Treating Sports Injuries

d 2.00 US $ 2.00 CAN $ 3.
00
Biomedical
Therapy
J o urnal o f
Volume 1, Number 1 ) 2007
Integrating Homeopathy
and Conventional Medicine
Treating
Sports Injuries
Inflammation and Immune Regulation

How Efficient Is Your Practice Marketing?
Contents
I n Fo c u s
Treating Sports Injuries A Functional Approach . . . . . . . . . 4
From the Practice
Muscle Tear in the Lower Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
W h a t E l s e I s N e w ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Practical Protocols
A Biotherapeutic Approach to Common Sports Injuries . . . . 12
Around the Globe
Hakkin Hill almost killed me! . . . . . . . . . . . . . . . . . . . . . . 14
Re f r e s h Yo u r H o m o t ox i c o l o g y
Is Inflammation after Injury All Bad? . . . . . . . . . . . . . . . . . . . 16
M a r ke t i n g Yo u r P r a c t i c e
How Efficient Is Your Practice Marketing? . . . . . . . . . . . . . . . 18
Specialized Applications
Biopuncture and the Treatment of Sports Injuries . . . . . . . . 20
Re s e a r c h H i g h l i g h t s
Fast-acting, Safe, Effective

Study Confirms Traumeel Effective for Tendinopathies . . . . 23
Making of ...
. . . Traumeel: How Does the Ointment

Get into the Tube? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Cover photograph
iStockphoto.com/Ben Blankenburg
Around the Globe
South Africa: Homotoxicology in the Rainbow Nation . . 26
C r o s s w o r d P u z z l e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Published by/Verlegt durch: International Academy for Homotoxicology GmbH, Bahnackerstrae 16,
76532 Baden-Baden, Germany, e-mail: journal@iah-online.com
Editor in charge/verantwortlicher Redakteur: Dr. Alta A. Smit
Print/Druck: Konkordia GmbH, Eisenbahnstrae 31, 77815 Bhl, Germany
2007 International Academy for Homotoxicology GmbH, Baden-Baden, Germany
Welcome to the
New Journal of Biomedical Therapy!
Dr. Alta A. Smit
ince the fall of 2000, when the

Journal of Biomedical Therapy
was first published, it has helped
educate many medical practitioners
throughout the world about the potential of biological medicine. Now,
some seven years later, we felt it was
time to give the journal a new look.
The redesign, visible at first glance,
is fresh and modern. But thats not
all! Twelve extra pages make room
for even more information. In addition to familiar columns such as protocols, case studies, and medical
summaries, youll find new ones including In Focus (a keynote article
on cutting-edge medical topics),
Specialized Applications, and Refresh
Your Homotoxicology. Articles on
non-medical topics such as marketing your practice, how biological
medications are produced, and news
from around the globe combine information and entertainment. Enjoy!
This first issue of the new Journal of
Biomedical Therapy is about sports
injuries, an important therapeutic
field for general practitioners and

specialists alike. As evidenced by
ever-increasing interest in the fairly
new discipline of sports anthropology, sports have come a long way
from being merely a recreational
pastime.1 Historically, people engaged in sports as recreation or play,
in the context of games that differed
from culture to culture and in their
degree of structure and competitiveness. After WWII, we saw a shift
from fun to business in modern
sports, and the world of sports became a very demanding place. Sports
now meet our need for physical activity, which in the past was served
by activities essential to survival,
such as gathering food or searching
far and wide for other necessities. In
modern culture, sport has become
almost a prerequisite to a successful
corporate career.
Sports medicine today is an independent specialty. Physicians and
therapists have to deal with people
who engage in sports on a variety of
levels, from Olympic athletes to cor-
porate executives to weekend warriors. In the words of Dr. Barkauskas, modern sports physicians must
not only understand the pathologies
they encounter but must also have a
holistic grasp of the complexity of
being a healthy sportsperson. Last
but not least, specialists in sports
medicine must understand sports as
a social, economic, and psychological phenomenon.
Competitive sports have financial
and professional repercussions. Especially when the patients are elite
athletes, the practice of sports medicine requires a multidisciplinary approach. Thus biomodulatory therapies offer realistic alternatives, with
the added benefit of not being on
banned lists. Thats why we asked
several experts to write on this important topic for this issue. Most of
these contributors are directly involved in the care of elite athletes,
some even on the Olympic level.
Alta A. Smit, MD
Reference:
1. Sands RR (ed.). Anthropology, Sport, and
Culture. Westport, CT: Bergin and Garvey,
1999.
Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1
) I n Fo c u s
Treating Sports Injuries

A Functional Approach

Understanding sports and sports medicine:

not as simple as you might think!
By Dalius Barkauskas, MD
Head physician of the Lithuanian Olympic team
In the extremely demanding world

of top-level sports, every little
detail matters. Thats why the team
approach is so widely used in professional sports. In their search for
perfection, athletes and coaches
will consult not only the teams
physician or physical therapist but
also specialists in nutrition, psychology, sports physiology, and
other related fields.
Competitive athletes are extremely
susceptible to injuries, and their
treatment requires a complex approach.
) I n Fo c u s
A sports physicians job is full of
responsibility: Appropriate first aid

and correct diagnosis significantly
determine the gravity and duration

of an injury.
reatment strategies for top athletes are very complex. The

main emphasis is on the immune
system (or neuroimmunoendocrinology, to use the modern term) rather
than on the injured area, which simply reflects the state of the body in
general. Also, professional athletes
are not alone in suffering from injuries and other sports-related problems. There are millions of amateur
or recreational athletes, and thousands of them deal with injuries
ranging from minor bruises to major
trauma, overexertion, etc. Established and aspiring experts in the
field of sports medicine must be prepared to meet the needs and expectations of very specific and very different groups of individuals.
When dealing with athletes, the
medical profession must confront
multiple issues simultaneously. Not
only can sports injuries and related
pathologies cause permanent health
problems, they may also have serious professional and financial consequences. Immediate first aid and
correct diagnosis often determine
the gravity and duration of the injury. People who are active in sports
are often also very active in their social and business lives. In these cases,
the physicians situation becomes
tricky due to a number of factors:
1. Such individuals have no time

for full treatment. There is no place
for the treatment strategy known in
the medical profession as ex juvantibus meaning that what works tells
you whats wrong. Especially during
the competition season, there is no
time for second attempts. If your initial treatment fails, these patients
will never approach you again.
2. Sensitivity to aggressive medication. The need for aggressive treatment strategy increases the possibility of iatrogenic disease.
3. In addition to their acute symptoms, these patients often present
with muscular imbalances, micro-injuries, and problems that have already become chronic.
4. The psychological factor: Will I
be able to continue to play or compete?
5. Altered movement patterns due
to injury affect performance.
6. Most importantly, the doctor or
other medical professional must
have a full and compassionate understanding of what sports mean to
those involved.
These factors put considerable pressure on the medical practitioner. In
addition, while soft techniques
body-friendly methods and medications are important, any intervention must produce rapid, reliable
results.
Homotoxicology in sports
medicine: why and how?
For the physician or other professional in the field, biological medicine offers unique approaches and
treatment modalities. The possibilities include:
Drainage therapy
Stimulation of
enzymatic systems
Treating acute and
chronic injuries
Immunomodulation in
cases of immunodeficiency
Treating viral infections
Safety is the main feature of biological approaches, along with the
possibility of combining different
techniques. Antihomotoxic medicine
is a regulatory therapy. In addition
to syndromes related to overextension and overtraining, sports physicians frequently see cases of dysbiosis. Biological medicine in general
and homotoxicology in particular
are very effective in such cases. Another factor to consider is tissue acidosis, which is very important in
sports not only because of anaerobic
activity but also because of unrestricted use of sports supplements,
many of which have not been determined to be safe for long-term use.
Even the common supplement glucosamine, for example, may cause
allergic skin reactions or gastrointestinal disturbances and is not recommended for use during pregnancy.
) I n Fo c u s
Antihomotoxic medication
Low/medium
potency
High
potency
Biophysical
action
Matrix drainage
Fig. 1:
Modes of action
of biotherapeutic
medications
Clearly, biological approaches have

distinct advantages. They can be
highly effective yet minimally invasive. In my experience and opinion,
both physicians and athletes come
out ahead when the treatment stimulates natural, physiological healing
reactions in the body. As I mentioned above, we need to be able to
control what we are doing: Our
treatment must be aggressive and
have predictable positive effects and
minimal or no side effects. Total
suppression of the pain reaction is
not our goal, however, because pain
is the crucial factor in limiting aggressive movements.
It is interesting to note that specific
types of homotoxicological medications correlate with levels of intervention:
Catalysts act on
the cellular level.
Suis-organ preparations work
on individual organs.
Combination medications work
throughout the body.
For maximum effectiveness of
course, understanding Reckewegs
philosophy of antihomotoxic medicine and the Disease Evolution Table
as the basis of treatment is of paramount importance, but these topics
are beyond the scope of this article.
See Figure 1 for a simplified diagram of the modes of action of biotherapeutics.
Biochemical
action
Immunomodulating
action
Information
transfer
Immunological
bystander reaction
Clearly, the mechanism of action is

modulated by the immune system,
so understanding the immunological bystander reaction will be helpful, as will a general knowledge of
matrix physiology and pathophysiology.
Treatment strategies
for sports injuries
First of all, I would like to emphasize that therapy for acute injuries is
relatively straightforward. The wellknown RICE acronym applies,
along with other treatment techniques. It is important to follow the
general principles of diagnosis, treatment, and re-evaluation. It is important to remember that inflammation
means healing. If we analyze the
phases of inflammatory response
(acute, repair, maturation), it becomes obvious that inflammation
needs to be controlled but not entirely suppressed. During treatment,
we are also dealing with reflex actions of the nervous system, since
any nociceptive stimulus will cause
the nervous system to react. Again,
it is important to permit adequate
response. Thus indiscriminative use
of drugs that suppress inflammation
(NSAIDs, steroids) may produce direct as well as remote side effects.
From the point of view of antihomotoxic medicine, the product of
choice here is Traumeel. Figure 2
shows its (simplified) mode of ac-
Radical trapping
Enzyme
activation
tion. Traumeel is a very complex

product, and all of its ingredients act
synergistically on inflammatory responses:
Aconitum napellus, Hamamelis
virginiana, Millefolium, Bellis
perennis, Belladonna, Arnica
montana: stabilise vascular
permeability, prevent venous
stasis
Aconitum napellus, Arnica
montana, Chamomilla,
Hypericum perforatum:
analgesic effects
Echinacea purpurea and
angustifolia, Hepar sulfuris:
antisuppurative effects
Calendula officinalis, Arnica
montana, Symphytum officinale,
Echinacea purpurea: promote
healing and callus formation
In acute injuries, Traumeel is best
combined with Spascupreel (for
muscle strains) and Lymphomyosot
(for tissue swelling).
In an attempt to show that they are
open-minded, some doctors add
Traumeel to an injection cocktail of
anti-inflammatory steroids. Figure 2
makes it clear that there is no advantage to such an approach because
the steroid drug blocks all the inflammatory reaction pathways. Furthermore, the side effects of corticosteroids on connective tissue are
well-known and have been thoroughly described, so their use in
treating sporting injuries is becoming very controversial.
) I n Fo c u s
Example
Infiltration of 2 ampoules of Traumeel
and 3 ampoules of Lymphomyosot in
the area of the lig. talofibulare anterius
after acute ankle sprain in a basketball
player; needles 27G-3/4 inch. Dramatic
improvement in walking ability was
evident the next day.
Traumeel is an InflammationRegulating Drug (IRD)

When dealing with sports injuries, it
is advisable to monitor other factors
that contribute to successful performance: sound nutrition, wise use of
supplementation (sometimes the scientific evidence does not confirm
the theory), flexibility, and sleep,
the main aid in recovery (the physiological peak in growth hormone
occurs between 10pm and 1am).
Before coming to a final diagnostic
conclusion, it is important to stress
that because the site of the injury is
often not where the pain is, treating
the painful location may not treat
the injury. Careful functional evalu-
ation is needed. Moreover, there are

usually no objective signs in such
injuries, and making conclusive
statements purely on the basis of in
strumental data can be misleading.
It is not uncommon to see awful
changes on X-rays but no clinical
symptoms or vice versa.
Before deciding on a course of treatment, therefore, the doctor needs to
answer the following questions:
Is this an instance of local
or referred pain?
Is the structure involved inert
or contractile?
Is the pattern capsular
or non-capsular?
What does palpation reveal?
Alternatively, diagnosis can be made
on the basis of functional tests.
When dealing with micro-injuries

and chronic problems in the musculoskeletal system, it is important to
realize that any disturbance of function in a single motor segment will
have repercussions and require compensation throughout the body. In
other words, we will see chain reactions in the locomotor apparatus.
Consequently, localized treatment is
impossible or even nonsensical. The
nervous system is what determines
whether functional disturbance will
manifest clinically. Neurological
control has several aspects: It supports functioning by maintaining
correct motor patterns and compensating for disturbed function. On
the other hand, a chronic nociceptive stimulus may disrupt normal
Fig. 2:
Mode of action of Traumeel
Antigen
Antigen
IL
Th 1 Th2
Histamine
Heparin
TGF-
Traumeel
Phospholipids
Phospholipase
Th3
MAST CELL
lg
Interleukin
Lipoxygenase
B lymphocyte
Plasma cell
Arachidonic acid
Cyclooxygenase
Leukotrienes
Prostaglandins
Inflammation
Pain
) I n Fo c u s
Relaxation and
sleep are impor-
tant factors in the

healing process.
function and cause pathological motor patterns to become fixed. Therefore, we see more musculoskeletal
problems in psychologically labile
athletes. The main changes may be
grouped into three categories:
Changes in stereotyped
movements
Upper and lower cross
syndromes
Myofascial trigger points
With regard to injecting trigger
points, it is always important to realize that there are both silent trigger
points (usually the main ones, at the
core of the problem) and active (usually satellite) ones. Therefore, the
use of this technique requires skillful palpation and the ability to incorporate muscular chain reactions
and interrelationships into the clinical picture. (In treating problems of
the biceps, for example, it may be
necessary to inject the peroneus tertius.) The products of choice here
are Traumeel and Spascupreel. For
very persistent problems, Coenzyme
compositum is helpful because it
stimulates aerobic tissue metabolism.
For long-term results, prophylactic
measures such as matrix detoxification (the most familiar prescriptions
for this purpose are Detox-Kit, Thyreoidea compositum, and GaliumHeel) and corrective exercises are
essential.
Conclusion
For sports physicians, antihomotoxic medicine offers a very safe and yet
very powerful approach to the human body, permitting treatment
strategies that are simultaneously
gentle and aggressive. From the perspective of functional medicine, predictability of any intervention is a
paramount requirement. In conclusion, I would like to stress a few
points:
Not all techniques from professional body building are suitable
for health-club clients. This is a
major problem in modern fitness.
Being able to control your body
and its movements is important;
mountains of muscle are not.
Dont disregard the genetic
factor.
Use food supplements intelligently.
Be prepared for intensive
training.
The main factors in fitness
are the brain, the will, and
knowledge.
Do not compare yourself
with others.|
Further reading:
1. Lewit K. Manipulative therapy
in rehabilitation of the locomotor system. Oxford, Boston: But
terworth-Heinemann, 1999.
2. Kibler WB, ed. ACSMs handbook for the team physician. Champaign: Williams &
Wilkins, 1996.
3. Brukner P, Khan K. Clinical
sports medicine. Sydney: McGraw-Hill, 2003.
4. Kreider RB, Fry AC, OToole
ML, eds. Overtraining in sport.
Champaign: Human Kinetics,
1998.
5. Denegar C, Saliba E, Saliba
S. Therapeutic modalities for
musculoskeletal injuries. Champaign: Human Kinetics, 2006.
6. De Coninck, S. Basic course in
OM Cyriax: Generalities. DeHaan, Belgium: ETGOM.
7. Biotherapeutic Index. Ordinatio
Antihomotoxica et Materia Me
dica. Baden-Baden: Biologische
Heilmittel Heel GmbH, 2006.
) From the Practice
Muscle Tear
in the Lower Leg
By Johann A. W. Kees, MD
Head physician of the German volleyball team VfB Friedrichshafen
(German Champion, German Cup winner, and
European Champions League winner 2007)
The patient:
The treatment:
A cocktail of biological medications
plus a local anesthetic is injected into
42-year-old male, 178 cm and 82

kg. Active in sports since adolescence; former soccer player in the
2nd National League. Has played
tennis for years at the club level;
usually plays 8 hours per week.
The incident:
On Sunday, the patient experienced
acute pain in the left calf after reaching vigorously for the ball during an
exhibition match. Two minutes later,
the pain forced him to drop out of
the game. The patient elevated his
leg, took an NSAID (75 mg diclofenac), and applied cold compresses.
The next morning, approximately
20 hours after the incident, he limp
ed into my office.
The findings:
Obvious livid discoloration of the
left lower leg, with a tender gap in
the lateral musculature of the lower
leg. Pulse intact, no pathological
neurological findings and no indication of fracture. No antibiotic use
(ciprofloxacin) in the patients medical history.
The diagnosis:
Lateral muscle tear in the left lower
leg.
With the patient in the face-down

position, the lower leg was disinfected. An injection containing 5 ml
procaine 2%, 5 ml Actovegin (a com
bination of glucose and a hemodialisate), 1 ampoule of Traumeel, 1 ampoule of Zeel, and 5 ml glucose 10%
was administered. Approximately 8
ml of the solution was injected into
the gap and 5 ml each distal and
proximal to the gap.
In addition, a compression bandage
with Traumeel ointment was applied. The patient was advised to
keep the bandage moist for the rest
of the day and overnight by applying Retterspitz (a liquid topical medi
cation containing citric acid, tartaric
acid, alumen, rosemary oil, arnica
tincture, and thymol), to take one
tablet of Traumeel sublingually every hour, to take it easy, and to keep
his leg elevated.
The next day, he returned to the office. He could not yet put weight on
his leg, but the swelling was definitely receding although the discoloration was more apparent. Another
injection of the same solution was
administered and a new bandage
applied, with instructions to replace
it periodically. The patients oral
Traumeel dosage was reduced to
2 tablets 4 times a day.
At his next appointment two days
later, he moved almost normally as
he walked into the office. The site of
the injured spot on the calf.
the injury was still pressure-sensitive

and extending the leg still caused
pain, but the patient was able to resume his work in outside sales. The
injection was repeated, and he was
allowed to do a little light walking
and swimming over the weekend.
Three days later, he was almost
symptom-free. He was still taking
2 Traumeel tablets 4 times a day and
applying Traumeel ointment to his
calf, which was still sensitive to
pressure where the gap had been.
The injection cocktail was administered once more, and he was allowed to resume tennis practice
wearing an elastic bandage.
Two weeks after the injury, he was
playing with almost no pain; after
four weeks, he was symptom-free
and fully active in sports again. At
this point, the Traumeel tablets were
discontinued.
Conclusion
Sports medicine practitioners are all
too familiar with patients who present with muscle tears. The cocktail
of injectables described above, in
combination with oral and topical
Traumeel, significantly accelerates
the healing process and gets aspiring athletes back to their recreational sports in a hurry.|
) What Else Is New?

Left: Lower testosterone levels increase
the risk of falling in elderly men. The
age group of 65- to 70-year-olds is most

affected.
Right: Pasta or salad? For losing weight,

only the number of calories counts,
not their source.
Hormone deficiency
increases risk of falling
Counting calories is all

that really helps
Low testosterone levels in elderly

men may be one of the causes of increased risk of falling. A US research
team studied more than 2500 men
between the ages of 65 and 99,
measuring their androgen and estrogen levels. Subjects reported the frequency of falls every four months
for four years. During the study period, 56 percent of participants experienced one or more falls. The
men with low testosterone levels
had a 40 percent greater chance of
falling. This phenomenon was especially pronounced in younger men
(under age 70). In men over 80, hormone levels no longer had any influence on the frequency of falls. Incidents of falling were independent of
the mens fitness levels.
Which diet is best for losing excess

pounds? Thats a matter of fashion
and a subject of constant debate.
Studies to date have been inconclusive, mostly because the subjects
stopped following the dietary guidelines after a short time. Thats why
Boston scientists, in a recent study
of a group of overweight subjects,
not only compared different diets
but also provided the subjects food
for six months.1 One of the two
diets tested emphasized foods with
high glycemic index values, the other foods with lower glycemic loads.
Both diets reduced calorie intake by
30 percent. After six months, each
group was supposed to continue on
the assigned diet independently for
another six months. Isotope technology was used to measure unreported calorie intake. In the first six
months, participants lost an average
of 10.4 kg and 9.1 kg on the low
and high glycemic diets, respectively. After twelve months, the difference had vanished, and the average
weight loss for both groups was 8
kg. The study concludes that the
number of calories ingested is all
that counts, not their sources. In
addition, a second study demonstrated that sensations of hunger and
how much food is eaten are independent of foods glycemic index
ratings, thus disproving the contention that high-glycemic foods make
people feel hungrier due to insulin
spikes.2
1. Am J Clin Nutr 2007;85:1023
2. Diabetes Care 2005;28:2123
Arch Intern Med 2006;166:2124-31
F O R P RO F E S S I ONA L U S E ON LY
10
The information contained in this journal is meant for professional use only, is meant to convey general and/or specific worldwide scientific information relating to the
products or ingredients referred to for informational purposes only, is not intended to be a recommendation with respect to the use of or benefits derived from the
products and/or ingredients (which may be different depending on the regulatory environment in your country), and is not intended to diagnose any illness, nor is it
intended to replace competent medical advice and practice. IAH or anyone connected to, or participating in this publication does not accept nor will it be liable
for any medical or legal responsibility for the reliance upon or the misinterpretation or misuse of the scientific, informational and educational content of the
articles in this journal.
The purpose of the Journal of Biomedical Therapy is to share worldwide scientific information about successful protocols from orthodox and complementary practitioners. The intent of the scientific information contained in this journal is not to dispense recipes but to provide practitioners with practice information for a better
understanding of the possibilities and limits of complementary and integrative therapies.
Some of the products referred to in articles may not be available in all countries in which the journal is made available, with the formulation described in any article or
available for sale with the conditions of use and/or claims indicated in the articles. It is the practitioners responsibility to use this information as applicable
and in a manner that is permitted in his or her respective jurisdiction based on the applicable regulatory environment. We encourage our readers to share
their complementary therapies, as the purpose of the Journal of Biomedical Therapy is to join together like-minded practitioners from around the globe.
Written permission is required to reproduce any of the enclosed material. The articles contained herein are not independently verified for accuracy or truth. They have
been provided to the Journal of Biomedical Therapy by the author and represent the thoughts, views and opinions of the articles author.
) What Else Is New?
Dark chocolate reduces high blood pressure but is not recommended for longterm treatment due to its high sugar
and fat content.
Chocolate diet
for hypertension?
Breastfeeding has no effect

on later weight
IAH course
on homotoxicology
If you must eat sugary treats, make it

dark chocolate. A meta-analysis con
ducted by a Cologne research group
concludes that dark chocolate has
positive effects on high blood pressure. The 173 study participants,
one-third of whom had hypertension, each ate a 100 g bar of dark
chocolate daily for two weeks. In
comparison to a control group, their
diastolic blood pressure decreased
by an average of 2.8 mm Hg, systolic by 4.7 mm Hg. This effect is
due to the high concentration of flavonoids in dark chocolate (a 100 g
bar contains 500 mg). Flavonoids
support formation of NO, which dilates blood vessels.
Because of chocolates high sugar
and fat content, the chocolate diet
is definitely not the hypertension
therapy of the future. Nonetheless,
chocolate is a healthier alternative
to other sweets.
Until recently, the assumption has

been that babies breastfed for a minimum of 6 months are less likely to
be overweight as adults, but a review of relevant studies was inconclusive, with different studies reporting different conclusions. An
analysis of the Nurses Health
Study, in which over 35,000 nurses
participated, was designed to provide more conclusive information.
The womens weight and height
were documented and their mothers
were interviewed about their nutrition as infants. This analysis, the
most detailed and comprehensive
on the subject to date, showed no
relationship between breastfeeding/
bottlefeeding in infancy and body
weight in adulthood.
As of July 1, 2007, the International

Academy for Homotoxicology
(IAH), a provider of educational pro
grams on homotoxicology, is offering an e-learning course on basic
homotoxicology and antihomotoxic
therapy. This abbreviated course is
open to MDs and licensed practitioners worldwide. Upon completing
the course and passing an online examination, participants are issued an
IAH certificate in Basic Homotoxicology and Antihomotoxic Therapy.
The course is offered free of charge,
and students can prepare for the
exam at their own pace. The textbook for the course comprises twenty complete lectures in PDF format,
which can be downloaded and prin
ted. Diagrams and illustrations are
clear and informative, and the content compiled by the worlds foremost experts in homotoxicology is
presented in basic medical terminology that is easy to understand.
IAHs abbreviated course is the opportunity to discover the science behind homotoxicology and to learn
to use antihomotoxic therapy effectively in your practice. The course is
available on the Internet at www.
iah-online.com|
Int J Obesity advance online publication

24 April 2007; doi: 10.1038/sj.
ijo.0803622
Arch Intern Med 2007;167:626
Contrary to popular opinion, breast-
feeding does not reduce an infants risk
of becoming obese in adulthood.
11
) Practical Protocols
A Biotherapeutic Approach
to Common Sports Injuries

By Dalius Barkauskas, MD
Head physician of the Lithuanian Olympic team
1 Anterior Knee Pain

Syndrome
This syndrome includes a number of
conditions that can cause aches and
pains related to the kneecap (patello-femoral pain syndrome). These
conditions are common among athletes, especially runners (probably
because running is the most frequent
form of exercise for the majority of
people). Over 40% of injuries related to running involve the knee, and
for this reason the syndrome is
sometimes referred to as runners
knee.
Clinical manifestations include pain
and sometimes swelling, especially
during running and especially on
the under-surface of the kneecap.
Fluid may accumulate, causing swelling of the knee. If the kneecap is out
of alignment, any vigorous activity
can cause excessive stress with wear
and tear on both the cartilage of the
patella and the underlying bone,
along with irritation of the joint lining. At first only downhill running
is painful, but later all running and
eventually even other leg movements, like walking down steps, will
cause pain. Ultimately, pain is present even at rest.
2 Epicondylitis
(lateral epicondylitis or tennis elbow;
medial epicondylitis or golfers elbow)
Diagnosis:
Medical history, physical examination, and diagnostic tests (X-ray, CT,
MRI, or blood tests) may be necessary to make a final diagnosis.
Treatment
(biotherapeutic approach):
RICE (Rest Ice
Compression Elevation)
Biotherapeutics (please refer
to the Table of Suggested
biotherapeutic medications)
Etiopathogenesis: In epicondylitis,
inflammation of the extensor or
flexor muscle/tendon is secondary
to overuse or overstressing from athletic or professional activities that
require repetitive, forceful forearm
supination and/or pronation of the
muscles and tendons that originate
at the epicondyle.
In time, if the situation is not corrected, the condition will result in
sub-periosteal hemorrhages, calcifications, spur formation, and ultimately tendon degeneration.
Treatment
see Table of Suggested biotherapeutic medications
More than 40 percent of injuries
12
Epicondylitis is a painful inflammatory condition of the muscles and

tendons of the forearm that attach to
the elbow (epicondyle). It is termed
lateral epicondylitis (tennis elbow)
if it involves the lateral muscles/
tendons (extensors) and medial
epicondylitis (golfers elbow) if the
inflammation involves the flexor
muscles and their tendons.
related to running involve the knee

joint.
) Practical Protocols
The shoulder is a very complicated joint,

and the treatment of shoulder injuries
is equally complex.
3 Common Shoulder Injuries

Because the shoulder has the greatest range of motion of any joint in
the body, it must balance strength,
flexibility, and stability. This balance
can be maintained through exercises
aimed at stretching and strengthening the supporting structures to
avoid pain and injuries during specific activities. Problems are generally due to overuse, which loosens
the rotator cuff the group of muscles and ligaments/tendons that surround the shoulder joint. About
20% of sports injuries involve the
shoulder.
Many sports entail the risk of injuries to the structures forming the
pectoral girdle (the three shoulder
bones clavicle, scapula, and humerus along with their respective
supporting ligaments and tendons).
Shoulder injuries include rotator
cuff injuries, subluxation/dislocation, acromion-clavicular separation, clavicle fractures, etc.
Anterior Knee
Epicondylitis
Shoulder Injuries
Primary tissues
Cartilage
Tendons
Ligaments
Biotherapeutic
Traumeel
Traumeel
Traumeel
Choose from drops,
Zeel
Coenzyme
Kalmia
Involved tissues
medications
tablets, ointments,
or injection solu-
tions according to
clinical conditions &
Pain Syndrome
Synovial lining
Cartilago
suis-Injeel

patient compliance.
(More than one form
may be used if avail-
able e.g., Traumeel
compositum
+
Kalmia
compositum
+
Ferrum-
Homaccord
+
Tendons/muscles
compositum
+
Ferrum-
Homaccord
Lymphomyosot
+
may be administered
For chronic
In cases of chronic
via biopuncture.)
scar formation,
connective tissue,
both topically and

conditions with
add:
Graphites-
Homaccord
weakness of
add:
Silicea-Injeel
or
Thyreoidea
compositum
Table: Suggested biotherapeutic medications
Diagnosis: Proper medical evaluation must be performed by qualified

health care professionals, with referrals if necessary.
Treatment
RICE
Adjunct biotherapeutics
(see Table of Suggested
biotherapeutic medications)
Surgical repair may be necessary|
13
) Around the Globe
Hakkin Hill almost killed me!

A report on the 2007

Traumeel Wally Hayward Marathon
In 1930, a 21-year-old South African athlete Wallace

(Wally) Henry Hayward won his first Comrades Marathon,
a race run over a distance of 96 km between the two cities
of Durban and Pietermaritzburg in South Africa. He wore
takkies (shoes used for playing tennis in the 1930s) stuffed
with pages from an old telephone directory because they were
By Fanie Blignaut
Even though these two legends never had the opportunity to meet each
other, their worlds finally came together on May 1, 2007. At exactly
6:30 that morning, a single shot
from the starters gun heralded the
start of the First Memorial Traumeel Wally Hayward Marathon,
and 7000 athletes entered a new era
in road running in South Africa.
too big for him and he could not afford new ones.
uring that same year in Europe,

a young, newly qualified doctor Hans-Heinrich Reckeweg
started his medical career in the
Harburg district of Hamburg, Germany. In 1932 he moved to Berlin,
where he worked in a Wohlfahrts
praxis (pro bono practice) for the
poorest of the poor.
From such humble beginnings, these
two individuals would continue
their different paths into life to become legends in the true sense of
the word:
Wally Hayward as the greatest
long-distance runner of all times, as
he was hailed by Fleet Street journalists in 1953, when he broke every world record for events above
Top marathon event

in South Africa
the marathon distance. He represented South Africa in the Olympic
Games and became a Championship
medalist and an inspiration to many
thousands of road runners in South
Africa. Wally Hayward passed away
on April 28, 2006, at the age of
97.
Hans-Heinrich Reckeweg as the
father of homotoxicology, a leading researcher in the field of antihomotoxic medicine and the founder
of Heel GmbH. He is remembered
by thousands of medical practitioners for his stated lifes dream
One day I will build a bridge between homeopathy and conventional
medicine. Hans-Heinrich Recke
weg passed away in 1985.
This year, one of South Africas most
popular road races was renamed the
14
Traumeel Wally Hayward Marathon.
The Wally Hayward Marathon has

been run for the last 30 years and is
widely regarded as one of the top
three marathon events in South Africa. The great Wally personally attended the race every year until his
death in 2006. The year 2007 saw
two major changes in the event:
From now on, it will be billed as a
memorial race, and it will be
known as the Traumeel Wally Hayward Marathon.
The route follows the tree lined
streets of Centurion, a municipality
just outside Pretoria. Centurion has
often been called a park within a
city because of its beautiful natural
) Around the Globe
Winners of the
Physical therapists
received gold-
cared for the
42.2 km run
embroidered
championship
blazers.
environment. The course is fairly flat

with a few mild hills that is till the
tired runners reach Hakkin Hill
during the last kilometer of the race.
This hill is a real killer and has become quite notorious among participants. Asked what they think of the
race, most runners will comment,
Water points were excellent, organization was good, beautiful route
but Hakkin Hill almost killed
me!
This year also saw the introduction
of the Traumeel Wally Hayward
Championship Blazer. It has been
decided that the male and female
champions would receive a championship blazer (as in most major golf
events, such as the American Masters) with a gold embroidered Traumeel Wally Hayward badge. This
tradition will continue in the years
to come and will commemorate
Wally Haywards life and his contribution to road running in South Africa.
People from all walks of life
The 2007 race was run in pleasant,
sunny conditions. First place winners were Joseph Mphuthi in the
and chiropractors
runners before,
during, and after

the race.
mens division with a relatively slow

time of 2:29:02 and Judy Bird in the
womens division with 3:00:21. Although the race is primarily a 42.2
km marathon, it also offers 21.1,
10, and 5 km races and a 1 km fun
run for children. This year, the participants ranged in age from 3 years
(1 km fun run) to 83 years. The race
is designed as a community event
that draws the citizens of Centurion
to the Zwartkop Horskool, where
the race starts and finishes. There are
stalls selling traditional South African food boerewors rolls and jaffles as well as all the more familiar
delicacies such as hotdogs and hamburgers. All in all, its a festive gathering of people from all walks of life
runners, spectators, and visitors.
dangers of popular pain killers used

on long runs, the need for good
stretching programs, and the advantages of using Traumeel regularly
during training. Physiotherapists
and chiropractors use Traumeel exclusively at their treatment stations.
The First Memorial Traumeel Wally
Hayward Marathon was a great success. Participant feedback as recorded by the SA Runner Magazine
clearly indicates that it will remain
one of the most popular marathon
and social events of the running
community in South Africa. As one
athlete explained, If you dont run
the Wally, you dont run at all!|
Face to face with

the medical experts
The Traumeel Wally Hayward Marathon also has a serious side. The
importance of sensible participation in sport is emphasized by involving health practitioners (homeopaths),
chiropractors,
and
physiotherapists on the race day.
Athletes are informed about the
Although the Traumeel Wally Hayward Marathon of 2007 already attracted some international athletes (mostly from
neighboring African countries), the organizers plan to launch a marketing drive to attract more athletes from other
parts of the world. Runners from Germany have already expressed interest in participating in the 2008 event. For
more information about the race, e-mail Fanie Blignaut at fbheel1@mweb.co.za.
15
) Re f r e s h Yo u r H o m o t ox i c o l o g y
Is Inflammation after Injury All Bad?

issue healing after injury is a

complex process that aims to
replace damaged tissues and return
them to a pre-injured state. Acute
inflammatory reactions are characterized by rapidly resolving vascular
permeability, edema, neutrophil and
macrophage infiltration and T lymphocyte migration, and ultimately
resolution into healthy tissue. In
contrast, when an inflammatory process becomes chronic, we see a picture of chronic tissue destruction
and fibrosis.1
The modern view of inflammation,
therefore, is that acute inflammation
(if not too robust) is beneficial,
whereas chronic inflammation is
detrimental.2 This is in keeping with
the concept of disease evolution as
postulated by Reckeweg and seen in
the Disease Evolution Table (sixphase table). We find acute inflammation in the 2nd phase of the table
and degeneration in the 5th phase.
Most 5th phase degenerative diseases have a common denominator,
namely, chronic inflammation that
By Alta A. Smit, MD
Key words:
Acute inflammation, repair,
chronic inflammation,
fibrosis, immune regulation,
Traumeel
leads to tissue destruction and fibrosis.3 The result is organ damage and
sometimes death.
Typically, inflammation is a Th1 response driven by pro-inflammatory
cytokines such as IL-1, TNF-, and
IL-6. Although other mechanisms
are also involved, fibrosis is primarily a Th2 response.4 It is therefore
important to restore the normal
physiological balance between these
two processes.
The aim of any therapy for injury
should thus be to subdue inflammation to a level adequate to produce degeneration of damaged tissue yet permitting normal tissue
remodelling. Especially in athletes,
it is important to achieve normal re-
16
pair of connective tissue, as fibrotic

tissue is less elastic and is thus susceptible to re-injury and tends to
impair performance.
Furthermore, chronic recurrent inflammation has been implicated in
the development of overtraining
syndrome in elite athletes, due to
the neurological effects of proinflammatory cytokines.5, 6 Consequently, total suppression of inflammation after injury is not the best
strategy.
Although not proven in clinical trials, NSAIDs have long been suspected of interfering with tissue healing
if administered after injuries such as
fractures, and many authors urge
caution, especially in certain patient
groups.7 Corticosteroids, which are
known to interfere with the remodelling process, should be used sparingly, if at all, in the acute phase of
injury and should actually also be
avoided in chronic inflammation.4
) Re f r e s h Yo u r H o m o t ox i c o l o g y
Immune regulation
How, then, can a balance between
inflammation and repair be achieved
in acute injury? As always in complex systems, interfering with just
one aspect is unwise because it may
negate normal feedback mechanisms
and interactions, as is the case
with nonsteroidal anti-inflammatory
agents. Apart from increasing the
risk of adverse events, full suppression of inflammation is not desirable
because a certain level of inflammation (as we saw above) is needed to
eliminate degraded tissue.
This delicate balance can be achieved
through immune regulation. The
hallmark of any biological regulation therapy is that it acts on multiple points in the process and supports the bodys own mechanisms
for achieving resolution. The combination product Traumeel is one
such inflammation-regulating medication.
Traumeel has a long history of use,
and a great deal of empirical evi-
dence attests to its effectiveness and

tolerability. Increasingly, however,
research is discovering a mosaic of
therapeutic effects for this product.
Basic research has already indicated
two or three possible mechanisms of
action:
Induction of T regulatory cells
via the low concentration of
plant materials in the product8
Down-regulation of pro-inflammatory cytokines such as IL-1,
TNF- and IL-89
Perhaps also the action of helenalin (a sesquiterpene lactone glycoside contained in arnica),
which has been shown to modulate NF-B, a nuclear transcription factor in the inflammatory
cascade
There is also an increasingly strong
clinical evidence base for Traumeel,
especially in sports injury and orthopedic surgery.10-13 This product
should be considered for its immune-regulating properties, which
permit some degree of inflammation
while simultaneously promoting repair.|
Disease Evolution Table: Acute
inflammation occurs in the 2nd
phase of Dr. Reckewegs concept of
disease evolution; chronic inflammation belongs to the 5th phase

(degeneration).
References:
1. Wynn TA. Common and unique mechanisms
regulate fibrosis in various fibroproliferative
diseases. J Clin Invest 2007;117(3):524-9.
2. Stramer BM, Mori R, Martin P. The inflammation-fibrosis link? A Jekyll and Hyde role
for blood cells during wound repair. J Invest
Dermatol 2007;127(5):1009-17.
3. Van Brandt B. The Disease Evolution Table.
Journal of Biomedical Therapy 2007;
Spring:13-5.
4. Meneghin A, Hogaboam CM. Infectious disease, the innate immune response, and fibrosis. J Clin Invest 2007;117(3):530-8.
5. Smith LL. Tissue trauma: the underlying
cause of overtraining syndrome? J Strength
Cond Res 2004;18(1):185-93.
6. Suzuki K, Nakaji S, Yamada M, Totsuka M,
Sato K, Sugawara K. Systemic inflammatory
response to exhaustive exercise. Cytokine kinetics. Exerc Immunol Rev 2002;8:6-48.
7. Clarke S, Lecky F. Do non-steroidal anti-inflammatory drugs cause a delay in fracture
healing? Emerg Med J 2005;22:652-3.
8. Heine H, Schmolz M. Induction of the immunological bystander reaction by plant extracts. Biomedical Therapy 1998;16(3):2246.
9. Porozov S, Cahalon L, Weiser M, Branski D,
Lider O, Oberbaum M. Inhibition of IL-1
and TNF-secretion from resting and activated human immunocytes by the homeopathic medication Traumeel S. Clin Dev
Immunol 2004;11(2):143-9.
10. Zell J, Connert W-D, Mau J et al. Treatment
of acute sprains of the ankle. Biological
Therapy 1989;7(1):1-6.
11. Singer SR, Amit-Kohn M, Weiss S, Rosenblum J, Lukasiewicz E, Itzchaki M, Oberbaum M. Efficacy of a homeopathic preparation in control of post-operative pain A
pilot clinical trial. Acute Pain 2007;9(1):712.
12. Birnesser H, Oberbaum M, Klein P, Weiser
M. The homeopathic preparation Traumeel S
compared with NSAIDs for symptomatic
treatment of epicondylitis. Journal of Musculoskeletal Research 2004;8(2-3):119-28.
13. Schneider C, Klein P, Stolt P, Oberbaum M.
A homeopathic ointment preparation compared with 1% diclofenac gel for acute symptomatic treatment of tendinopathy. Explore
2005;1(6):446-52.
17
) M a r k e t i n g Yo u r P r a c t i c e
How Efficient Is
Your Practice Marketing?

Successful strategies for healthcare practitioners

By Marc Deschler
Marketing specialist
Marketing is certainly a subject many of us dont view as essential. For you as a therapist,
marketing could be defined as organizing your practice in ways that bring in more patients,
either through advertising or by being more focused in your efforts. This sounds complicated,
but it simply means building patient loyalty and improving your outreach and/or the organization of your practice. Many practitioners are already effectively marketing their practices on a
purely intuitive level. With this column, however, we hope to stimulate your thinking in ways
that may help you improve your everyday work and increase your success. Well start the series
with a brief test of your own marketing status.
The Test
Managing a business or a practice
isnt difficult if you factor in a few
basic principles such as: common
sense; setting long-term goals and
sticking to them; patience, consistency, and perseverance; recognizing connections; self-motivated innovation; good planning and
implementation; and last but not
least enjoying your work. Often,
however, we fail to consider these
things because theyre too simple
and basic. Put yourself to the test by
checking the statements that best
apply to you.
1. Defining goals
18
(2) I make short-term plans because the healthcare market is so
fluid. I want to avoid pinning myself

down and becoming unable to respond rapidly to changing situations
in public health policy.
(4) I plan for the medium term. I
always leave the door open by trying to anticipate new developments
(e.g., an employee leaving or a competing practice opening) and to respond adequately.
(6) I plan for the long term.
Short-term and long-term goals
must be related. One crucial question, Where will this practice be in
five years? is always part of my strategic planning. I observe policy developments closely, and I consider
how my position in the market may
change: Will a new, competing practice appear in town? Does a new
business nearby mean an opportunity for more patients?
) M a r k e t i n g Yo u r P r a c t i c e
Evaluating your marketing activities will

help you provide better service to your
patients and ultimately increase the
success of your enterprise.
2. Marketing to patients
(2) It is very difficult for healthcare practices to influence patients
or to attract new patients in the ways
that other businesses use to draw in
customers. Especially in tough economic times, we need to be able to
rely on our regular patients and try
to limit our losses.
(4) Marketing to patients is
somewhat important to me. I try to
provide what my patients want, and
friendly interactions with them are
my top priority.
(6) I am intent on providing the
greatest possible benefits to my patients, including intangible benefits.
Human relationships, credibility, enthusiasm, image, service, and enthusiastic customers are top priorities in
my practice. Sound marketing is one
of the few areas we still have any
control over. When planning marketing events such as patient seminars, I factor in all the information
(age distribution, catchment area,
etc.) I have in my database, and I
seek competent advice if I need it.
3. Reorganizing and implementing new strategies
(2) I respond meticulously to
changing situations (decreasing
numbers of patients, an employees
resignation). Of course its difficult
to be active on multiple fronts at the
same time, but the complexity of my
practice demands it.
(4) I am receptive to innovations

(e.g., new trends in therapy, new diagnostic procedures) and glad to
implement them in my practice. For
me, organizing my practice means
developing detailed plans so I can
achieve all my long-term goals.
(6) Doing nothing means falling
behind. In my practice, I encourage
both internal and external innovation. When reorientation is needed
(for example, adding targeted counseling to increase the efficacy of
treatment), I prefer to tackle a few
objectives thoroughly and monitor
the results (What has this accomplished?) before taking other actions. I have patience when implementing such plans.
Scoring
Add up the number of points you
checked and compare them to this
scale:
6-10 points: In changing situations
(policy shifts, more stringent legislation, more demanding patients),
clinging to old habits is not desirable. If you continue to shoot from
the hip, youll lose track of your
truly important goals. Youll probably give up on good solutions prematurely because you cant wait for
them to be effective. Be patient!
12-14 points: Planning for the

medium term and focusing on marketing and innovations are definitely
the right way to go, but long-term
goals are essential to long-term success. Look for simple steps you can
actually take toward these goals.
Dont assume that your problems
have complex causes and require
equally complicated solutions.
16-18 points: Your practice is
guided by commonsense and you
establish long-term goals for yourself. Instead of wasting your patience and perseverance on attempts
to treat the symptoms of an ailing
healthcare system, you focus on your
own innovations and progress. Your
efforts to provide maximum benefits
for your patients have taught you
that an average plan, well implemented, is worth more than a poorly
implemented masterpiece.
A concluding comment
I find it important to do just a few
things right rather than attempting
to do everything at once. In the end,
the most important thing is the enjoyment and satisfaction you find in
your work, although sometimes that
too is hard to achieve. You may not
have been dealt the hand youd like,
but you can make the best of what
you have.|
19
) Specialized Applications
Biopuncture and the Treatment

of Sports Injuries

By Jan Kersschot, MD
Fig. 1: Lateral band injury in
the right ankle (basketball player)
Biopuncture is the term used to describe the injection of

biotherapeutics in specific spots or areas. Biotherapeutics such
as Traumeel, Lymphomyosot, Spascupreel, and Zeel contain
low doses of natural ingredients, and the ampoule forms are
specially designed for injection. In general, these products are
injected either subcutaneously or into muscles, tendons, or
ligaments.
n general, Traumeel is injected for

acute inflammation and Zeel for
chronic joint pain. Spascupreel is
used in muscle spasms and Lymphomyosot for swelling and inflammation. Several of these products may
be combined in a cocktail, and a local anesthetic such as procaine 1%
or lidocaine 0.5% can also be added.
Subcutaneous injections
Subcutaneous (s.c.) injections are administered when deeper injections
are impossible for technical or practical reasons. For example, instead
of injecting medication into small
joints such as the temporomandibular joint or finger joints, biopuncturists first start with subcutaneous
injections into the pain zone. Subcu
taneous injections may also be
administered for sports injuries
for example, when cutaneomuscular reflexes are used to
influence deeper layers.
Case study:
A basketball player (age 25) had
been in pain for three days after injuring her right ankle during a club
competition. She had difficulty
walking and the ankle was swollen,
especially laterally. An ultrasound
showed signs of swelling and lateral
band injury.
I suggested using local subcutaneous injections to stimulate healing.
In each session, about 1.5 ml of a
mixture of Traumeel (2 ml), Lymphomyosot (1 ml), and lidocaine
0.5% (3 ml) was administered by s.c.
injection into each of four spots
(Figure 1). She also applied Traumeel ointment to the ankle and took
Traumeel tablets. After two sessions
(one week apart), she noted about
80 percent improvement. She had
no further trouble playing basketball.
20
Journal of Biomedical
Fig. 2: Arthritis
in the right knee

(tennis player)
Intramuscular injections
When treating athletes with minor
orthopedic complaints, biopuncturists focus heavily on the muscular
system. Patients may suffer from
pain in affected muscles and complain about weakness in those muscles. During examination, certain
areas or spots may be very tender on
palpation. Such points are called
myofascial pain points (MPPs). Some
of these points (called myofascial trigger points, or MTPs, in biopuncture)
also trigger pain elsewhere in the
body. For example, a patient presenting with heel pain may be experiencing pain referred from MTPs in
the calf muscle, so the injection will
be administered into the calf muscle.
Referred pain on the side of the leg
may be due to MTPs in the gluteus
minimus muscle. In biopuncture,
these MPPs and MTPs are injected
with Spascupreel, Traumeel, or
Zeel.
Case study:
A tennis player (age 53) had pain in
the right knee for six months. It was
worse after playing tennis. X-rays
revealed arthritis in both knees, especially on the right side; ultrasounds were normal. An NSAID
prescribed by his doctor gave quick
relief but had to be discontinued
due to gastric pain.
During his initial visit, the patient
pointed out the painful area (the
right patellar region). On clinical
examination, however, I discovered
several trigger points in the right
quadriceps muscle (above the area of
pain) and injected a mixture of Zeel
(2 ml), Spascupreel (1 ml), and procaine 1% (2 ml) into those MTPs at
a depth of 1 to 2 cm. The patient
received three injections at each of
the weekly sessions (Figure 2). After
the first session, he complained
about increased pain and discomfort. I explained that this was simply
a reaction phase; it meant that the
medications had started to work. He
experienced great improvement after three sessions and achieved complete and lasting relief after seven
sessions.
Case study:
A woman (age 30) had experienced
pain in the right groin for three
months, especially while running
(800 m). When NSAIDs didnt help,
she decided to try biopuncture. Initially, I injected Traumeel (s.c.) into
the pain zone on a weekly basis.
When these local subcutaneous injections failed to produce results, I
looked for myofascial trigger points
(MTPs) and found several in the adductor longus muscle. These spots
were injected with Traumeel at a
depth of about 2 to 3 cm (Figure 3).
The patient experienced more than
50 percent improvement after the
first set of injections into the MTPs
(without injecting the groin) and
achieved permanent relief after three
weekly sessions of injections into
the same trigger points.
Fig. 3: Pain in
the right groin

(runner)
21
Fig. 4: Chronic neck pain after

collision with another player
(football/soccer player)
Injections into ligaments

Ligaments are often injured by trauma, especially when no bones are
broken. Because the blood supply to
ligaments is limited, recovery is usually slow; incomplete healing is not
uncommon. Moreover, due to the
fact that ligaments have many nerve
endings, especially at their points of
attachment to the periosteum, ligament damage is quite painful, and
the damaged areas, called ligamentous pain points (LPPs), are tender
when palpated. Again, referred pain
may occur farther from the injury
due to ligamentous trigger points
(LTPs).
Local injections are administered
into the painful spots, close to the
attachment to the bone. Traumeel is
the medication of choice; local anesthetics and hypertonic sugar water
(glucose 20%) may be added.
Case study:
A 29-year-old professional football
(soccer) player was experiencing
chronic neck pain that had begun
two years earlier when he collided
with another player on the field. Xrays and CT scan were normal, but
on clinical examination, palpation
caused significant tenderness along
the nuchal ligament on the midline
of the neck. I injected four pain
points (LPPs) with a mixture of
Traumeel (2 ml), hypertonic sugar
(2 ml of glucose 20%), and 2 ml
lidocaine 1% on a weekly basis (Figure 4). After five weekly sessions,
the patient was symptom-free.
Conclusion
Increasingly, sports medicine specialists are seeking alternatives to
cortisone injections. Athletes are
also becoming interested in medications that are safe and not on any
banned substance lists. The time is
right for physicians to discover the
benefits of biopuncture, and workshops that include demonstrations
of injection techniques on actual patients are a good introduction. Interested physicians are usually surprised and pleased to discover how
easy and accessible this approach is
and how safe and beneficial it can
be for their athletes.|
For more information,

please visit
www.kersschot.com
22
) Re s e a r c h H i g h l i g h t s
Fast-acting, Safe, Effective

Study Confirms Traumeel Effective
for Tendinopathies
Antwerp, February 16, 2007.
The homeopathic combination pro
duct Traumeel is an effective alternative to diclofenac ointment for
topical therapy of acute, non-traumatic tendinopathies, according to a
recent three-armed, placebo-control
led, double-blind, and randomized
study of 252 competitive athletes.
The study was conducted from December 2005 to September 2006
by Dr. Alejandro Orizola, an orthopedist at the University of Chile
Clinic in Santiago de Chile. The
findings of the study were recently
presented at the World Congress of
the Society for Tennis Medicine and
Science in Antwerp, Belgium, with
more than 200 participants from all
over the world.
Tendon inflammation
due to repetitive stress
The athletes recruited included
members of the Chilean Davis Cup
team and professional soccer league,
who were suffering from various
tendinopathies. 89 of the athletes
were treated with Traumeel ointment and 87 with diclofenac ointment, while the rest received a placebo. In each group, the ointment
was applied three times a day; in addition, an ointment dressing was ap-
plied overnight. Sonograms taken at

commencement of therapy and after
21 days of treatment revealed chan
ges in tendon diameter and edema
in the affected areas. In addition, the
athletes were questioned about their
subjective perception of symptoms.
More effective than diclofenac
Significantly greater improvement
in sonographic findings and subjective symptoms was noted under
therapy with either diclofenac or
Traumeel than in the placebo group.
The homeopathic combination
proved superior to the allopathic
product in all parameters surveyed.
As a result, the athletes treated with
Traumeel were able to resume training after an average of 20.3 days, in
comparison to 24.6 days for the diclofenac group and 30.6 days for
the placebo group. The homeopathic product also performed very well
with regard to tolerability. No adverse effects appeared in the Traumeel group, but allergic skin reactions forced four of the athletes
treated with diclofenac to terminate
therapy. In conclusion, Orizola describes the homeopathic combination Traumeel as a safe and effective
alternative to diclofenac in treating
non-traumatic tendinopathies.|
Dr. Alejandro Orizola
Reference:
Alejandro Orizola, MD
Oral Presentation: The efficacy of Traumeel versus diclofenac and placebo ointment in tendinous
pain in elite athletes: a double-blind randomized
controlled trial.
World Congress 2007
Society for Tennis Medicine
and Science
16 & 17 February 2007
Antwerp, Belgium
23
) Making of ...
. . . Traumeel: How Does the Ointment

Get into the Tube?

By Sven Schffer, PhD
Its a familiar scenario for every active person: You overdo it

and end up with sore muscles, or a hard hit produces a painful
bruise. Perhaps you apply Traumeel ointment to the affected
area to aid and accelerate healing. But have you ever wondered how that ointment gets into the tube?
The active ingredients are first diluted

and succussed (right); the Becomix
mixer then incorporates them into

the ointment base (left).
24
) Making of ...
Most of the active
Empty tubes
Traumeel ointment
machine (top),
ingredients in
are derived from

medicinal herbs
such as Arnica
montana.
approach the filling

where they are
filled (middle)
and inserted into
cartons along with

package inserts
(bottom).
irst of all, the ointment contains

fourteen active ingredients.
Twelve are extracts of well-known
medicinal plants such as arnica, calendula, and chamomile. They come
in liquid form, as so-called mother
tinctures. The remaining two ingredients are mineral salts, supplied in
powder form.
When an order for Traumeel ointment is received, those twelve mother tinctures and two mineral salts
are transferred from the warehouse
to the production facilities, where
each liquid ingredient is diluted and
succussed (shaken) separately to the
required dilution or potency. The
two solid ingredients are first triturated (pulverized) with lactose and then
diluted and succussed with ethanol.
Collectively, these processes are
known as potentization. Once the
potentization process is completed,
the ingredients are mixed together
in specific proportions to produce
a complete solution containing the
right dilutions of all fourteen ingredients. It goes without saying that
all of these steps are implemented
and documented in accordance with
GMP (Good Manufacturing Practice) principles.
Meanwhile, the ointment base is being prepared in a huge stirring vat.

(A typical production run is 500
kg, 17 kg of which are active ingredients.) A small window in the
vat allows workers to check on the
progress of the mixing process. To
produce a consistently emulsified
ointment base, the fatty ingredients
(petroleum jelly and paraffin) and
the water phase must be heated separately to about 80C before being
introduced into the vat for mixing.
Once the mixture is fully emulsified,
it is cooled to 58C before ethanol
and the active ingredients are added
to complete the formula. The final
product is then cooled to room temperature and transferred to a large
storage vessel, where it is monitored
by Quality Control before packaging. All this takes about three days.
Once Quality Control has released
the ointment for packaging, the next
step is filling the tubes. The container of ointment attaches directly
to the filling machine, which does
all the rest automatically: the open
lower end of each tube is inserted
into the machine, which has a filling rate of 50-60 tubes per minute.
After filling, each tube is crimped,
sealed, and imprinted with the lot
number and the expiration date for
post-production tracking.
Next, the package inserts are folded,

and one insert is placed alongside
each tube for insertion into the box.
Optical scanning confirms the presence of the insert in each unit, and
the packages are weighed to ensure
all parts have been included. Finally,
the packages are inserted into cartons in bundles of five. Here, too,
each tube that has been produced is
documented to allow tracking. Now
the Traumeel ointment is ready to
be delivered to wholesalers and
pharmacies in more than 60 countries throughout the world, where
patients can purchase it to treat their
injuries.
This is how more than 2 million
tubes of Traumeel ointment are
produced in Baden-Baden each
year.|
25
) Around the Globe
South Africa:
Homotoxicology in the
Rainbow Nation

By Rdiger Schneider, PhD
Rainbow Nation among its citizens. For example, South Africa has
no fewer than eleven official languages, which include nine tribal
languages, English, and Afrikaans
a language spoken in no other part
of the world but South Africa.
hat do we associate with

South Africa? Table Mountain, Kruger National Park, the Big
Five, the Cape of Good Hope, and
Cape LAgulhas, the southernmost
point on the African continent. Yet,
South Africa is not a typically African country. The ambiance of its
major cities and the lifestyle of urban South Africans feel distinctly
European a fact that can be attributed to the strong influence European nations (Dutch, French, German, Portuguese, and English) had
on the early history of South Africa.
The mixture of European and rich
indigenous cultures has resulted in
some interesting situations in this
country, affectionately known as the
Cape Town and the famous

Table Mountain
26
Commitment in education
and sports
Homotoxicology found its way into
South Africa as early as 1986, when
Heel was represented by a local distributor; six years later, Heel South
Africa was founded. Since that time,
countless seminars and continuing
medical education programs have
been offered to support physicians
and pharmacists in treating their patients with homotoxicology. Heel
South Africa along with Traumeel,
of course has also been a constant
presence at major sporting events.
For the first time this year, the company is the main sponsor of the
Traumeel Wally Hayward Marathon,
historically one of the most popular
standard marathon road races in
South Africa (see the article on page
14). Another important event is the
Comrades Marathon, an annual 90
km ultra-marathon between Pietermaritzburg (the capital of KwazuluNatal province) and the coastal city
of Durban.
Heel South Africa was one of the
first international companies to of-
One of the Big Five: elephants

in the savanna
fer alternative and complementary

medicine in a country where very
few practitioners locally known as
homeopaths specialize in homeopathy. Tribal medicine is the most
prominent form of alternative medicine and is mainly practiced by an estimated 400,000 traditional healers
known as sangomas. As education
becomes accessible to all citizens of
South Africa, health practitioners
are emerging from previously disadvantaged groups. This new group
of medical doctors is showing great
interest in homotoxicology.
In this vast country of roughly 46
million people, there is a critical
shortage of qualified health practitioners. As a result, South African
pharmacists play a unique role in the
healthcare system: They often function as a first-line consultant for
conditions such as colds and flu or
minor injuries, but they also monitor their patients blood pressure and
provide diabetic care. Antihomotoxic medications are often part of their
treatment protocols.
Twenty years after its introduction,
homotoxicology is firmly established in the South African healthcare system and enjoying great popularity with patients and practitioners
alike.|
) Crossword Puzzle
Solve the puzzle and win!

Heres how it works: Complete the
crossword puzzle and enter the letters from the numbered boxes in the
blanks to make a word. Then e-mail
your solution to:
journal@iah-online.com to enter it
in our drawing before October 26,
2007. Ten lucky winners will receive copies of the book Biological
Medicine in Orthopedics, Traumatology, and Rheumatology (Heinrich Hess, ed.). Please remember to
include your complete mailing address. Results of the drawing are final. Good luck!
27
N E W
e-learning program

free of charge
Get your certificate in

applied homotoxicology at
www.iah-online.com
Biologische Heilmittel Heel GmbH, 76532 Baden-Baden, Germany, www.heel.com

Treating Sports Injuries

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Volume 1, Number 1 ) 2007

Inflammation and Immune Regulation

Treating Sports Injuries A Functional Approach . . . . . . . . . 4

From the Practice

Muscle Tear in the Lower Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

A Biotherapeutic Approach to Common Sports Injuries . . . . 12

Around the Globe

Hakkin Hill almost killed me! . . . . . . . . . . . . . . . . . . . . . . 14

Is Inflammation after Injury All Bad? . . . . . . . . . . . . . . . . . . . 16

How Efficient Is Your Practice Marketing? . . . . . . . . . . . . . . . 18

Biopuncture and the Treatment of Sports Injuries . . . . . . . . 20

Fast-acting, Safe, Effective

. . . Traumeel: How Does the Ointment

Around the Globe

South Africa: Homotoxicology in the Rainbow Nation . . 26

ince the fall of 2000, when the

field for general practitioners and

Treating Sports Injuries

Understanding sports and sports medicine:

In the extremely demanding world

Competitive athletes are extremely

susceptible to injuries, and their

treatment requires a complex approach.

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

A sports physicians job is full of

responsibility: Appropriate first aid

determine the gravity and duration

reatment strategies for top athletes are very complex. The

1. Such individuals have no time

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

Clearly, biological approaches have

Clearly, the mechanism of action is

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

tion. Traumeel is a very complex

Traumeel is an InflammationRegulating Drug (IRD)

ation is needed. Moreover, there are

When dealing with micro-injuries

Mode of action of Traumeel

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

sleep are impor-

tant factors in the

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

) From the Practice

A cocktail of biological medications

plus a local anesthetic is injected into

42-year-old male, 178 cm and 82

With the patient in the face-down

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

the injured spot on the calf.

the injury was still pressure-sensitive

) What Else Is New?

age group of 65- to 70-year-olds is most

Right: Pasta or salad? For losing weight,

Counting calories is all

Low testosterone levels in elderly

Which diet is best for losing excess

Arch Intern Med 2006;166:2124-31

Journal of Biomedical Therapy 2007 ) Vol. 1, No. 1

) What Else Is New?

Breastfeeding has no effect

If you must eat sugary treats, make it

Until recently, the assumption has

As of July 1, 2007, the International