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Tag Archive for: joint pain

Posts

arthritis treatment

Treating Arthritis with Functional Medicine

May 2, 2021/in Bone Health, Inflammation/by Lisa Lilienfield, MD

Conventional treatments for arthritis rely on medications to decrease inflammation and improve symptoms. Functional Medicine, in comparison, looks at the underlying cause of inflammation and aims to reverse the process at the source. Functional medicine doctors will look at gut health, toxicity, hormonal imbalances, and other possible conditions that may be contributing factors.

Dr. Lisa Lilienfield explains how The Kaplan Center treats arthritis with a Functional Medicine approach.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Low_dose_naltrexone

Low-Dose Naltrexone: Can a Higher Dose Lead to Better Results?

March 1, 2016/in Treatments/by Lisa Lilienfield, MD

Q: I have a question about low-dose naltrexone for chronic pain, I understand you use this in your clinic. The standard dose appears to be 4.5 mg in almost all of the information I can find. There are a few chronic pain MDs in the U.S. that seem to be using higher doses with success — a couple say to go up as high as 10 mg while another one is using it up to 4.5 mgs 3xday with great success for those who do not respond to one dose of 4.5 mgs. Do you have any thoughts on this? What I’ve read is that one should not give up on this medication if not getting benefits at 4.5 mgs. Thank you.

A: LDN, or low-dose naltrexone has recently become popular as a method to boost the immune system for a number of conditions, such as HIV, cancer, Crohn’s disease, multiple sclerosis, neurodegenerative disorders, chronic neuropathic pain, fibromyalgia, and other autoimmune diseases.

How Low-Dose Naltrexone Works

LDN works by temporarily blocking endorphins in the brain which causes a reciprocal boost in natural endorphins, and by down-regulating the inflammatory effect of immune cells called microglia in the brain that get turned on in certain situations. At a low dose, the side effects are minimal. Higher doses can cause sleep disturbances and may cause elevation of liver enzymes. Although I don’t usually go higher than 4.5 mg, most likely the doses you are talking about – 10-14 mg – are far from the 50 mg or higher dose that is used to block opioid overdose, and are therefore are probably safe. I don’t see any research on the efficacy of using higher doses, however.

–Dr. Lisa Lilienfield

 

Non-Surgical Joint and Arthritis Pain Options: Harness Your Body’s Natural Healing Power

June 13, 2012/in Treatments/by Kaplan Center

Suffer from sprains, strains or arthritis pain? Here’s why you should consider prolotherapy.

What is Prolotherapy?

Prolotherapy, which is short for “proliferative therapy,” is a sophisticated, but minimally invasive, method of Regenerative Injection Therapy where natural solutions, such as high concentration dextrose, are delivered to areas of injury to restart and maximize the body’s own injury-healing processes. This healing technique is most often applied to painful and injured joints, ligaments, and tendons to encourage the restoration of normal, healthy tissue. Prolotherapy can help people to postpone and even eliminate the need for surgery in some cases such as rotator cuff surgery or joint replacements, including hip and knee replacement.

How does it work?

Prolotherapy stimulates your body’s own internal healing response in any joint, ligament, or tendon. The healing response itself is triggered when the prolotherapy solution – a plant-based sugar that is not a synthetic chemical foreign to the body – causes the injured tissue to release specific growth factors that attract tissue-healing cells to the injury site.

Health Benefits

Prolotherapy has been in use since the 1930’s, and has proven to be a safe and time-tested treatment for virtually every joint area of the body from head to toe. The amount of clinical research on prolotherapy has increased substantially over the last several years, and dozens of studies have demonstrated its effectiveness in treating a myriad of painful problems. Prolotherapy can be successful in healing the following conditions:

• TMJ (jaw) pain
• neck pain and whiplash injuries
• rotator cuff injuries
• shoulder instability and labral tears
• tennis elbow (lateral epidondylosis)
• golfer’s elbow (medial epicondylosis)
• wrist sprains and tendinitis
• hand and finger arthritis
• mid-back and rib pain
• low back pain
• sacroiliac dysfunction (which often causes sciatica and pain radiating down the leg)
• groin strains
• hip arthritis and bursitis
• hamstring injuries
• arthritis of the knee
• knee tendon, ligament and meniscus injuries
• ankle sprains
• Achilles tendon injuries
• plantar fasciitis
• toe sprains and arthritis

Following prolotherapy, many patients are able to return to their everyday activities with less pain, more mobility, and greater endurance.

Recuperation from a prolotherapy session is generally quick. In most cases, the patient is advised to take it easy for about two to three days following treatment before returning to normal activity levels.

Choosing your prolotherapy provider

The Kaplan Center is truly an integrative medical clinic in that we can provide a service like prolotherapy in the context of getting the person back to peak overall health. Many other practitioners of prolotherapy are focused on treating only the musculoskeletal structure, without addressing other important issues such as diet, sleep, hormone balance, and mental/emotional well-being. We want the whole person to be optimally healthy, so we offer additional therapies such as acupuncture, herbal remedies, in-house physical and massage therapy, and nutritional and/or psychological counseling. Prolotherapy can also be offered in a tailored combination with other therapies such as osteopathic manual treatment.

The beauty of prolotherapy is that it heals injury, and potentially provides a long-term benefit as compared to other treatments which only cover up the pain temporarily.

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