Trauma

By | 2011-06-06

Trauma: Sprains, Strains, And Fractures

Definition and cause

Simple sprains, strains, and fractures represent an inflammatory process at the cellular and tissue level. Addressing these conditions depends upon the location and extent of the damage.

Medical therapy rationale, drug(s) of choice, and nutritional recommendations

Medical therapy is based upon the condition. Surgery, splinting, or bandaging is often required for fractures. Sprains and strains often require rest in combination with topical or systemic antiinflammatory medication such as corticosteroids or NSAIDs, but these may reduce healing while controlling pain.

Anticipated prognosis

The prognosis depends on the injury and / or the location. The prognosis is generally favorable for healing.

Integrative veterinary therapies

The focus of integrative therapy for sprains, strains, and fractures is on the status of the body’s healing ability and state of degeneration, rather than entirely on the injury or its location. First, animals that are in a stage of degeneration are more prone to injury. Second, the injury in a degenerating animal may heal on the surface; however, the trauma may exacerbate the process of degeneration. Finally, medications may also contribute to the degeneration by causing untoward side effects. The selection of appropriate therapeutic nutrients and biological therapies can help minimize side effects of medication, reduce inflammation, and improve the immune status of the body. An improved immune status can assist healing and help to stabilize or reverse underlying degeneration.

Nutrition

General considerations / rationale

The understanding of the concept listed above in Integrative Veterinary Therapies can expand clinicians’ focus to include not only the injury and location, but also the status of the healing and immune systems. The selection of appropriate therapeutic nutrients helps to reduce inflammation and free radicals, and enhances immune system balance and function.

Appropriate nutrients

Nutrition / gland support: Cartilage, antioxidants, and essential fatty acids that contain omega-3 and -6 acids help reduce inflammation and free radicals and support and improve immune function.

Fatty acids: In a double-blind study of people with rheumatoid arthritis, Joe (1993) showed that a number of people significantly benefited from the addition of oil of evening primrose oil (EPO). Kremer (1995) has shown that fish oil helps to reduce inflammation in people with arthritis.

Plant sterols: Betasitosterol is a plant sterol and immune-modulating agent that has immune-enhancing and antiinflammatory effects.

Chinese herbal medicine / acupuncture

General considerations / rationale

Trauma leads to Blood and Qi stagnation, which can cause pain. Western practitioners state that trauma leads to inflammation.

Appropriate Chinese herb

Notoginseng (San qi): Has nonsteroidal antiinflammatory action. It has been shown to be more COX-2 selective than ibuprofen and naproxen.

Acupuncture

Acupuncture has been accepted as an effective modality for the treatment of musculoskeletal disorders by the World Health Organization (2006). It decreases the pain associated with the injury. In one study, 9 of 12 volunteers reported that acupuncture increased the pain threshold.

Homotoxicology

General considerations / rationale

Simple sprains, strains, and fractures represent Inflammation Phase disorders. In cases where the patient is in the Impregnation Phase, the tissues are less elastic and more prone to injury. Fractures can also occur in Degeneration and Dedifferentiation phases; therefore, the clinician should examine the case and determine if simple therapy with Traumeel S is sufficient, or if deeper homotoxicoses exist. Clients need to be fully educated about the patient’s current phase so they are not surprised when the desired regressive vicariation reactions occur.

Corticosteroids can decalcify bone and decrease healing. Using excessive levels of nonsteroidal drugs can actually decrease fibroplasia and prolong recovery, as well as injure other organ systems such as the liver, kidney, and intestinal lining. Because the intestinal lining is critical to proper immune function, these drugs can theoretically impact the immune system in ways far greater than currently understood. Use of biological therapy may avoid such damage and is desirable, and it is well tolerated by patients.

Topical therapy with Traumeel gel or ointment and Zeel ointment have brought good control of pain in simple strains and sprains, and are widely used by human athletes and their trainers with no known major adverse effects.

Appropriate homotoxicology formulas

Aesculus compositum: Promotes circulation and healing.

Belladonna homaccord: Used in cases with intense inflammation and redness.

BHI-Arthritis: Used for joint pain.

BHI-Arnica ointment: Can relieve pain associated with trauma when applied topically.

BHI-Inflammation: Treats joint pain and inflammation.

Placenta compositum: Assists extremity vasculature in poorly healing injuries.

Cruroheel: Treats sprains and strains, and assists with ligamentous healing.

Discus compositum: Used for tendency toward strains, and improves healing function.

Osteoheel: Stimulates bone healing and is used in ankle injuries of all kinds.

Traumeel S: When given orally in drops or applied topically as gel or ointment, assists in reducing inflammation and stimulating and accelerating healing.

Zeel: Used for bone and joint pain. Stimulates healing and pain control over several weeks’ duration. Traumeel is more clinically effective for acute pain.

Authors’ suggested protocols

Nutrition

Cartilage / ligament / muscle / skeletal support formula: 1 tablet for every 25 pounds of body weight BID.

Eskimo fish oil: One-half to 1 teaspoon per meal for cats. 1 teaspoon for each 35 pounds of body weight for dogs.

Evening primrose oil: 1 capsule (500 mgs) per 25 pounds of body weight daily.

Betathyme: 1 capsule for every 35 pounds of body weight BID (maximum, 2 capsules BID.)

Chinese herbal medicine

The authors use a patent formula called Yun Nan Bai Yao (also known as Yunnan Bai Yao or Yunnan Paiyao) at the supplier’s recommended dose. In addition to the herb cited above, Yun Nan Bai Yao may also contain Dioscorea nipponica (Chuan shan long), erodium (Lao guan cao), inula flowers (Xuan fu hua), and / or other herbs, depending upon the manufacturer.

Acupuncture points for trauma include GB20, LI11, TH5, GB34, BL37, BL60, GB30, and ST36. (Basic and Express Acupuncture therapy). The practitioner may also consider local points.

Homotoxicology

In all cases: Topical Traumeel gel mixed with Lympho-myosot gel, as needed for control of pain and swelling. Traumeel drops given every 15 minutes for 4 to 5 dosages, then QID day 1, TID days 2 and 3, and BID day 4 and as needed. Discus compositum given at the dose of 1 tablet every other day. BHI-Inflammation is also a useful remedy selection, if available.

In all cases: Topical Zeel ointment BID mixed with Traumeel gel. Zeel tablets given twice daily.

For fractures and other injuries involving bone: Osteoheel for fractures PO QID day 1, TID day 2, BID days 3 and beyond. BHI-Injury given BID, possibly alternating with Bone BID, particularly for non-union fractures.

For sprains and strains: Cruroheel PO BID alternated with Traumeel and Osteoheel as needed.

In cases of severe swelling: Lymphomyosot and Apis given orally QID day 1 and as needed afterward.

Product sources

Nutrition

Cartilage / ligament / muscle / skeletal and immune support formulas: Animal Nutrition Technologies. Alternatives: Cosequin — Nutramax Labs; Glycoflex — Vetri Science; Musculoskeletal support — Standard Process Veterinary Formulas; Nutriflex — Vet Rx Vitamins for Pets; Arthragen — Thorne Veterinary Products.

Betathyme: Best for Your Pet. Alternative: Moducare — Thorne Veterinary Products.

Eskimo fish oil: Tyler Encapsulations. Evening primrose oil: Jarrow Formulas.

Chinese herbal medicine

Yun Nan Bai Yao (also known as Yunnan Bai Yao or

Yunnan Paiyao): China Direct.

Homotoxicology

BHI / Heel Corporation