Title : Independent research – possibilities remain
Abstract:
In the world of medicine, now bowing down to guideline directed medical therapy protocols, is there still room for the independent researcher who does not fall in line with generally accepted although not always proven concepts and treatment. This presentation details how one researcher challenged to accepted theory and practice of treatment of chronic muscle spasm and resultant chronic muscle spasm. New concepts of the etiology of chronic muscle spasm emerged and a successful treatment of chronic pain resulting from chronic muscles spasm was developed without the use of opioid medications. Data demonstrating the successful outcomes of a procedure trademarked as CMECD is presented. Additional findings that the length of time a muscle is in spasm does not affect the success of the CMECD® procedure are included. Details in the pathophysiology of chronic muscle spasm are explained and the procedure and the EMG findings of normal muscle and muscle in chronic spasm are demonstrated. EMG findings on normal muscle, muscle with increased insertional activity and muscle is chronic spasm are shown. References to articles and a book on this topic by this author are given. The entire procedure is visualized in a video presentation. Requirements for the use of medications in an off label use according to FDA requirements are presented. Discussion regarding a proposed theory of the etiology of tendinopathy and as a vascular event are presented. The phenomenon described as the Hierarchy of Pain is presented and explained. Comparison to cardiac and skeletal states of hibernation are discussed.
Audience Take Away:
- The audience will be exposed to an EMG guided injection procedure that will allow them to treat chronic pain resulting from chronic muscle spasm with a single injection regardless of the length of time the chronic spasm had been present. Details and practical considerations will be covered. The EMG presentation will be reviewed with treatment and outcome EMG videos. Theoretical considerations will be discussed.
- The ability to make use of the CMECD® procedure will allow PM&R physicians to facilitate the rehabilitation of individuals suffering from chronic pain that limits their function. The economy of the procedure will allow them to directly treat patients directly and be rewarded with the personal accomplishment of immediate and sustained relief of chronic pain. The EMG findings that will be presented offer an opportunity for further research in the origin and treatment of chronic pain and chronic muscle spasm.
