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Questions for Dr. Kennedy
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Neural Therapy
Posted by: Mary
Date: November 13, 2000 1:05 AM

I know that you are a strong believer in the benefits of prolotherapy, but I would like to know if you know anything about neural therapy. I have been dealing with severe chronic pelvic pain since 1994. Since 1976 until October 1999 I have had 3 bladder surgeries, a vaginal hysterectomy, and cholecystectomy. In October 1999 a urologist at UCSF Moffett performed a urethrolysis and cystocele repair and the pain has gotten worse since then. The doctors that have seen me now say that this is no longer a urological problem but a neurological problem. My primary care physician sent me to the only pain management specialist in the area. He has performed 3 caudals with short term pain relief, and now says that a sacral stimulation or inserting a morphine pump are my only alternatives for long term pain relief.

I don't believe that these are my only alternatives, however, I have to get off this MS Contin. I have done some research on neural therapy and feel that due to the many incisions and adhesions that have formed in my pelvis, that neural therapy may be a good alternative. Do you think that neural therapy is a possible alternative.

RE: Neural Therapy
Posted by: Ron Kennedy, MD
Date: November 13, 2000 3:36 PM

I do not do neural therapy. It has a checkered reputation. Sometimes it works, sometimes it does not. It involves injecting Lidocaine around scars and this rests on the belief that scars disrupt the normal flow of energy through the body and somehow causes pain or makes pain syndromes worse. I suspect the positive results are due to a placebo effect. The theoretical basis seems rather shaky to me.



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