Topical Treatments Rosen.pdf · treatise. Note: Rub in circles, don’t go back and forth Saturday,...
Transcript of Topical Treatments Rosen.pdf · treatise. Note: Rub in circles, don’t go back and forth Saturday,...
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Topical Treatments See Me Feel Me Touch Me Heal Me PETER TOWNSHEND-1969
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Disclosures
CEO of Prologel, Inc.
Research with Myoscience (maybe)
Licensee of topical medications(maybe)
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hioAncient Neuroprolotherapy Ointment
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Modern Prolotherapy Solutions
Manufactured products
Vitamin D-40k units patent 5k-100k
Prologel-sugar/sugar alcohol blend
patent pending
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Bypassing the Stratum Corneum
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Carriers help drugs penetrate the brick(and mortar layer
Once past the stratum corneum, drugs penetrate easily
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Iatroleptic technique
Ointment rubbed with friction Invented in 1790, by Christen of Montipellier In 1804, he published an iatroleptic method treatise.
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Skin Penetrators
Oils, Fats. and Water
MSM (form of DMSO) and DMSO
Chemical Penetration Enhancer
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Valleix used blistersto bypass the stratum
corneum
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Modern skin interruption Electric callus remover(Ouch)
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PROLOGEL INGREDIENTS
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Why menthol?
FDA requirements
1. active and inactive from cookbook approve amounts
2. make new drug 1.5 million dollars
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CONCLUSION:Thermal burns patients dressed with Aloe Vera gel showed advantage compared to those dressed with SSD regarding early wound epithelialization and earlier pain relief.
Effectiveness of Aloe Vera gel compared with 1% silver sulphadiazine cream as burn wound dressing in second degree burns.
Shahzad MN, Ahmed N 2013 Feb;63.
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Effect of a cetylated fatty acid topical cream on functional mobility and quality of life of patients with osteoarthritis.
CONCLUSION:Use of a CFA topical cream is an effective treatment for improving knee ROM, ability to ascend/descend stairs, ability to rise from sitting, walk and sit down, and unilateral balance
Kraemer WJJ Rheumatol. 2004 Apr;31
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2 cases Prologel Studies
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Musculoskeletal injury
Day 1
Day2
Day3
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Nerve Pain-1 week after an intravenous stick
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15 seconds after topical cream treatment
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Mechanical Penetration help
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RECHARGEABLEULTRASOUND
Look for the baseSaturday, November 2, 13
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Who said 1mz penetrates deeper?
Three-MHz Ultrasound Heats Deeper Into the Tissues Than Originally Theorized
Bradley T. Hayes, Mark A. Merrick, and Mitchell L. Cordova
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Laser topical medication delivery
Ideal for CRPS
If laser does not touch skin
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LED and topical
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LED increase in penetration
Evaluation of dentin permeability after light activated internal dental bleaching.Carrasco LD, Zanello Guerisoli DM, Pécora JD, Fröner IC.
35% hydrogen peroxide activated by LED -was an increase in dentin permeability
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LED lights pain relief
Effect of light emitting diodes in the photodynamic therapy of rheumatoid arthritis.Infrared LED showed an effective and cheaper treatment solution for RA.Neupane J,
.
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3M Microneedle Technology• Local or systemic delivery for both large and difficult to deliver molecules, including
proteins, peptides and vaccines• Improves delivery efficiency and absorption time of some drugs and vacciness
3M Hollow Microneedle System
Hollow channels allow efficient transdermal delivery of liquid formulations
3M Solid Microneedle System
Transdermal delivery with efficiency that matches or exceeds that provided by injection
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Other Topical Applications
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History could have helped the 50,000 Civil War amputations
tt
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Compression 50 surgeries in Edwin Smith Papyrus
Pictographs display antecubital nerve compression for hand surgery
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Marco Aurelio Severino-noted in 1500s snow made surgery site insensitive.
Dominique J. Larre-‐surgeon general of Napoleon’s army Noted in 1807, patients felt no pain with amputations at 19 C below zero.
Historical Peripheral Nerve Freezing
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Modern day techniques
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Nerve compressionfor foot and hand injections
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Works great for up to 45 seconds
Beware of freezer burns
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Modernperipheral
nerve freezing
received FDA clearance for treatment of peripheral nerve tissue using Focused Cold Therapy for the blocking of pain
One of 20 test centers in the USA
Studying cluneal nerves at 1, 2 5 weeksSaturday, November 2, 13
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Study for cluneal peripheral nerve cryotherapy
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Transcranial direct stimulation combined with injections
To treat the central component as well as the peripheral component
Research: Non-invasive reduced pain in half patients by 50% with 5 20 minute treatments
Especially good for CRPS and post-herpetic neuralgia
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FUTURE PROJECT?????
Dextrose nasal spray- intubated neonates
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