Natural Healing Family Medicine
Lori Wieser N.D. 411 N. 3rd St. Ste A1 Elma, WA 98541 360-861-8131
HOURS OF OPERATION for each service:
1.)Lori Wieser ND Primary Care Physician:
BY APPOINTMENT ONLY
MONDAY 1pm to 8pm
TUESDAY 10am to 6pm (Closed for lunch 12pm to 1pm)
WEDNESDAY 10am to 8pm (Closed for Lunch 12pm to 2pm)
Thursday -Currently Closed except for Holiday Schedule in December. Starting January 9th, on Thursdays, Pain Treatment/Prolotherapy only Appts from 11 to 2pm.
Blood Draw Hours: Wednesdays 10AM to 12PM, Walk-ins Welcome!
Every fourth Wednesday we have 6pm to 8pm open for Blood Draws
(Changes with Holiday Hours, December 18th is the 6 to 8pm blood draw due to Christmas on the 4th Wednesday)
Erik Johnson LMP please call (360) 402-2633
(Erik is currently working as Office Manager since November 2012 at this time at Natural Healing Family Medicine, which has been helpful with transition from paper to electronic charting. He has done a great job taking on this large task and will keep you updated when he has time in his schedule to massage again.)
Commonly treated conditions:
Regenerative Joint Therapy:
Clinical Nutrition - The use of individual dietary protocols,
vitamins, minerals, and other nutritional supplements.
Botanical Medicine - The use of plant substances such in forms of teas, tinctures, plant oils, homeopathic remedies, flower essences, salves, suppositories, and capsules for their nutritive properties.
Homeopathy - The use of minute amounts of natural substances to stimulate the bodies self-healing abilities.
Life style counseling - Identifying life-style and environmental risk factors and assist the patient in utilizing alternative approaches to enhance their health.
Neuromuscular Technique - Assessing and treating physical misalignment with manipulation, positional isometric release, somatic re-education, and energy work.
Minor Surgery - Under local anesthetic: minor laceration
repair, mole , wart, and skin tag removal, biopsy, and
Ultrasound- Ultrasound is applied using a transducer or applicator that is in direct contact with the patient's skin. Gel is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves. Therapeutic ultrasound in physical therapy is alternating compression and rarefaction of sound waves with a frequency of >20,000 cycles/second. Ultrasound speeds healing, decreases pain, and gently massages muscles.
Conditions which ultrasound may be used for treatment include the follow examples: Ligament Sprains, Muscle Strains, Tendonitis, Joint Inflammation, Plantar fasciitis, Metatarsalgia, Facet Irritation, Impingement syndrome, Bursitis, Rheumatoid arthritis, Osteoarthritis, and Scar Tissue Adhesion.
Neural Therapy and Trigger Point Injections:
Neural Therapy and Trigger Point Injections are injection techniques frequently used to help patients with long-standing pain. These techniques require the injection of local anesthetics (Procaine or Lidocaine), B12, and occasionally homeopathic compounds are injected at the same time. The injections are done into myofacial pain areas and both old and new scars.
Regenerative Joint Therapy (Prolotherapy) and
Pain Management- Prolotherapy, latest in pain management, involves 3-6 rounds of injections to the area of chronic pain or a damaged joint. The injections consist of a 100% natural substance that facilitates growth and repair of ligaments, tendons, and connective tissue. The treatment works to strengthen the damaged tissue immediately, allowing you to continue your daily activities without any downtime and minimal discomfort.
Conditions helped by prolotherapy:
• Torn ligaments
• Chronic joint pain
• Degenerative Disks
• Cartilage injuries
• Over-use injuries
• Whip lash
• Sports injuries
Alderman D. Prolotherapy for musculoskeletal pain. . Practical Pain Management, January/February 2007. This is a relatively easy read and a good overview. http://www.prolotherapy.com/ppm2007.pdf.
K. Dean Reeves, MD; Bradley D. Fullerton, MD, FAAPMR and Gaston Topol, MD Evidence-Based Regenerative Injection Therapy (Prolotherapy) in Sports Medicine sports Medicine Resource Manual 2008 Chapter 50. Well-documented, lots of useful references, technical.
Rabago D, Best TM, Beamsley M, Patterson J A systematic review of prolotherapy for chronic musculoskeletal pain Clin J Sport Med. 2005 Sep;15(5):376-80
David Rabago Prolotherapy for chronic musculoskeletal pain Chapter 2, pages 15 to 44 Complementary and Alternative Therapies in the Aging Population, edited by Ronald Ross Watson, published by Elsevier 2009. This is the best review of all the research that has been done on prolotherapy but very technical.
Prolo your pain away! Ross A. Hauser, M.D., Marion A. Hauser, M.S., Beulah Land Press 2004 A book on the subject, easy to read and understand, many religious statements
Liu Y2K et al. An in situ study of the influence of a sclerosing solution in rabbit medial collateral ligaments and its junction strength. Connective tissue research 1983; 11:95-102. The ligaments on the treated side where 28% thicker and 27% stronger than on the control side.
Walter Grote, Rosa Delucia, Robert Waxman, Aleksandra Zgierska, John Wilson, David Rabago. Repair of a complete anterior cruciate tear using prolotherapy: a case report. International Musculoskeletal Medicine 2009 Vol 31 No 4 159-165 Serial MRIs document the regrowth of a completely torn ACL following prolotherapy. The last MRI shows a normal looking ACL.
Bradley D. Fullerton, MD High-Resolution Ultrasound and Magnetic Resonance Imaging to Document Tissue Repair After Prolotherapy: A Report of 3 Cases Arch Phys Med Rehabil Vol 89, February 2008 377-385. Serial MRIs and ultrasounds show the repair of a patellar tendon, an ankle ligament and the medial meniscus of the knee using prolotherapy.
Reeves, KD,Hassanein K, randomized prospective double-blind placebo-controlled study of dextrose prolotherapy for knee osteoarthritis with or without ACL laxityAltern Ther Health Med 2000; 6:68 80. Those treated had significantly less pain and swelling and increased range of motion as well as evidence of regrowth of cartilage one year later on x-ray. http://www.drreevesonline.com/Knee%20Arthritis%20Study.pdf
For a summary, go to http://www.ncbi.nlm.nih.gov/pubmed/10710805
George Stuart Hackett ligament and tendon relaxation treated by prolotherapy third edition Charles C. Thomas publisher library of congress catalog card number 57 -- 13257 1958. The first book on the subject. He followed 1656 patients between 2 and 19 years after this treatment. He claimed that 82% of the subjects he treated reported their pain was relieved.
Scarpone M., Rabago D., Zgierska A, Arbogest J, Snell E. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. May 2008 clinical Journal of sports medicine volume 18(3), pp 248 -254. People suffering from tennis elbow pain from six months to 10 years. 12 got prolotherapy and 12 got saline. All the treated subjects and none of the controls were better by 16 weeks.
M.J. Yelland, [et al] Prolotherapy injections and eccentric loading exercises for painful Achilles tendinosis: a randomised trial. /. British Journal of Sports Medicine 2009. Those that received eccentric loading exercises plus prolotherapy did better than the others.
Topol GA, Reeves KD and Hassanein, KM Efficacy of dextrose prolotherapy in elite male kicking sports athletes with groin pain Arch Phys Rehabil 86, 697-702
A study of 24 rugby and soccer players suffering from groin pull and unable to play for an average of 15 1/2 months treated with 2 to 6 injection sessions of prolotherapy at monthly intervals. 6 to 32 months later 22 of the 24 where back playing full-time.
Reeves KD, Hasseinein K. Randomized prospective placebo-controlled double-blind study of dextrose prolotherapy for osteoarthritic thumb and finger(DIP PIP and trapezio- metacarpal joints): evidence of clinical efficacy. Journal of Alternative and Complementary Medicine 6, 311-320. Those treated had improved flexion of their fingers and less pain with movement. One year later, there was less excessive bone growth in the joint and more cartilage seen on x-ray.
http://drreeves.com/Low-back-pain.html an excellent review of all the literature on prolotherapy in low back pain.
Donna Alderman, DO prolotherapy for low back pain, reasonable and conservative approach to musculoskeletal low back pain,disc disease, and sciatica. Practical pain management, May 2007 58-63. A good review, easy to read and understand and four case reports.
Klein RG et al. A randomized double-blind trial of dextrose glycerin phenol injections for chronic low back pain J spinal disord 1993; 6:23 33. 77% of subjects (53% of controls) had greater than 50% pain control at six months.
Ongley MJ et al. a new approach to the treatment of chronic low back pain. Lancet 1987; 2:143 – 6. 88% of subjects (39% of controls) had >50% pain reduction at six months.
Ross A. Hauser, MD, Marion A. Hauser MS RD Dextrose Prolotherapy for Unresolved Low Back Pain: A Retrospective Case Series Study Journal of prolotherapy 2009; 3:145 - 155 Of 145 patients with low back pain for more than four years treated with prolotherapy, 89% had more than 50% pain relief, 75% were able to completely stop taking pain medication.
Centeno et al • Prolotherapy for Cervical Instability 67 Pain Physician Vol. 8, No. 1, 2005 Pain Physician. 2005;8:67-72, ISSN 1533-3159 Six people with whiplash neck pain had much greater cervical spine stability and much less pain six months after prolotherapy.
Linetsky FS, Botwin K, Gorfine L, et al. PositionPaper: Regenerative injection therapy (RIT) effectiveness and appropriate usage. The Florida Academy of Pain Medicine. May 24, 2001. http://www.aaomed.org/library/documents/RIT_Position_Paper_052301.pdf.
Rabago D, Zgierska A, Fortney L, Kijowski R, Mundt M, Ryan M, Grettie J, Patterson JJ.. J Altern Complement Med. 2012 Apr;18(4):408-14.Hypertonic dextrose injections (prolotherapy) for knee osteoarthritis: results of a single-arm uncontrolled study with 1-year follow-up. PMID: 22515800 36 participants reported overall WOMAC score improvement 4 weeks after the first injection session, and continued to improve through the 52-week follow-up.
References for my Prolotherapy Brochure:
Association Member of :
AANP(American Association of Naturopathic Physicians)
WANP (Washington Association of Naturopathic Physicans)
AOAPRM(The American Osteopathic Association of Prolotherapy Regenerative Medicine)
Prolotherapy Training With:
AOAPRM(The American Osteopathic Association of Prolotherapy Regenerative Medicine)
The Hackett Hemwall Foundation