clinical evaluation of biopuncture in the treatment of pain syndrome in patients treated of breast...

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nical Evaluation Of Biopuncture In eatment Of Pain Syndrome In Patien Treated Of Breast Cancer Gaston Orellana Gaston Orellana Alvarellos, MD Alvarellos, MD Reckeweg Incentive Award Congress Center, Baden- Baden November 1, 2008

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The problem Problem –Tissue damage –Exudative and degenerative processes Therapeutic approach: –Drainage to eliminate those elements which block the defence system and prevent natural healing NSAIDS are not the answer

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Page 1: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

Clinical Evaluation Of Biopuncture In TheTreatment Of Pain Syndrome In Patients

Treated Of Breast Cancer

Gaston Orellana Alvarellos, MDGaston Orellana Alvarellos, MD

Reckeweg Incentive AwardCongress Center, Baden-Baden

November 1, 2008

Page 2: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

IntroductionIntroduction

Treatment of breast Treatment of breast cancer affects quality cancer affects quality of lifeof life

Residual pain (arm, Residual pain (arm, shoulder, scapula) – shoulder, scapula) – in 30-50% of patients in 30-50% of patients

Page 3: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

The problemThe problem

ProblemProblem– Tissue damageTissue damage– Exudative and degenerative processesExudative and degenerative processes

Therapeutic approach:Therapeutic approach:– Drainage to eliminate those elements which block the Drainage to eliminate those elements which block the

defence system and prevent natural healingdefence system and prevent natural healing

NSAIDS are not the answerNSAIDS are not the answer

Page 4: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

TreatmentTreatment

MedicationMedication– BiopunctureBiopuncture– Traumeel amps.(2.2 ml)Traumeel amps.(2.2 ml)– Procaine 2% (5 ml)Procaine 2% (5 ml)

Site of injectionSite of injection– Chinese acupuncture pointsChinese acupuncture points

FrequencyFrequency– Once a weekOnce a week

Page 5: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

Design of the studyDesign of the study

Inclusion criteriaInclusion criteria– Only those patients who completed at least twelve Only those patients who completed at least twelve

months of conventional pain treatment after chemo- months of conventional pain treatment after chemo- or radio-therapy WITHOUT resolution of their pain or radio-therapy WITHOUT resolution of their pain syndromesyndrome

Questionaire Questionaire

Before treatment After treatment

Traumeel + Procaine

6 months

Page 6: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

PATIENTPATIENT AGEAGE SURGERYSURGERY CHEMOTHERAPYCHEMOTHERAPYAVRAVR 8181 ConservativeConservative (-)(-)

SDFSDF 7575 ConservativeConservative (-)(-)

TCDTCD 5252 ConservativeConservative (+)(+)

CAGCAG 6969 ConservativeConservative (+)(+)

MBAMBA 7272 ConservativeConservative (-)(-)

SLASLA 7474 RadicalRadical (-)(-)

PCTPCT 6262 ConservativeConservative (-)(-)

POIPOI 6565 RadicalRadical (+)(+)

MMSMMS 7878 RadicalRadical (-)(-)

Table 1. Description of the included patients

Page 7: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

Figure 1. Pain during the course the treatment as assessed using a VAS (Visual Analogue Scale).

IMMEDIATELY

Page 8: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

PatientPatient GoodGood SatisfactorySatisfactory UnsatisfactoryUnsatisfactory

AVRAVR **SDFSDF **TCDTCD **CAGCAG **MBAMBA **SLASLA **PCTPCT **POIPOI **

MMSMMS **

Table 2. Patient assessment of treatment outcome

Page 9: Clinical Evaluation Of Biopuncture In The Treatment Of Pain Syndrome In Patients Treated Of Breast Cancer Gaston Orellana Alvarellos, MD Reckeweg Incentive

Thank you for your Thank you for your attention!!!attention!!!

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