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1 Dr. Werner Klöpfer FA f. Neurologie u. Psychiatrie DIBAK Alserstrasse 43 1080 Wien ICAK Meeting Antwerp September 2008 Dr. George Dr. George Goodheart D.C. Goodheart D.C.

Dr. George Goodheart D.C

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Dr. George Goodheart D.C. ICAK Meeting Antwerp September 2008. How Applied Kinesiology can help in Treating chronic Borreliosis. Patients with diffuse symptoms. Vegetative Symptoms: Tiredness, fatigue Sweat at night Shivers Attacks of fever Feeling sick Reduced and poor endurance - PowerPoint PPT Presentation

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Page 1: Dr. George Goodheart D.C

1

Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Dr. George Dr. George Goodheart D.C.Goodheart D.C.

Page 2: Dr. George Goodheart D.C

ICAK Meeting Antwerp September 2008

Page 3: Dr. George Goodheart D.C

3

Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Patients with diffuse symptomsPatients with diffuse symptoms

Vegetative Symptoms:Vegetative Symptoms: Tiredness, fatigueTiredness, fatigue Sweat at nightSweat at night ShiversShivers Attacks of feverAttacks of fever Feeling sickFeeling sick Reduced and poor enduranceReduced and poor endurance Intolerance of alcohol and foodIntolerance of alcohol and food

Page 4: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Patients with diffuse symptomsPatients with diffuse symptoms

Cardial SymptomsCardial Symptoms PalpitationsPalpitations Mayo- or PericarditisMayo- or Pericarditis

Intestinal SymptomsIntestinal Symptoms Nausea, gastralgia, burpNausea, gastralgia, burp FlatulenceFlatulence DiarrhoeDiarrhoe

Page 5: Dr. George Goodheart D.C

5

Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008Patients with diffuse symptomsPatients with diffuse symptoms

Musculo-skeletal SymptomsMusculo-skeletal Symptoms Arthralgia of changing localisationArthralgia of changing localisation Myalgia Myalgia Feeling of stiffness in the musclesFeeling of stiffness in the muscles Tendinitis with or without swelling, Tendinitis with or without swelling,

especially Achilles tendon, Epicondylitis, especially Achilles tendon, Epicondylitis, plantar fascitisplantar fascitis

Recurrent swelling of fingers, toes and handsRecurrent swelling of fingers, toes and hands Pain of the sterno-chondral junctions of the Pain of the sterno-chondral junctions of the

ribsribs Pain of TMJ Pain of TMJ

Page 6: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Patients with diffuse symptomsPatients with diffuse symptoms

Neurological Symptoms (central)Neurological Symptoms (central) Disturbed vision ( blurry, wash out, aching Disturbed vision ( blurry, wash out, aching

eyeballs, aching eyemovements, sensitivity to eyeballs, aching eyemovements, sensitivity to light )light )

„„burning tounge“burning tounge“ Tinnitus, vertigoTinnitus, vertigo Headache, unilateral and diffuse without relief Headache, unilateral and diffuse without relief

by analgeticsby analgetics Loss of concentration, loss of memory, reduced Loss of concentration, loss of memory, reduced

perceptionperception Disturbed sleepDisturbed sleep Depression, irritability, anxiety, fluctuation of Depression, irritability, anxiety, fluctuation of

moodmood

Page 7: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008Patients with diffuse Patients with diffuse

symptomssymptomsNeurological Symptoms (peripheral)

Paraesthesia of limbs

Disturbed superficial sensation, hyperpathia

Backpain, sciatica

Sensitivity of scalp ( „aching hairs“ when combing )

Muscular twitching

Sudden weakness in the legs

Page 8: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Patients with diffuse Patients with diffuse symptomssymptoms

Urogenital Symptoms:Burning aches in the bladder, pollakisuria

Pressure sensation in the bladder

Incontinency, disturbance of micturition

Loss of libido

Impaired potency

Recurring aches of testicles, ovaries, vagina

Page 9: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

These patients These patients may havemay havechronic chronic

borreliosis !!borreliosis !!

Page 10: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Germ of Lyme DiseaseGerm of Lyme Disease

Borrelia burgdorferi sensu lato

Spezies: B. burgdorferi sensu stricto

B. gariniiB. afzelii

Carrier: hard ticks (Ixodes ricinus)

(Attention : the ticks transmit CEE, only for this vaccinations are available)

Page 11: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Possible Infections by Tick bitePossible Infections by Tick bite

CEE

Borrelia

Ehrlichia

Bartonella

Rickettsia

Page 12: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Epidemiology of BorreliosisEpidemiology of Borreliosis

in Germany 10 to 40 % of ticks are infected with Borreliafor an successfull contamination the ticks should suck up to > 6 hours (the shorter , the more unlikely are infections)

Infections from April to October early manifestation in June - peak at August

In Germany annualy up to 60.000 new infections with clinical manifestations

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Infection by ticks (Ixodes ricinus) Infection by ticks (Ixodes ricinus)

Early onsetErythema migrans (50% of all cases)

Influenzalike symptoms

Cephalgia

Facial nerv palsy

Cardial arhythmia

Page 14: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Conventional Medicine saysConventional Medicine says

Most valid diagnosis by skin biopsy or arthrocentesis of joint effusion

Assay of IG G and IG M of Borreliosis is only a presumption diagnosis

Prof. Stanek, University of Vienna

Ärztemagazin, July 2008

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008Borrelia burgdorferi – Course of Borrelia burgdorferi – Course of

InfectionInfection

Bite of a infected tick

Infection

Stadium I

Stadium II

Stadium III

5 - 48 days

Period of 4-6 weeks, Autotherapy very likely

Period of 4-6 monthsAutotherapy still possible

Moths tillyears p.i.

NO autotherapy !!

4 -12 Wo. p.i

Transmission of Borrelia

Local breeding of Borrelia

Page 16: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

LabratoryLabratory

If IGM and IG G of Borrelia are If IGM and IG G of Borrelia are positiv remains the question:positiv remains the question:

ExpiredExpired infection or infection or activeactive infection?infection?

Indication for LTT to Borrelia = Indication for LTT to Borrelia =

LLymphocytes ymphocytes TTransformation ransformation TTestest

Page 17: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008Lymphocytes Lymphocytes

Transformation TestTransformation Test1. Extraction of lymphocytes and

monocytes out of heparinized blood by densitiy-gradient centrifugaionfugation

2. Transformation of 1,2 x 106/ml vital cells on to a cell cultural kit (3 times)

Lympho-/Monocytes

Erythro- and Granulocytes

Serum

3. Adding of antigenes of Borrelia(z.B. OspC)

Day 0 „sleeping T-cells“

4. Incubation for 6 days, 37°C, 5%CO2

Page 18: Dr. George Goodheart D.C

18

Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Result afer 6 Result afer 6 days:days:

66. Measurement of DNA-Newsynthesis in Beta-Counter

55. Quantification of antigen-induced DNA-newsynthesis by assay of 3H-Thymidine-built-in

Negative result Positive result

clonal prolifeated antigen-spezific T-Lymphozyten

77. Outcome as SI = Antigen-induced T*-built-in blank measurement-T*-built-in

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Result of positive LTTResult of positive LTT

a positive LTT of Borrelia says:

There are Borrelia- spezific T- memory-cellsin the blood, the infection is active!!

After a study of Hopf-Seidel on 210 Patients,2007,9% of the patients had negative serum findings but positive LTT! Every tenth of patients has false negative findings!Donta is reporting 2002 of 20% negative false findings in serum assays

Are Borrelia-spezific memory-T-cells in the blood of the patient ?

Page 20: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008Hypothesis of persisting or chronic Hypothesis of persisting or chronic

BorreliosisBorreliosis

Insufficient diagnosis and therapy ( often in conventional medicine )

Inducing of immunogene reactions by Borreliosis

( Prof. v. Baehr )

Persisting Neurotoxins in the fatty tissue ( Shoemaker )

Hiding of parasites in the connective tissue ( Donta )

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008TherapieTherapie

ss

Conventional Medicine: Penicilline, Ampicillin, Tetracycline, Doxcycline, Ceftriaxone,

Cefaroxine, Clarithomycine, Azithromycine, Ciprofloxacine for a

fortnight or 4 weeks

Donta: Hihg dose antibiotics like a above, at least 1 month, when symptoms

were longer at least 3 month, when symptoms last for longer than a

year, treatment should last 12 to 18 month, toegether with

CHLOROQINE, an antimalarial, ( Resochine, Quensyl )

Shoemaker: From 4 to 6 weeks high dose antibiotics mostly Doxycycline

overlapping with colestyramine 2-4 g, when complications

( Herxheimer reaction ) Enbrel

Page 22: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Resume of problems in chronic Resume of problems in chronic borreliosisborreliosis

Serum diagnosis is not reliable

Conventional therapies often don‘t treat sufficently

Borreliosia can probably disappear from the surface

In certain phases antibiotics don‘t reach the parasite

Symptoms of chronic borreliosis are of great variety and not specific

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

How can

Applied Applied KinesiologyKinesiology

help?

Page 24: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

CasereportCasereport

10 patients from 71 to 29 years

Period of symptoms: from 2 till over 15 years

7 patients have severe general symptoms

( fatigue, aching and swelling joints etc.)

3 patients have „only“ local symptoms ( aching Achilles tendon, aching knees, aching fingers)

8 had negative serological assays of Borrelia

4 of them had an postive LTT and 4 had negative LTT‘s

Page 25: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

CasereportCasereport

4 patients, 2 with positive LTT 4 patients, 2 with positive LTT and and

2 with negative LTT of Borrelia 2 with negative LTT of Borrelia showed Borrelia in theshowed Borrelia in the

DARKFIELD MICROSCOPY !!DARKFIELD MICROSCOPY !!

Page 26: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Hypothesis and Hypothesis and ResultsResults

There are no really reliable labratory tools in veryfying chronic borreliosis

There are clues for hiding of Borrelia spirochetes in the tissue, causing no immune reaction

The most reliable labratory tool seems to be the Lymphocytes Transformation Test

Remarkable results supplies the DARKFIELD MICROSCOPY

Chronic Borreliosis seems more widespread than ever thought

Page 27: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

AK ProcedureAK Procedure

General and local muscletesting

Any findings should negated by

homeopathic nosode of low potencyantibiotics on the tongue and CHOLOROQINE(mostly Minocyline, passing hematoencephalic barrier )150 to 200 mg Minocycline per day and 200 to 400 mg Cholorquine every second day

Page 28: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

AK ProcedureAK Procedure

If improvement follow up examination should include, they should test normal

TL of NV suprapinatus

BE points

All alarm points

Local spots of pain

Don‘t stop the treatment earlier, even the patient feels better

Page 29: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Supplementary TherapySupplementary Therapy

Nosodes of Borreliosis

Rizol oils

Colestyramine

Vitamines ( A, C, E, D, B )

Minerals ( Zinc, Calcium, Mg, Potassium )

Support of organs by phytotherapy, especially liver, gut

EFS ( linseed oil )

Page 30: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Best thanks to

Prof. Rüdiger v. Baehr, Berlin

Dr. Ulrike Lex, Nuremberg

for their contributions

Page 31: Dr. George Goodheart D.C

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Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Thank you for your Thank you for your attention !!attention !!

Page 32: Dr. George Goodheart D.C

32

Dr. Werner KlöpferFA f. Neurologie u. Psychiatrie

DIBAKAlserstrasse 43

1080 Wien

ICAK Meeting Antwerp September 2008

Adress: Adress:

Dr. Werner KloepferDr. Werner Kloepfer

Alserstrasse 43Alserstrasse 43

A- 1080 WienA- 1080 Wien

E – mail : werner.kloepfer@ spai.atE – mail : werner.kloepfer@ spai.at