| INTRODUCTION  
               
                 "The secret of longevity is to get a chronic disease 
                  and take care of it". Sir William Osler While this concept may seem strange, once you 
                are diagnosed with RSD, taking care of yourself is the logical 
                and responsible thing to do. Taking responsibility for helping 
                yourself can be done in many ways. Doctors can provide the medications 
                and treatments but the rest is up to you. Here are some alternative 
                treatments that have been used by RSD patients. We caution you that what helps one, may not necessarily 
                help another person. However, the only way to find out is through 
                trial and error. Keep a journal and be a good detective to find 
                what works best for you.  Develop a list of things that work for you. METHODS 
              
              A) PHYSIOTHERAPY: 
                helps with balance, flexibility, strength, cardiovascular conditioning 
                and regaining muscle mass.It is the most important element in 
                treating CRPS and remains "the cornerstone of effective treatment." The "STABILITY BALL" 
                program or "AQUA THERAPY" 
                (in 92-93F water) both avoid weight bearing on the affected limb. B) Moist Heat: Several methods can help: e.g.. 
                warm bath, exercising in a whirlpool, and Epsom salts (magnesium 
                sulfate) soaks. The salts reduce swelling and inflammation. Generally, 
                try 2 cups in a warm bath, soaking for 30-45" two or three 
                times a day. For those unable to use a bathtub, soak the extremity 
                in a large pail or make an epsom salt paste for specific areas 
                of the body. C) Massage: 
                There are many types e.g.Manual Lymph Drainage(MLD) aka Lymphatic 
                Massage.Techniques are designed to stimulate the lymphatics and 
                calm the nervous system without stimulating blood flow. MLD can 
                help lymphedema, a common problem in CRPS. For an MLD therapist in Ontario please call the Referral Service 
                1 800 668 2022 Ontario Massage Therapists Association or visit 
                www.omta.com.
 Vodder Massage is MLD plus Decongestive Therapy for lymphedema. 
                Please contact the Vodder School Tel: 250 598 9862 or visit www.VodderSchool.com.
 For further information please see PARC PEARL Sept. 2002 issue. 
                Click here. Other types of massage are Swedish,Esalen, Rolfing and Feldenkrais. D) Acupuncture/Acupressure: a series of treatments 
                to control pain using wafer thin needles.Please see the Sept. 
                2002 issue of the PARC PEARL for details. Click 
                here. E) Podiatry: e.g.. orthotics for better walking 
                and posture. F) Chiropraxy: Please see Alternative 
                Treatment Options for RSD" by Dr. David Leprich D.C. G) Herbal Medicines: can be administered and 
                monitored by a qualified naturopath. Please see Naturopathic 
                Medicine H) Antioxidants and Nutritional Supplements: 
                to strengthen the immune system can be given by a qualified naturopath. 
                Please see Naturopathic Medicine I) Photonic Stimulator: 
                a infrared light device stimulates acupuncture points in the body. 
                Please see our Photon and Dr Pollett files. J) Naturopathic Medicine: Using 
                herbs, nutrition, homeopathy, acupuncture, physical medicine and 
                Oriental Medicine can be helpful.  K) QI GONG: 
                Recent studies with CRPS patients show Qi Gong can play an effective 
                role in pain management.  L) RELAXATION TECHNIQUES : Using specific training 
                methods learned from a psychologist, this method can be effective 
                in pain control.  M) OTHER TOOLS: Other methods which may help 
                with pain control are guided imagery,Tai Chi, biofeedback and 
                meditation. Please see our PARC 
                PEARL page for details.   
 NATUROPATHIC MEDICINE 
              
              What is Naturopathic Medicine? Naturopathic medicine is a type of medicine dedicated to improving 
                health and treating illness. Using natural substances and treatments, 
                the naturopathic doctor (ND) treats the person with focus on prevention. 
                The naturopath believes that the body has a vital force which 
                can help heal itself and also defend itself against disease. The 
                main goal of treatment is to find the cause of the illness rather 
                than to treat or suppress the symptoms patient's mental, physical, 
                emotional and spiritual states are carefully considered when diagnosing 
                and treating. The main therapies used are: clinical nutrition, 
                botanical medicine, homeopathic medicine, acupuncture and Oriental 
                medicine, physical therapies and counselling personal treatment 
                plan is developed which helps begin the healing process. What Treatments are used? CLINICAL NUTRITION: The relationship between 
                diet and health is carefully administrated may include a special 
                diet, vitamins, minerals enzymes or other supplements. BOTANICAL (HERBAL MEDICINE): Plant substances 
                from around the world are utilized for their healing effects and 
                nutritional value HOMEOPATHIC MEDICINE: The concept of like cures 
                like; is used in homeopathic medicine developed by Hahnemann in 
                the early 1800's.Minute amounts of natural substances are used 
                to stimulate the body's self-healing process. PHYSICAL MEDICINE: Many techniques for the spine, 
                joints and soft tissues are used. This treatment may also include 
                hydrotherapy, and use of heat and cold, light, massage and ultrasound. ACUPUNCTURE AND ORIENTAL MEDICINE: Oriental 
                medicine uses acupuncture and Oriental herbs. The body's energy 
                (Chi) must be balanced through meridian pathways. LIFESTYLE COUNSELLING: Physical, emotional,nutritional 
                and environmental factors affect health. Good lifestyle choices 
                are suggested by an ND. Is naturopathic medicine safe? Natural remedies and substances are non-toxic and derived from 
                natural sources. They are gentle and non-invasive. Side effects 
                are rare and ND's are aware of contraindications between naturopathic 
                remedies and conventional medicines.In Canada, a naturopath is 
                a person with a university degree in pre-medicine, and four years 
                of specialized training at a recognized college of naturopathic 
                medicine. Courses include basic medical sciences, naturopathic 
                principles and therapeutics, and 1500 hours of supervised clinical 
                experience. The Canadian College of Naturopathic Medicine is located in Toronto 
                and ND's are regulated in Ontario. Graduates must also pass strict 
                exams in order to qualify for practice.Graduates receive a Doctor 
                of Naturopathic Medicine(ND) degree. What does a naturopath do? The aim of the first visit is to get to know the patient: it 
                usually consists of an in-depth analysis of all the body systems 
                and to get to know your mental, emotional and physical state. 
                A detailed case taking of genetic history, body type, and present 
                status of all mental, physical and emotional symptoms. A return 
                appointment of usually half an hour is for discussing the results 
                of the analysis and recommending various medicines or treatments 
                which are very highly individualized.A single method or combination 
                of approaches may be used. ND's work with other health care professionals 
                for the benefit of the patients. They refer patients to medical 
                doctors,chiropractors, massage therapists and midwives. How can I find a qualified naturopath? The Canadian College of Naturopathic Medicine has stringent admission 
                requirements. Students must have premedicine undergraduate course 
                work similar to medical school. The first two years are basic 
                medical science and years three and four are clinical training 
                . Canadian College of Naturopathic Medicine1255 Sheppard Ave. E.,
 North York, Ontario M2K 1E2
 Tel: 416-498-1255
 Fax: 416-498-3197
 Clinic: 416-498-9763
 Web site: http://www.ccnm.edu
 The Schad Naturopathic Clinic has fourth year interns who, under 
                the supervision of licensed ND's, provide treatments. The Clinic 
                is open six days a week and fees are reasonable.The College also 
                has a referral service to provide you with a qualified naturopath 
                in your area. Tel: 1 877 628 7284  Ontario Association of Naturopathic Doctors Tel: (416) 233 2001 
                Hours: 8AM-1PM. ND's in NIAGARA: Jane Lauermeier, B.ArtsSc. ND, 12 Secord Drive, St. Catharines, 
                Ontario L2N 1K8 Tel: (905) 935 6460  Wayne Chindemi ND DC, Vineland Homeopathic Center, 3911 Victoria 
                Ave., Vineland, Ontario L0R 2C0 Tel: (905) 562 3636  
 HOMEOPATHY 
              
              Is homeopathic medicine different?  
                Homeopathic medicine is one of the modalities 
                  that ND's use in a total treatment program. A homeopathic practitioner 
                  only uses Homeopathy, ND's are trained in homeopathy as part 
                  of their four year college training and are tested for licensing 
                  purposes Has homeopathy been around long?  
                "Nature uses as little as possible of anything".(Johannes 
                  Kepler) Homeopathy was founded in the early 1800's by 
                  Samuel Hahnemann, a German physician who was dissatisfied with 
                  the medical system of his time. When one of his children became 
                  very ill, conventional medicine could do nothing for her. While 
                  translating a text on quinine, the author claimed that it cured 
                  intermittent fever (malaria). Hahnemann decided to test it on himself. Although 
                  he was healthy, he took the quinine and developed the symptoms 
                  of malaria and when he discontinued it, the symptoms stopped. 
                  He deduced that malaria was not cured by quinine but by the 
                  fact that the drug produced the symptoms of malaria in a healthy 
                  person. By the end of the 19th century, 600 new medicines had 
                  been tested and added to the homeopathic pharmacy. Why have I never heard of homeopathy?  
                The development of conventional drugs such as 
                  antibiotics and painkillers, overshadowed the popularity of 
                  homeopathy. By the 1950's homeopathy had fallen out of vogue. 
                  Today, homeopathy is alive and well in Europe, Asia, and India. 
                  The Queen of England and Prince Charles are staunch supporters. 
                  There area over 100,000 homeopathic doctors in India. In France, 
                  it is the leading alternative therapy at 36%. What is the law of similars?  
                Homeopathy comes from the Greek word "homoios" 
                  (similar) and pathos means suffering or sickness.Homeopathic 
                  medicine is based on the law of similars--meaning that "like 
                  cures like". The law states that "a remedy can cure 
                  a disease if it produces in a healthy person, symptoms similar 
                  to that of the disease". What does this mean? The symptoms 
                  that a substance causes in large doses, it can heal when given 
                  in minute doses. However, wouldn't you think that giving a dose 
                  of something that creates symptoms similar to what the person's 
                  symptoms are, would make things worse and not heal them? Think of it as the body having a set of symptoms 
                  and the medicine creating the same set of symptoms. Since two 
                  identical diseases cannot exist in the body, the body drives 
                  them out. Another way to think of it is like a vaccine, which 
                  in small doses helps the body's defense system to desensitize 
                  the person to larger doses.For example, the flu vaccine is given 
                  in a small amount so that the immune system will fight it off. 
                  Later if the person gets the flu, the body's immune system will 
                  drive it out. Symptoms in the body are ways that the body adapts 
                  and defends against infection or stress. So using small doses 
                  of whatever causes symptoms similar to those that sick people 
                  have, will help strengthen their defenses. What symptoms does the body use? One is fever 
                  which creates an internal environment so hot that the bacteria 
                  and/or virus cannot survive or multiply. The fever tries to 
                  defend the body against infection. Using small doses of substances 
                  that can cause similar symptoms of fever that the sick person 
                  has, will help the fever resolve more quickly.e.g.. Belladonnna 
                  (deadly nightshade) causes fever in HIGH doses but in SMALL 
                  doses helps heal the body. Why use homeopathy?   
                How would you like inexpensive, effective, natural 
                  remedies that are safe and without side effects? This is possible 
                  with homeopathy. It is a system that uses natural remedies made 
                  from animal, vegetable and mineral sources.Prepared in minute 
                  doses, they are non-toxic.  
 CHRONIC DISEASE 
              AND HOMEOPATHY   
              Think of chronic diseases as earthquakes. An earthquake 
                will occur on a previous underlying fault. They happen as a result 
                of stresses underneath the earth's surface. They can also occur 
                from pressure from stress near or far away. Chronic disease can be traced back to a "predisposition" 
                that a person has. Some diseases may have already occurred and 
                some may be due to genetics. Some chronic diseases may be hidden 
                inside the person and only appear under much stress.Other diseases 
                are due to minor stress. Therefore chronic disease does not magically 
                appear but is there due to genetic predisposition or takes many 
                years to develop. This explains why a person with a chronic disease 
                looks healthy but may be on the verge of a serious disease or 
                possibly death. Conversely, a person who looks ill and may have 
                a chronic disease, could take care of it into old age. The chronic 
                symptoms are a way of venting to prevent a larger problem later 
                on. ACUTE AND CONSTITUTIONAL HOMEOPATHY Acute care refers to finding a remedy for the present 
                symptoms. e.g.. a cold. flu. sprain etc. For someone with a chronic 
                disease, constitutional care can be very effective. Constitutional 
                care is the treatment of the person's symptoms then and now. After analyzing in great detail, the person's symptoms, 
                genetic history, health history, body type and physical, mental 
                and emotional symptoms, the naturopath finds one remedy that fits 
                the totality of the symptoms. This process requires a trained professional, skilled 
                at finding just the right remedy from over 500 possibilities. 
                Constitutional care can result in a healing response by the body, 
                and it can strengthen the defense system of the body. It can help the body continue the healing process 
                over time. There can be a reduction of pain and discomfort. The 
                overall mental, physical and emotional symptoms improve overtime. 
                It is a gentle medicine that requires time to heal however, IT 
                IS NOT AN INSTANT CURE. General improvement happens over time 
                and the longer you have the disease, the longer it takes to recover. HOW CAN THIS HELP ME? People with RSD have a myriad of symptoms. RSD is 
                a syndrome that affects everyone differently. Some cannot tolerate 
                cold, while others cannot tolerate heat. Others can tolerate vibrations 
                while others are disturbed by noise. Homeopathy is "designer medicine" which 
                fine tunes itself to the particular and peculiar symptoms of the 
                individual. It helps alleviate those symptoms. For those with 
                chronic RSD, taking care of your body can result in living a longer 
                life. Those with RSD have a difficult time healing even from the 
                smallest cut or bruise. Over time, constitutional care can facilitate 
                the natural healing process in the body. CONSIDERATIONS While it is recognized that this treatment may not 
                help everyone, homeopathy is highly individualized medicine and 
                under the competent, professional care of a naturopath that is 
                willing to work with you, it can help a great deal. It will certainly make the day to day living with 
                RSD, easier to deal with. Since stress aggravates RSD, reducing 
                stress is a priority. Easing, then eliminating certain symptoms is the 
                beginning. How we feel and think affects our bodies. Helping ourselves 
                is the first step. A great deal of training, skill and experience is 
                required to become a competent naturopath. To visit the health 
                food store and buy a remedy is just "cookbook medicine". 
                Since it is very individualized medicine, it requires patience, 
                knowledge and infinite skill to find the correct treatment from 
                over 500 remedies. Again, what works for one, does not necessarily 
                work for another. It is similar to RSD: what works for some, does 
                not apply to others. Does this mean one should abandon conventional medicine? 
                Of course not. One method can complement the other--you can have 
                the best of both worlds. Homeopathy works with most drugs but 
                know that certain substances antidote the remedy e.g.. coffee, 
                camphor products, dental work, antibiotics or steroids. Like conventional medicine, homeopathy has its limitations. 
                It cannot be everything to everybody. However, it is a safe, effective, 
                natural medicine that deserves consideration by someone with a 
                chronic disease. For further information, contact the Canadian 
                College of Naturopathic Medicine. 
 
               FURTHER READINGSGeneral Homeopathy
 
                 Bruning, N.and Weinstein, C. Healing Homeopathic Remedies 
                  New York Dell 1995 Buegel Dale et al Homeopathic Remedies for Health Professionals 
                  and Laypeople Honesdale PA Himalayan 1991Castro, Miranda The Complete Homeopathy Book New York: St, 
                  Martin's 1990Cook, Trevor Homeopathic Medicine Today Canaan:Keats, 1989.Cummings. S. and Ullman Dana Everybody's Guide to Homeopathic 
                  Medicines Los Angeles:Tarcher, 1991.Grossinger R. Homeopathy: An Introduction for Beginners and 
                  Skeptics Berkley: North Atlantic. 1993.Kruzel, Thomas, Homeopathic Emergency Guide Berkley: North 
                  Atlantic 1992.Lockie, Andrew The Family Guide to Homeopathy New York: Fireside, 
                  1993.Panos M and Heimlich J. Homeopathic Medicine at Home J P Tarcher, 
                  Inc. 1980 ISBN 0-87477-195-1Ullman, Dana Discovering Homeopathy Berkley: North Atlantic, 
                  1991.Ullman, Dana. The Complete Guide to Homeopathy New York: Tarcher 
                  1995.Whitmont, Edward C. The Alchemy of Healing Berkley: North 
                  Atlantic, 1993. 
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