NON-SURGICAL TREATMENT

HEADACHES

Hello to all readers, in this issue, you will find short notes about headaches that you can easily find, where everyone can find something from everyone, in the form of questions and answers like in the first issue, welcome.
You know, there are some experiences that are not known until they are experienced, this is how I evaluate headaches. Many times, we have had headache days at different times in our lives and those days are almost canceled for us, we try everything and take endless medicines. There are many classifications of headaches, I want to tell you about the instructions, tips and people, not the names of the treatments.
QUESTIONS:
1. What is the pain that starts when we get angry and upset, increases with insomnia, starts from the nape of our neck, hits the characteristics of our head and hits the sides and even the top of our head, which we encounter frequently and widely?
2. What is the pain that starts on one side of our head (half-starting), has a throbbing character, has types of crisis and vomiting, and is often felt as an explosion? How does migraine start, standard and spreading are always characteristic. Is it correct to call every kind of headache migraine among the public?

3. What is the pain that starts especially in one eye, throbbing growth and sharp, sometimes separable into two, light occasionally reflected towards the eye sockets and forehead? Can there always be intervals with this pain, especially single-time watering and redness in the eye?

4. What is the call that is seen especially in women, starts a few days before the menstrual period and continues throughout the menstrual period, mostly starting from the forehead and hitting the temporal bones?

5. What is the pain that starts at the moment of injection and is felt mostly at the top of the head in people with hypertension, using diluting medication or whose medication dose is not sufficient and therefore whose blood pressure is usually high?

6. According to the pain, are they single, seen alone or can several types of pain be seen in a person at the same time, how can it be distinguished?

ANSWERS:
1. We call this type of headache a tension-type headache.
In the interrogations of this person, they state that they have had spiritual relatives recently and that they are upset and worried about everything. They usually have difficulty falling asleep at night or they frequently wake up.

They sometimes talk about the anxiety and distress that comes to them, they have concerns. They express their palpitations and for this reason they have applied to specialist doctors many times thinking that there is a problem with their heart. No problem with their heart has been found.
They usually feel weak and tired from the moment they wake up in the morning. Their eyes are always on the bed and they often want to lie down.
They say that most of the pain starts from their neck and shoots from the back of their head to the sides, they say that a rope is pulling upwards from their neck. They state that the characteristic features of their pain are that their head is being squeezed in a vice. They have regular intervals in their pain, but there is no vomiting.
The pain usually starts in the afternoon hours and gradually increases, if they have not been able to sleep at night, the pain is seen in the morning hours, hunger and smoking can trigger the alarm.
Treatment: It is an antidepressant treatment for the mental appearances of the brightness of these cases and the treatment is continued until the serotonin level returns to normal.

2. The pain that started in the second half and is felt to be present is of a throbbing character. Disturbances are mostly felt from light and sound, they are protected and more comfortable in the dark.
The pain is accompanied by symptoms of excessive heat and vomiting, the person states that they cannot be comfortable without vomiting. Vomiting is a feature but not an absolute.

The pain occurs most of the morning hours or in the later hours of the night after waking up from sleep. If the pain is not treated after it starts, its intensity gradually decreases and is obtained for a few days.
If the person takes a medication after the person's diary is exhausted, the pain does not progress and gradually decreases. Ice application can be relieved. Hunger, insomnia, caffeinated foods, smoking can increase the pain. After the pain starts, there are screening nasal spray forms or IV replacement forms. It is not right to call the headache migraine without knowing what type it is.
3. The pain, which covers one eye in particular and can sometimes be in two dimensions, is throbbing in character.

The pain is a formula for migraine. Nausea is different, vomiting may occur. The pain can be reviewed. The person can feel the flow of the pain, there may be watering in the eyes and redness that occurs afterwards.

The pain is very severe. The loss of energy from the pain, the medicine reduces the intensity of the pain. If the medicine is not taken and the pain starts, the program has forms applied through the nose and forms applied intravenously.

4. The pain that starts a few days before the male period, continues throughout the male period, from the forehead to the temples and eyes, from the vascular source of the headaches.

The edema that occurs in the brain (water is sold) starts with an increasing quality

HEAD TRAUMAS

Childhood Minor Head Traumas
In this issue, I will say hello to you again from America, I want to include children in this issue. I want to talk about childhood minor head traumas with you at this time when summer is approaching. I saw that they also attach great importance to this issue in America. Raising awareness in mothers is the number 1 element in preventing accidents in children. If you want, let's continue with the most frequently asked questions and answers.

1. I have a child who fell and hit his head, my child cried after falling, he did not vomit, what should we do?

2. What should we do if he fainted after falling and remained unconscious for a while?

3. My child fell a few days ago, nothing happened after falling, but if there is nausea and vomiting that started a few days later, if he is a baby, what should we do if his sucking has decreased?

4. Should we let our child sleep after falling, what kind of foods should we feed him?

Answers:

1. Generally, we encounter this situation very often. The vast majority of patients brought to the emergency room are from this group of patients. Families state that children have somehow fallen, but they cry immediately after falling and do not faint, there is usually swelling where the children hit their heads, swelling is a condition that occurs after bleeding in the subcutaneous tissue. If the child cries immediately after falling and does not vomit, it is appropriate for the child to be monitored by the family for 24 hours. However, if there is swelling on the child's head, the child must definitely be taken to the hospital and evaluated. There may be a fracture in the bone structure under the swelling, and in patients with swelling, it may be recommended to apply ice to the swelling intermittently, and the ice must be applied over a cloth. Otherwise, the underlying tissue may be burned by the ice.

2. The duration of fainting is very important. A fainting of a few seconds is a condition that can be monitored at home, if nausea and vomiting are added to fainting, it is absolutely necessary to take the patient to the hospital. Fainting is more often a condition that occurs after the brain hits the skull bone. If the fainting lasts for minutes, it is not appropriate to monitor at home. Most families find it appropriate to monitor their children at home instead of taking them to the hospital, thinking that if the child gets worse later, they will take them to the hospital, but this is a very wrong idea. There may not be much that can be done in the hospital for children who are brought to the hospital after their general condition worsens. There may be a fracture in the bone structure, there may be bleeding above and below the brain membrane. This is perhaps a very low probability. Fainting requires the child to be monitored more closely. A 24-hour follow-up is recommended for the family of a patient who comes to the hospital and is evaluated and whose skull bone is not detected. However, if a fracture is detected in the skull bone, it is appropriate for such a patient to remain in the hospital for observation and to be evaluated with a tomography. 3. The findings of a child who fell a few days ago and then has new findings may differ depending on their age.

In babies between the ages of 0-2, the findings may continue as restlessness, not sucking, vomiting, and excessive sleep. If the baby's fontanelle is open, it is an important finding that this area is swollen, there may be a problem in the brain, so mothers should be careful. In children between the ages of 2-5, there may be gait disturbance, imbalance, drowsiness, nausea, vomiting, and children cannot express their headaches. It is easier to evaluate neurologically children over the age of 5. Because children can express themselves better, they have nausea, cannot eat, and may vomit. Anything abnormal that occurs in a child after a few days requires urgent medical attention. The patient may need to go to the hospital and be evaluated with a brain tomography.

NON-SURGICAL TREATMENT
Hello,
 
**Let's not forget that not every hernia in the waist or neck causes pain, there are many patients who have many hernias but do not have pain. The decision to operate by looking at MRI films is wrong. The main goal should be to find the source of the pain. The main goal is to find the pain location one by one with manual examination of the patient and to choose the treatment plan accordingly. The duration of a pain examination varies between 40-50 minutes.
 
*In patients who have had surgery for a herniated disc and whose pain has not gone away,
 
1. Hip joint diseases,
 
2. Tailbone diseases,
 
3. Sciatic nerve compression diseases,
 
4. Knee diseases (gonarthrosis, pes anserinus bursitis, meniscus tears, etc.)
 
5. Ankle diseases, etc.
 
6. Nerve entrapment syndromes
 
7. Foot diseases (sole collapse, inward and outward pressing problems)
 
*In patients who have had surgery for a herniated disc and whose pain has not gone away
 
1. Stress pain, neck flattening syndromes,
 
2. Shoulder joint diseases, shoulder ligament tears, etc.
 
3. Nerve entrapment pain
 
Ulnar, median, radial nerve, etc.
 
4. Tension pains are detected at the points where muscles connect to joints.
 
5. Pain around the elbow, (medial and lateral epicondylitis, etc.)
 
………………………………………………………………………………
 
**Under the title of non-surgical treatment methods, I would like to share with you the tips I have selected from conferences I have given in many countries and the summary of the study.
 
IN THE SLIDES AT THE END OF THE ARTICLE, IMAGES BEFORE AND AFTER INJECTION CAN BE COMPARED AND DIFFERENCES AND HERNIA REDUCTION RATES CAN BE CLEARLY SEEN.
 
**We should know that there is no rule that every discomfort in our back, such as herniated disc, slippage - spondylolisthesis, narrowing - foraminal stenosis, will definitely cause pain or will necessarily require surgery. MANY PATIENTS WHO HAVE AN MRI DUE TO CHECK UP OR PAIN IN OTHER REGIONS ARE DETECTED WITH MANY TYPES OF HERNIA THAT DO NOT PROVIDE ANY SYMPTOMS, EVEN EXTRUDE HERNIA. Most patients state that they have been advised to undergo surgery due to their hernias that look bad. They are afraid that they will be paralyzed, but this is not true. A HERNIA THAT DOES NOT PROVIDE ANY SYMPTOMS DOES NOT NEED TO BE SURGICALLY OPERATED.
 
**SOMETIMES THERE ARE PATIENTS WITH SMALL HERNIA AND HAVE MUCH PAIN. IN THESE PATIENTS, THE PAIN MAY NOT GO AWAY IF THERE IS MOVEMENT ON THE JOINT SURFACE ABOVE THE NERVE.
 
…………………………………………………………………………….
 
** Initially evaluating the patients and clarifying where their pain is is considered the first key to success. MANY DISEASES CAN OCCUR TOGETHER WITH HERNIATED DISC DUE TO THE DISTURBANCE AND CURVATURE OF THE SPINE. (LIKE KNEE PAIN, HIP PAIN, MENTAL TENSION PAIN, SHOULDER JOINT PAIN, DISORDERS OF THE SHOULDER BLANK, KIDNEY DISEASES, RHEUTICAL DISEASES, SOFT TISSUE AND JOINT PAIN).
THE STAGES OF THE TREATMENT ARE AS FOLLOWS.
 
1. It is important to find where the person's pain is according to the pain maps.
 
2. Secondly, eliminating the edema on the pain branches, RELAXING THE NERVES.
 
3. Then, stopping the increase in edema and water retention around the hernia or diseased area (Preventing the neovascularization of macrophages)
 
4. Increasing the blood flow to the diseased area and placing stem cells there
5. Performing block and freezing procedures in patients with narrowing, displacement, etc.
 
A BRIEF SUMMARY OF THE PRESENTATION I MADE ABOUT THE TREATMENT IS AS FOLLOWS. HERNIA DISAPPEARANCE RATES CAN BE CLEARLY SEEN IN THE SLIDES AT THE END OF THE SECTION.
 
January 2008-January 2015 In this study, the clinical effectiveness of the injection technique I applied combined with sural block (with disc herniation, foraminal stenosis and spondylolisthesis) was evaluated in 386 patients. 44 patients were excluded from the study due to connection problems. The patients were informed about the treatment options and results, and consent forms were signed.
 
The treatment was planned based on the dermatomal map in our body. The distribution of the superficial and deep pain branches and the main nerve branches, where the edema is tried to be resolved, is done with the computer system C arm automatic, artificial intelligence integrated SCOPI device that I applied the treatment. The patient is edematous, rheumatized, and even the damaged bones and soft tissues are identified.
 
SURAL BLOCK AND DISTRIBUTION OF FOOT NERVES treatment can be applied in combination with below-knee or whole-leg mesotherapy and neural therapy in patients whose numbness does not go away after treatment, who have lifelessness and even drop feet. These methods; It helps to reduce numbness (hypoesthesia) in the related dermatomal area, helps to reduce stinging, burning (hyperesthesia) in the feet of diabetic patients. It also supports the reduction of symptoms in patients with restless leg syndrome
 
**Jarettt D.cain et all, Revisional peripheral nerve surgery, Clin podiatr med surg 26(2009) 11-22
 
HOW DOES HERNIA DISAPPEAR
 
**Many studies have also documented the spontaneous disappearance of intervertebral disc herniations after drug treatment alone.
 
* Resorption has been found to be associated with rim enhancement around the herniated nucleus pulposus (HNP).
 
***Autio RA et all, Determinants of spontaneous resorption of intervertebral disc herniation spine (phila pa1976) 2006 may 15;31(11)1247-52
 
**Round enhancement (rim enhancement) is known to be a neovascularized zone formed by macrophage infiltration. It is known that corticosteroids and some anti-inflammatory substances are effective in spontaneous resorption (LOSS) of disc herniation (HNP) by affecting neovascularization.
 
** Many researchers have observed that neovascularization in extruded (ruptured) discs is higher than in subligamentous discs. This is why extruded discs have higher resorption rates.
 
″** Olmarker et all,Inflammatogenec properties of nucleus pulposus
 
Spine 1995;20:665-9 ″
 
**Kobayashi S et all,Ultrastructural analysis on lumbar disc herniation using surgical specimens role of neovascularization and macrophages in hernias Spine(phila pa 1976) 2009 Apr1;34(7)655-57
 
HOW IS THE METHOD APPLIED?
 
* Under scopy (8 times magnification, rotatable in all directions), the Y (nerve bifurcation) shape is located in the middle part of the pedicular area as the target point. (IN THE MAJORITY OF CASES, THE NERVE DISTRIBUTION IS CLEARLY APPEARED.
 
* Sural block was performed in all patients. If necessary, sural block is performed once or twice. In necessary cases, neural therapy can be added.
 
* The cause of the pain should be distinguished from other differential diagnoses (piriformis syndrome, trochanteric bursitis, pain related to the knee, pain related to peripheral entrapment of nerves located below the knee, pain related to the ankle joint and heel, and the pain can be distinguished with neural therapy and mesotherapy.
 
* VACCINATION IS THE APPLICATION OF A MEDICINE THAT WILL PROVIDE EDEMA DISSOLVING TO THE AREA DEFINED AS THE TARGET POINT AND THE STOPPING OF THE FUNCTION OF CELLS CALLED MACROPHAGE. THIS AREA WHERE STEM CELLS ARE PLANTED FOR HEALING, THE ACTIVATION OF NA-K PUMP IS REVERSED, PROSTAGLANDIN I2 ACTIVATION IS PREVENTED, HEALING IS PROVIDED AND THE HERNIA IS REDUCTION. IMPROVEMENT OF BLOOD FLOW IN THE PROBLEM REGION ALSO REDUCES CALCIFICATION, ETC. **OTHERWISE, IT WOULD BE POSSIBLE TO GET RESULTS BY USING SUCH MEDICATIONS ORALLY AS PILLS OR AS INJECTIONS IN THE HIP, • ALL PATIENTS KNOW THAT USING SUCH MEDICATIONS DOES NOT SOLVE THE PROBLEM
 
* SURAL BLOCK AND MESOTHERAPY IN DIABETES PATIENTS helps to reduce numbness and burning in the feet. • The theory in diabetic neuropathy is that external nerve compression disrupts axonal blood flow, preventing the restoration of sensation. ** Dellon AL. Diabetic neuropathy: review of surgical approach to restore sensation, relieve pain and prevent ulceratin