Dr. Robert F. Kidd    

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Neural Therapy
Orthopaedic Medicine
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People’s Right to Integrative Medicine
Safety First: Dispelling Myths about Complementary Therapies

The following are abstracts or summaries of articles published in peer reviewed journals. Complete texts are available on request from rfkidd@rfkidd.com.

Thought Processes: Stability, Ligaments, Tension, Pain & Prolotherapy
Kidd RF
Journal of Orthopaedic Medicine 2000
Volume 22: Number 3: pp. 73-74

Ligament pain does not necessarily mean ligament laxity, and ligament laxity does not necessarily cause pain.

Why myofascial release will never be evidence-based
Kidd RF
International Musculoskeletal Medicine 2009
Vol. 31, No.2, pp.55-56

Myofascial release is an art form. Much depends on the innate talent and experience of the therapist. This is not to say that outcomes cannot be evaluated and compared with controls treated in some other way. However, in evaluating the outcome, the therapist cannot be excluded from the process. Even if all diagnostic variables could be controlled, any difference in outcome would have to be ascribed to the manual therapist using a particular technique, rather than to the technique itself.

Pain Localization with the Innominate Upslip Dysfunction
Kidd RF
Manual Medicine 1988
Volume 3: pp. 103-5

All adult patients in a private orthopaedic medical practice were screened for innominate upslips over a period of two years. Sixty-three were found, of which all presented with pain. With treatment, correction of the upslip was associated with an improvement or disappearance of pain. In those with upslips, pain was often felt in more than one area and at levels of the body remote from the sacroiliac joint. Also, the association of the upslips with the side of the body in which the pain was felt was essentially random. These findings raise questions as to how pain is produced with innominate upslips.

The Clinical Importance of the Pelvic Ring in Low Back and Leg Pain
Kidd RF
Journal of Orthopaedic Medicine 1989
Volume 1: pp. 3-6

The pelvic ring is an important part of low back structure and cannot be ignored when studying the problem of low back pain. The L4 and L5 vertebrae are part of the pelvic ring and are directly affected by disturbances of pelvic mechanics. Pelvic mechanics are complex; although motion is subtle, many possible types of motion exist. Disturbance of these normal motions may result in pain, although the causative connection is often unclear.

A simple method for detecting these abnormalities has been presented, as well as a classification system and observations on their clinical significance.

Orthopaedic Medicine: The Problem of Diagnosis
Kidd RF
Journal of Orthopaedic Medicine 1990
Volume 12: pp. 58-62

At times, patients present with symptoms and signs that do not "make sense". When this occurs, the fault may lie in the diagnostic model that we are using, and not necessarily in our lack of knowledge or skill. Orthopaedic physicians need to be aware of more than one model in diagnosis and be flexible enough to make the model fit the patient rather than the converse. Three general diagnostic models are discussed as well as ways to integrate them in diagnosis.

Does the Innominate Upslip Cause Musculoskeletal Pain?
Kidd RF
Manual Medicine 1992
Volume 6: pp. 169-170

The question of whether the innominate upslip is a cause of musculoskeletal pain or part of a larger muscle imbalance pattern is addressed. In all, 62 patients with innominate upslips were assessed and treated by manipulation for their other mechanical problems, but not for their innominate upslips. On immediate reexamination, 51 were found to have no evidence of an innominate upslip. It is concluded that most of the time, an innominate upslip is a result of muscle imbalance and not in itself a cause of musculoskeletal pain.

Palpatory Clues as Indications for Prolotherapy
Kidd RF
Journal of Soft Tissue Manipulation 1993
August/September: pp. 8-9

The inter-relationship between structural hyper- and hypomobility is discussed and the concepts of primary and secondary joint hypermobility. Palpatory cues discernable by skilled manual therapists are described that help in making a differentiation. Prolotherapy is briefly explained and the indications for its use.

Musculoskeletal Dysfunction of the Neck in Migraine and Tension Headache
Kidd RF and Nelson RF
Headache 1993
November/December: pp. 566-569

In this prospective controlled study, thirty-seven migraine and/or tension headache patients and thirty-seven age and sex matched controls were examined for evidence of musculoskeletal dysfunction in the neck. The examination consisted of clinical range of motion testing of neck rotation, sidebending, flexion and extension while in the sitting position. The headache group had more abnormal physical findings than the control group. Although the difference for each particular motion test, taken by itself, was not statistically significant, two or more abnormalities in combination was found to reach a .05 confidence level of significance. It is proposed therefore that musculoskeletal dysfunction of the neck is a contributing factor to the etiology of migraine and tension headache.

Recent Developments in the Understanding of Osgood-Schlatter Disease: A Literature Review
Kidd RF
Journal of Orthopaedic Medicine 1993
Volume 15: pp. 59-61

Osgood-Schlatter Disease (OSD) is a common cause of knee pain in active young adolescents, especially boys. First described in 1903 by Osgood in the USA and three months later by Schlatter in Germany, it has been receiving increasing attention in the medical literature in recent years.

Treatment of Osgood-Schlatter Disease by Prolotherapy: A Case Report
Kidd RF
Journal of Orthopaedic Medicine 1993
Volume 15: pp. 62-63

Prolotherapy has been used to treat Osgood-Schlatter disease for many years but has never before been reported in the peer reviewed literature. In this report, four patients with Osgood-Schlatter disease are described, as well as their treatment with prolotherapy. Three of the four had good outcomes. There were no adverse effects.

The Innominate Upslide Sign and Assessment of Pelvic Ring Stability
Kidd RF
Journal of Orthopaedic Medicine 1997
Volume 19: pp. 43-46

The purpose of this study was to compare the innominate upslide sign with other tests of sacroiliac mobility. If the upslide sign does not correlate with the results of other methods of testing, it may be providing additional and possibly more precise information about sacroiliac stability in the upright posture.

Results of Dental Amalgam Removal and Mercury Detoxification Using DMPS and Neural Therapy
Kidd RF
Alternative Therapies July 2000
Volume 6: Number 4: pp. 49-55

Sixty consecutive patients who had undergone replacement of dental amalgam fillings and a protocol of nutritional support and heavy metal detoxification suing dimercapto-propanyl-sulfate and neural therapy were surveyed. A questionnaire was mailed to the patients and 42 responded, resulting in a response rate of 70%. The reasons for undergoing treatment were many, ranging from a patient's desire to avoid potential health problems in the future to treatment of serious current disease. Although medical diagnoses were made when possible before treatment, this survey studied only the patients' estimations of their most distressing symptoms and their evaluations of response to treatment. The most common complaints were problems with memory and/or concentration; muscle and/or joint pain; anxiety and insomnia; stomach, bowel and bladder complaints; depression; food or chemical sensitivities; numbness or tingling; and eye symptoms, in descending order of frequency. The most distressing symptoms were headache and backache, fatigue, and memory and concentration problems. Headache and backache responded best to treatment, but all symptoms showed considerable improvement on average. Of the respondents, 78% reported that they were either satisfied or very satisfied with the results of treatment, and 9.5% reported that they were disappointed.

Osteopathic Treatment by Injection: A Comparison of Osteopathic Manipulative Treatment and Neural Therapy
Kidd RF
The American Academy of Osteopathy Journal Fall 2001
pp. 29-33

Originally published by The AAO Journal. Posted with permission from American Academy of Osteopathy.

At about the middle of the twentieth century, neurophysiologists were exploring the scientific basis of the "osteopathic lesion". At the same time, German physicians were investigating the therapeutic possibilities of procaine on the autonomic nervous system. Both groups were using the same scientific literature but developed different diagnostic and therapeutic models. This paper examines this literature and the clinical similarities of osteopathy and neural therapy.

Indications for Low Back Prolotherapy
Kidd RF
The Pain Clinic April 2004
pp. 15-21

Assessment is not simple, but prolotherapy usually provides satisfactory and permanent results if patients are selected carefully.