Mesotherapy

Mesotherapy: Innovative French technique to eliminate cellulite, wrinkles, skin toning, pain, sports injuries and much more. Dr. Hauser has trained with some of the best throughout the world. He has also trained his staff to expertly perform mesotherapy.

Mesotherapy is a treatment that stimulates the mesoderm, or middle layer of the skin, which will, in turn, relieve a wide variety of symptoms and ailments. The connective tissue of the body, primarily the collagen, which makes up the bone, ligaments, tendons, and muscle, is derived from the mesoderm. The mesoderm also involves the fat or adipose tissue and connective tissues around organs. (See Figure 1.) Top

Figure 1 : Three derm layers and the tissues derived from them.

Embryonic origin	Adult Derivative
Ectoderm	Skin Brain Breast Sweat glands
Mesoderm	Fibrous tissue (connective) Cartilage Bone Muscle Fat
Endoderm	Gut Liver Lung Pancreas

Dr. M. Pistor originated the technique of Mesotherapy in France in 1952. It is commonly practiced in France , where more than 15,000 practitioners utilize Mesotherapy for the care of their patients. Mesotherapy is also practiced in many other countries around the world, including Belgium , Columbia , Argentina , and throughout Europe .

Mesotherapy is an interventional natural medicine technique. Mesotherapy must be performed by a licensed health care clinician who is permitted to do injections. At our office, Caring Medical and Rehabilitation Services, this includes the physicians, physician assistants, and nurses. The technique involves the injection of substances to stimulate the mesoderm for various biological purposes. For instance, if the mesoderm circulation is poor, a vasodilator is used; if excessive inflammation is present, an anti-inflammatory medication is used; or if inflammation/stimulation is needed; a fibroblast proliferating solution is injected. Conditions such as cellulite are due to lymph venolymphatic insufficiency, therefore a stimulator of venous and lymph flow is used. We use natural plant extracts whenever possible; however, traditional pharmacologic agents are sometimes required. Top

Uses for Mesotherapy
The compounds injected into the mesoderm during Mesotherapy depend upon the pathophysiology of the disease process. In general, the substances fall into the following classes: vasodilators, anti-inflammatories, muscle relaxants, decontractants (reduce contractures), proteolytic enzymes, biologics (including vitamins, minerals, and plant extracts), vaccines, anti-infectants, hormones, hormone blockers, general medicine physiologics, and anesthetics.

Mesotherapy is effective for a multitude of conditions because it helps reverse the physiology of that condition. In rheumatoid arthritis, for example, plant and pharmacologic agents are used to control inflammation; whereas connective tissue stimulators (such as silica, biotin, and proteolytic enzymes) that promote inflammation and healing would be given to the athlete with a ligament tear or degenerated tendon.
The pathophysiology is multifactorial in many conditions, therefore, multiple agents are used. (See Figure 2.) Top

Figure 2 : Many different pharmacological and natural agents are used during Mesotherapy.

Pharmacological	Class Agent	Purpose
Vasodilator	Pentoxifyilline	Increase circulation
NSAID	Toradol	Anti-inflammatory
CNS sedative	Norflex	Muscle relaxant
Enzymes	Hyaluronic Acid	Decrease scar tissue
Nutrients	Biotin	Stimulate repair
Vaccines	Bacterial Proteins	Stimulate immune system
Antibiotics	Metronidazole	Anti-infection
Hormones	Progesterone	Hormone replacement
Hormone blockers	Fioesteride	Hair growth
General medicines	Compazine	Correct physiology
Anesthetics	Procaine	Increase circulation
Calcium hormone	Calcitonin	Remove bone spurs
Biologics	Interferon	Immune stimulation

For example, cellulite is a condition involving the circulation as well as lymph flow of the adipose tissue; thus a vasodilator (increases blood flow), a stimulator of lymph drainage, and a lipolytic agent (breaks down fat tissue) are used. Another example of using multiple agents is for hair growth. Male and female balding is related to many factors, including excessive androgens (sex hormones), poor scalp blood flow, and nutrient deficiencies. The mesotherapy protocol for hair growth, therefore, involves use of a combination of nutrients (such as biotin, hyaluronic acid, and silica, for example), vasodilators, and androgen blockers.

Dr. Jacque Le Coz, former president of the French Society of Mesotherapy and Mesotherapist for the French National Sports Teams, has written three books on Mesotherapy, including Mesotherapie et medecine esthetique (Solal Publishing, France), Mesotherapie et traumatologie sportive ( Masson Publishing , France ), and Mesotherapie en medecine generale. Dr. Le Coz was privileged to become the pupil of the founder of mesotherapy, Dr. M Pistorand, and even became like a son to him. Dr. Pistor wrote the prefaces to each of Dr. Le Coz's books. Dr. Hauser received training in mesotherapy from Dr. Le Coz at his Paris clinic.

As outlined in Dr. Le Coz's books, Mesotherapy has been shown to be effective for the following conditions:

Sports injuries:

? Arthropathy
? Barre-Lieou Syndrome
? Chronic Joint Swelling
? Ligament Sprain
? Meniscal Tear
? Muscle Tear
? Muscular Bruises
? Overuse Injuries
? Periosteitis
? Plantar Fasciitis
? Shin Splints
? Stress Fractures
? Tendon Calcifications
? Tendon Degeneration
? Tendon Strain

Skin conditions:

? Acne
? Alopecia
? Cellulite
? Contusions
? Eczema
? Hair Loss
? Herpes Infection
? Hypertrophic Scars
? Lipodystrophy
? Male/Female Hair Loss
? Obesity Stretch Lines
? Psoriasis
? Rides
? Scar Disorders
? Sun Damaged Skin
? Telangiectasias
? Venous Insufficiency
? Vitiligo
? Wrinkles

Chronic painful conditions:

? Bone Spurs
? Bursitis
? Calcific Tendonitis
? Carpal Tunnel Syndrome
? Causalgia
? CervicoBrachalgia
? Chondromalacia
? Chronic Low Back Pain
? Contractures
? De Quervain Tenosynovitis
? Degenerative Arthritis
? Degenerative Disc Disease
? Dupytren's Contracture
? Fibromyalgia
? Frozen Shoulder
? Gout
? Herniated Disc Pain
? Herpes Zoster Pain
? Ligament Sprain
? Migraine Headaches
? Muscle Spasms
? Myofascial Pain
? Neuralgia
? Osteochondrosis
? Post-Fracture Pain
? Post-Surgical Pain
? Post-Whiplash Pain
? Pseudogout
? Radiculopathy
? Reflex Sympathetic Dystrophy
? Rheumatoid Arthritis
? Spondylolisthesis
? Tarsal Tunnel Syndrome
? Tension Headache
? TMJ Syndrome
? Trigeminal Neuralgia
? Trigger Finger
? Ulnar Neuropathy

General medical conditions:

? Allergies
? Alopecia
? Asthma
? Autoimmune Disases
? Bronchitis
? Childhood Infections
? Chronic Fatigue
? Chronic Infections
? Chronic Sinusitis
? Chronic UTIs
? Cigarette Addiction
? Compulsive Behavior
? Constipation
? Coronary Insufficiency
? Degenerative Arthritis
? Depression
? Dysmenorrhea
? Gastritis
? Generalized Anxiety
? Genital Herpes
? Glaucoma
? Glossodynia
? Hearing Loss
? Hemorrhoids
? Hepatitis
? Insomnia
? Irritable Bowel Syndrome
? Lymphedema
? Menstrual Irregularity
? Migraine Headache
? Obesity
? Presbyopia
? Prostatitis
? Restless Legs
? Rheumatoid Arthritis
? Slow Metabolism
? Slow Metabolism
? Spasmatic Colitis
? Vaginal/Anal Itching
? Vascular Insufficiency
? Vertigo

Mesotherapy for Calcifications and Bone Spurs

Traditional medicine currently offers only one method to remove bone spurs: surgery. Bone spurs generally form as the body's response to stabilize a weak structure. Prolotherapy is therefore, successful because it strengthens weakened connective tissues, and relieves the pain of bone spurs. Mesotherapy and Endotherapy (deeper injections with the same solutions) offer non-surgical alternatives to decreasing and eliminating the actual bone spurs, not just the pain of the bone spurs. By using compounds that affect calcium metabolism, such as EDTA, a calcium chelator, and Calcitonin, a calcium hormone, these treatments can successfully remove bone spurs over a period of time.

Athletes commonly experience calcifications in structures such as the biceps and rotator cuff tendons. Mesotherapy and Endotherapy are useful treatments to employ when these structures are painful. These treatments will, over time, help the body rid itself of the abnormal physiology that led to the calcifications, thus, reducing their size and negative effects. Top

Mesotherapy for Medical Esthetics

Many Mesotherapists practice the specialty of Medical Esthetics because of the beautifying effects Mesotherapy has on the skin. The skin is often treated successfully with Mesotherapy. Wrinkles and cellulite respond well to Mesotherapy. The injections reach not only the different layers of the skin, but the subcutaneous fat as well, helping reverse the physiology that makes cellulite form. Top

Cellulite
Cellulite is a condition in which abnormal "nodules" of fat form in the midsection and thighs, more commonly in women than men. This gives the appearance of a ruffling of the skin. The condition is caused by abnormal physiology in the skin and subcutaneous fat. It involves a type of insufficiency in the venolymphatic system. Mesotherapy injections are given to not only improve the venous and lymphatic flow, but to also break down the fat nodules. The solutions generally consist of a vasodilator, lymph flow stimulator, and an anesthetic.

Because cellulite involves an abnormality in fat accumulation, Mesotherapy injections should be done in conjunction with a comprehensive natural medicine program designed to improve overall metabolism. This would have the effect of increasing weight loss and improving overall health. Hormone imbalances are often at the core of the problem and need to be corrected to have maximum benefits. If the underlying physiology is corrected and maintained, then Mesotherapy is done in an initial series. If it recurs, then the process will need to be repeated. Top

Wrinkles
Wrinkles, like other conditions involving the skin, have a multifactorial etiology. Excessive skin wrinkles or rides, can be caused by overall dehydration, excessive sun exposure, genetics, facial expressions, muscle atrophy, fatty acid deficiencies, hormone imbalances, nutrient deficiencies, and many other causes. As with cellulite treatment, it is best to utilize Mesotherapy for wrinkles in the context of a comprehensive natural medicine program to correct some of the above causes. For the person with stress and increased muscle contraction in the forehead, Botox injections can be given. Excessive wrinkles can also be a sign of advanced or aggressive aging, which emphasizes the need even more to utilize Mesotherapy, along side of a comprehensive Mid-Life Medicine regime. This may involve the use of regenerative therapies, natural hormone replacement, nutriceuticals, appropriate metabolic-type diet, and other Mid-Life Medicine measures. As with cellulite, Mesotherapy for wrinkles may often need to be repeated after the initial series. Top

The Technique of Mesotherapy
For those who have been fortunate enough to have Prolotherapy or Neural Therapy injections, you will be happy to know that the injections of Mesotherapy hurt magnitudes less than Prolotherapy or Neural Therapy. Mesotherapy injections involve extremely small needles that penetrate the body only a very small depth, which is typically four to six millimeters. Many of the needle sticks are not even felt because often times the skin is pinched by the clinician prior to and during the injections.

Mesotherapy treatments are typically given once per week. As improvement is seen, the treatments may be given less frequently, such as once every two weeks or once per month. If quicker improvement is necessary, such as an athlete desiring to resume athletic activities, treatments may be given twice per week.

Mesotherapy can involve anywhere between eight and 300 shots, depending on the condition and amount of area covered. When more than 20 shots are given, it is typically because the person is getting multipricking or Mesolift done. Both of these Mesotherapy techniques involve very superficial, quick injections, taking less than a couple of minutes to do all of the injections, thereby maximizing the amount of area stimulated. This is often necessary for conditions such as cellulite, wrinkles, and hair loss, where a maximum area must be stimulated to produce a good result.

The number of Mesotherapy treatments needed depends upon many variables, including the condition, the abnormal physiology causing the condition, as well as the chronicity of the problem. A minimum of three to five sessions of Mesotherapy are generally done to access response. For long term chronic conditions such as cellulite and wrinkles, at least 15 sessions of Mesotherapy will be needed. For more acute conditions, such as sports injuries, only one to three sessions may be needed. (See Figure 3.) Top

Figure 3 : Nutritional Products to assist connective tissue healing.

Item	Ingredients	Use
Pro-Cartilage	Ascorbic acid, Glucosamine, Chondroitin Sulfate, and Bromelain	Aids soft tissue healing
Pro-Collagen	Vitamin A, Vitamin D3, Folic Acid, B-12, Biotin, PABA MSM, Nettles, Horsetail, Saw Palmetto, Fo Ti Root	Support for hair loss; thinning, balding, dull or graying hair; and brittle nails
ProloMax	Potassium, Magnesium, Fo Ti Root, MSM, L-Proline, Siberian Ginseng, L-Cysteine, Horsetail, RNA, Gotu Kola, Activan, and Glucosamine.	Support connective tissue growth,heal sports injuries, musculoskeletal pain, & after Prolotherapy.
Skin & Nails	Multi vitamin/mineral, L-Proline Silica, Burdock Root, Nettles, Gotu Kola, Dandelion Root, Milk Thistle, Grape Seed	Connective tissue healing and promoting healthy skin and stronger nails
Vita Vessel	Horse Chestnut Butcher's Broom, Gota Kola, and Troxerutin	Treat varicose veins blood clots, hemorrhoids, and overall blood circulation.
GlucoBurn	Citrimax	Increase metabolism burn fat, and lose weight.
Power Activator	Pantothene, Iodine, Zinc, American Ginseng, Creatine, Lutien, Lipoic Acid, Prickly Ash, Cayenne Pepper, Siberian Ginseng, Tribulus Terrestris, Riboflavin	Iincrease metabolism build strength, and lose weight
Sports Doc Meal Replacement	14 grams soy protein plus vitamins and minerals.	Meal replace-ment, protein supplement

Any of these products can be purchased from Beulah Land Nutritionals by visiting their web site at www.benuts.com . Top

Mesotherapy, Prolotherapy, and Neural Therapy
Caring Medical and Rehabilitation Services, along with Caring Cancer and Interventional Natural Medicine Center , do many different types of injection techniques, so it is easy to get them confused. A good condensed summary of the techniques is found below:

Prolotherapy: Prolotherapy is a treatment that stimulates the body to repair painful areas. The injections involve the use of substances that stimulate fibroblastic proliferation primarily at the junction of the bones, ligaments, and tendons. It is thus a periosteal (bone - ligament, bone - tendon junctions) injection. Prolotherapy is also given into joints to stimulate the repair of intraarticular structures, such as menisci and cartilage.

Neural Therapy: Neural Therapy is a treatment used to eliminate interference fields of the autonomic nervous system or the sympathetic nervous system. These are often around the mouth, in areas such as the teeth or tonsils, as well as scars, nerves, and organs. Neural Therapy typically involves the injection of procaine into these areas.

Mesotherapy: Mesotherapy is a treatment to stimulate the repair of the mesoderm, including the skin, connective tissues, and adipose tissue. The injections are given into the mesoderm, which is just under the skin. It can be used for painful, as well as general medical conditions.

As most chronic conditions have multiple causes, several different treatment modalities must be utilized to optimize the successful outcome of treatment. Mesotherapy can be used with essentially all traditional and natural medicine treatments. It complements the other treatments, aiding in the healing of the patient. Mesotherapy is often used at Caring Medical, in conjunction with treatments such as Prolotherapy and Neural Therapy. Mesotherapy has another advantage, in that it decreases the pain of these other injection techniques.

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