Just wanted to send you this video after Brian treated my broken ribs. Was taken yesterday (06/09/18), 13 days after I crashed and six days after I was treated by you guys! Have been riding my good horses since Tuesday, will be back riding my wild ones in a day or so. Turn down the sound, though, the music in the gym was really loud!!!!”
“You did an amazing job of healing me quickly!”
CAT scans showed severe comminution of the talus, with no possibility of fixing with screws due to the extent of the damage.
The patient was treated with MFT and laser scan and within just four to five weeks, he was allowed by his surgeon to take 50% weight on the right foot. He was treated at The Clinic just once weekly up to the 24th April, by which time he was fully weight-bearing with no crutches.
The patient was able to return to his job as a photographer-filming on glaciers etc, within 3 months of his injury and after only eight sessions of treatment with MFT and laser scan.
The patient sent a postcard after treatment, saying: “What can I say? The NHS said 12 months on crutches. After 3 months of your magic I was walking, earning money in Palma, spending it in Rio, and now earning it again! Shooting on a glacier, trudging around in the snow, wouldn’t have believed it after seeing the scans. Will have to wait till next season to go snowboarding though. Can’t thank you enough, the country may be wishing Beckham had attended too! Big thanks and peace.”
He was told of the strong possibility of death of the talar dome (avascular necrosis) and non-union due to the poor blood supply to the talus, and also that he was likely to need a joint fusion in the future. He initially came to the Clinic non-weight-bearing in mid August after recent x-rays showed no sign of union of the fracture. He attended the Clinic for regular treatments of pulsed electromagnetic field therapy, laser therapy and LIPUS and he also had regular sessions of HBO closer to home.
X-rays in mid October showed an increase in density of the whole of the talus and no sign of any avascular necrosis. By mid November he was partially weight-bearing, and increased to fully weight-bearing over the next 2 months. Most recent x-rays have shown that the fracture has healed well and there is no avascular necrosis- the surgeon told Kevin he was very surprised at this result. He is now back at work and walking normally, and not a candidate for joint fusion.
Immediately following the diagnosis, we began treatment with pulsed electromagnetic field therapy and interferential therapy in order to create a new blood supply and prevent further dying off of the femoral head. After the first of these treatments, the young man felt 75% better.
The young man was virtually pain free and able to walk normally after 5 sessions of MFT and interferential therapy. He continued to progress over the next 6 weeks and final MRI scans at this stage showed ‘significant’ improvement and revascularisation of the femoral head (the previous whiter area now looking much more like the left side). He is now back to normal activity.
The Patient writes: “My first visit to the clinic and Brian immediately diagnosed my injury as a hip problem. Brian advised that I should have blood tests and an MRI scan which confirmed his diagnosis that I had avascular necrosis of the right femoral head. I cannot express my gratitude highly enough to Brian and his team for their professional treatment, positive encouragement, and dedicated support.
The patient first came to see us on the 19th December and was given MFT and Pulsed Scanning Laser. He had two more treatment sessions before further X-rays showed early milky callus high on the fracture. It was decided to boost his treatment by giving Tom Hyperbaric Oxygen Treatment along with the MFT and Laser and the first session was given on the 17th January in the following year. Tom went on to have a further five treatment sessions and when he had further X-rays on 10th February there was extensive callus – or in the patient words “there was callus just everywhere!”
Case Study “A” (PMFT & LASER TREATMENT)
Image below – Fractured clavicle in motorcycle racing accident. The clavicle is in four separate pieces
Image below – Following 1st treatment one day after fracture
Image below – This picture was taken following treatment – 4 days after fracture (although we do not recommend doing this) – He raced the same day! Virtually all our racing motor cyclist patients with a classic clavicle fracture race within 14 days and many have won Championship races on their return.
Case study B
John Reynolds fractured his left clavicle (collar bone) in a British Superbike race at Thruxton on June 6th. He was knocked off in an incident with his stand-in team mate Gregorio Lavilla. John came for PMFT and Laser treatment on June 7th, 8th and 11th and raced, 14 days after fracture, at Brands Hatch where he not only competed but won the first race with little or no pain from the fracture. John went on to win the British Championship that season.
The POP was removed three months later.
Four months after fracture infection was found in the bone plus exiting screw. The screw was removed.
At Six to eight months the fracture started deviating and he was referred to St. George’s Hospital, Tooting.
He had surgery in May the following year where an osteotomy was performed and he was fitted with a Taylor Spacial frame with micrometer adjustment for correction of the deviation.
In August the Taylor Spacial frame was removed and replaced with an ex-fix with 2 superior and 3 inferior bolts. He was full weight bearing from the 15th September but with the ex-fix not dynamised. Nearly six months after surgery the X-rays still showed non-union.
The patient approached the clinic early November and came for consultation and treatment on the 10th November. His treatment involved pulsed magnetic field therapy at a frequency of 200 Hz pulsed at 50 Hz for 20 minutes at an intensity of 100 gauss followed by a 3 watt pulsed scanning Laser at a wave length of 850 Nm for 14 minutes. He then had one session of Hyperbaric Oxygen Therapy at a pressure of 2 ATA’s for a period of one hour. Following a lunch break he returned and continued with one further treatment of Magnetic Field Therapy and one session of pulsed Laser.
He returned for further treatment eleven days later on the 21st November and stated he had had X-rays at the hospital four days earlier which appeared to show early signs of bridging callus. The ex-fix was removed and replaced with a functional brace. He was full weight bearing and off of NSAID’s. He received the same treatment modalities as previously.
The patient young returned for further treatments on the 30th November and the 7th December.
He returned on the 10th January the following year whereby X-rays showed extensive callus visible all around the fracture. He is now well on the way to a full recovery.
Another Hockey player suffered this fracture during a game. He could not sleep or eat semi-solid food because of pain. After two sessions of HBO he was able to sleep through the night and began eating semi-solid foods. After his third treatment he found his jaw could be slapped without pain. X-rays confirmed greatly accelerated healing.
Prognosis for Recovery 18 – 20 weeks minimum.
The patient came to see us four days after his injury and started with one treatment of pulsed laser and pulsed MFT. Two days later he commenced on a ten day course of HBO for 1 hour sessions plus pulsed 800 nM laser and pulsed MFT. Continued for a further 12 sessions of pulsed MFT and pulsed 800 nM laser and the patient rode again 12 weeks after fracture, and won the race.
Patient was treated within 40 minutes of injury with a 70 minute session of HBO. Following his treatment his thigh circumference was reduced by 3 cm from its pre-treatment measurement. He also reported reduction in pain. When patient reported for treatment the following day he had discarded his crutches he relied on the day before and had already regained about 50% of his flexion. Following a further five HBO’s he had regained 90% of his range of motion and was able to ride an exercise bike and stairmaster. He resumed his sporting activities at full fitness eight days after injury.
Certain bones have an inherently poor blood supply such as scaphoid which has its blood supply from one end only as does the ankle bone called the talus. The junction between the lower and middle third of the tibia also has a poor blood supply and all three of these types of fracture frequently suffer delayed or non-union.
An example of lower/middle third tibial fracture suffered by a patient is as follows:
The patient suffered a severe fractured Tibia & Fibula in a Moto X accident on 16th November and first came to see us on the 3rd December with no sign of callus formation (see X-ray right). xray
The whole middle segment of the fractured Tibia was displaced out of line making internal fixation with an intra-medullary nail impossible.
The double fracture of the tibia severely compromised the blood supply and healing ability of the middle segment. Because of the distinct possibility of necrosis (dying off) of the middle segment it was decided to treat with Hyperbaric Oxygen, Pulsed Laser and Magnetic Field Therapy.
At the end of December, following ten sessions of Hyperbaric Oxygen, laser and MFT the patient saw his consultant who removed the plaster and, after expressing surprise that the fracture appeared stable, X-rayed the leg and was further surprised at the remarkable callus formation. Another month later the patient was holidaying in America with no walking aids.
Note: The patient suffered a less severe fracture of his other Tibia and Fibula thirteen years ago and it took him seven months to heal!!
Prognosis for Recovery 9-10 weeks
Patient trained for the first time 64 days after surgery. Earlier training was impossible due to pain and oedema when cast was removed and was unable to weight-bear until 3 weeks after cast removal.
Patient trained after 34 days following 13 one hour sessions of HBO while still in his cast. He was able to fully weight-bear immediately the cast was removed, had no swelling and had full ankle movements.
Prognosis for Recovery 4 – 6 weeks
Player commenced HBO 2 days after injury with virtually no range of motion in abduction or forward flexion and there was a constant ache. After four days of HBO patient had regained full range of movement and the pain was dramatically reduced. Played in game 21 days after injury.