High Intensity Health with Mike Mutzel, MS

#186: Shawn Naylor, DO- Reducing Joint Pain & Improving Mobility w/ Prolotherapy


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Prolotherapy expert, Dr. Shawn Naylor discusses strategies to regenerate the health of tendons and ligaments and way you should request anesthetizing incisions before your next surgical procedure.


It’s a fascinating discussion and effective intervention that’s used by many athletes and active individuals.


Here’s a link the video interview: http://highintensityhealth.com/186


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Here are a few key takeaways:

01:59 What is Prolotherapy: It is the use of an injection to cause the proliferation of connective tissues, to enhance the structural integrity of something that was weak, loose, unstable or damaged.
02:27 Benefits from Needle Trauma: Just the trauma of using the needle causes some regeneration. Early studies found that injections of both saline and dextrose were both effective. In prolotherapy, the needle is used to create some trauma, making it bleed.
04:27 Formerly Sclerotherapy or Scar Therapy: About 60 or 70 years ago, when prolotherapy first started, the pioneers thought they were creating scarring. However, ligaments don’t heal that way. A ligament that has healed is indistinguishable under a microscope, from a healthy ligament.
05:55 NSAIDs/ Non-Steroidal Anti Inflammatory Drugs: When you are injured, an inflammatory response is triggered, creating a cascade of events that plays out over 6 to 8 weeks or so.
09:26 Tissues that Benefit from Prolotherapy: Nearly any joint can painful from an injury to soft tissue, so nearly any joint is amenable. There is a renewed interest in putting solution into the joint where cartilage is to improve vitality to that tissue.
13:12 Injection Materials and Anesthetics: Different prolotherapy providers use different solutions. Injecting platelet-rich plasma or stem cells are different solutions used in the same manner. A local anesthetic is used, most often lidocaine or procaine. Dr. Naylor prefers procaine, which is metabolized more quickly into an amino acid and is non-toxic. He also uses two homeopathics, Traumeel and Zeel in almost all injections. He uses B12 and dextrose in varying quantities. Low amounts of dextrose possibly causes an immunomodulatory effect.
19:24 Neurotherapy Injections: These injections are mainly superficial, into the skin. It can be effective in treating whiplash and traumatic brain injuries. Using nothing more than the local anesthetic, there have been very good results. During treatment, the anesthetic can have a significant neuromodulatory effect.
21:58 Prolozone Therapy: More caustic agents were sometimes used to get a more effective inflammatory response. Ozone lends itself well to prolotherapy.
28:22 The Role of Memory in Neurotherapy: Memory is a large part of whiplash and surgical scars. Surgeons do not generally use local anesthetic. When we are under general anesthesia, our basal ganglia (our ancient lizard brain) is still fairly conscious and probably traumatized by the surgery, especially the incision where your pain receptors are. A study showed that people used less opiates after surgery if local anesthetic was used before the incision was made. This probably applies to long term pain as well.
33:09 Trigger Point Therapy for Referred Pain:
36:20 Where to Find a Prolotherapy Practitioner:
37:51 Dr. Naylor’s Favorite Herb or Botanical:
39:11 Dr. Naylor’s Morning Routine:
40:57 Optimizing Prolotherapy:
43:29 Dr. Naylor’s Elevator Pitch:

 

Here’s a link the video interview: http://highintensityhealth.com/186

 

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