Health Resources Press
Health Resources Press
Silver Spring, MD

Notes from the Practice of Harold Goodman, D.O.

Rapid ligament injury relief.  Saturday, August 28, 2010

For twenty years I have been treating patients with torn and injured ligaments. I have never done surgery on them though I am a licensed physician and surgeon and could easily do so.

The reason these patients do so well and get back into life so quickly is that the real problem is addressed. This is not the case with surgery in many cases.

Recently the baseball player, Stephen Strasburg, a 22 year old rookie pitcher for the Washington Nationals, has been receiving a lot of media attention after he injured ligaments in his elbow while pitching.

According to the Washington Post, he will receive surgery in Los Angeles and then spend one to one and a half years in rehabilitation before he is capable of returning to pitching and baseball.

This is very sad since he could easily be back playing baseball in about thirty days or so if he was treated by people trained in my work.

In addition to being a trained osteopathic physician, I went through a complete post-graduate residency at the National Rehabilitation Hospital in Washington, DC and am also a specialist in rehabilitation medicine. I know how such physicians do rehab and understand quite well the care that Stephen Strasburg will be receiving. It will be done by physical therapists and occupational therapists based on orders from a physician. It will essentially prolong his recovery from the trauma of surgery.

What do I do with such patients?

I examine them in a way that allows me to understand exactly what is the nature of their injury, how it has effected the entire body, and the best way to reverse the process.

In twenty years of practice I have never sent such patients for surgery. They not only didn't need it but would have been harmed by it since no treatment is without side effects. I have care for many patients who after surgery felt better, though not always, but later on developed other problems due to the response of the entire body to the surgery and the scar tissue which it produced.

The problem is essentially one of connective tissue disfunction. That is, parts of the connective tissue system, which is a part of the largest system in the body, the musculoskeletal system ( over 60& of the body), are injured. They respond to this injury by compensation. The entire body compensates to avoid further stress on the injured area. Surgery never addresses this issue. It will later come back to haunt the patient. However, since they have no idea that such a thing exists, surgeons never consider this and, ironically, may do more surgery to treat the resultant problems.

I use very gentle osteopathic manipulation using my hands to correct the strain and sprain in the connective tissues ( ligament, tendon, fascia, dural membranes, etc.) throughout the entire body.

We must treat the entire body since the entire body responded to the injury.

One of the first things that was changed was the patient's breathing. At the time of any injury the patient is stunned. They inhale. No one ever exhales at the time of an injury! So the spasm of the diaphragm, the major muscle of resperation, must be released. Without this the recovery is limited. No one in the medical field, the rehabilitation area or other related fields is competent to diagnose and treat this.
They lack the training and, in most cases, even the awareness that it exists.

After an injury how many times did your doctor examine your breathing?

The gentle osteopathic treatment may be followed up, in cases of extreme injury where the tendon or ligament has truly been badly torn ( most are micro-tears), with injections of a sclerosing agent. This is called sclerotherapy or prolotherapy. It lays down a tiny area of scar tissue between the tendon and the bone to which it attaches. It help the tendon to be more stable and completely avoids surgery. The healing from this is very short.

I also do other things which make it so that the patient is quickly pain-free and returned to what they really want to do; living and enjoying their lives instead of endless visits to doctors and therapists.

Stephen Strasburg is unfortunately, at age 22, becoming a pawn in medical politics. Like most politics, it pits the rich and the famous against those without power or a real education as to how to best deal with their situations.

Millions more like him must suffer, miss work, and, in the end, deal with many more problems due to their treatment.

In medical school we were taught that over 20% of all problems that patients would present with are iatrogenic (Greek: iatros= medical, genesis= beginning). Actually, the percentage is a lot higher when we consider all the wrong diagnoses out there, the bogus and unnecessary treatments, the treatments that went wrong, the side-effects of treatments ( medications, surgery, chiropractic, etc.) and on an on. Twenty percent is very, very low from what I have seen.

My patients do not have to wait 12 to 18 months to feel fantastic after a ligament injury.

And neither should Stephen Strasburg.

If he ever discovers how he was duped his minders may have a major lawsuit on their hands.

But they can sleep OK.

He will never find out.

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