Department of Psychiatry & Neurobehavioral Sciences, University of Virginia Health System, Charlottesville, VA.
Explore (NY). 2014 Jan-Feb;10(1):55-7. doi: 10.1016/j.explore.2013.10.002. Epub 2013 Oct 17.
A case is presented illustrating the potential effect of Brennan Healing Science on pain following hip arthroplasty for avascular necrosis. A 54-year-old woman experienced anterior groin pain, numbness at the bottom of her foot, and occasional grinding at her hip 22 years after right total hip arthroplasty secondary to avascular necrosis. X-ray films showed signs of osteolysis behind the acetabular cup and asymmetric decreased polyethylene thickness of the acetabular prosthetic. Her orthopedic surgeon advised the patient to follow up every 6-9 months to avoid catastrophic failure of the implant, with plans for surgical revision to be scheduled at the next appointment. The patient sought alternative treatment to avoid an invasive procedure. On presentation, the patient had difficulty walking up the stairs into the treatment room due to pain which she rated a 9/10. She found it painful to rotate, flex, extend her hip, or to sit. Hands-on healing techniques based on the Brennan Healing Science method were initiated, starting at the feet, balancing the energy, and working the way up the joints. Once the work at the hip was completed, the hands-on techniques continued up the centerline of the body and the healing was brought to a close. On completion of a 60-minute healing, the patient was able to stand freely and rated her pain as a 4/10. Flexion, extension, and rotation at the hip were no longer distressing. She was able to walk up and down stairs without distress and denied instability, bursitis, or trochanteric or iliopsoas pain or swelling. Repeat X-rays showed decrease in bone spurs and no hardware problem, and her orthopedic surgeon recommended follow-up after 2 years. It is suggested that Brennan Healing Science techniques could play an effective and cost-efficient role in the treatment of pain following hip arthroplasty.
现呈现一例病例,阐述了 Brennan 疗愈科学对因股骨头坏死而接受髋关节置换术后疼痛的潜在影响。一名 54 岁女性在因股骨头坏死而接受右侧全髋关节置换术后 22 年,出现腹股沟前侧疼痛、足底麻木和偶尔髋关节研磨感。X 光片显示髋臼杯后骨溶解和髋臼假体聚乙烯厚度不对称减少的迹象。她的矫形外科医生建议患者每 6-9 个月随访一次,以避免植入物灾难性失效,并计划在下一次预约时进行手术修正。患者寻求替代治疗以避免侵入性手术。就诊时,由于疼痛(评为 9/10),患者在走上治疗室的楼梯时遇到困难。她发现旋转、弯曲、伸展髋关节或坐下都很痛苦。根据 Brennan 疗愈科学方法开始实施手部疗愈技术,从脚部开始,平衡能量,然后沿关节向上工作。一旦髋关节的工作完成,手部疗愈技术继续沿身体中线向上进行,疗愈结束。完成 60 分钟的疗愈后,患者能够自由站立,疼痛评分为 4/10。髋关节的弯曲、伸展和旋转不再痛苦。她能够轻松地上楼下楼,没有不稳定感、滑囊炎、转子间或髂腰肌疼痛或肿胀。重复 X 光显示骨刺减少,无硬件问题,她的矫形外科医生建议 2 年后随访。建议 Brennan 疗愈科学技术可以在髋关节置换术后疼痛的治疗中发挥有效且具有成本效益的作用。