Archive
2012 - 2013


A Novel Approach to Skin Rejuvenation & Tightening
The use of autologous blood plasma injections is in keeping with the naturopathic principles of utilizing the body’s inherent powers and capacity for regulation and self-healing. Platelet-rich plasma (PRP) therapy is the ultimate biological skin rejuvenation treatment. [More]
Mesotherapy – An Innovative Approach to Health & Beauty
Mesotherapy an innovative non-invasive approach combing the best of naturopathic medicine and cosmetic medicine creating health and beauty from the inside out. [More]
Mesotherapy (biopuncture) and Pain Management
The following is a case presentation of an 82 year old female teacher actually, teacher of Montessori schools and she presented to me in November of 2008 as a referral from a holistic medical doctor, who sent her to me specifically for management of a fracture at the L2 level. [More]
Anti aging treatment: Wrinkle and Skin Slack treatment
combination approach of mesotherapy, laser and radiofrequency to increase clinical outcomes.[More]


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April 12, 2013
Mesotherapy – An Innovative Approach to Health & Beauty

by Dr. Michael Rahman, BSC, ND
Doctor of Naturopathic Medicine



Mesotherapy an innovative non-invasive approach combing the best of naturopathic medicine and cosmetic medicine creating health and beauty from the inside out.

Introduction

It seems that every where we look now a days in media especially in advertising, we are bombarded with messages of creams, potions and lotions, and new and innovative ways in which to rid the body of fat and cellulite. In recent times, it has been found that a French system called mesotherapy can provide a very safe and productive alternative method for treating local deposits of fat and treating mild to moderate cellulite conditions. Initially utilized in France in the 1950’s, mesotherapy is not a new technique; however, it is an emerging technique making its way across the great pond and into North America. This technique provides a system in which medications which are naturally derivative are introduced into the skin and underlining tissues in order to provide a local effect. The types of medications that are used are specific for creating a breakdown of fat, actually by acting almost like a detergent to absorb the fat and to create a local bursting or destruction of the fat cells. In recent media coverage there has been a lot of discussion of one of these particular components called phosphadidyl choline a derivative of Soya letchicin. Other cocktails that might be utilized could also include herbal and homeopathic extracts which can be used to stimulate the microcirculation, increase the lymphatic fluid functions and provide for detoxification and drainage, and an alteration of the PH of the tissues. These are all important elements when dealing with breaking down fat from tissue.

At Pinewood Natural Health Centre, we strive to provide through proper assessment and diagnose to provide the most effective and customized approach to dealing with the localized fat or cellulite condition. Our approach is comprehensive and is integrative. This means that we can pull upon mesotherapy as our principal modality, but in any one treatment strategy we may actually be utilizing upward of two or three other techniques in which to achieve better outcomes. The advantage to a client or patient that uses our clinic or facility for weight loss or body contouring and sculpting is that plans and program are customized to the client’s needs. Also what is unique about what Pinewood offers is that we will also treat internally the metabolical differences that may also be contributing to the condition. So for example it might be that we need to look towards the use of the bio-identical hormones, such as derivatives of, thyroid, adrenal, and the reproductive hormones to provide balance as it is well known that during times of hormonal change men and women can contend to gain weight in these very specific problem areas such as the abdomen, the flank, arms, buttocks, thighs and the saddle bags, etc. Unlike invasive cosmetic or surgical procedures there is very little side effect and very little down time from our treatment strategies. A patient can come in on their lunch hour and truly have a lunch hour makeover and be able to return back to their full activities of the day including getting back to work. Treatments are usually sold as packages; the average treatment time is an hour to an hour and 15 minutes and during that time the patient is literally pampered, but with other techniques such as, lymphatic drainage massage, infrared sauna treatment, localized vibration or massage treatments and a series of injections.

A treatment package consists of anywhere from 5 to 10 treatments. Most of our patients find that after5 treatments they can generally see a dramatic result. Sometimes, we need to extend past 5 treatments just given the difference between patient responsiveness. For cellulite, treatments depending on the grade and severity of cellulite anywhere from 5 to 8 treatments might be more or less the norm. These treatments are usually done every 7 to 10 days for the initial series of four, every week following treatments may be done once every other week and subsequently, if maintenance is required it is once every month. Mesotherapy provides a safe effective alternative as a body sculpturing and contouring technique to going under the knife in order to help you achieve the body shape you desire. More importantly, to help you feel more health from within, and with health from within we are able to assess a new and profound level of confidence about ourselves and how we present ourselves to the world.






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February 07, 2013
Mesotherapy (biopuncture) and Pain Management

by Dr. Michael Rahman, BSC, ND
Doctor of Naturopathic Medicine



A case presentation

Introduction

The following is a case presentation of an 82 year old female teacher actually, teacher of Montessori schools and she presented to me in November of 2008 as a referral from a holistic medical doctor, who sent her to me specifically for management of a fracture at the L2 level.

He specifically requested that we perform Mesotherapy with this patient to aid her in her recovery, and when she came to me she was in a lot of pain and was just experimenting with the use of a tens device in which she was achieving a lot of pain reduction. At the time of the intake I made sure that she was on enough of her calcium, magnesium supplementation and ensured that she was taking strontium.

My findings with her from, x-ray findings, confirmed fracture at L2, all of this was as a result of a fall from a step ladder and I noted that she had restricted ranges of motion especially on the right hand side. Her quality of life was suffering as a result of not being able to get about and move around very easily. The remedies that I chose for interdermal application were the remedies by the Italian company Guna. These remedies included Guna Neural, Guna Muscle, and Guna Lumbar, more on these in a moment. I utilized a therapeutic technique called Mesotherapy or Interdermal therapy and this is a delivery system which involves the introduction of substances either nutriseutrical or pharmaceutical in micro doses into the dermis. This is in an attempt to stimulate the meso dermal derived tissue and structures. In this situation the mesodermal tissues would be the collagen related tissues such as muscle, bone, the connective tissue and vascular structures.

Mesotherapy is a term that was coined in 1952, in France by a Doctor Michael Pistor, who at the time was using procaine and borrowed some techniques of the German neuraltherapy in order to elicit pain reduction in his patients. At the time, due to political tensions between France and Germany he renamed this therapy and called it mesotherapy and expanded upon it. In essence mesotherapy is microdose introduction of substances into the dermis in serial puncture type techniques. These puncture techniques can be papule techniques or can be what is know as a nappage technique a very superficial introduction of the needle into the dermis or a point to point technique all of these are in an effort to deliver the medication locally, and in a drop by drop manner. The theory behind this is that it is actually introducing the medicine in a time released fashion, so that the action of the medicine is more evenly and slowly distributed into the circulatory and lymphatic networks and so in fact can be distributed through to the underlining tissue. The difference between an interdermal technique such as mesotherapy and intravenous or intermusclar techniques is that the medication in an intravenous or an intermuscular technique is in fact delivered in a fast acting kind of fashion but the results of this are actually fleeting, where as the result from a mesotheraputic technique can be more long lasting.

The points that are chosen for the actual delivery of the medication are based on classic acupuncture points or Ashi points. Points may also be based on segmental points localizing the treatment specifically related to a segment of the body. Symptomatic points are where patients experience pain. The how’s have to do with the above mentioned concepts related to keeping medication in an area to work at a more time released manner to endure energetic stimulation as well as systemic stimulation to the body. The frequency of therapy is in fact once or twice a week for three to four sessions; by the end of three to four sessions we should know whether or not we are going to have a therapeutic effectiveness. In fact, the best results are usually reported between the second and third sessions. What may also happen in fact is the healing crisis in which the treatment area may become inflamed as an attempt for the body to find order. As a result, patients may experience an exasterbration of their systems.

I would like to explain the composition of the Guna remedies; Guna is an Italian company that has taken Homotoxicology and advance it in light of new scientific findings regarding the communicating molecules of the immune system such as the cytokines, and the endocrine systems such as the hormonal influences brought them forward in a homeopathic dilutions which mimic physicalogical dilutions within the body. This is provided for a very innovative approach that encompasses addressing the patient in totality that which is biochemical and affecting the psychoneuro-endrocrine agents and structures within the body. Interestingly, when we look at the Guna Lumbar remedy it is comprised of four different areas that are addressed by the multitude of remedies within the Guna Lumbar. The first is an analgesic core and it is based on homeopathic remedies for reduction of lumbar sacral pain and symptomotology and different types of origins including neuromuscular origins and really helps to localize areas like the lumbar sacral joints. The remedies here include like Bryonia, Sepia and Natrum phosphoricum to name a few. In the psyconero endourinological category beta-endorphins at 4ch is included in the remedy to help manage the pain symptomotology by up regulation of the beta-endorphin receptors which ultimately lead to pain reduction. Anti-inflammatory support here is quite innovative, there is the inclusion of the Anitlukin 1 alpha and Antilukin 1 beta at 4c potencies and this helps to modulate the L1 alpha and L1 one beta pro-inflammatory activity in the triggering off the inflammatory response, so this helps to inhabit the inflammatory cascade which ultimately causes the production of the Aracodonic acid pro inflammatory cytokines as well. Anti-degenerative remedies are included, including intervertebral disc, sarcode at 4x and this actually allows for both an anti-degenerative and an anti-neuralgic action. The other remedies Guna-Neural and Guna-Muscle are similarly put together and organized to include all of these different categories of remedies. Interestingly, in the Guna-Neural just a note here remedies included that have to do with influencing the vascular origin or vascular etiology relating to pain. The inclusion of the remedy Formicroya at an 8x potency is included here which helps in the reduction of the paraesthesia and helping to produce vaso-dilation and hyperemia of the nervous tissue.

We began mesotherapy treatments in November, and on the first treatment she was in a remarkable amount of pain even though she was using the tens machine to help quiet the pain she was still having a great deal of difficulty in terms of completing any kind of activities of daily life and having difficulty sleeping. Care that was prescribed to this patient included that she was on adequate amounts of Calcium, Vitamin D, Strontium, and Vitamin K, and also a remedy from Guna called Guna Osteobios and the Guna Osteobios remedy actually includes the Calcerca Salts, such as Calc Carb, Calcphos. Calcphos to help stimulate the mechanisms involved in fixing calcium salts to bone. It has a core of trophic action on the bones by actually includes modulate action of the osteoclastic and stimulate the osteoblastic activity it includes calcitonun and parathyroid gland in homeopathic dilution or in physicalogical dose to help fixate the calcium to the bone. This in consequence helps to regulate the bone production and bone re-absorption and also helps to simulate bone production. So this is a useful remedy not just for influencing bone metabolism which was the case with this patient but also it can be used in cased of Osteoporosis. The dose that was recommended was 10 drops 3 times a day and this was over an extended period of time a least 3 months worth.

The points that I chose for Mesotherapy were local points around the L2 area and we used a technique which is known as the Axial technique which involves essentially tracing the urinary bladder meridian and also extraordinary vessel points in the local area. I concomitantly used some of the more classic acupuncture points to help with the governing of the ligaments, muscle, tendons and bones I used Gallbladder 34 as well as a urinary bladder 60 for pain and discomfort in the low back region. At these points the technique that was utilized was Mesotherapuetic specifically, point to point techniques with the injection depth being 3 to 4 millimeters at the dermis level. The gauge of needle used was a 27 gauge needle and the amount of solution after using one ml of these ampules, Guna-Neural, Guna-Muscule and Guna-Lumbar was 3cc’s in total; this was pulled up into a 3 ml syringe. After the point to point technique I then concluded with the nappage technique which is a series of multi pricking at the surface of the skin not permeating any deeper than about 0.1 to 0.2 millimeters at the site. The amount of solution delivered here was also in micro doses at each point to point technique the amount of solution was approximately 0.2 millimeters and very little solution delivered in the nappage technique. The first treatment was well tolerated and the patient received the standard home care guidelines which include not having a lot of exposure to extremes of temperature especially to heat, not swimming in a pool, not using whirlpool, or saunas and the reasoning behind this is that we want to keep the area infused by the medication and by increasing the circulation we are actually causing diffusion of the remedies to quickly. Now as a pretreatment I did use an infrared dome to gently heat the dermis in order to raise the blood vasculure and the lymphatics to the area.

A total of three treatments were conducted. After the first the patient came back and noted almost a 30% reduction in pain. She was able to get around and be mobile more easily. Our second treatment was delivered a week later at which time between the second and third treatment she had the most dramatic improvement, improving almost 80% in terms of functionality and pain reduction. This is not an uncommon finding or occurrence we generally observe in the practice. As a general rule, if after three mesotherapy treatments, maybe four treatments there is not a marked change in the condition that if either a change in cocktail is needed or a change in the modality overall; this is based on the clinical outcome or clinical judgment of what is happening. By the end of the third treatment, which was by now three weeks post our first initial treatment she was back to 100% which was without pain and completely functional and did not have any pain on the right side, maybe a little bit of sensitivity that was noted in terms of compensating or guarding the area. However, she noted that the area was much better with activity and she as able to resume full daily activities of life. At this point she’s been referred back to her referring medical doctor and I discharged her from care with the recommendation that if the pain returned, to also return tor maintenance treatments. Again, in general mesotherapy can be quite a helpful and cost effective therapeutic tool to bring patients to better function to improve their quality of life and to manage pain from a perspective which is not just about the symptomatic management of pain but the actual resolution of the inflammatory response and the ensuing degenerative processes.




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September 29, 2012
Anti aging treatment: Wrinkle and Skin Slack treatment

by Dr. Michael Rahman, BSC, ND
Doctor of Naturopathic Medicine



A combination approach of mesotherapy, laser and radiofrequency to increase clinical outcomes.

Introduction

My belief is that health is beauty and beauty is health. As a naturopathic physician, I have strived to marry the modalities of natural medicine and cosmetic and antiaging medicine. A comprehensive approach to antiaging means not only the assessment of the possible endocrine, metabolic or nutritional imbalances that contribute to aging, especially of the skin or connective tissue; but also to provide effective and safe treatment strategies. This is done as with all other medical interventions through evaluation, history, assessment, physical and laboratory evaluation. As clinicians we are able to address the main cosmetic aspects that patients may chiefly or concomitantly present to the naturopathic office with. With the boom of cosmetic procedures and an increasingly technical antiaging industry our patients have become very well versed in the possible treatments available to them. Cosmetic procedures are suited to naturopathic practice because they are personalized, preventative, non-invasive, low-risk; involve natural or naturally derived substances.

Lines and wrinkles formation is a well-known sign of skin aging, influenced by both intrinsic and extrinsic factors. The numerous intrinsic factors are age, gender, genetic disposition and race. The biological changes attributed to these factors can also be termed chronological aging of the skin. Extrinsic factors include UV light, weather and climatic influences, nutrition, tobacco and alcohol abuse. The severity of aging may be dependant on these extrinsic aspects. This is known as photoaging. Ultimately skin aging is also creates an important physiological aspect such as the decreasing of hydration and the barrier and thus immune function, slower cutaneous metabolic activity and a decrease in activity of the sebaceous and sweat glands.

The cosmetic patient coming in for skin concerns will basically have one or more of the following four issues to improve: colour, tone, texture and tightening of their skin (or to eliminate wrinkled skin). Problems of skin color or dyschromia may present as situations such as melasma, lentigo, and telengectasia. Usually these develop as a result of the effect of UV radiation. The effect on the melanocyte is alteration and migration of melanin to more superficial levels and the action of free radicals on the blood vessels. This is known as photoaging. Problems with skin tone may be defined as a loss of radiance or uniformity. The most effective treatment for the brown and red spots and loss of skin tone is the use of intense pulse light therapy (IPL) with the use of laser platform. IPL therapies may also be used to correct texture and tighten skin (all depending on the wavelength of light or energy that is delivered to the skin).

In this article, I will focus on the use of injectable therapy, RF radiofrequency and a technique called fractional resurfacing, but more on these later.

Some factors which are responsible for wrinkle development:

• Metabolic factors such as hormonal deficiencies, collagen disorders
• Ultraviolet rays (sunlight)
• Tobacco (diminishes skin oxygenation)
• Inadequate diet – especially lack of adequate quality protein and essential fats
• Excess alcohol
• Loss of teeth / improper chewing
• Environmental dryness
• Absence of cosmetic skin care – important for helping hydration
• Abrupt weight loss
• Gravity (especially affects eyelids and neck)
• Sleep lines, caused by prolonged expression during sleep, or accentuation due to side slept on.

Types of Wrinkles:

Expression Wrinkles

These occur because the skin on its own does not have muscle structures; it is the underlying muscle contraction that determines its shape. As time goes on due to loss of the underlying tissue tone and elasticity the skin is not able to relax and so the initial wrinkles in the skin remain and worsen. These may be much more evident at:
• The external angle of the eyes (crows feet)
• Nasolabial folds
• Forehead
• Glabella area
• Perioral lines
• Vertical lines on cheeks

Gravitational Wrinkles

These are wrinkles which are accentuated due to loss of fatty tissue, bone or teeth.

The physiopathology of aging skin leading to collagen deformation:

Changes in the Epidermis:

Hydrolipidic layer diminishes as the stratum corneum reduces; horny cells and horny substances are reduced. Melanocytes disintegrate or move closer to epidermal cells and finally lead to a spotted pigmentation of the skin. Germinative cells and the Langerhan cells become altered, ultimately resulting in the atrophy of the epidermis.

Changes in the Dermis: The dermis is a dense network of collagen fibers, providing the skin with tensile strength and resistance. Younger skin shows a more complex network of collagen fibres.

The dermis holds blood and lymph vessels, the nervous network, connective tissue cells and defense cells. It is rich in glycosaminoglycans which are in charge of retaining water in the cells. The amount and chemical composition of the intercellular substance changes: dehydration and a decrease in glycosaminoglycans. The net result is a diminshment in fundamental substance. Aging may also induce changes in the amount of fibroblast in this substance responsible for reorganization and maintenance of the tensile components. The vascularity may also be negatively impacted by aging thus reducing nutrient delivery and oxygenation to all cells of the augmentery system.

Changes in the skin's appearance are a net result of the aging process of the connective tissue and underlying fat atrophy.


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