Fall Series Webinars with Karen Allen CCH. Adjuncts In Constitutional Care: Scarring Prevention and Revision

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1 Fall Series Webinars with Karen Allen CCH Adjuncts In Constitutional Care: Scarring Prevention and Revision

2 Roadmap for Our Training Session Today Scarring: the good, the bad and the ugly Physiology of scarring Etiology cuts, burns, infection Conventional Therapeutics What Are Our Options Is this a Constitutional Issue? Lesional Therapeutics and Adjuncts Example cases

3 Scarring: The Good Physiology of scar the body creates a zipper! Fibrous tissue replaces skin, normal part of wound repair (Two week window for epithelial coverage) Little scars = stretch marks (striae) Big scars wound repair after surgery or trauma How this helps us stronger where the seam is Scar tissue for encapsulation protective mechanism

4 Scarring: The Bad Scar Tissue is Different Collagen fibers align in the same direction, not the basket weave pattern of skin Does not replace sweat glands or hair follicles Less resistant to ultraviolet radiation Localized sensation / tenderness / irritation Adhesions attach parts that should not be attached limit range of motion, cause pain on movement Lack of flexibility ( Can Crack and Bleeding )

5 Scarring: The Ugly Scarring beyond wound repair Atrophic scarring an indentation where the scar does not fill the gap due to collagen blocking regeneration, looks pitted Happens after chickenpox, with cystic acne, staph infection Hypertrophic scarring excess scar tissue within original borders Keloid formation extends past original scar, more common for blacks Studies of African people have shown that 6-16 / 100 develop keloid. 50% with keloid have other family members with it. Develops 3-12 months after scar forms. Variable sensation.

6 Scarring: Etiology Cuts Surgery (knife / laser / laparsocopy) Piercing, tattoo Traumatic wounds (accidents, injuries) Burns (fire / chemical / radiation) Infection or local tissue death (heart attack) Disease processes (endometriosis, carcinoid syndrome, scleroderma, lichen sclerosis etc)

7 Conventional Diagnosis and Therapeutics Diagnosis will differentiate different scarring conditions Steroid injections (triamcinolone) Cryotherapy (freezing) Laser treatment Plastic surgery as an industry strategies for surgical removal without creating more scarring Dermabrasion Silicone gel

8 Where Do We See This in Our Practices Laparascopic surgery / Adhesions C-section (and other post-surgical) scars Cancer radiation therapy Disease Processes with common diagnoses Keloid / Cicatrix formation from small cuts/injuries Teens cutting, piercing, tattoo

9 Hey, Wait A Minute! Is this Constitutional? Look at the etiology Mind like water: Is the biological response proportional? Individualization not everyone gets it? Does resolution of the predisposition (preventing future keloids) also get rid of existing scars? Change the predisposition to form excess scar tissue Prevent the formation of scar tissue Breakdown old scar tissue Relieve pain / sensation at scar location

10 Scar Symptoms... Every Scar Has A Story Color / Appearance Breaking / bleeding Shape and growth Sensation Remember that there can be internal scarring = sensation but nothing visible What about the way the client feels about or experiences having the scarring? How relevant is this to our choice of therapeutics?

11 Scar Symptoms... Best Test Questions Does it extend past it's original boundary?

12 Scar Symptoms... Best Test Questions Does it hurt?

13 Our Strongest Options Graphites 6x (prevention and breakdown) Silica 3x 6x (prevention and breakdown) Thiosinaminum 4x-6x (breakdown) Flouric acid 3c (breakdown) Radium brom 6c (pain relief and scar reduction after radiation) Carbo animalis 6x (pain relief and breakdown) Viscum album 6x (family collagen disorders)

14 Strategy Low potency repeated 1 2 times daily 3 week intervals, then change to prevent habituation Align with the miasm if possible Silica can be applied topically as well Consider alternation between homeopathic, gemmotherapy, cell salt and herbal approaches Monitor have the client take a picture, otherwise hard to judge progress week by week Look for contra-indications encapsulations? Not OEM?

15 Adjuncts Gemmotherapy Hazel and Bramble: reduces scar tissue Birch (Silver and White) and Betulinic Acid: prevents scar formation, allows healthy tissue development after burns Judas Tree: reduce scarring due to infection/inflammation Cell Salts add Silica or Calc Flour 6x to daily plan Botanicals: Castor Oil Packs especially internal scarring Salt / Chamomile tea Soak (¼ tsp salt in ½ cup hot tea) Massage

Case Example: Jane C-Section Scar 4 months since birth Painful, pulling sensation on motion or tensing muscles Bright red across 3/4 of it as if only 1/4 healed Now scar is growing thicker, feels

16 Case Example: Jane C-Section Scar 4 months since birth Painful, pulling sensation on motion or tensing muscles Bright red across 3/4 of it as if only 1/4 healed Now scar is growing thicker, feels rubbery NOTE: Client has past hand injury repair surgery with pins in wrist and 2 fingers. Silica contra-indicated. PLAN: Graphites 6x daily for 3 weeks, alternated with Thiosinaminum 4x daily. Follow up after 6 weeks, pain 90% reduced, redness gone, but scar size unchanged. PLAN: Add Hazel / Bramble gemmo to same plan. Follow up: Scar reduced to normal size, excess thickness gone

17 SO... are you ready to begin? Review Your Cases If you have past cases with clients who had adhesion / scarring, use the data from those for practice Investigate options and select a plan for the practice case, regardless of whether you are still seeing the client Gather your tools Some of the therapeutics we discussed are not available locally and unlikely to be in your office. Get them on site so you will be ready. Read the reference materials and become familiar with likely remedies so that you will recognize them when they are indicated Your Questions?

September 16, 2014 Webinar: Adjuncts In Constitutional Care Scarring Prevention and Revision This document serves as verification that : has completed 1 hour of training with Karen Allen CCH in

18 September 16, 2014 Webinar: Adjuncts In Constitutional Care Scarring Prevention and Revision This document serves as verification that : has completed 1 hour of training with Karen Allen CCH in homeopathic therapeutics. These hours can be used to meet the pre-requisite formal training or continuing education criteria for the Council for Homeopathic Certification. Please print and keep as your record of attendance.

Fall Series Webinars with Karen Allen CCH. Adjuncts In Constitutional Care: Insomnia

Fall Series Webinars with Karen Allen CCH Adjuncts In Constitutional Care: Insomnia Roadmap for Our Training Session Today Normal sleep and it's impacts on health Sleep disturbance: Maintaining Causes