yes the pain returned. that is a very sensitive area with not very much circulation. everytime you move that area is affected. i eventually had surgery to repair it. i had several injections which would allow me to train, but i think that it injured it worse. it makes you think that you aren’t injured anymore when actually you are. you just can’t feel the pain and you don’t know when you are damaging it worse.
MJ have u ever recieved a shot for knee pain? If you look in california they have some of the top prolo people in the country.
what happened to normar clemson?
Clemson what do you recommend for my knee?
Why would an injection of trameel by more effective than cortisone?
clemson,
can you tell me more about this injection. i just got off the phone with my physio and i am working on an appointment with him.
timothy,
no i havent had anything done with my knees before. just be careful with the shots. remember that it will mask the pain for a while.
Mj I just looked up trameel injections and they look pretty good Ill post a little info hold on.
A good example of this is TRAUMEEL®, an effective NSAID without side effects. If you are unfamiliar with TRAUMEEL®, you can refer to page 1237 of the 1997 Physician’s Desk Reference and page 1187 of 1998 Physician’s Desk Reference. TRAUMEEL® is an anti-inflammatory, analgesic, anti-edematous, anti-exudative combination formulation of 12 botanical and 2 mineral substances. TRAUMEEL® is officially classified as a homeopathic combination remedy. It is indicated for the temporary relief of symptoms associated with inflammatory, exudative, and degenerative processes due to acute trauma (such as contusions, lacerations, fractures, sprains, post-operative wounds, etc.), repetitive or overuse injuries (such as tendinitis, bursitis, epicondylitis, etc.), and for the temporary relief of minor aches and pains associated with such conditions. TRAUMEEL® is also indicated for the temporary relief of minor aches and pains associated with backache, muscular aches, and the minor pain from rheumatoid arthritis, osteoarthritis, gouty arthritis, and ankylosing spondylitis.
As with many pharmaceuticals including the conventional NSAIDs, the exact mechanism of action of TRAUMEEL® is not fully understood. However, it appears to be the result of modulation of the release of oxygen radicals from activated neutrophils, and inhibition of the release of inflammatory mediators (possibly interleukin 1 from activated macrophages) and neuropeptides.
Due in part to its lack of side effects, TRAUMEEL® is not a conventional NSAID. However, despite its status as a nonconventional pharmaceutical, the clinical effectiveness of TRAUMEEL® is supported by scientific research and over 30 years of worldwide usage. For example, a randomized, double-blind, placebo-controlled study of TRAUMEEL® Ointment for the treatment of ankle sprains by Zell, et al, was published in Biological Therapy. The patients treated with TRAUMEEL® were pain free and had a greater range of motion sooner than the control group. Furthermore, the methodological quality of the Zell study in Biological Therapy was verified in a meta-analysis by Kleijnen,et al, in the peer-reviewed scientific publication, the British Medical Journal. Of 107 homeopathic studies reviewed by Kleijnen, et al, the Zell study of TRAUMEEL® ranked within the top 5% for methodological quality. More recently, the September issue of The Lancet published a meta-analysis of homeopathic studies in which three different controlled studies demonstrated the effectiveness of Traumeel® over placebo.
TRAUMEEL® can be used to treat elderly arthritic patients who cannot tolerate the GI side effects associated with the conventional NSAIDs or for patients on anticoagulant medication. TRAUMEEL® is available as a topical ointment, as oral tablets, oral drops, oral liquid in vials, and as an injectable (prescription only).
For additional information about TRAUMEEL®, you may download the following items:
If you would like to request and article from BMJ or The Lancet, please email Heel Inc. with the article name, and one of our representative will be in touch with you.
interesting article tim, thanks!
hold on check this out!!!
New strategies in sports medicine
Jan Kersschot, MD
Copyright: Inspiration, 2000
SPORTS MEDICINE is currently understood to include
(1) the medical supervision and care of the athlete,
(2) professional advice about the conduct and supervision of activities that develop and maintain physical fitness, and
(3) the organization and provision of exercise and sports activities for patients being rehabilitated from injury or illness.
In this text, we will focus on the treatment of minor sports injuries with biotherapeutic products.
By far, most of the sports injuries which we encounter in daily medical practice are representative of the following heterogeneous group: soft-tissue traumata caused by the action of blunt objects, strains, sprains, ruptures and tendon disorders involving tendinitis and insertion disorders. The clinical symptom complex for these soft-tissue traumata is associated with inflammatory alterations of tissue, manifested by the five cardinal symptoms of inflammation: physical pain (dolor), redness of the skin (rubor), bodily heat (calor), swelling (tumor) and loss of function (functio laesa)’ (ref. 109 p. 10). The consequences of minor sports traumata appear as inflammatory reactions, that can be treated by anti-inflammatory products, physical therapy and a home exercise program (ref. 396). In conventional medicine, anti-inflammatory products are administered orally; it has been experienced that it is far more efficient to inject these products locally (s.c., i.m., i.a.), in or around the inflammation site (ref. 1, 100, 214, 215, 497). When giving such injections (with allopathic or biotherapeutic NSAIDs), one always adds a local anaesthetic without preservative, like lidocain. The most common sport related disorders in general practice are sprains, partial or total tears and tendinitis. When surgery is not indicated, when orthodox treatment is not sufficient, or when oral allopathic drugs are not indicated, the topical infiltration with non-steroidal anti-inflammation drugs (both allopathic and phytotherapeutic) can be an interesting option. For minor sport injuries, it is recommended to use antihomotoxic medication like Traumeel and Lymphomyosot for acute inflammations, Arnica-Injeel or Traumeel for muscle strains, and Zeel for the more chronic inflammatory reactions. Mixtures of Traumeel and Zeel are used, too (ref. 497). These injections have to be repeated until complete cure. In acute phases, three to five injections are given, several times a week; in chronic cases, more injections will be necessary (up to ten and more); these injections are given once a week. For major inflammatory processes or when the antihomotoxic remedies are not powerful enough, one can try local injections with a mixture of Traumeel with low doses of an allopathic NSAID (see part three, chapter 4). When injecting muscular strains or small tears, lidocain, Traumeel or Arnica-Injeel are recommanded. A very common problem among sportsmen are acute and chronic tendinitis. One can have good results with repeated injections of Traumeel, Zeel or Kalmia compositum. These injections should be given locally and if necessary, in adjacent trigger points.
Dr. Subotnick (ref. 497), a foot surgeon practicing in California recommends a combination of 0.5cc of the softening enzyme Wydase, 1cc Rhus Tox, 1cc Traumeel and 1cc Xylocaine shaken hard twenty times. He recommends this mixture for example in the treatment of pain in the heel chord sheath (achilles tenosynovitis); he proposes to give the injection between the tendon and the sheath once a week for three or four weeks (ref. 106 p. 181). Injection therapy for ankle strains or sprains (fig. 58) consists of a local anesthetic, combined with Traumeel (for trauma and inflammation) and Lymphomyosot (for swelling).
Case:
A woman (32) is a physiotherapist and a semi-professional basketball player. She came to see me because of a sports injury that happened the day before: she strained her right calf, and had to stop playing immediately. Such a muscle strain can be very painful indeed, and she worried not to be able to play the next weekend, which was an important match for her team. She told me she had come to see me as soon as possible, in order to start stimulating the healing processes immediately: she was treated for sports injuries by biopuncture before, and always had quick relief. She had started to use the Traumeel cream immediately, but realized that this would not penetrate the deeper levels of the muscle. On clinical examination I found a sensitive area in the right calf, which was extremely painful on compression. Especially when performing deep palpation, the area of pain could be identified in a hard structure in the muscle, at a depth of about 3 cm. I visualized several spots on the skin that were painful on compression (fig. 59), in order to reach the deep spots as accurate as possible: both the localisation on the surface (the point where the needle penetrates the skin) and the right angle of penetration are necessary to reach the target at the right depth (in this case two to three centimeters). I gave her injections with a mixture of lidocaine 0,5% and Traumeel, at several spots that were painful on compression; four injections each of about one milliliter of the liquid were injected. I also prescribed Traumeel (10 drops every hour) and told her to come back two days later; in most cases, the day after the injection is used to give the bodily reactions time to start the healing process. After the first session, she told me she recovered for about 75% in 24 hours. The next day, she got another similar series of injections with the same liquid, and she was fully recovered after three days. And happy to be able to play that important match that weekend.
(see also Fig. 59: injection of deeper levels of the calf muscle)
Case:
A 23-year-old football player initially presented to his family physician complaining of classic meniscus-like symptoms in the left knee: it happened on the football field, just a day before. He had to stop playing football immediately; he could not remember how it happened exactly. His knee was not swollen, RX and ultrasound were normal. He was sent to an orthopedic surgeon who confirmed the diagnosis of the general practitioner, and suggested an arthroscopic intervention on the left meniscus. Since the father of the boy wanted a second opinion, he asked me to have a look at his sun’s knee. I told the father that if it would be a structural problem of the meniscus, my therapy would not be successful. But I added that the clinical meniscus testing is never 100% exact. Clinical examination showed an extremely tender zone on the medial side of the knee, at the level of the meniscus (fig. 60). I said that we could try to treat that pain, which was superficial and probably originated in the medial collateral band, and then see what happened. I also proposed to do a magnetic resonance scan. I started the symptomatic treatment right away, on the first visit and I gave six injections (fig. 60), twice a week, in the above named painful zone with a mixture of Traumeel and lidocain 0.5%. During these three weeks of treatment, he was ordered to keep his leg as immobile as possible. And not to have any sport activities. At the end of these three weeks, he had no more pain at all, and he started to play football again. He had no more problems with his knee, and this without any further treatment. The magnetic resonance scan was negative. One year later, he is still playing football, without any surgical intervention.
See Fig. 60: six injections with a mixture of Traumeel and lidocain 0.5% on the medial side of the knee
Case:
A 49-year-old tennis teacher had a right Achilles pain that was present for 3 months. He was unable to play tennis because of the pain. Because of this pain, his family physician sent him to an orthopaedic surgeon who diagnosed Achilles tendinitis; he was treated with a heel lift and shoe insert, and oral NSAIDs. He had physiotherapy 3 times a week with the standard treatment of ice, ultrasound, muscle massage and stretching of the calf. Since there was no relief, he came to see me. On clinical examination, there was marked tenderness in the mid-substance of the right Achilles tendon with enlargement of the mid-substance. There was also tenderness over the calf musculature, and several trigger points could be identified. Such TrPs in the soleus muscle can give pain irradiating down in the heel (fig. 61). I ordered an ultrasound of the painful zone, and signs of chronic inflammation of the tendon were revealed. Plain radiography was normal. Over the next four weeks he was treated with trigger point injections with Traumeel and peritendineous injections with Kalmia compositum, twice a week. After 8 sessions he returned to playing tennis and did well without any further treatment on the Achilles tendon for the next 6 months.
See also Fig. 61: TrPs in the soleus muscle
Case:
A 32-year-old basketball player showed severe pain in the right shoulder and arm. He told me that it occurred during a game of basketball, three weeks earlier. Pain killers and physiotherapy gave no relief. On clinical examination, I found a sensitive area in the brachioradialis muscle and infraspinatus muscle. I gave him intramuscular injections (fig. 62) with a mixture of Gelsemium Homaccord (2ml) and lidocaine 0.5% (3ml) on three levels: one injection beside processus spinosus C7, two injections in the infraspinatus muscle and three injections in the brachioradialis muscle. Five sessions were enough to alleviate the pain, without the use of another therapeutic strategy.
See also Fig. 62: injections with Gelsemium Homaccord on three levels: beside processus spinosus C7 (level A), in the infraspinatus muscle (level B) and in the brachioradialis muscle (level C)
Case:
A 20-year-old football player complained of pain in the big toe. X-rays and ultrasound were normal. His doctor gave a variety of different forms of treatment in the physiotherapy department, without any result. When I saw him for the first time, he had this pain for several months, and he was unable to do any sports activities. Since the clinical examination of the toe was normal, I suspected that the pain in the toe was referred pain from a trigger point at a distance. An exquisitely tender spot was found on the inside of the foot below the medial malleolus (fig. 63). Long-term relief was obtained by deactivating this trigger zone by Traumeel injections on three occasions. On going back over the history it seems likely that he had activated the trigger point some weeks previously at a time when he wrenched his ankle in the gymnasium.
New strategies in Sports Medicine
In his latest book, Sports Medicine of the Lower Extremity, Steven Subotnick describes the following conservative treatment for grade 1 and 2 ankle sprains (ref. 504, p. 274):
PRICE (protection, rest, ice, elevation, compression)
Peroneal nerve block
Infiltration of the ankle joint with Traumeel and Lymphomyosot cocktail.
In most cases, medical doctors familiar with biopuncture prefer to start with peristructural injections and go for the intraarticular injections as a second choice.
In general, all acute sports injuries should be injected in (or around) the pain zone with a mixture of lidocaine 0.5%, Traumeel and Lymphomyosot. Both Traumeel and Lymphomyosot should be prescribed for oral administration (6 x 10 drops a day of each).
For the sub-acute cases (e.g. after a whiplash) - and for those patients where an underlying arthrosis is involved – one could use injections in the pain zone with a mixture of lidocaine 0.3%, Traumeel and Zeel. Both Traumeel and Zeel should also be taken orally (4 times a day). An additional long-term oral treatment with Arthrobase [glucosamin and chondroitin] can be interesting for additional joint protection, or when arthrosis is a major problem.
When dealing with (non-traumatic) exacerbations in an area that is chronically strained, local injections with lidocaine 0.5%, Zeel and Lymphomyosot are recommended. When dealing with chronic and persistent sports injuries, local injections with lidocaine 0.3%, Zeel and Coenzyme compositum are necessary.
acute sports injuries Traumeel and Lymphomyosot
sub-acute sports injuries
Traumeel and Zeel
exacerbation on a chronic strain
Zeel and Lymphomyosot
chronic sports injuries
Zeel and Coenzyme compositum
good find!! any idea on price? can this be done by any doctor and at most clinics. i wonder if an MRI would benefit to rule out anything else that might be going on. i had bad allergic reaction to a pain killer once. i wonder if this would be in the same class of anti inflammatories?
I have been told that this is probably my problem. Any thoughts?
http://www.healthandage.com/html/res/com/ConsConditions/Bursitiscc.html
the link didnt work for me
that should work
Mj order it yourself!!!
drug-store.mijnapotheek.nl/en-us/dept_103.html
Im not sure the conversion to Us dollars but they deliver here and have
both traumeel and arnica-injeel injections
MJ,
If I do not talk to you before then I will be in the area tomorrow night to take a look as to what is going on with the tendon insertions.
Thanks Tom,
I will talk to you tomorrow then.
Charlie,
Do you have any experience with this type of problem? Any suggestions on what to do or what do you think about that shot Clemson spoke of.
i pulled my hamstring at my last meet. I was coming off the last curve when i felt it go, i was wondering if a shot of traumel would work, how else can i get back quick, with trainers not doing massage work? Help please!
Hurdler,
I will be in the area tomorrow after 9 PM- will leave St. Louis after practice -
be there until Wednesday late or Thursday morning depending on the number of appointments.
I will get ahold of you when I get in.