Prof. Dr. Erkan Kaptanoğlu

Neural Therapy

As a result of the trauma, stress and various diseases we experience in our lives, the stimuli accumulated in the autonomic nervous network cause chronic pain over time. Neural therapy is a powerful treatment that can be highly effective in relieving autonomic nervous system dysfunction and pain, especially in complex pain patients. Neural therapy is based on the theory that any trauma, infection or surgery can damage the autonomic nervous system and create long-term disturbances in the electrochemical or electromagnetic functions of tissues. Repeated application using local anesthetics leads to the disappearance of stored pathological irritability of the sympathetic nervous system and the restoration of normal tissue perfusion.

The aim of neural therapy is to inject the skin at the site of the pain, which is expected to have an effect on the nervous system. The drugs used in this treatment are lidocaine and procaine. Although these drugs are local anesthetic drugs, neural therapy does not benefit from their anesthetic effect but from their bioelectrical stimulating effect on the nervous system. Neural therapy involves injecting local anesthetics into autonomic nerve ganglia, peripheral nerves, scars, glands, acupuncture points, trigger points and other tissues.

Local anesthetic disrupts the vicious cycle of increased nociceptor activity sympathetic excitation circulatory disturbance neurogenic inflammation muscle stiffening in different sites simultaneously. In this way, through interrelated and positive feedback loops, ever-increasing reflex arcs are disrupted. Repeated application of local anesthetics also directly reduces neurogenic inflammation. Thus, neural therapy is effective for musculoskeletal pain as well as for migraine and tension headaches.

Neural therapy can be used in many diseases and disorders such as migraine, cluster and other types of headaches, fibromyalgia, neck, back, lumbar pain and hernias, trigeminal neuralgia, neuropathic pain, shingles neuralgia, dizziness, facial paralysis, carpal tunnel syndrome, hormone disorders, surgical scar treatment, tonsillitis, knee and shoulder pain, tendonitis and sports injuries. Neural therapy is not used for people with myasthenia graves disease. It should be used with caution in patients taking anticoagulants and antiaggregants (blood thinners).

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