inflammatory effects chronic pain also disappeared or was at least significantly improved. So why not include the treatment of pain more in the range of specific practical indications covered by BICOM diagnosis and therapy? I freed up the time needed for this in my panel practice in that since February 2004 I have stopped seeing patients on health insurance schemes on Mondays after 1.30 pm and on Thursdays between 8 am and 4 pm. Due to the unsettled general situation as regards health policy, Wednesdays have also been free for private work since November My own particular coverage of pain therapy As I still look after patients with compulsory health insurance and my practice, specialising as it does in internal medicine, is not an obvious first port of call for the effects of injuries, I have tended to treat posttraumatic acute pain as secondary after care of accident injuries with the BICOM Pain therapy in BICOM practice Patients with chronic pain are a rewarding group. They usually have very mixed experience of treatment by a variety of specialist colleagues. It is not just their failure to relieve the pain but the side effects, especially with drug treatment, which are the crucial factor prompting patients to ask specifically for bioresonance therapy. 3. POSSIBILITIES OFFERED BY BICOM PAIN THERAPY Pain is connective tissue s cry for flowing energy. (Weichel) 3.1. The wealth of experience in the computer manual The much-praised computer manual gives us a number of tips for tried and tested pain therapy. The first is obviously to combine programs 425 (Ai, all frequencies) and 426 (A, all frequencies). My no longer brand new computer manual, the first following the introduction of BICOM 2000, contains 137 programs which, judging by the 10 REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April 2006

3 names of the programs, are in some way linked to treating pain. Of these: 56.9 % are H+Di programs 13.2 % are Ai programs 12.4 % are A programs 11.7 % are Di programs 5.8 % are H programs This breakdown seems important to me as it emphasises the link between BICOM therapy and the pathophysiology of pain. Pain is best treated biophysically with electromagnetic impulses, which our BICOM device emits supporting the harmonious components and inverting the disharmonious components in the complex. The other variations are not insignificant, but are somewhat fewer in number. There is evidently a broad range of frequencies applied. Yet here too a systematic approach can be identified. The frequency used ranges from 3.7 Hz (as in program 281, here for shoulder pain) to 139 khz (as in program 551 for coxarthritis). The treatment combination A/Ai is laborious and not always easy to integrate into the course of therapy because of the need to switch according to the patient s sensitivity. (In BICOM 2000 this switch takes place automatically in program 433). In order to proceed systematically, especially in the case of chronic pain, obstacles to therapy must be tested and removed before beginning with pain therapy itself. Without going into great detail here, scar interference fields, geopathic stresses, hyperergia and heavy metal contamination are encountered with particular frequency. Before every pain therapy session I flush the meridians of the affected region if the pain is localised and peripheral. The region can easily be delimited without background knowledge of Chinese acupuncture by reviewing the meridians. The computer manual clearly indicates the starting and end points. Meridian flushing is followed by specific pain treatment according to the indications/follow-up therapies of our computer manual. I prefer H+Di programs for chronic pain. We find clusters in our 137 programs around centre frequencies of 10 Hz, of 52 khz and of khz. about 10 Hz: abaut 52 khz: about khz: gall bladder meridian bladder meridian, joints chron.-deg. large intestine chron.-deg. Returning to pathophysiology, the links to gallbladder, to liver and to joints and nervous system, even though found elsewhere and included in the wealth of our experience, are by no means coincidental System of pain treatment in my practice Following the available recommendations I began pain therapy with programs 425 and 426. This brought encouraging results with various cases of acute pain. Starting with a preliminary program according to conductance testing or quadrant test, the next step is to place an input electrode on the pain region with the modulation mat as output. 4. ACUTE PAIN TREATMENT WITH INJURIES The source of the pain here is strong impulses from a large number of nociceptors from the area of the injury. This high level of activity at the start of the series of signals can lead to excessive demand being placed on the conductive capacity to the centre. This in turn is the cause of the inability to feel pain immediately after the injury. Certainly as BICOM practitioners, when working as family doctors and especially specialising in internal medicine, we will be less exposed to the acute care of major wounds or multiple injuries. Consequently I should like to give two examples which were handled effectively using BICOM Pain following dental extraction As my neighbour is a dentist who keeps an open mind towards my biophysical endeavours and as we have a not insignificant number of patients in common anyway, I quite often treat this type of condition. REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April

4 The following phased program has proved effective: 1. Basic program according to conductance Input: Small flexible electrode on the cheek on the side of the extraction, second input electrode in the opposite hand Output: Patient lies on the mat. Immediately after the extraction the patient is generally in a Yang state and programs 131 or 101 test positive. The extracted tooth in the input cup has a positive effect. 2. First follow-up therapy: 425 (Ai) / 426 (A) Local electrode as with basic therapy. The hand lying across the body on a plate electrode is also helpful (link to large intestine meridian). Leave the input cup as mentioned earlier. I begin with 425 for 2 mins and then switch to 426. The patient usually already feels this A provocation after 1 minute. I perform this switch 3 times and complete this stage of therapy with 425 (Ai). 3. Second follow-up therapy: 510 Here I like to use the electrodes from the old pre- BICOM 2000 system. The tooth remains in the input cup. Input: Magnetic depth probe over the extraction region Output: Large flexible electrode on the back of the neck, extending from about C 3 to Th 4. BRT minerals in output cup. After this therapy we recommend rinsing the mouth out with 15 drops in 1 glass of water, if the dentist allows Pain following fractures in the extremities As these patients, generally having undergone surgery, consult me because of pain if they cannot tolerate allopathic painkillers and frequently are in plaster, I usually employ the old therapy here too without BICOM 2000 from the first follow-up therapy. 1. Basic therapy following conductance Input: opposite hand on plate electrode Output: Input output via the mat 2. First follow-up therapy: 610 (lymph oedema, H+Di) Input: Magnetic articulated or depth probe on fracture region Output: Flexible electrode equally paravertebral on both sides in the segment 3. Second follow-up therapy: 650 (ostalgia, Ai) Input and output as for first follow-up therapy. BICOM oil in the output cup to rub into a lymph outflow region (groin/armpit) which is as central in the body as possible has a beneficial effect. 5. VERTEBRAL AND OTHER TYPES OF BACK PAIN = CHRONIC PAIN In many morbidity statistics, back pain is one of the most common reasons for using medical diagnostic and therapeutic measures. Cervical and lumbosacral pain occur with roughly the same degree of frequency. As soon as I upgraded to BICOM 2000, I included these symptoms more frequently in the range of BICOM treatments offered. It should be underlined once more that, with these generally chronic painful conditions, the many different basic disorders and stresses must be carefully sought out and incorporated into the treatment plan Lumbosacral pseudoradicular syndrome As I now wish to present a brief practical analysis, I want to restrict the treatment system to this particular syndrome. 1. Basic therapy following conductance Input: opposite hand on plate electrode Output: mat Input cup: Saliva and stool Memory device: Chip running as well! 2. First follow-up therapy: meridian flushing ipsilateral bladder meridian Input: Goldfinger on bladder 1 Output: Goldfinger on bladder 60! Program 390 or Second follow-up therapy: 550 worn intervertebral disks (H+Di) Input: Flexible electrode on lower lumbar spine region 12 REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April 2006

5 Output: Modulation mat on abdomen Input cup: Still saliva and stool Memory device: Chip running as well! 4. Third follow-up therapy: 560 lumbar spine problems (H+Di) (5.) Fourth follow-up therapy: 900! 5.2. Practical analysis of BICOM therapy with chronic lumbago Since using BICOM 2000 I have obtained better results with the aforementioned condition than with other therapeutic methods such as CO 2 infiltration, high pitch therapy (WaDiT) or acupuncture. As relapses can be anticipated whichever method is used on these syndromes which are generally caused by chronic degenerative changes, I considered that a series of acupuncture sessions conducted by me, WaDiT therapy or a CO 2 infiltration therapy series would be useful inclusions in the analysis, in addition to specialist orthopaedic diagnosis. An assessment sheet was employed with 3 treatments at weekly intervals. The results are shown in fig. 2 for males and fig. 3 for females, which in turn were differentiated in six age groups (AG). Obviously this simple-looking analytical method cannot lay claim to any validity in terms of modern study design. For me it was merely an attempt to evaluate the therapy I was offering from the viewpoint of patient satisfaction. is true when the technology is used correctly. This emphasis is also clearly confirmed by our patient evaluation in our practical analysis. We have excellent tools at our disposal with the BICOM device and the computer therapy manual. The computer manual contains a wealth of experience with logical links to modern pathophysiology. If one devotes oneself wholeheartedly to the biophysical connections of life, then one has the definite feeling of being one step ahead with BICOM diagnosis and therapy. BIBLIOGRAPHY Computer-Therapie-Handbuch [Computer therapy manual], Version 4.4, Regumed GmbH, Wissenschaftliche Studien zur BICOM Resonanz- Therapie [Scientific studies on BICOM resonance therapy], Institut für Regulative Medizin, Keymer (ed.), BICOM Resonanz-Therapie [BICOM resonance therapy] (BRT), 4 th ed., Haug Verlag, Schumacher, P., Biophysikalische Therapie der Allergien [Biophysical treatment of allergies], 3rd. ed, Sonntag Verlag, Zenz, M. and Jurna, I. (eds.), Lehrbuch der Schmerztherapie [Textbook of pain therapy], WVG Stuttgart, Brons, M. et al., Handbuch Schmerz [Pain manual], 3rd ed., mmi Verlag, To my astonishment, the therapeutic goal was achieved more effectively and, above all, sooner in 68 % of these cases where relapses were treated, whereas this was not achieved with any of my preliminary treatments involving 1-2 sessions. 12 % of patients treated indicated their pain was alleviated after one BICOM therapy session and 8 % after the second session. 6. CONCLUDING OBSERVATIONS Pain therapy is a rewarding indication group within the range of BICOM therapies. If we support the concept that BICOM therapy has no side-effects, then we should emphasise that this REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April

6 Structural relationship of nociceptor Nociceptor and its environment Endogene algesic substances Corticosteroids Acetylsalicylic acid Ibuprofen Phospholipids Arachidonic acid Bradokinin Prostaglanidine E Afferent fiber Physical stimuli: mechanical, heat Sensibilise Stimulate directly Change microcirculation and permeability of vessels Nociceptor: sensory nerve end Substance P Blood capillary Stimulate + Inhibit Opioids 5-HT, Histamine Neurogenic inflammation Mast cells Fig REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April 2006

7 Fig. 2 Fig. 3 REGUMED Institut für Regulative Medizin, Gräfelfing RTI Volume 30 April

By the end of this lecture the students will be able to:

UNIT VII: PAIN Objectives: By the end of this lecture the students will be able to: Review the concept of somatosensory pathway. Describe the function of Nociceptors in response to pain information. Describe