Dr Hal Brown, Naturopathic Physician
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What are your fees?
The fee schedules are not posted on the website because they are liable to change from time to time depending the costs of labs and other service expenses.
For current detailed information
please contact the office at:
(604) 738 - 1012  ex 0
reception@integrative.ca

Flu Vaccination
Many patients ask about whether they should receive a flu vaccine.  We do not advocate for or against vaccination, but we do offer suggestions that may assist you in making your decision. See: What to do during Cold and Flu Season

Naturopathic Referral
to the USA and Canada
I receive many requests for referrals to Naturopathic Doctors in other cities. Given the enormity of North America, I usually am not able to give a personal recommendation.  I suggest that you ask people where you live who they like. You should also contact your local state or provincial association.  Be sure the ND you are seeing is a graduate of an accredited 4 year naturopathic college and has the ND degree.  There are unfortunately many persons with mail order degrees calling themselves naturopaths or other designations such as DNM, who have not met the high standards of the Naturopathic Accrediting Board.

In the U.S. there are state associations too numerous to list. The American Association of Naturopathic Physicians has a good "find a doctor" site.

If you are Canadian, then you should contact the Canadian Association of Naturopathic Doctors (or your local provincial association).

Other contact info is available on my Informative Links page.


Allergy Referral
for Out-of-Towners
First check with the naturopathic associations I have discussed above. If this is not helpful, you could try contacting the companies we use for allergy testing and see who in your area is using their services:

Excema & Allergy

Hi there:
   I was wondering if you service food allergy testing at your clinic and treatments for eczema?
   AL

Dear AL
   We do a lot of work with food allergies and have had great success with eczema.
   Dr. Hal Brown


Treating Babies

   I have a 7 month old neice who has been crying since she was born. Doctors cant give any answers to why, and she has had plenty of tests. Her parents are losing their minds and their 3 year old is getting a temper because of it as well. We need some help!!! Im not sure if you are able to treat babies but i thought its worth a try. Please get back to me as soom as you can, Thank you very much.
   S.

Dear S,
   I do treat many babies. Was there any trauma during/since birth? Sometimes there are spinal problems or cranial trauma from forceps delivery or other complications. The baby may have allergies, and/or intestinal pain. Many colicy babies stop crying after several gentle spinal corrections. Sometimes a baby probiotic can make all the difference. There are many possibilities and as long as there is no pathological condition most babies respond very well to homeopathy, adjustments and/or changing the breast milk via the mother's diet. The girl may still be too young to determine if there is a developmental problem, but assessment should be pursued while attending to naturopahtic treatments.

   Sincerely,
   Dr. Hal Brown


Hypothyroid

Hi
   I am a 52 year old male with hypothyroidism.  Currently I am being treated with synthroid.  I am looking for a ND that uses natural thyroid hormone like "Armour" for treating this disorder. Am I looking in the right place?
   Thank you G.

Dear G,
   I do treat many people with hypothyroid and agree it is often better to be off synthroid, which is synthetic thyroid hormone and onto something like Armour which has identical human T3, which is the actual active hormone, as well as identical T4, the precursor to T3. Although Armour thyroid is the most standardized, it is not available in Canada.  There are however, excellent products similar to Armour that can be used effectively with your condition, but at this time are only available by prescription. There is much that naturopathic medicine can do using natural thyroid supplements.  As well nutrients such as Vit D and Iron as well as Iodine, but be in adequate amounts to enhance T3 uptake at the cellular receptor sites.  Also realize to balance thyroid function it is important to look at other hormones like adrenals, pituitary, hypothalamus, neurotransmitters as well as any nutritional and other imbalances in the system. Have your free T3 and T4 tested. Also test for thyroid antibodies and reverse T3.  In B.C. the labs will not do these tests if the TSH is "normal", so often the ND must order the tests separately.  Helpful to know the numbers.  As well I’d have you take your basal temperature as well as other tests to optimize your response.  Balancing these factors leads to a much more satisfactory result than simply using prescription synthroid or eltroxin.
   Sincerely,
   Dr. Hal Brown

Additional Information is available at:

Home Ozone Therapy

   I am looking to rent your ozone machine for at-home rectal insufflation; what is your cost?  Please note that I am not looking for a treatment program - just the rental - thanks for your time.
   Best regards,
   G.

Hi G,
   I don't believe that you are a patient at the clinic. If you are not then we cannot rent you the machine, as it must be provided under a physicians care. Usually using the ozone therapy is only one part of a comprehensive program.
   Sincerely,
   Dr. Hal Brown


Allergy and Diet

   I'm interested in booking a consultation and getting some testing done. I've been having problems with my stomach. I'm constantly bloated, so much so that my stomach sticks out emmensely after I eat (especially after whole wheat pasta or rice) and I'm unable to lose any weight. I've been altering my diet and exercise but nothing seems to change. I'm wondering if it's possible that I have a specific allergy or something.
   J.

Hi J,
   It sounds as though your problems can be addressed with Naturopathic medicine and I would encourage you seek the care you need.
   Sincerely,
   Dr. Hal Brown


Knee Pain

Hi Dr Hal,

I just wanted to update you on my knee situation.

THE PAIN IS ALMOST GONE!!!!!!!

I can't believe it. It is down around 75%.....i hope it lasts....although I will definitely be in for my next treatment session. I pray I continue on this amazing path.

Bye for now,

Leanne

I am very happy to hear that Leanne. Seems it was worth all the effort. please realize that the ultimate goal of prolotherapy is to regenerate and regrow healthy ligament tissue. That process takes 6 wks after each treatment. There are other effects that cause people to feel improvement sooner than that time, but they are not regenerative effects. In the event that your symptoms get worse, which is likely to occur during the process, do not think that anything bad is happening, it is normal. The fact that you are experiencing such good benefit assures us that we are doing the right thing in the right place and that when the knee re-stabilizes after regeneration, you will have a more permanent and reliable recovery.
best
dr.b

Frequently Asked Questions...

Please email your questions to: info@drhalbrown.com


 

Q: What do you think of Alkaline water (ionized water)?

A: this is a common question patients ask, as many persons are promoting the sale of Alkaline water machines.  Here is the best response I have seen yet, from drmercola.com


Vaccination:  Perhaps more than any other question I have received lately is whether to get oneself and/or children vaccinated for H1N1.  The case for the vaccination are familiar from the media. There is other information that some persons require in order to make their own informed decision. For more information some interesting links can be viewed here.


Knee pain and degeneration

Hello Dr Hal, you treated me last year, and while my knee is not perfect, I am able to play tennis again. I made an appointment for my wife to see you but she's been hesitant (an OR  nurse) but before she has her knee replaced I'd like her to pay you a visit for a 2nd opinion. J.

Hi J.: Definitely advisable to examine your wife for her candidacy for prolotherapy before surgery. If it is possible to do something, it is certainly preferable to avoid surgery.  Please call the office 604 738 1012 ex 0 for appointments. Glad to hear your knee is improved, it might be worth pursuing some more treatment to get it closer to the "perfect" that is eluding you.  We have also added PRP regenerative injections to our modalities. this therapy is for patients who have benefited from prolo, but are not getting over the edge. Also good for badly degenerated joints, perhaps even for your wife. Have a look: http://www.drhalbrown.com/prpPRP.php


 

Chronic Back Pain in the Elderly

Hello,
   My 82 year old grandmother suffers from chronic back pain, most likely due to degeneration of the bones/osteoarthritis (as diagnosed).  We are currently trying to find a naturopath to work with.  Please let me know if you feel there are any naturopathic solutions to ease her type of pain.
   Thank you, L.

Dear L:
   I do see many elderly persons with chronic back pains.  Although x-rays and MRIs clearly demonstrate degenerative changes, these factors are not necessarily the cause of the pain. After all, almost all 82 year olds have degeneration in their spines, not all have back pain. My approach would be to first take a case history and examine her.  Having x-ray or other imaging reports would be helpful as would any recent labs.  Seeing recent x-rays would be more helpful than a report if possible.  Depending on the exam and assessment different therapies could be tried based on the findings if appropriate.  Unless there is something  uncommon about your  grandmother's health  I would take an integrative therapeutic approach.  It would be important to consider nutrient factors and make use of appropriate supplements if required.  A physical assessment and case history would help to determine the best therapy or multi-therapies to use.  Generally speaking, the physical therapies I'd consider for her might be:

            

   Although some of these treatments are more invasive than others, I usually begin with the most gentle first, and if satisfactory results do not appear, we may wish to progress to stronger treatments.  Many chronic back pain patients have had all of the usual treatments with little effect and may opt to begin with prolotherapy, which is the most effective, but painful to receive.  I try to adjust the treatment to the patient's desires and tolerance.

            

   Sincerely,
   Dr. Hal Brown


Anxiety Disorder

I’m a young man, who’s 33 years old
I have the following symptoms :

  • I feel Tiredness in my whole body

  • I’m absent-minded

  • I tend to forget a lot

  • Easy to get stressed out and emotional

  • Shivering: is similar to the elderly shivering, but in my case
    it’s not that obvious, yet I can feel it in my whole body, even my teeth.

I started eating healthy nutritious food such as honey, natural herbals, Nigeria Sativa, bee and stings treatment, but with no apparent curing results. I have been diagnosed with Anxiety Disorder.  Does acupuncture or medication help this case?
Thanks a lot and best regards.
E.

Dear Mr. E:
   If you have been diagnosed with an anxiety disorder, there maybe many different treatments that may be helpful.  Not any two people are the same and it is important to consider the psychological/emotional issues as well as the biochemical and energetic (acupuncture energy) factors.  I try to look at these problems from a wholistic perspective, considering patient history, brain chemistry, lifestyle, diet and nutrition, acupuncture energies, and numerous other factors.  It would necessary to have a consultation and examination to get some ideas about where to begin. Often anxiety problems require an appropriate analysis of neurotransmitter and hormonal balance as well as regulation of blood sugar disturbances and other dietary factors. There may also be other factors such as sympathetic nervous system dysfunction, heavy metal toxins or a multitude of other factors. Treatment may include dietary changes, detoxification and herbal, vitamin, amino acid, hormonal or neurotransmitter supplementations.  Structural injuries especially head injuries may have a significant impact on nervous system function.

   Sincerely,
   Dr. Hal Brown


Herniated Disc

Hello Dr. Brown,
   I recently came across prolotherapy and I'm very interested to learn more about it.   I had a partial discectomy between L5-S1, nearly 8 years ago. Although, I have recovered well I still live with pain and tingling in oneof my legs from time to time.  I get regular adjustments and find that the relief lasts for a while aslong as I continue to exercise.  I'd like to learn more about the effects of prolotherapy and to see how it might help to stabilize my lower back.
R.

Dear R.:
   As far as your condition goes, prolotherapy is very much the treatment of choice for chronic disc problems.

   Did you have a lumbar fusion? Of course there is more we can do if there is only a discectomy and no fusion. Most of the pain from disc problems is actually coming from the ligaments. As the disc thins, the ligaments have less distance to cover and become lax. It is this laxity that produces much of the pain. Ligaments also have well defined referral pain patterns down the leg that can be mistaken for nerve root pressure from a disc. Surgery on a disc does nothing to fix the underlying problem which is ligament laxity, which is why you like many others continue to have pain years after surgery. It may very well be the surgery was necessary to ease a very painful condition, but at this stage you need stability and healing of the area. Chiropractic treatments that provide temporary relief tells us that the holding elements (ligaments and tendons) cannot do their job. Muscle strengthening may help, but prolotherapy is the only treatment I know of that can actually cause the body to grow new, stronger, thicker and more stable ligaments.

   Please look at the website. I have provided quite extensive information, explaining prolotherapy, and have links to research articles and video presentations.If you haven't already, please check out: a brief description of prolotherapy or an extensive overview of prolotherapy

   Sincerely,
   Dr. Hal Brown


General, Undiagnosed "unwellness" and Urinary Tract Infections

Hi,
   I am a 26 year old university student who has been sick for about 4 months now. In February I felt ill and a urine dip was done and I was put on one round of antibiotics and then another, and then told that my original condition was probably a mono like virus and there was nothing to be done. About a week or so later I developed costocondritis and prescribed naproxen and told that was all that could be done. I still have it, not nearly as severe as it was.   I missed over a month of classes this past semester and actually tend to get sick at least once each semester for at least a week.  I am one of that people that seems to always be sick and always has been sick.   The more immediate reason that I am contacting you is that in the past few weeks I have developed another UTI - Which I get at least once or twice a year- and ended up with a severe allergic reaction to the antibiotics which landed me in the emergency room last Friday and was put on prednisone and benedryl and left to fend for myself. I have had allergies since I was a child, and given little direction as to what to do with them. And almost every year since I was fifteen have ended up in the hospital for anaphylaxis or another severe reaction. And I'm tired of being sick and tired of not being able to do those things that I love.  Can you help me?
   K.

Dear K.
   It sounds as though you have been struggling for too long with this problem.  Clearly there is no definitive medical diagnosis. I see many patients that have general, undiagnosable "unwellness". The challenge is not to treat the symptoms but to do tests that can help us identify what underlying factors may be contributing to your problems. Although I cannot guarantee total success, I do see many people with a similar myriad of symptoms and am often able to achieve satisfying results, each requiring their own unique treatment plan.  Clearly the first step is to treat the UTI with natural therapies and avoid the antibiotics which will only make things worse in the long run. From there we can begin to tend to the underlying causes.

   Sincerely,
   Dr. Hal Brown


Feeling Worse Taking a Remedy

   I have stopped taking the homeopathic remedy you prescribed to me last visit, due to the fact that it made me feel very sick (almost to the point of incapacitation).  Being very sick is untenable for me, as I cannot miss work and have been very sick for almost 10 years-thus cannot bear the burden of taking prescriptions that make me feel far worse then before I started taking them.  What should I do?  I look forward to hearing from you.
   B.

Dear B:
   What you are describing, in homeopathy, is called a healing crisis from taking the remedy.  These remedies would do nothing for someone who had no need of them, in fact someone could drink a litre of the same remedy with no response, yet you have only taken a few drops. As unpleasant as it may seem, this is a positive effect, it was obviously the right remedy, but it is not making you worse, only bringing up the deeper condition. Although you may feel worse, your body is expressing a deep healing.  You did the right thing to stop; there is no point in prolonging the response.  What you could try is to wait until the reactions stop and then just continue by using a much lower dose less frequently.  Stay in your comfort zone, there is no need to suffer unnecessarily as the remedy is working.  If any reactions occur, then just cut back.  Don't give up on the remedies; it is a process that takes time.  It took time for you to get here and it will take time for you to recover.

   Sincerely,
   Dr. Hal Brown


Prolotherapy Inquiry

Good Day, Dr. Brown...
   I am helping my father to research prolotherapy practitioners in the Lower Mainland.  Are you board certified with the CNPBC to perform these procedures?  About how many ankles (Osteoarthritis) do you treat per year and of those what is the percentage of people finding at least 50% reduction of their pain in terms of the frequency/severity/intensity/duration?  How many people report improved quality of life after treatments?  What is the composition of the solution that you use for injection?  What is the percentage of people getting significant side effects like a septic joint? 
   M.

Dear M:
   I can't answer every question specifically because I don't keep such statistics. Yes I am board certified by the CNPBC to do prolotherapy.  I probably treat at least one foot/ankle per week. I treat all the joints and perform perhaps 5-10 prolo treatments a day. The principles of treating the foot are much the same as the other joints. I have had the good fortune to spend some time with a podiatrist that specializes in foot and ankle prolotherapy, so I feel I have knowledge in the area. Again no stats, but certainly most people feel much better with prolo, certainly better than 50% improvement in all areas. Maybe 10% don't respond.  Response also depends on the degree and chronicity of the injury or the degenerative changes.  Osteoarthritis usually responds very well, as long as there is some functional joint activity. I use surgically sterile technique and have never seen any infections from doing prolotherapy, although this is theoretically possible.  There are few side effects, but there is a temporary aggravation of pain that usually subsides in 1-3 days, although the occasional case may go on for longer. These are not side effects, but actual effects and part of the expected process.

   There are three levels of solutions I use.  Usually we begin with the mildest of 20% dextrose with procaine and homeopathy. In most cases this solution strength is adequate for good results.  In some people I use the stronger P2G solution with procaine. And for the few that need a very strong stimulation I use sodium morhuate, mixed with P2G and procaine. The stronger solutions also create a stronger reaction.  If we are doing intra-articular joints I may use hyaluronic acid, MSM, DMSO or Glucosamine Sulphate as well as the other solutions. Occasionally I use ozone, but have never tried it on an ankle. As well I may perform adjustments to the ankle or treat other areas if they appear to be related. A naturopathic protocol of supportive supplements and nutrition is also helpful to optimize recovery.

   I hope this addresses your concerns.

   sincerely,
   Dr. Hal Brown


Scar Treatment

Hi Dr Brown
   I was doing a search on the web about scar tissues and came across your website. I live in Toronto, and work with an alternative professional. It had been mentioned that I had scar fascia between my navel and right hip bone. That is causing me severe back pain, and also other restrictive ailments. Currently she treats it with a machine to slowly absorb bio cell or bio muscle gel into that area to soften it up. However it is a very long process.  My medical dr had tried to inject pain medicine in my spine in various places, and may contemplate doing that now on the origin of the pain. So I thought that perhaps the ND community may have also developed a way to address this scar by injecting natural products to return it to normal. Then I found your article. Am I making any sense to you, and would these neural injections help someone like me - I know you cant give an opinion without a consult, but is this something worst exploring. your comment is greatly appreciated
   T

Dear T:
   Without knowing your full case, from what you describe, you appear to be on the correct path of thinking. You need to find someone that does scar injections in Toronto, I suspect treatment would be of great help. I suggest you start by contacting the Ontario Association of Naturopathic Doctors (OAND) or  American Academy of Neural Therapy for a referal.
   HB


Childhood Vaccination?

   I am a mother of 2 1/2 year old boy. I have decided not to vaccinate him. But I am not 100% confident of my decision. My concern is that the disease such as measles or mumps which were still around when I grew up, seem no longer be there. Without being naturally exposed to them, how can my son get immune to those? I heard that there is a homeopathic immunization from my cat's homeopathic vet, and was wondering if you offer it. My son is very healthy. That is the only assurance I have about the decision I made. I am always pressured by others to vaccinate him. What are your feeling on this subject? Are we able to come and visit you?
Thanks for your time,
   CU

Dear CU:
   Yes you are right it is a difficult decision and controversial. There are risks from vaccinations, but there are also benefits. Many experts question as you do that many of the childhood diseases we experienced may not be worth vaccinating against, one must weigh the risks of the disease with the effects of the vaccination.  Often the decrease of an illness is due to mass immunization and children not immunized are riding on the benefit from those who have. Often children living at lower economic and hygeine standards are at more risk. It is also true that some vaccinations have had serious negative effects on some children.  Some practitioners say that they can do homeopathic immunization, it may be considered prophalaxis or preventative but it is not immunization.  It is the policy of the BC Naturopathic Association to neither advocate for or against vaccination, as it is a personal decision to be made by parents, and I agree with this principle.  There is much information on the web, some of it radical, so some sense must be brought to the issue. A good resource for information can be found at the Health Action Network Society site.

   Sincerely,
   Dr. Hal Brown


Hip Replacement Surgery

   I am inquiring about whether or not your treatment would be beneficial to me.  I have started to wear out my hips being very active over the years now forming arthritis, more so in my right hip.  I am only 37 and have been told I may need to get a hip replacement in 5 years if I continue the way I do.  My hips are lacking the shock absorbing quality they once had.  Is there any treatment of yours that would help create the space and shock absorbtion that my hip needs?
   Thank you. DC

Dear DC:
   At 42 (in 5 years) you would still be too young for a hip replacement, as they are currently good for 15-30 years.  Depending on the degree of degenerative change in your hip, it may be very possible to improve your function and level of comfort with a reasonable chance of slowing down the degenerative changes. I have patients, mostly much older than you, with probably much worse hips, who have been kept mobile and comfortable with Hip Prolotherapy, even though hip replacement had been recommended to them.  I find this treatment to be of tremendous benefit with degenerative joint disease. As well as the regular prolotherapy treatments, I might also add ingredients to the solutions that stimulate joint regeneration, such as hyaluronic acid, MSM, Glucosamine etc.

   Sincerely,
   Dr. Hal Brown


Shoulder Dislocation

   I am considering prolotherapy for my 18 year old son who has experienced four shoulder dislocations in the past year and a half.  His MRI showed a Hill-Sachs legion and an extensive labral tear that appears near circumferential. Do you have experience using prolotherapy with this type of injury or is this something that would be worthwhile for him to make an appointment with you?
   Sincerely, ES

Dear Mr. S:
   The consensus of experience is that prolotherapy can be helpful for labral tears if they are near a blood supply. But even if they are not, the usual treatment for shoulder dislocations tends to relieve patients of the problems associated with the tear and many patients can avoid surgery.  I have seen many chronic recurring shoulder dislocations stabilize with great success. Your son's shoulder problems would most likely benefit significantly from prolotherapy.

   Sincerely,
   Dr. Hal Brown


Tennis Elbow

   I'm considering getting prolotherapy for a problem I have with tennis elbow.  It is lateral epicondyle problem and not a ligament issue.  I had a diagnostic ultrasound to verify this evaluation.   How long does it take to begin to notice an improvement in lateral epicondyle weakness (manifesting in lateral epicondylitis) with prolotherapy? I have a general question about prolotherapy's overall effectiveness...
thanks,
   Dave.

Dear Dave:
   Prolotherapy in my opinion is the treatment of choice for lateral epicondylitis.  I have seen many cases of it.  Although the pathology in your case is clearly in the tendon, often these injuries need to be evaluated for a concommitant ligament laxity, which may not be observable on an ultrasound or MRI, but by physical exam.  At any rate the healing of tennis elbow involves treatment to all the damaged structures.

   As to length of treatment, each person is different, I have seen them resolve in two treatments and as long as 12.  My approach is to first determine someone's candidacy for the treatment, then proceed with three or four sessions, 2-3 weeks apart.  Although I don't expect a resolution in this time period it is usually evident whether there is progress being made and we can continue with more certainty.

   Sincerely,
   Dr. Hal Brown


Why don't pro athletes use Prolotherapy?

   If prolotherapy is effective for strengthening ligaments then why don't pro athletes use it?
For example, "Tommy John" elbow ligament replacement surgery has an 18 month recovery time.
Why haven't pro athletes used prolotherapy to recover from this problem rather than resorting to surgery?
   Dave

Dear Dave again:
   As to your question regarding professional athletes and prolotherapy, it is widely known in the athletic community.  Although we do not treat any teams, I do see many high performance athletes for prolotherapy.  Our clinic treats many professional ballet dancers and prolotherapy is a common tool.  Medical care is often political, and the sports medicine doctors on some teams are closed minded to the therapy.  Some teams do have doctors that provide prolotherapy.  At one conference an instructor was telling us of his use of prolotherapy with a professional NFL team, although for confidential reasons he wouldn't identify it.  If you google prolotherapy and sports, players etc. in google news you can find lots of articles that refer to athletes receiving prolotherapy.  In time it will become a mainstay of sports medicine, just as many alternative therapies are now mainstream.

This is a research article on rugby and soccer players being treated by prolo for groin injuries and here are a few samples from google news:

Also Prolotherapy using PRP is well known amongst professional athletes:

   HB


Groin Injury

I am wondering if you have had any success with prolotherapy in treating groin injuries such as "Gilmore's groin/sports hernia".  I have been doing physiotherapy out at UBC for about 4 months now with great success.  I went from not being able to get up from bed without excruciating lower abdominal/groin pain to being able to jog/run and play hockey with minimal discomfort.  I was looking for something to "speed' up the final healing stages.
 
Thanks
 
J.

Gilmore's groin involves a tear of the adductor muscles, usually high up near the attachment to the public bone. It is sometimes called the Sportsman's Hernia, there is not actually a hernia present. It is common in sports where a great deal of strain is placed on the groin and pelvic area such as soccer and results in groin pain.  I have seen many of these injuries and have treated them as adductor tendon tears at the pubic bone and for the tendons that attach around the ishial process.  Prolotherapy has been very successful at improving this problem.  Here is an abstract of a research article specifically on this topic which you may have seen on my website: http://www.drhalbrown.com/groin-injury.php and demonstrates very good results for this treatment.


Unexpected result from "treating the whole person"

Hi Dr. Brown, I'm excited to tell you that last night I was able to have a long, deep sleep, because the points of my hips did not ache.  It's not something we've even discussed yet, but something you've done has apparently helped that.  I thought I had particularly pointy hip bones that pressed into my flesh, no matter what mattress I use.  My lower back felt much better after our visit.  Thanks to you I have renewed hope for a comfortable future, and I look forward to many, many of your ministrations.  Polly

 

Hi Polly:
Thanks for your message.  I'm very happy to hear that.  It's not that I was trying to fix the hips, or even that it is an unexpected benefit. The way I see it, is that we need to re-balance, release or strengthen or whatever all the areas of your body.  This is a good example of how fixing one problem has a downstream effect on others.  It is very encouraging and as I've said I do expect you to feel better.  I just don't know what will feel better first or last or when, but as long as there is a positive trend, then let's carry on.

best
hb


                                                                                              Psoriasis

Hello Dr. Brown,
When I was a child I was diagnosed with psoriasis. I had some flares on my body as a child but my parents told me it disappeared as they were religiously treating it with medications. Plus it has never really been very bad, fortunately.

As a teen I continued having psoriasis only on my scalp, the back part of it and from time to time it would show up on my nails. I have medication for my scalp that clears it entirely, but the moment I stop using it, it comes back.

A couple of months ago I went to a dermatologist to get something for my nails. He presented to me a variety of options and asked me to choose one of them, suggesting that none of them is really good. I was extremely disappointed and frustrated as you can imagine. I know it’s a very difficult disease to cure, but I refuse to accept defeated attitude. I also refuse taking steroids, especially that I still breastfeed my 15 months old daughter.

I would like to add that I am otherwise a very healthy person, non smoker, don’t even drink alcohol due to breastfeeding, healthy weight and IBM, healthy and easy pregnancy, eat lots of fresh veggies, fruits, practically only whole grains, fish and poultry, on occasions red meat. I’ve also been doing yoga (at least 3 times) per week for 8 month. The only thing that comes to my mind is a fact I sometimes experience problems with maintaining fresh breath, especially in the morning and after I have had some foods, but I haven’t been able to establish what really causes that state, as it happens randomly. I’ve also had issues with my complexion.

My question to you Doctor is, have you had experience with psoriasis and do you see point of me seeing you. I am not asking if you can heal my psoriasis, but if you are able to help me in establishing factors triggering it and do something about my nails.

Thank you very much for taking the time to read my email.

With best regards,
Margaret

Dear Margaret:
Psoriasis is very much a deep tissue problem and challenging to treat. Unlike other skin conditions like excema or other rashes that often respond to homeopathic creams and allergy corrections. It has been my experience that to treat psoriasis with any success requires dealing with detoxification of various sorts and a variety of therapies to correct what is really a deep chronic dysfunction in the body. Although allergies and diet are required areas of treatment, I have yet to see psoriatic symptoms change only through diet and allergy elimination. To correct this problem does take a commitment of time and energy to change the underlying problems. I would recommend you consider a treatment program only once you have weaned your child as you would probably not wish to be doing any detox while still nursing.
I trust this information is helpful.
Sincerely
Dr. Hal Brown


                                                                              chronic condromalacia

Hi There
I am an avid multi sport athlete and have developed chronic condromalacia under both patella’s. This was originally initiated from an impact injury to the knee and too much cycling in Europe. I have pretty much exhausted all options to repair them over the last 3 years. I have had 3 knee surgeries (One full reconstructive), endless physio sessions, acupuncture, etc. I have used glucosamine, chondroitin and MSM for some time now but to no avail. What I’m hoping is that you can tell me there may be some hope going down the Prolotherapy road. I have done a fair bit of research on the subject and it does not appear to me to be another scam, so I’m asking for an honest answer if you think this may work for me.
I look forward to your response
Many thanks
Nic

Dear Nic:
I cannot say for certain without examining you. Generally speaking prolotherapy if indicated will be the deciding factor in many knee conditions (chondromalacia patella included) where other treatments have failed. Usually after 3-4 treatments in an area one will know whether it is working or not.

sincerely
Dr. Hal Brown


                                                                                             heavy metal testing

Dear Dr. Brown,

I'm looking for a hair analysis to test ppm of common minerals and metals. Is your office able to send a sample for testing, and if so what is the sample collection procedure and cost?

I have requested the same analysis 10 years ago (from a clinic in Langley at that time) and am interested in reviewing the changes.

Best regards,

Jonas


Dear Jonas:
A hair analysis costs $131. We usually do them for our patients as part of a comprehensive health management program, not as a stand alone analysis. hair analysis is not the most accurate method of measuring progress of metal detox, it is a more general indicator. Doing a heavy metal challenge and having the urine tested post provocation with DMSA or DMPS/EDTA, is the best standard I know of for diagnosing heavy metal load.

Unless you are a patient of the clinic, we would not be able to provide the test to you.

Sincerely,
Dr. Hal Brown


                                                                                               CSF


Good morning Dr. Brown:

I have been restricted by what many physicians/practitioners have labeled 'CFS' for many many years. I spent a decade in the 90's searching for relief - all to no avail. I haven't been near a doctor or alternative practitioner for 10 years now. Recently, I got a newletter from a diligent CFS advocate that intrigued me. It described how a severely ill patient regained health when treated with homeopathic neural therapy:

The Protocol: the doctor uses his own version of a technique called neural therapy that traditional western minded doctor's probably wouldn't touch with a ten foot pole. He believes that the body’s response to a viral infection, probably one or more strains of coxsackie virus and possibly CMV, alters the functioning of the amygdala and other areas of the brain adjacent to it resulting in the deregulation of the autonomic nervous system, HPA axis and immune functioning. The therapy is designed to re regulate psycho-neuro-endocrine-immune function so that the person can return to a healthy state of mind and body.
The doctor uses various treatments that integrate osteopathic, eastern acupuncture and homeopathic principles. A primary focus is a technique frequently used in Germany called ‘Neural therapy’ that has gained a margin of acceptance by the work of Dr. Klinghardt here in the U.S. His unique contribution to the neural therapy field has been his application of homeopathic formulas in place of the anesthetics usually used in neural therapy. These formulas are hand-picked on a day-to-day basis and are injected into neural points to return balance to the neuro-muscular-endocrine response and fight off the infection. He also utilizes prolotherapy, laser therapy, intravenous nutrient replacement and other techniques that help revitalize the competency of the body as a whole.
(http://aboutmecfs.org:80/Story/MECFSRecovery.aspx)
I was wondering if this is similar to the treatments that you perform? Do you have any experience restoring significant robust health to long-term CFS patients? Any ideas, opinions or recommendations that you could share would be greatly appreciated.
Cheers,
Ian

hi Ian:

Yes I use all of these methods and have studied extensively with Dr. Klinghardt. I might apply them in a similar but slightly different manner as each practitioner has their own approach. As to your diagnosis of CFS, it is a description of a collection of symptoms and not a disease, which means that what is causing your problem is likely uniquely different from others. The common factors though tend to be in the realm of chronic infections (any kind), endocrine, neurological, toxic, often toxic metals. Perhaps allergy or other common parallel problems. Neural therapy, IV therapies, homepathic injections and remedies, detox, hormonal balance would all be areas to consider, as well as whatever else shows up. Prolotherapy, tends to be more related to chronic musculoskeletal problems which may or may not be part of your problems, but would be used if appropriate.

I trust this addresses your concerns.

best
Dr. Hal Brown


                                                                                         Excema

Dear Dr Brown,

My name is Paula, I've heard your name in circles and wanted to ask you a quick question.

My daughter is 9 years old and has had severe excema since she was a baby. I would like to get her off the corticosteriod creams, but her skin is so inflammed. She is very stubborn, loud, moody. She has started her period early, irregular and light, since she was 8. She also gets focal headaches, not often, but when she does they are quite severe. The last one was severe enough to make her throw up and we saw a pediatrician. He tested her for precosious puberty, which came back negative. I think she may have food senstivities, and would like to have her tested. Is vega testing the most non-invasive? She does not have good experiences with medical professionals and can be uncooperative. What do you think?

I have e-mailed your office to book and appointment, as well.

I look forward to meeting you.

Sincerely,

Paula

Dear Paula:
Eczema usually has an allergic component to it and we have had very good results in treating it. Electro dermal testing is non invasive and child friendly. We can also do a blood test which tests more of the immunoglobulin reactions. Both methods are good, and often find things the other doesn't. There is a spot blood test that we occasionally use for children that requires a skin poke and a couple of drops, but it sounds as though it may be a bit much for your daughter early on. Ironically the behaviour and headaches you describe may be related to allergies as well. We would also have to consider toxicity as potential problem.

Of course a thorough case history would have to be taken in order to determine any other factors. Hopefully we can create a more "doctor friendly" environment for your daughter.

In the meantime, if you want to stop the steroid cream (good idea), we have a homeopathic calendula cream in our dispensary that can be very effective with eczema. You may have already tried calendula creams, but this one is specially compounded by a pharmacists and it seems to work when no other ones have. I suggest trying a small bottle.

hope this addresses your questions. will look forward to meeting you.
Sincerely
Dr. Hal Brown


Knee Cartilage Regeneration?

Hi there,

I have been experiencing constant knee pain for the better part of 10 years.  I am 36 years old and had orthoscopic surgery on my left knee about 8 years ago to remove a hardened piece of fat that was locking my knee.  During the procedure the surgeon showed me that my cartilage was “like a soft pillow” when it was suppose to be hard.  At the time he recommended that I stop playing volleyball, snowboarding, and mountain biking as this will only cause my cartilage to deterate further.

I followed his advice but have experience constant pain from both of my knees since.  Recently my knees have been feeling very week and I have the sensation that they are coming dislocated when performing simple little tasks (such as rolling over in bed).  I have always been a very active person and my life is being severally impacted by my knees. 

Throughout my adolescence I was extremely active.  I skateboarded, snowboard, played basketball and volleyball, ran long distances (5 to 10km) and worked out in a gym on a regular basis. 

I have been recently reading about injections that can help rehabilitate the cartilage in my knees.  Do the Platelet Rich Plasma injections, that you offer, work in the same way?

Clayton

Hi Clayton:

If you are feeling such instability in your knees, it may well come from lax ligaments which may have received overstretching injuries or result from joint space reduction.  PRP is used extensively by professional athletes for knee injuries (and others) just google PRP and a sport and you can see this. There are some links on my PRP page: http://drhalbrown.com/Platelet-Rich-Plasma.php  in the left hand column.

as well on this page on the left there is a pdf link of the research behind PRP and its potential for cartilage regeneration.
  another research abstract indicating regeneration:
http://journals.lww.com/techknee/Abstract/2007/09000/Biologic_Enhancement_for_Meniscal_Repair.7.aspx

I have been using prolotherapy for over 6 years and have seen excellent results in chronic knee problems.  Since introducing PRP to my practice I have seen the quality of the improvement increase very significantly.

At this point I have not had enough time using PRP to observe any regeneration of cartilage in a knee (or other joint).  I have seen many knees with deteriorating cartilage improve significantly in pain reduction and functional activity, so if you are a candidate for these therapies, you should at the least feel very much better and be able to return to many of your activities.

There is anecdotal evidence that PRP will help regenerate cartilage tissue. Seeing as the joint has no blood supply, it does seem logical that introducing healing blood elements into the area could have such a positive effect. Here is one such report using prolo, not PRP. Considering PRP is at least 4-6X as stimulating, I would expect better effects using PRP. http://www.caringmedical.com/condition_details/Cartilage_Damage.htm

Over the years I have tried using injections with glucosomine sulphate, MSM, hyaluronadase, ozone, homeopathics and of course dextrose prolotherapy.  All have been effective, many people have been able to delay hip and/or knee replacement surgery for long periods.  My early experience leaves me hopeful that PRP may improve this result greatly.

I trust this addresses your concerns.

Sincerely,
Dr. Hal Brown