Dear Friend,
I have been experimenting with
steroidphonopheresis and use of different gels
as a coupling medium.U/S only cross transparent medium
SO LET ME KNOW THAT ARNICA IS OPAQUE OR TRANSPARENT,
so that I can conduct a short trial for same.
With regards
.Sarveshwar Sood
Orthopaedic Surgeon & Head Department of Physical
Medicine & Rehabilitation,
Member American Academy Of Pain Management.
S.B.L.S.Hospital
812/1,Housing Board Colony
Model Town,Jalandhar city
Punjab State.India
E-mail [log in to unmask]
http://personal.vsnl.com/sarveshwar
"For all the happiness mankind can gain is not in pleasure....but relief
from pain."
----- Original Message -----
From: "Sarah Fern Striffler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 23, 2000 4:17 AM
Subject: Re: EPA and evidence based practice
| Dear Kam,
|
| I appreciate your concern. I practice in the US, & have never used Arnica,
| which, BTW, is not necessarily only available in homeopathic
concentration.
| It is also available as a simple herbal ointment.
|
| Although I know of no preparation containing arnica marketed for use w/
| ultrasound, there are a few herbal preparations now available from
physical
| therapy supply companies, one of which is "Biofreeze" which contains ilex.
|
| My electro & ultrasound professor (who sits on several PT boards) clearly
| stated that in this country, any over-the-counter preparation can be used
| w/ ultrasound w/o a prescription.
|
| Now, my country does not have any medical school devoted to herbal
| medicine, whereas your country does. Therefore, I would expect your
| country's laws about the use of herbal preparations to be more inclusive
| than my country's. There is no official US Herbal Pharmacopeia; I own
| a copy of the (wonderful) British Herbal Pharmacopeia.
|
| Are you sure that use of a preparation containing arnica would be illegal
| in UK?
|
| Sarah Fern Striffler, PT
|
|
|
|
| Kam-wah Mak wrote:
|
| > Hi Sarah and Lynda,
| >
| > It is with interest that you have brought up the subject of Ultrasound
and
| > arnica ointment as coupling medium.
| >
| > I am a bit concerned with using homeopathic remedy (basically a drug) as
| > coupling medium and to drive this drug into the tissue with US. This is
not
| > the norm for the application of US in UK.
| >
| > Just a few questions to ask:-
| > Are you breaking the law of using epa in this manner?
| > Do you have to have specific training (i.e. knowledge on remedy etc.) to
do
| > this and is the application of US in the manner described in your
message,
| > recognised by your professional body.
| >
| > I just think we have to be careful on deviating from the normal practice
of
| > epa, otherwise it is free for all and some will try all sorts of
techniques
| > on the patients. Their safety must come first.
| >
| > Regards,
| > Kam
| >
| > >-----Original Message-----
| > >From: Sarah Fern Striffler [mailto:[log in to unmask]]
| > >Sent: 22 October 2000 10:24
| > >To: [log in to unmask]
| > >Subject: Re: EPA and evidence based practice
| > >
| > >
| > >Dear Lynda,
| > >
| > >Please share if you have used other herbal preparations or other
| > >applications for arnica w/ ultrasound in your clinic.
| > >
| > >Many thanks.
| > >
| > >Sarah Fern Striffler, PT
| > >
| > >
| > >Lynda Bennett wrote:
| > >
| > >> Re treating gout
| > >> no research project, but if evidence is actually seeing the
| > >benefit... I
| > >> have treated my husband with ice packs - soothes for a short
| > >time; arnica
| > >> ointment after the ice lasts a bit longer as an
| > >anti-inflammatory; but the
| > >> best is ultrasound using the arnica as the contact medium. I
| > >have trialled
| > >> it with several other patients as well - all with almost
| > >instant relief.
| > >> This does not replace medications, but, as an adjunct, it
| > >does give a great
| > >> deal of reduction in pain and consequent improvement in
| > >return to full
| > >> function. Isn't that what physio is about? Trying things out
| > >is how we
| > >> discover things. If it doesn't help your patients, the
| > >question needs to be
| > >> asked "is it the treatment or the method of application, or
| > >the person
| > >> applying it that is the problem?"
| > >> Lynda Bennett
| > >> Australia.
| > >>
| > >> >From: "Goh Ah Cheng" <[log in to unmask]>
| > >> >Reply-To: [log in to unmask]
| > >> >To: <[log in to unmask]>, "'Bruce Gray'" <[log in to unmask]>
| > >> >CC: <[log in to unmask]>
| > >> >Subject: EPA and evidence based practice
| > >> >Date: Wed, 18 Oct 2000 20:26:56 +0900
| > >> >
| > >> >Dear Bruce,
| > >> >You certainly seem to be on a crusade, for some reason or
| > >other. It seems
| > >> >my colleagues on the EPA mail-list feels that your comments
| > >should not go
| > >> >unchallenged. At the very least, your condescending and
| > >inflammatory (no
| > >> >pun intended) language deserves some sort of a response.
| > >> >Yes, there is a parallel mail-list on mailbase dealing solely with
| > >> >electrophysical agents and evidence based practice.
| > >Believe it or not,
| > >> >there is actually evidence behind those "ping" machines
| > >that you've chosen
| > >> >to banish to an un-named storeroom in your department.
| > >Believe it or not,
| > >> >also, most of us on the EPA list aren't "a bunch of
| > >conservative old women
| > >> >who know no better". But let's not dwell on beliefs
| > >alone.... lets look at
| > >> >the evidence.
| > >> >If you really are interested in "finding truth", perhaps
| > >you can spend some
| > >> >of the time that you've saved from abandoning a "flawed
| > >anachronistic
| > >> >paradigm", do a MEDLINE or CINAHL or PEDro search and come
| > >back to the
| > >> >list
| > >> >with something more constructive than "electrotherapy sucks".
| > >> >Any self-respecting Physical Therapist in any corner of the
| > >world can tell
| > >> >you that there are problems with some of the modalities
| > >that we use (but
| > >> >perhaps not in the language that you've chosen to taunt us
| > >with). No one
| > >> >can deny that there are many issues that needs further investigation
| > >> >regarding its clinical application. Indeed, I can even
| > >agree with you that
| > >> >some of the modalities currently in use (I won't be so bold
| > >as to name
| > >> >them)
| > >> >should be similarly banished to your un-named storeroom.
| > >If you wanted to
| > >> >draw attention to any of this, all you had to do was to be
| > >a bit more
| > >> >specific. But like the Razor (who or what the hell is
| > >Occam??!!) that you
| > >> >were so willing to brandish, your sweeping generalizations
| > >had the reverse
| > >> >effect. There is no way anyone can respond to your comments without
| > >> >producing a thesis. This, I am sure, would not go down
| > >well with the rest
| > >> >of the members on PHYSIO or any mailing list. So, instead
| > >of giving you
| > >> >counter arguments that could confine me to this chair I am
| > >sitting on for
| > >> >the rest of my life, let me instead direct you to the
| > >Electrophysical
| > >> >Agents
| > >> >Home Page at
| > >http://health.shinshu-u.ac.jp/PT/electro/index.htm . You
| > >> >won't
| > >> >find all the answers there of course (unlike you, no one
| > >can claim to have
| > >> >all the answers). But at least, you will find some of the
| > >evidence for and
| > >> >some against the modalities that all of us have taken for granted.
| > >> >Finally, may I just add that it is my firm belief that
| > >often it is not the
| > >> >modality that is ineffective, but the inappropriate and
| > >sloppy application
| > >> >of the modality that dooms the treatment from the start.
| > >> >Best regards,
| > >> >Goh Ah Cheng, MAppSc (Sydney), PhD candidate (Curtin)
| > >> >Department of Physical Therapy
| > >> >School of Allied Medical Sciences
| > >> >Shinshu University, JAPAN
| > >> >EPA mail-list co-owner
| > >> >Webmaster, EPA Home Page
| > >> >(http://health.shinshu-u.ac.jp/PT/electro/index.htm)
| > >> >Webmaster, EMG Home Page
| > >(http://health.shinshu-u.ac.jp/PT/emg/index.htm)
| > >> >Webmaster, Singapore Physiotherapy Association Home Page
| > >> >(http://www.physiotherapy.org.sg)
| > >> >
| > >> >
| > >> > > -----Original Message-----
| > >> > > From: Bruce Gray [mailto:[log in to unmask]]
| > >> > > Sent: 17 October 2000 09:11
| > >> > > To: [log in to unmask]
| > >> > > Subject: RE: evidence based practice...
| > >> > >
| > >> > >
| > >> > > Just to get the thread back on topic, I am the sole OPD
| > >physio at a Qld
| > >> > > country 90 bed hospital in Australia. I recently put all
| > >the machines
| > >> >that
| > >> > > go "ping" into the back storage room, and there are many
| > >other hospital
| > >> > > storerooms like this.
| > >> > >
| > >> > > So to affirm my point, electrotherapy sucks. There is no
| > >convincing
| > >> > > comparative invivo studies that show it is a better
| > >treatment then the
| > >> > > intelligent appn of ice/heat, rest/movement, and
| > >anti-inflamms. I am
| > >> >talking
| > >> > > everything from US to SWD to laser. My litmus test for
| > >the benefits of
| > >> > > electrotherapy is to go and try the putated anti-inflamm
| > >properties of
| > >> >US
| > >> >on
| > >> > > an acute gout attack.......any of you out there charging
| > >good money to
| > >> >treat
| > >> > > inflammation with electrotherapy instead of encouraging
| > >your patients to
| > >> >go
| > >> > > and get a script for NSAIDs cannot call yourselves scientifically
| > >> >trained.
| > >> > >
| > >> > > If you think 30 mins of electrotherapy 2x/wk (if you are
| > >lucky) can do
| > >> > > anything significant to fibroblast or leucocyte
| > >function, then you are a
| > >> > > captive of the dogma of a conservative bunch of old
| > >women who know no
| > >> > > better.
| > >> > >
| > >> > > I urge you all to come join the revolution- throw your
| > >placebo "ping"
| > >> > > machines away, draw out Occam's Razor and slash the ties
| > >that bind you
| > >> >to
| > >> >a
| > >> > > flawed anachronistic paradigm.....choose instead to
| > >never compromise on
| > >> > > finding truth again......
| > >> > >
| > >> > >
| > >> > >
| > >> >
| > >>
| > >>
| > >_______________________________________________________________
| > >__________
| > >> Get Your Private, Free E-mail from MSN Hotmail at
| > >http://www.hotmail.com.
| > >>
| > >> Share information about yourself,
| > >create your own public profile at
| > >> http://profiles.msn.com.
| > >
|
|
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|