samedi 23 janvier 2016

Mesotherapy & its versions. Acupuncture & its Mesopuncture version

Mesotherapy & its versions. Acupuncture & its Mesopuncture version.
It is currently described, in Mesotherapy
·         Classical Mesotherapy
**-* The Mesotherapy needle of 4mm long is inserted into the epidermis, dermis, and superficial hypodermis.
The Therapist performs injections in the skin area, facing or close to the altered area of the body. The MPs, separated from each other, are created less compactly than in the 'nappage' version but without taking into account the pre-existing APs located in this area.
However, it is difficult for the Therapist in front to a thin or skinny Patient to assess reliably, the layer of skin reached by the inserted needle which will be, in this case, rather inserted into the connective tissue, target tissue of Acupuncture:
. Insertion of a 4mm long Mesotherapy needle into the connective tissue of the PA or surrounding it, will cause a Mesopuncture effect, association of an Acupuncture and Pharmacological effect, of intensity if the needle is inserted into the AP, of less intensity if the needle is inserted outside the AP.

**-* In Mesotherapy, beside using needles 4 mm long, it is of common practice to use longer needles but inserted at a depth evaluated, by the Therapist of around 4 mm long and then optionally to inject the liquid drug.
Insertion into cutaneous points outside the APs to an evaluated depth of 4 mm of a longer needle, with/without injection, will cause Acupuncture and Pharmacological effects, of lesser intensity than in the APs, due to the lower volume of connective tissue cleavage plans located outside the AP.
Inserted into the AP, this needle will cause an Acupuncture and Mesopuncture Effect of same intensity than in classical acupuncture.

  • The version 'nappage' of Mesotherapy.
Injection of the drug is performed in a given area.
The MPs are created very close to each other, often adjacent to each other; insertion of the needle can be intra epidermal.
It was not taken into account of APs located in this given area which will be stimulated by the liquid drug injected.
  • The path of APs is described as starting at the epidermis and ending in the connective tissue:  If the Therapist inserts his needle into the epidermal part of the AP, he is in the scope of Acupuncture, the injection will be made into the AP also. Dry Mesotherapy
    Needles are inserted into the dermis or superficial hypodermis, without injection.
    As we have already written it, it is not taken into account in this skin surface, of pre-existing APs which path begins in the epidermis.
Without knowledge of systematic localization of the AP it is difficult to assert that a part of the therapeutic improvement in Mesotherapy is not attributable to the connective tissue stimuli, through acupuncture points particularly but not exclusively.

·         ASHI points
The problem goes dark because there are APs, without systematized topography, only recognized by a pain at the pressure of the fingers, the ASCHI points. They are found in almost all parts of the body, they disappear, often quickly.
It is possible that the cutaneous point qualified Mesotherapy point with beneficial therapeutic effect in the pathology in treatment, was actually an acupuncture point ASCHI.
• In many countries, Mesotherapy has been incorporated into Western medicine, although many of its beneficial effects may be attributed to acupuncture/Mesopuncture...
Furthermore, without knowledge of the systematized location of AP it is difficult to argue that a part of the therapeutic improvement in Mesotherapy, is not due to the insertion of needles in an inadequate layer of skin and that this needle tis not inserted in the connective tissue in the connective tissue through the AP or outside the AP.

Acupuncture Mesopuncture Points.Mesotherapy Points. Connective tissue. Common Points

Acupuncture Mesopuncture Points.Mesotherapy Points. Connective tissue. Common Points.
Some details about           
·         Acupuncture
Acupuncture is a full-fledged treatment with two versions, Classic Acupuncture and Mesopuncture.
·         Classical acupuncture.
The therapeutic action of Acupuncture is mediated by Acupuncture Points _ APs.
The AP was described by Prof. SENELAR, France, as an open well in the epidermis and Pr. LANGEVIN described the AP as beginning in the connective tissue. It is of systematized and known location for millennia.
To be active, the PA must be stimulated by needles (Acupuncture) or a liquid drug (Mesopuncture).
·         Mesopuncture is activation of the AP by a liquid medicine injected with needle or needleless and deposited by iontophoresis.
All even neutral liquid drug allow stimulation of the AP (Acupuncture Effect), regardless of the possible therapeutic action, it keeps (Pharmacological Effect).

Mesotherapy unlike Mesopuncture is not a treatment, it is a new way to administer liquid medication according to well-established principles: Low volume of drug to each needle insertion, drug administered in the dermis, as close as possible but rather face the altered body.
·         Having no anatomical and histological structure, Mesotherapy Point _MP does not exist until few drops of medicine are filed or injected into the dermis and create this PM.
·         The drug must have a Pharmacological Effect to create the PM. This drug’s pharmacological action is essential to create the Mesotherapy Points _ MPs.
Contribution of Mesotherapy
·         to evolution of Mesopuncture
In Mesopuncture, according to the health or aesthetic disorder in treatment, the single injection into only one Acupuncture Point_ AP of the useful daily dose was replaced by micro-doses, as in Mesotherapy, located in several APs, of local action usually.
·         to the understanding of the Pharmacological Effect of Mesopuncture
Analogy with Mesotherapy, local injection of a drug, has facilitated the understanding of mechanism of action of the pharmacological effect of Mesopuncture, mechanism of action common to all local injections:
The drug acts, from the injection point, directly to the body part disturbed, then without going through the and, after passage in the bloodstream, the blood serving of carrier, the drug reaches a second time, the altered zone.
The Acupuncture Effect of Mesopuncture
The mechanism by which the AP, stimulated by the drug injected with a needle or deposited by iontophoresis, creates an Acupuncture effect is attributed to the connective tissue (Pr. LANGEVIN).

The connective tissue is described as the Acupuncture Effect mediator, both by its histological structure (fundamental substance and fibrocytes, fiber, etc.) and its anatomical structure (network of connective tissue cleavage planes).
According to Chinese classical theory, APs are grouped into a network of "Meridians" located longitudinally at the peripheral tissues, connected between them and to the internal body organs (Kaptchuk, 2000).
The connective tissue forms a continuous network of tissue enveloping all organs, nerves, blood vessels and lymph, muscles, bones and tendons and continuing by specialized connective tissue.

Meridians and connective tissue
·         The network of APs and meridians can be considered as a representation of the network formed by the interstitial and specialized connective tissues.
·         There is a structural anatomical correspondence between on one hand the APs and meridians and on the other hand the connective tissue network.
·         In addition to using the anatomical structure of the connective tissue, acupuncture is active in using the various physiological and therapeutic functions of connective tissue, according to Pr. LANGEVIN.
APs and connective tissue
It is described a higher volume of connective tissue in APs than outside of APs.
The APs are easily localized by the therapist at the level of the epidermis, thanks to the precision of the cutaneous localization, carefully described for millennia, in the ancient texts.
The AP represents thus an easy and privileged access channel to a large mass of connective tissue, corroborating the description of the PA by Pr. SENELAR, describing the AP as a well starting at the epidermis and ending at the connective tissue.
·         The AP stimulus by needles (classic Acupuncture) or liquid drugs (Mesopuncture) causes an Acupuncture effect when the stimulus is inserted into the AP and a less intensive Acupuncture effect when the stimulus is outside the AP (Pr. Langevin).
The stimulus of this mass of connective tissue concentrated in the AP, uses the extracellular matrix and its fibrocytes, the network of connective tissue cleavage planes to reach the structure for performing the function or the property desired. 

mercredi 13 janvier 2016

The Knee osteoarthritis: Letter to Patient.

The Knee osteoarthritis: Letter to Patient.
Dear Patient
Wearied by this knee pain appearing after few meters walk, which bothers and poisons your life:
Your Acupuncturist did what he could and you are tired of so many needles, so much lost time and money with…no tangible results.
It is time to associate Acupuncture to medicines of our time, the time in which we live with the progress in medicine and pharmacology.

Several medicines of our Western Pharmacopoeia, active on the various types of common pain, traumatic or rheumatic, are used in western medicine to treat the knee osteoarthritis. These liquid drugs can be used in #Mesopuncture, also.

  Few drops of one of these drugs are deposited with/without needles (by iontophoresis), in the various Acupuncture Points _ APs, known for being selected for the knee osteoarthritis treatment by Acupuncture. Only APS of local action are selected.
In addition to its known pharmacological effect preserved and also due to its physicochemical structure, the liquid drug stimulates the AP producing an Acupuncture Effect.
These two effects, ‘#Pharmacological Effect’ and ‘Acupuncture Effect’, are characteristic of Mesopuncture or liquid stimulus of the AP.  
·         It is easy, for your Therapist, to associate the ‘Acupuncture Effect’ obtained by classical stimulation of the AP by a metal needle, using the hypodermic needle already inserted and used for Mesopuncture, avoiding new needle insertion pain.
All hypodermic needles cannot be used as #acupunctureneedles:
The needle should remain in-situ for about 20 minutes. 
Prone and supine must be possible.

According to the #FDA for an acupuncture needle it is necessary that the needle has a handle allowing its use by your Acupuncturist.
·         The disposable #BMN, hypodermic needle surmounted by a deformable polymer reservoir filled extemporaneously by your Therapist, is also acupuncture needle (FDA), the reservoir serving as handle to your Professional, during the acupuncture session.
The BMN, allows your Therapist to insert the needle in the AP, and then after few minutes (Acupuncture) to inject some drops of the drug from the reservoir, in the same AP (Mesopuncture).

 In total, with a single needle insertion into each AP, your Therapist has realized a double stimulation of the AP, metallic (classic Acupuncture) and liquid (Mesopuncture), the liquid drug keeping its pharmacological properties (Mesopuncture). 

samedi 9 janvier 2016

How I treat back-pain N°1

How I treat back-pain         

Back pain is of plural and complex origin: Nociceptive, mechanical, inflammatory, neuropathic.
In front of the back pain, it seems useful to establish a treatment protocol with various professional speakers depending on the pain cause, intensity, motor disorders, etc.:
 Will be, as well, included general and specialized medicine associated with
Physiotherapy performed by the Professional and Patient, Acupuncture,
Mesopuncture and Trigger Points (TPs) treatment …and more.

* Acupuncture/Mesopuncture
In case of acute, chronic or persistent pain, treatment with Acupuncture/ .Mesopuncture involves
To search and locate the Acupuncture Points _ APs, indicated for millennia for treating back pain and its consequences.
To be effective, to achieve a therapeutic effect by acupuncture or 'Acupuncture Effect' the APs must be activated:
·                    By Acupuncture needles
It is inserted into these APs. The 'Acupuncture Effect' is of short duration and requires renewal of the needles insertion pain after a short time.
·                    By a liquid medicine designated below as 'liquid drug'.
It is possible, according to professional qualifications of the Acupuncturist, his conception of Acupuncture and the type of pain, to associate to metallic stimulation of the AP, Mesopuncture or stimulation by few drops of a liquid drug injected or deposited, without needle, in the PA:

The liquid drug has a dual effect:
·                     ‘Acupuncture Effect’
All liquid drugs used by the Therapist stimulate, perhaps by irritation, mechanical action due to their volume or rather due to their physicochemical structure, the AP whose known action on energy of the human body is local, regional or general: It is the Acupuncture Effect, effect similar to the Acupuncture effect resulting from the acupuncture needle stimulus on the same PA, the two effects are additive. 
            Duration of the PA stimulation by the liquid drug, which causes the ‘Acupuncture Effect’ is dependent on the rate of liquid drug elimination.
Some liquid drugs have a long or even very long duration of action, allowing spacing the Acupuncture sessions. 
·                    Pharmacological Effect’
The majority of liquid drugs have, in addition to theAcupuncture Effect’, a therapeutic effect recognized by the pharmacopoeia, also due to the physicochemical structure of their molecule, it is thePharmacological Effect’.
Both effects, ‘Acupuncture Effect' and' Pharmacological Effect' are of same duration, dependent on their physicochemical structure.
Acupuncture Effect and Pharmacological Effect are often synergistic which means that the Pharmacological Effect of the selected drug is identical to the Acupuncture Effect it causes by stimulating the AP when it is injected or deposited in this selected AP. 
Example: An analgesic 'Pharmacological Effect' drug injected/ deposited in a PA which stimulation produces an analgesic effect, described in Acupuncture, stimulates this AP and also causes an analgesic ‘Acupuncture Effect’.  

Some liquid drugs of delayed effect have a pharmacological effect of 3-4 weeks and an Acupuncture effect of the same duration. These liquid drugs have the same therapeutic indications in Acupuncture/Mesopuncture and Medicine.