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Do You Have a Frozen Shoulder? Learn from the Experts · Wellness Uncensored

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Speaker 1: Any health related information on the following show provides general
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Speaker 1: information only. Content presented on any show by any host
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Speaker 1: or guest should not be substituted for a doctor's advice.
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Speaker 1: Always consult your physician before beginning any new diet, exercise,
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Speaker 1: or treatment program.
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Speaker 2: Hey, good afternoon, and welcome to another episode of Wellness Uncensored.
0:38
Speaker 2: I'm your host. My name's doctor Patty G. I'm a
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Speaker 2: psychiatric nurse practitioner by trade, and I guess Patty of
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Speaker 2: all trade by other names, because I find my way
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Speaker 2: involved into all kinds of work, interventional and networking and
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Speaker 2: putting people together and trying to build bridges across the
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Speaker 2: community and across the globe. I guess I have had
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Speaker 2: the honor and pleasure of getting to meet a lot
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Speaker 2: of different people in my lifetime, in my career, and
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Speaker 2: then it actually really magnified during the plight of the
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Speaker 2: COVID pandemic, and prior to the pandemic we're going to
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Speaker 2: talk about on this show, I had suffered with frozen
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Speaker 2: shoulder otherwise known as adhesive capsulitis and did a book
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Speaker 2: it's at the bottom of the screen, Frozen Shoulder Survival Guide.
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Speaker 2: It was actually a guide written from my own personal
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Speaker 2: journey and then my beginnings in treating patients with frozen shoulder.
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Speaker 2: But the show is here to talk about things you
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Speaker 2: may or may not catch on live stream mainstream media.
1:38
Speaker 2: We talk about things that are often really defined the
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Speaker 2: best ways to optimize yourself. So, although I lead from
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Speaker 2: an edge in psychiatry, because I really do work with
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Speaker 2: folks now primarily to improve their psychiatric, mental health and
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Speaker 2: well being, I do it from a foundation of really
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Speaker 2: health and wellness through nutrition, sleep, exercise. And there's certain
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Speaker 2: subspecialties that I really have a passion for, which being
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Speaker 2: frozen shoulder, because I've had three and about a year
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Speaker 2: and a half ago almost two now, I actually manifested
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Speaker 2: a hip frozen hip, if you can manage that. But
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Speaker 2: what I'm here to talk about today is I want
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Speaker 2: to bring on our wonderful guest who has actually been
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Speaker 2: here in prior episodes, and I want to welcome on
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Speaker 2: doctor Larry Burke. He is by trade a number of
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Speaker 2: things from a physician standpoint. In terms of a radiologist,
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Speaker 2: I'll let him kind of give you the detail in
2:31
Speaker 2: the background because it's so fascinating. I was blessed to
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Speaker 2: be able to meet him actually during the COVID pandemic,
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Speaker 2: and he does a lot with healing physical illnesses, transforming emotions,
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Speaker 2: and enhancing performance. He's done and through EFT tapping, hypnosis,
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Speaker 2: expressive writing, and dream work. We're going to give you
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Speaker 2: information and ways to be able to connect with him.
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Speaker 2: But doctor Larry and I became connected and familiar on
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Speaker 2: believe it all of all things Facebook because he also
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Speaker 2: has a passion for working in and treating with frozen
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Speaker 2: shoulder and he's got a revision to his book out.
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Speaker 2: So welcome doctor Larry. It's great to see.
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Speaker 3: You, great to be back.
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Speaker 2: Yeah, so feel free. I don't know that I ever
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Speaker 2: really do justice your history of all of your career,
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Speaker 2: but you want to give folks a little better layer
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Speaker 2: of like you.
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Speaker 3: Well, I guess what's relevant this conversation is I did
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Speaker 3: one of the very first MRIs of the shoulder in
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Speaker 3: nineteen eighty six on my own shoulder, and I didn't
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Speaker 3: know what I was looking at, and I had impingement
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Speaker 3: syndrome and bresidas at the time, But to be honest,
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Speaker 3: I didn't see much at all that I could recognize.
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Speaker 3: But then I wound up having my shoulder arthroscoped within
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Speaker 3: the next year, which didn't help my chronic shoulder paying
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Speaker 3: which lasted for twenty years, and it took me that
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Speaker 3: long to figure out that it was due to repressed
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Speaker 3: anger from my first marriage until I got divorced and
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Speaker 3: it started getting better. In the meantime, I learned a
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Speaker 3: puncher and hypnosis and was co founder of Duke's Integrated
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Speaker 3: Medicine Center, and wound up discovering EFT emotional freedom techniques
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Speaker 3: in two thousand and two, which was the perfect combination
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Speaker 3: between those two approaches. By that time, my left shoulder
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Speaker 3: was starting to feel much better. And then four years later,
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Speaker 3: in twenty twenty six, I got started getting a right
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Speaker 3: frozen shoulder, which unfortunately I had already treated a couple
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Speaker 3: of agricuncture and EFT before, so I knew what was
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Speaker 3: going on. Wound up treating myself with e FT and
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Speaker 3: got better in My pain was gone in three months
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Speaker 3: and my range emotion was back in six months, which
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Speaker 3: is about as fast as you overhear anyone on name
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Speaker 3: of the frozen shoulder Facebook group. We have sixty eight
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Speaker 3: thousand people on it, and those people are suffering for
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Speaker 3: one or two or even three years. That was my
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Speaker 3: entree in to a frozen shoulder and since then I've
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Speaker 3: been running this group since twenty seventeen and published this
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Speaker 3: book is My Frozen Shoulder Healing Book, which the second
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Speaker 3: edition has a forward by Christian Northrop, who's one of
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Speaker 3: the biggest promoters of my work fortunately, and also has
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Speaker 3: endorsements by none other than doctor Patty Juliana herself and
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Speaker 3: also Don Buford, who's are uniquely our group orthopedic surgeon.
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Speaker 3: I mean, not too many Facebook groups have our own
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Speaker 3: nurse practitioner and our own orthopedic surgeon to consult with,
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Speaker 3: but that's been a real pleasure to collaborate with both
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Speaker 3: of you. And so that book's been out for a
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Speaker 3: month now, or less than a month actually, and it's
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Speaker 3: got lots of new material in it, including lots of
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Speaker 3: comments from Dawn about the different modalities and expanded sections
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Speaker 3: on peptides, on shockwave therapy, on manipulation under anesthesia and
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Speaker 3: even greater frequency ablation, and a couple other ones that
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Speaker 3: were not on my radar screen during the first first
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Speaker 3: go rounds.
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Speaker 2: Yeah, lots of good stuff to talk about today, and yeah,
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Speaker 2: you're right, it's fascinating because I've got orthopedic surgeons that
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Speaker 2: tend to drift more into steroids and surgery or steroids
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Speaker 2: and MUA manipulation under anesthesia. Some are now really coming
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Speaker 2: into the fold looking at using PRP, which is the
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Speaker 2: peptides things that I've had a lot of success with,
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Speaker 2: and some of them are actually been looking into other
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Speaker 2: types of peptide work with the BPC one fifty seven.
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Speaker 2: But yeah, your book's got a lot of good updates
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Speaker 2: and revisions, and I know there's stuff that we want
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Speaker 2: to talk about and kind of sharing there. Kind of
6:53
Speaker 2: the sky is the limit, folks. So today, if you
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Speaker 2: guys have questions and you want to text in, we
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Speaker 2: are here to kind of help you understand a little
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Speaker 2: bit more about what is frozen shoulder. And well, that's
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Speaker 2: actually somebody's first question. What it is. I will tell
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Speaker 2: you and my impression as I describe it to my patients,
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Speaker 2: and doctor Larry can give you his impression and some
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Speaker 2: more of the technicalities. But it's really when your shoulder
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Speaker 2: feels like it's dried up, kind of locked down, almost
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Speaker 2: like a clamshell, and you get restrictive movement. It can
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Speaker 2: happen very insidiously meaning there can be no rhyme or reason.
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Speaker 2: You don't necessarily need an accident or a fall. Some
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Speaker 2: people develop it through hormonal imbalances. Some people seem to
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Speaker 2: find the tendencies who are either autoimmune, compromised in some way,
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Speaker 2: or have other types of deficiencies. Diabetics seem to be
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Speaker 2: prone as well, just with the metabolic types of issues.
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Speaker 2: But it's a progressive degeneration over time where your shoulder
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Speaker 2: almost well it actually does become sort of pulled and
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Speaker 2: taken out of its normal range of motion, and so
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Speaker 2: your shoulder blade sort of feels lifted. That's what mine.
8:01
Speaker 2: You could see it in the mirror. The shoulder blade
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Speaker 2: was sort of off center. And what happens is your
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Speaker 2: ligaments and the tendons and your muscles and the nerves
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Speaker 2: are all pulled. And when they're pulled and sort of
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Speaker 2: distracted out that way, it causes this intense pain. That
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Speaker 2: for the phenomenon of why it's worse at night, worse
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Speaker 2: at rest, and it can last just a period of time.
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Speaker 2: And what doctor Larry and I are here talking about
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Speaker 2: today are ways to identify it and ways to treat
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Speaker 2: it and ways to get it to heal. And from
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Speaker 2: my experience, it's been one hundred percent recovery generally with
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Speaker 2: one hundred percent return to range emotion. But the range
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Speaker 2: of motion is so fascinating because if you were to
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Speaker 2: sit up and tried to do your external rotation, which
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Speaker 2: I can't really get on the screen, if you're restricted,
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Speaker 2: you can't go out like this. But if you're restricted,
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Speaker 2: you can barely even go like this. You can't get
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Speaker 2: it much higher than this. So, from your perspective, Doctor Larry,
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Speaker 2: what do you describe what is frozen shoulder to the
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Speaker 2: general popular The.
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Speaker 3: Only thing I differ with it from what you said
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Speaker 3: so far as I wouldn't use the term degenerative for
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Speaker 3: frozen shoulder because it's it's to be distinguished from degenerative arthritis,
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Speaker 3: which is in the differential diagnosis for frozen shoulder, and
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Speaker 3: it's actually one of the things that mimics frozen shoulder
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Speaker 3: most closely. Because there's a lot of conditions that give
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Speaker 3: you pain, there aren't that many that give you restricted
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Speaker 3: range of motion, and degenerative osterearthritis is one of those conditions. Now,
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Speaker 3: that's the nice convenient thing is that you can pretty
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Speaker 3: easily distinguish that from frozen shoulder by just getting a
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Speaker 3: plain old X ray. Yeah, your X ray, you'll see
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Speaker 3: osteophytes and joint space narrowing if you've got ostere arthritis,
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Speaker 3: whereas in frozen shoulder, your X ray will usually be normal.
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Speaker 3: So that's sort of why a lot of people are
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Speaker 3: going to get a plane X ray, just to make
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Speaker 3: sure you don't have some kind of and the older
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Speaker 3: you are, the more likely it is to be arthritis.
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Speaker 3: Seventy five, i've the shoulder pain or limit arrange emotion.
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Speaker 3: My first BET's going to be it's arthritis, not frozen shoulder.
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Speaker 3: Whereas if someone is forty to sixty and has all
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Speaker 3: some of the risk factors you mentioned, and also the
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Speaker 3: other major risk factor that is not talked about in
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Speaker 3: the regular medical literature is the psychosomatic component of frozen shoulder,
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Speaker 3: which is emotional stress, an emotional trauma that's dropped in
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Speaker 3: your shoulder. It's usually either anger or grief, and it's
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Speaker 3: often happens in a week or two before your shoulder
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Speaker 3: starts to freeze, you had some sort of very upsetting
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Speaker 3: experience that winds up getting lodge in your shoulder and
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Speaker 3: stuck there for months until you do something to release it.
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Speaker 2: Yeah, in that fascinating I know that that really seemed
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Speaker 2: to be precipitating factors for me each time there was
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Speaker 2: emotional trauma or you know, a huge life event. And
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Speaker 2: these are individual for people, so what could be an
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Speaker 2: individual you know moment for myself may not be so
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Speaker 2: stating for someone else, but it's that impact to the psyche.
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Speaker 2: And like docjor Larry you were talking about the somatic symptoms,
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Speaker 2: there's actually a diagnosis within psychiatry of somatic symptoms. And
11:13
Speaker 2: people have had psychiatric conditions develop where they use they
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Speaker 2: can lose use of a limb, some have even I
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Speaker 2: had one patient lose the use of their lower extremities
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Speaker 2: and it was so real to them and they were
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Speaker 2: in a wheelchair for a few months until we could
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Speaker 2: really get them to work through cognitive behavioral work and
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Speaker 2: some of the other stuff. But the frozen shoulder, yeah,
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Speaker 2: it almost develops very like I said insidiously, it's slow.
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Speaker 2: And you notice I've had patients say the same things.
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Speaker 2: It's a little twinge and the twine starts to get
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Speaker 2: a little more stiff or sore, and then it spreads
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Speaker 2: and then until it really becomes something you're like, I
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Speaker 2: can't move it, or the pain gets great. You don't
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Speaker 2: even notice really those first early signs a lot of times,
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Speaker 2: so it could be starting sooner than you realize, and
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Speaker 2: then when you actually realize it, it may have already
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Speaker 2: been brewing.
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Speaker 3: And some people have been going on for so long
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Speaker 3: and they haven't been able to figure out what the
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Speaker 3: problem is. They may have never heard of frozen shoulder.
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Speaker 3: Their doctors might not be that familiar with it either,
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Speaker 3: and so it might be months before they get a diagnosis.
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Speaker 3: And then when you ask them what triggers the pros
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Speaker 3: and stow, they can't remember what happened the week right right.
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Speaker 2: That was my first one in twenty fourteen. It was
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Speaker 2: far less known or talked about, and so, having spent
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Speaker 2: a lot of my time working in the I was
12:33
Speaker 2: very familiar with manipulation and anesthesia. I watched how you
12:37
Speaker 2: did it. I was getting this progressively, you know, more
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Speaker 2: debilitated shoulder, and I just wanted it to be fixed.
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Speaker 2: And fortunately, because I worked in there, the orthopedic surgeon
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Speaker 2: he said, oh, call my office, we'll get you in
12:53
Speaker 2: for an MUA, and they gave me like a five
12:56
Speaker 2: week appointment I'm like, I cannot wait five weeks and
12:59
Speaker 2: by accident and I was flying back home to Florida.
13:02
Speaker 2: I was working in Las Vegas and there was a
13:06
Speaker 2: brochure on one of the airline magazines that I don't
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Speaker 2: even think they make those magazines anymore, but it was
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Speaker 2: for a orthopedic sports medicine guy in Miami. And when
13:16
Speaker 2: I read some of the things on his little ad,
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Speaker 2: I'm like, oh, what could this be. I made a
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Speaker 2: trip down there, and he was the first one who
13:23
Speaker 2: had introduced me into the p rps and the stem cells,
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Speaker 2: and it was very effective. And so I like to
13:30
Speaker 2: go from an approach of more of a less invasive,
13:33
Speaker 2: more alternative alternative approach. But yeah, so we can talk
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Speaker 2: about different alternatives as well too.
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Speaker 3: But their thing you mentioned from a psychiatric point of view,
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Speaker 3: I wanted to be a psychiatrist in medical school, so
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Speaker 3: I was fascinated by some of those conditions like you
13:48
Speaker 3: just described as the conversion disorder where someone has loss
13:52
Speaker 3: of a limb. But when you do an mrisk there's
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Speaker 3: nothing wrong with it, you know. But there was a
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Speaker 3: little different. I refer to it as a somatic metaphor
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Speaker 3: in that yes, it has a psychosomatic component, but different
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Speaker 3: from a conversion disorder. When you do an MRI scan
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Speaker 3: or an ultratar, something reality and it's inflammation initially and
14:16
Speaker 3: then gradually progresses the fibrosis. And the thing that's interesting
14:21
Speaker 3: from a visual point of view is a version goes
14:24
Speaker 3: in there in the early stages. The synoviial lining of
14:27
Speaker 3: the joint, which is usually a nice, healthy pink color,
14:31
Speaker 3: has gotten angry red. And if the person got triggered
14:36
Speaker 3: by a real outburst of anger, it's actually manifested itself
14:41
Speaker 3: in their body as a somatic metaphor of an angry sonodium.
14:44
Speaker 3: And so that to me is the conversion disorder because
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Speaker 3: there's something I can see an MRI scan.
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Speaker 2: Yeah, yeah, I mean that's a good differentiation of it.
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Speaker 2: The physical symptoms are real, the diagnosis, the MRI findings,
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Speaker 2: all those types of things, and you can see this
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Speaker 2: and it does. It looks very angry. That's a really
15:06
Speaker 2: good way to describe it. And inflammation is intense. So
15:10
Speaker 2: you know that leads us to what do we do?
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Speaker 3: And you mentioned PRP. What I like to do with
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Speaker 3: my coaching clients is say I have four levels of
15:19
Speaker 3: intervention for things. What are you what can What are
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Speaker 3: self care things you can do for yourself? Freedom techniques,
15:27
Speaker 3: expressive writing, change your change to an anti inflammatory diet,
15:31
Speaker 3: take some supplements. Those are all things you can do
15:35
Speaker 3: on your own. Even homeopathy or haven't had many people
15:38
Speaker 3: use homeopathy, but it's reported. But then the next level
15:43
Speaker 3: is which practitioners would you go to for either diagnosis
15:48
Speaker 3: or advice about treatment? So that's who do you go to?
15:52
Speaker 3: Then once you've been to someone, Uh, the interventions are
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Speaker 3: the first level. I call the injections, you know, yeah,
16:00
Speaker 3: wor it's p r P hyaluronic acid stem cells. There's
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Speaker 3: even people are injecting botox and ozone. It's like there's
16:11
Speaker 3: an almost limitless number of things you can inject in
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Speaker 3: your shoulders.
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Speaker 2: So yeah, I hadn't thought of that one, but.
16:18
Speaker 3: For several of them. So and I have no experience
16:21
Speaker 3: with any of them because I the only thing I
16:23
Speaker 3: did for my further shold was was emotional freedom techniques.
16:26
Speaker 3: So so, did you ever have a steroid injection or
16:29
Speaker 3: did you skip that?
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Speaker 2: Yeah? I skipped the steroid. I am not very comfortable
16:34
Speaker 2: with what it does to the tissues, to.
16:37
Speaker 3: The cartilage, to the more likely you already get a
16:41
Speaker 3: side effect.
16:42
Speaker 2: Yeah, the negative effects of steroids in all my experience
16:46
Speaker 2: has been that it's it's you know, further damage. It
16:49
Speaker 2: can spike blood sugar, so you know, people that are diabetic,
16:53
Speaker 2: they really need to be prepared and I just don't
16:56
Speaker 2: see to me, the way I described that one to
16:58
Speaker 2: patients is you know it it really masks the improvement.
17:02
Speaker 2: So while you may get some relief, and a lot
17:05
Speaker 2: of people that I've talked to they get more. They'll
17:07
Speaker 2: get a nerve flair or nerve irritation from getting the injection.
17:10
Speaker 2: Then while they do feel better, the ones that do
17:12
Speaker 2: get relief, they go back and start moving and using it,
17:15
Speaker 2: and then that causes further inflammation. So I try to
17:18
Speaker 2: avoid the steroids, but I do like the peptides. I
17:21
Speaker 2: do like the PRP.
17:23
Speaker 3: So what order was you going the PRP first?
17:27
Speaker 2: Well, I like to start out with the peptides because
17:30
Speaker 2: that's something I can also teach them to use. We'll
17:34
Speaker 2: do them, but I teach them how to use them
17:35
Speaker 2: because we're doing them SubQ and you only have to
17:37
Speaker 2: be close to the area. I mean, you could certainly
17:40
Speaker 2: we can do them for them, but peptides are things
17:43
Speaker 2: that we teach people how to self inject subkey.
17:47
Speaker 3: Order them and they get shipped to their house or they.
17:51
Speaker 2: Come in for the first one to show them like
17:53
Speaker 2: where and how to inject if they're not sure. I
17:55
Speaker 2: do have some people long distance that if we have
17:58
Speaker 2: a good conversation and we we chat via zoom and
18:01
Speaker 2: they're comfortable, I can kind of visually work through with
18:05
Speaker 2: them where they should inject, and then yeah, we ship
18:07
Speaker 2: them to their house and then we do p RPS.
18:12
Speaker 3: Let's talk about peptide some more so because that's sort
18:16
Speaker 3: of cutting edge right now. And so BPC and TB
18:21
Speaker 3: five hundred is seen to be the wolverine stack that
18:24
Speaker 3: people talk about if you do use both of them
18:26
Speaker 3: or just one of them.
18:27
Speaker 2: Yeah, well I've actually used three. It's the TV five hundred,
18:31
Speaker 2: the copper and the g it's g U K and
18:35
Speaker 2: the BPC one fifty seven. It's called a glow combination and.
18:41
Speaker 3: Glow and glow right, Yeah, Glow is.
18:43
Speaker 2: The one we use because it's the copper.
18:47
Speaker 3: I think the cloth is four different one.
18:50
Speaker 2: Yeah, it might be. I have to double check on them.
18:52
Speaker 2: That and that one's more for what we describe it
18:55
Speaker 2: and use it as is more for aesthetics. But the
18:58
Speaker 2: glow has got the copper in it. So with that
19:01
Speaker 2: and the TV five hundred with the BPC one five seven,
19:06
Speaker 2: that tri mix, if you will, is a good way
19:09
Speaker 2: to go. You can't go wrong. I started out just
19:12
Speaker 2: using the BPC one five seven, still got pretty good results,
19:16
Speaker 2: but it's just intensified and a little quicker, a little
19:20
Speaker 2: more sustaining.
19:21
Speaker 3: And what's the source of your peptides? I mean there's
19:24
Speaker 3: unfortunately there's a wild bar West out there. You can
19:26
Speaker 3: get that. Yeah, where do you get yours?
19:29
Speaker 2: We order ours through a compounding pharmacy. So and then
19:33
Speaker 2: the patient has to put sterol water into it and
19:39
Speaker 2: make it di loote. We ship it in a powder.
19:42
Speaker 3: And how much are we talking about per day?
19:44
Speaker 2: We give them a ten milligram vial and we have
19:50
Speaker 2: them take out point five after they inject two c
19:53
Speaker 2: season too that they take out point five of the
19:56
Speaker 2: BPC one five seven, and then they take out point
19:59
Speaker 2: three of the TV five hundred and then point two
20:05
Speaker 2: of the copper and they pull it all up into
20:08
Speaker 2: one syringe. If we get them the glow, they just
20:11
Speaker 2: pull out the BPC one five seven and they pull
20:15
Speaker 2: out point five ccs of that, and then the glow
20:18
Speaker 2: they just pull out point five so they're getting one
20:20
Speaker 2: cc injection of that.
20:22
Speaker 3: How much does one injection cost?
20:24
Speaker 2: Roughly each serrant, each vial, like the BPC one five
20:30
Speaker 2: seven is sixty five dollars for the the vial and
20:36
Speaker 2: that lasts for several injections, several injections. Yeah, and then
20:40
Speaker 2: the same thing with the glow. That's I think that
20:42
Speaker 2: one's seventy or seventy five, and so you know, it's
20:46
Speaker 2: very reasonable. It every No, we have them injected for
20:50
Speaker 2: four days on take a break. They do it twice
20:53
Speaker 2: a day, so two days days they do it morning
20:56
Speaker 2: and morning and evening, and then after four days they
20:59
Speaker 2: give it a little break and then we talk and
21:01
Speaker 2: then they'll do it again for another four days. Usually
21:04
Speaker 2: within the first day or two, they noticed something feels better,
21:08
Speaker 2: less pain, just you know, it just feels better. And
21:11
Speaker 2: then from there we usually go into PRP if we're
21:14
Speaker 2: just if it's just not making progress after about two.
21:17
Speaker 3: Weeks, Now, how long can you keep the peptides going for?
21:21
Speaker 3: You said two weeks and then then just pushed the PRP.
21:24
Speaker 2: Yeah, and then we usually go to PUERP just for
21:26
Speaker 2: frozen shoulder. I use peptides for other types of pain.
21:30
Speaker 3: So what's doing well in two weeks? Do you just
21:32
Speaker 3: keep going with the peptides or do they stop or.
21:34
Speaker 2: What they can keep going with the peptides, And then
21:36
Speaker 2: we talk about the PRP. Some people have this, you know,
21:40
Speaker 2: they don't want to do the injection because it's a
21:42
Speaker 2: little more invasive. It's not terribly painful, but I know
21:47
Speaker 2: that when I first had the injections done, they were
21:50
Speaker 2: going into the capsule and it was it was pressure,
21:54
Speaker 2: it was pain. But the way our team injects, I mean,
21:58
Speaker 2: it really just feels like a beast with a little
22:00
Speaker 2: bit of pressure.
22:01
Speaker 3: So it's up Q or is it intermuscular?
22:04
Speaker 2: No, the injection for the VP, for the p RP,
22:08
Speaker 2: that was right now. For the peptide SUBC, Yeah, that's
22:12
Speaker 2: all subcube.
22:13
Speaker 3: And do you move the injection side around so you
22:16
Speaker 3: don't get along You usually.
22:17
Speaker 2: Just inject close to where they're feeling the pain. A
22:19
Speaker 2: lot of times it's up, like up in the deltoid area.
22:22
Speaker 2: We just pinch up and we do right in the
22:24
Speaker 2: deltoid and it usually starts to kind of diffuse right
22:27
Speaker 2: in there. Sometimes we'll have it do in the front
22:29
Speaker 2: of the deltoid right here, so they have a fatty
22:32
Speaker 2: enough area that they feel comfortable injecting, because I don't
22:34
Speaker 2: want them to inject and then feel like they're.
22:35
Speaker 3: Going to hit they get any kind of local reaction
22:38
Speaker 3: and all rash or anything like that.
22:40
Speaker 2: Or typically know, occasional redness but not not really noticeable.
22:47
Speaker 3: Orthopedistlan Vie for somewhat skeptical just because there hasn't been
22:51
Speaker 3: any research, and then he's pretty much it's now the
22:56
Speaker 3: But I've looked at for the new edition of the book.
22:59
Speaker 3: I I went down on Deep Dive on at least
23:02
Speaker 3: TV five VP, some comment some caveat or warning about
23:09
Speaker 3: not to be used in people with cancer. So have
23:12
Speaker 3: you heard about this.
23:13
Speaker 2: I've not heard about the BPC or the or the
23:19
Speaker 2: copper or the TV, but I've heard some of the
23:21
Speaker 2: other peptides. There's been some discussion.
23:25
Speaker 3: Amounts to it stimulates angiogenesis, which is information and if
23:30
Speaker 3: you've got a growing tumor, you don't want more blood
23:33
Speaker 3: vessels supply, you know.
23:37
Speaker 2: Anybody, Yeah, anybody being treated for anything like that that's
23:41
Speaker 2: either got any types of cancer or in cancer treatment
23:44
Speaker 2: or anything. We generally have not treated them, but I've
23:49
Speaker 2: heard a little bit about that, And there are some
23:50
Speaker 2: of the peptides that, yeah, there's been some discussion about
23:53
Speaker 2: the whole increasing the cell activity, the tumor activity. Even
23:57
Speaker 2: with like NAD, they encourage them not to get any
24:00
Speaker 2: because it's accelerating.
24:01
Speaker 3: And where did you get your initial information about peptides
24:04
Speaker 3: from a seminar?
24:06
Speaker 2: Yeah, we do regular seminars and there's a couple of
24:09
Speaker 2: the peptide universities that a couple of folks that I
24:12
Speaker 2: have in the group that I work with that go
24:15
Speaker 2: to and I work with the company now it will
24:18
Speaker 2: do some of these injections Castle Rock forrmone Health and
24:22
Speaker 2: so they're kind of popping up all over and they
24:25
Speaker 2: offer different seminars for training on peptizes on the.
24:28
Speaker 3: Group in the Frozen Shoulder Healing group. I've got some
24:31
Speaker 3: rules about not using MLM companies or networking some enthusiastic
24:38
Speaker 3: people promoting Ellie, which was a network marketing program for peptides,
24:44
Speaker 3: and really had to ban them from the group because yeah,
24:50
Speaker 3: who does.
24:50
Speaker 2: That advertising solicitation? And hey, I'll show you how to
24:53
Speaker 2: make some money with it always I tend to run from.
24:56
Speaker 2: But yeah, we get all of our stuff through either
24:58
Speaker 2: compounding pharmacies party and we have them. Usually they'll ship
25:02
Speaker 2: it directly to the patient unless they're here and we
25:05
Speaker 2: can give it to them right in the office.
25:07
Speaker 3: Let's talk about PRP because again I had no experience
25:10
Speaker 3: of that either, and it looks pretty simple. You're just
25:12
Speaker 3: drawing some of your own blood, spending it down and
25:15
Speaker 3: separating out the plasma and the platelets, and a couple
25:20
Speaker 3: of times yourself. Right.
25:21
Speaker 2: Yeah, I've never self injected that one, but I've had
25:25
Speaker 2: it done and each I've had twice in my left shoulder,
25:30
Speaker 2: once in my right and then my left hip, and
25:32
Speaker 2: each time I've used PRP, one time I use the
25:35
Speaker 2: stem cells into my shoulder, and.
25:37
Speaker 3: I really that comes from your fat believing.
25:40
Speaker 2: Yeah, I didn't notice the difference in PRPs are less
25:42
Speaker 2: expensive because of how it's you know, the whole process
25:46
Speaker 2: is a less expensive process. But PUREP is your own
25:49
Speaker 2: blood spun down and they pull the the plate that's
25:53
Speaker 2: right out of it, and that's what they inject into
25:55
Speaker 2: your into your joint.
25:57
Speaker 3: What's your initial experience and then when you get a
25:59
Speaker 3: steroid injection. You might get a painful flare up anything
26:02
Speaker 3: with PRP.
26:03
Speaker 2: Yeah. No, the first one that I had done. That
26:06
Speaker 2: was what was so fascinating, because the first one that
26:08
Speaker 2: I had done back in twenty fourteen, it was a
26:12
Speaker 2: process and it was with an orthopedic surgeon and he
26:15
Speaker 2: was very good. But I found it to be really painful,
26:19
Speaker 2: really uncomfortable, really the first one. And I think it
26:22
Speaker 2: was the technique. I think it was just the way
26:25
Speaker 2: they did.
26:26
Speaker 3: It ultra outside.
26:28
Speaker 2: No. No, but the other.
26:30
Speaker 3: Thing, and just in turn of any injections, there's a
26:33
Speaker 3: PA down in Charlotte named Eric Chanley who who does
26:36
Speaker 3: all these injections four days a week, all in their ultrasound,
26:40
Speaker 3: and that's a much more dependable way of doing it
26:42
Speaker 3: than just the blind injection.
26:45
Speaker 2: Yeah. I think using any technology to make it more
26:47
Speaker 2: accurate is always better. But we've got some good folks that,
26:52
Speaker 2: like I said, even the nurse practitioner who injected me.
26:56
Speaker 2: And when I had it done in Vegas that was
26:58
Speaker 2: another place where I had it done, and in Tampa,
27:02
Speaker 2: all those areas, they they were very good. I found
27:05
Speaker 2: that it was very mild. Like I said, it felt
27:07
Speaker 2: like a beasting. I felt like a little pressure. And
27:10
Speaker 2: then when it's done, your you know, your joint feels
27:14
Speaker 2: fairly full, really tight, a little uncomfortable, but not unbearable.
27:18
Speaker 2: No nerve flares where I've heard from patients that when
27:22
Speaker 2: you inject a steroid you get this nerve flare. And
27:27
Speaker 2: again that's just something that it's it's.
27:29
Speaker 3: Hard the effect last before of.
27:32
Speaker 2: The nerve the well. Initially that same day I could
27:37
Speaker 2: feel the fullness, the tightness, and an immediate just maybe
27:42
Speaker 2: a one or two point relief of pain. That night,
27:45
Speaker 2: when I went to bed, the pain wasn't quite so
27:47
Speaker 2: bad because the pain with frozen shoulders worse at night.
27:50
Speaker 2: And then within just a couple of days the pain
27:52
Speaker 2: was diminished by another four or five points, and within
27:56
Speaker 2: two weeks the pain was virtually gone. It was the movement,
28:01
Speaker 2: the you know, the inflammation hadn't gone down completely. I
28:05
Speaker 2: had lost some you know, muscle ability, and my range
28:08
Speaker 2: of motion was still a little stiff and creaky. And
28:11
Speaker 2: in all the cases I followed up with a follow
28:14
Speaker 2: up PRP injection. In the first case, he said, and
28:20
Speaker 2: this was twenty fourteen, he did it two days later,
28:23
Speaker 2: but I needed nothing else, and it resolved within four
28:27
Speaker 2: to six weeks. The other two shoulders, I had an
28:30
Speaker 2: injection four weeks later, and that's what I feel, was
28:33
Speaker 2: like the shoulder was already healing. The PRP works very
28:36
Speaker 2: good over time, days to weeks, and so when I
28:39
Speaker 2: had a second shot four weeks later, it was just
28:42
Speaker 2: like the nail and the coffin. The shoulders started to
28:45
Speaker 2: respond quickly, and in another two weeks I had full
28:48
Speaker 2: range of motion. It was repairing because you lose a
28:50
Speaker 2: lot of muscle mass. So I was able to rebuild
28:53
Speaker 2: and get back to the gym and start working out
28:55
Speaker 2: with low weights and building up.
28:57
Speaker 3: So did you combine PRP with any physical therapy at all?
29:01
Speaker 3: Now there's interesting in the book. I have a new
29:03
Speaker 3: section on physical therapy, except that somebody did a study
29:08
Speaker 3: comparing UH going to a physical therapist working with all
29:13
Speaker 3: your stretching and doing it at home on your own
29:16
Speaker 3: same results. Absolutely, And actually a lot of that new
29:20
Speaker 3: information comes from the definitive textbook on frozen shoulder, shoulder
29:28
Speaker 3: president and UH UH for present and future. As Philip Struff,
29:34
Speaker 3: who's a Belgian physical I don't know if he's a
29:38
Speaker 3: physical therapist or a physiatrist.
29:40
Speaker 2: But not an orthopod.
29:42
Speaker 3: He's not an orthopod. And he has done this extensive
29:46
Speaker 3: it's really a textbook. It's the first one on frozen shoulder.
29:50
Speaker 1: Yeah.
29:50
Speaker 3: He's from the Department of rehab and Science and Physiotherapy. Yeah,
29:55
Speaker 3: in in uh Antwerp, Belgium. And it's from two thousand,
30:00
Speaker 3: in twenty four. And I did not know about this
30:02
Speaker 3: book when I wrote the first edition of the Frozen
30:06
Speaker 3: Shoulder Healing Book, and so it was excited to find
30:09
Speaker 3: us and I it's.
30:10
Speaker 2: Got to be newer. When did you publish it?
30:12
Speaker 3: Well, you can also see it's twenty twenty.
30:15
Speaker 2: Four, okay, so it's newer, published.
30:17
Speaker 3: By Academic Press, which is an imprint of el Severe.
30:21
Speaker 3: And this book, which is two hundred eighty one pages,
30:26
Speaker 3: cost one hundred and thirty bucks. Wow, so of thing
30:31
Speaker 3: that a frozen shoulder patient is going to buy, you know.
30:34
Speaker 2: But it's helpful to the medical community.
30:36
Speaker 3: I'm sure the academic references that has all the opinish
30:40
Speaker 3: and the orthopous and the radiologists and the philiatrists and
30:43
Speaker 3: the interness. But it's interesting, it's very conservative. They don't
30:49
Speaker 3: mention PRP, they don't mention them you know, teptize. They
30:54
Speaker 3: don't mention anything a psychosomatic. It's all physical therapy, surgery,
31:00
Speaker 3: injection pretty much.
31:02
Speaker 2: And you know that's so sad because it's funny. When
31:04
Speaker 2: I had my frozen shoulder in Las Vegas, I worked
31:07
Speaker 2: right in the hospital, so I thought, Ooh, I'm just
31:09
Speaker 2: going to run down to my PT department and they
31:11
Speaker 2: can help me through this, because I was preparing to
31:14
Speaker 2: get an injection and all the other stuff, and I
31:18
Speaker 2: just I've been doing it long enough that the orthopedic
31:23
Speaker 2: sports medicine doc down in Miami, he even said, post procedure,
31:30
Speaker 2: what do I need to do? Do I need to
31:31
Speaker 2: do PET? Here's absolutely not He was just daily use
31:34
Speaker 2: normal daily activities. You do your laundry, you put your
31:37
Speaker 2: clothes away, you move around the house, you put your kitchen,
31:39
Speaker 2: you put your plates away, and three frozen shoulders down.
31:44
Speaker 2: I tried PT and in my humble opinion, there's nothing
31:48
Speaker 2: they did there that I couldn't do at home, And
31:50
Speaker 2: what they did there was actually more hurtful in movement.
31:54
Speaker 2: And so I just while I would love to say
31:57
Speaker 2: PT helps, PT is great for the rite components, it's
32:01
Speaker 2: great if you are post knee surgery, back surgery, hip surgery.
32:06
Speaker 2: You need to get your body moving again from a
32:07
Speaker 2: structural surgical procedure, or maybe rehab from a stroke. But
32:12
Speaker 2: from the physiology of what I've learned of frozen shoulder,
32:15
Speaker 2: we got it. We've got to move it, and you
32:18
Speaker 2: can use a physical therapist, but I don't think it's necessary.
32:21
Speaker 3: And the other thing it's interesting is the messaging in
32:23
Speaker 3: the group is it's pretty accepted that physical therapy in
32:27
Speaker 3: the early freezing stages journally makes it worse because it hurts,
32:31
Speaker 3: that massage makes it worse. Anything that's caused me more information.
32:35
Speaker 3: Now those things are ideally reserved for the thawing phase
32:38
Speaker 3: when you're just starting to motion back and you want
32:41
Speaker 3: to accelerate that you can do with therapy or with massage.
32:45
Speaker 1: Yeah.
32:46
Speaker 2: Now I will tell you each frozen shoulder and even
32:48
Speaker 2: the hip. I always have a good relationship with the
32:52
Speaker 2: regular massage therapist. And in the early phases of and shoulder,
32:58
Speaker 2: theirs was right pressure like stretching because we didn't want
33:03
Speaker 2: to aggravate it. And the warpist, I mean I actually
33:06
Speaker 2: kind of I gave him the book. On the end,
33:08
Speaker 2: there's a massage therapy book out there on pros and shoulders,
33:12
Speaker 2: and he was he was frustrated, like I can't fix this.
33:14
Speaker 2: I said, don't worry, You're not supposed to. I've got
33:16
Speaker 2: to get an injection. To do a couple of injections,
33:19
Speaker 2: we'll get it to the thaw and then we'll go
33:20
Speaker 2: from there. But yeah, anything that is intense or physical
33:23
Speaker 2: or stretching or pulling, I just you know, I'm living proof, right,
33:28
Speaker 2: I've got two really good, high functioning shoulders, and you know,
33:33
Speaker 2: and I built back my muscle mass I did nothing invasive.
33:37
Speaker 3: And interesting that you mentioned your recovery because in the
33:41
Speaker 3: book it does point out that forty percent of people
33:45
Speaker 3: still have some symptoms years later. I didn't realize that,
33:49
Speaker 3: and six percent of people have significant disabilities. So it's
33:53
Speaker 3: not the you know, folk tale that is totally reversible
33:57
Speaker 3: is not really true. So and that's why when I'm
34:00
Speaker 3: working with people also in me.
34:02
Speaker 2: But I think it depends on how soon you get
34:05
Speaker 2: to it. Like people that are struggling for eighteen months
34:07
Speaker 2: or two years, You've got to imagine there's going to
34:09
Speaker 2: be some some deep atrophy that sets in that you
34:12
Speaker 2: may not get that full range of motion, you know.
34:15
Speaker 2: And my hip while it's functional and I run three
34:18
Speaker 2: miles a day, there's still a difference between my left
34:22
Speaker 2: hip and my right hip now, So in that case,
34:25
Speaker 2: I can't swing my hip like swing my arms. But
34:29
Speaker 2: you know, it just depends, you know, on the debilitation
34:32
Speaker 2: and the time. You know. But I think if you
34:35
Speaker 2: get it, you treat it, and you put all the
34:37
Speaker 2: parameters in place. Like you said, nutrition plays a big
34:40
Speaker 2: role in healing. That's one thing. Mindset, the tapping, looking
34:47
Speaker 2: at your past trauma, past anger, those are important in healing.
34:52
Speaker 2: And I think people often don't connect the two, you know.
34:56
Speaker 2: I mean, I couldn't want I do.
34:58
Speaker 3: Tell people one of the big concerns in the group
35:01
Speaker 3: is will I get a recurrence in the other shoulder
35:03
Speaker 3: like you did? And the statistics show that happens thirty
35:07
Speaker 3: percent of the time, which is pretty bad odds a
35:09
Speaker 3: third of the time recurrence. And I tell people that
35:13
Speaker 3: the folks I've worked with in coaching who just have
35:17
Speaker 3: one frozen shoulder, no one who's done the emotional work
35:21
Speaker 3: of releasing it has ever gotten another frozen shoulder on
35:24
Speaker 3: the other side. And I don't know what your experience
35:27
Speaker 3: has been with people getting recurrences, but you've obviously had
35:30
Speaker 3: back and now most people a few people have a
35:33
Speaker 3: recurrence in the same shoulder which you had.
35:35
Speaker 2: Because I, I know, that was so weird, and you know,
35:40
Speaker 2: I didn't believe it would be true that I could
35:42
Speaker 2: get it a second time. And so when the second
35:44
Speaker 2: one came on and I was pretty quick to diagnose
35:47
Speaker 2: it and get treated, I was devastated. And the second
35:50
Speaker 2: one was worse than the intensity. It was harder to heal.
35:54
Speaker 2: But then when I got the third one, you know,
35:57
Speaker 2: it's it's all about how we process things, and which
36:00
Speaker 2: is why psychology and psychiatry are so closely related to
36:04
Speaker 2: some of this, because again even with diabetes, even with
36:08
Speaker 2: autoimmune stuff, there can be these emotional components. And so
36:12
Speaker 2: I cautioned people to realize, you've got to work through
36:15
Speaker 2: your stressors, work through your anxiety. And like doctor Larry
36:18
Speaker 2: and I were just talking about, you know, good nutrition,
36:20
Speaker 2: healthy lifestyle. But when I got the third one, I'm like, oh,
36:24
Speaker 2: I'm going to lose my mind. That wasn't enough. Then
36:27
Speaker 2: when I got the hip and I had an orthopod
36:30
Speaker 2: actually diagnosed the hippies like and he has an accent.
36:33
Speaker 2: He's like, what did you do to yourself? I'm like,
36:36
Speaker 2: I don't know. I wear my stress inside.
36:39
Speaker 3: Well, I mean, frozen hip is very rare, but I'm
36:43
Speaker 3: hearing more stories about it since she told me yours.
36:46
Speaker 2: So yeah, I wouldn't wish it on anybody.
36:50
Speaker 3: And I was also thinking about other more extreme procedures.
36:56
Speaker 3: So you haven't had MUA, which this Yeah, I was
37:00
Speaker 3: told that MUA was the riskiest of all the procedures,
37:04
Speaker 3: but this book suggests that arthroscopic surgery has more complications
37:09
Speaker 3: than the MUA, and Don Suber had any complications from MUA,
37:19
Speaker 3: which he does pretty routinely, and that means no fractures,
37:22
Speaker 3: no dislocations, no nerve injuries. Yeah. The other thing that
37:26
Speaker 3: comes up all the time in the group is the
37:29
Speaker 3: World Frozen Shoulder Clinic, Yeah, which is turns out to
37:34
Speaker 3: be a complicated story. They they've been around for seventeen
37:39
Speaker 3: years and they started with doctor Ula Austin, who's an
37:42
Speaker 3: osteopath over in Europe, and they essentially are doing manipulation
37:47
Speaker 3: on an asthesia, only it's just not general anesthegia, it's
37:50
Speaker 3: just light.
37:51
Speaker 2: Twilight and yeah, the twilighting.
37:54
Speaker 3: The other thing they use, which your osteopathic tools are
37:58
Speaker 3: the vibro accoustic which is and also the activator. There's
38:02
Speaker 3: two different things that are typically used by chiropractrics or
38:05
Speaker 3: rosty paths. And then they also have a very vigorous
38:09
Speaker 3: physical therapy program afterwards, which is like twenty four hour
38:13
Speaker 3: physical therapy with a nurse until you get ready to leave,
38:16
Speaker 3: and then they have you. And it's interesting that both
38:19
Speaker 3: they and Dawn said it takes about twelve weeks to
38:23
Speaker 3: get your full range of motion back when you do NUA,
38:27
Speaker 3: if you do really persistent physical therapy. And then we
38:31
Speaker 3: help some people who who you know, slaim that they
38:34
Speaker 3: need a second MUA because the first one didn't work.
38:37
Speaker 3: And whenever I whenever I hear that from people, I say,
38:40
Speaker 3: you probably have an underlying emotional trauma that you haven't
38:43
Speaker 3: dealt with. If you're having addressed the procedures and they're
38:46
Speaker 3: not working or are they relapsed, there's something else that
38:50
Speaker 3: needs to be dealt with.
38:52
Speaker 2: Yeah, I agree, And you know, growing up early in
38:55
Speaker 2: my career in the hour, there is nothing like the
38:58
Speaker 2: sound of hearing about and snaff and I guess just
39:02
Speaker 2: because when you see it to believe it. You can
39:05
Speaker 2: come out of there and you can feel good, and
39:07
Speaker 2: you can get the better range of motion over time
39:09
Speaker 2: and all that. But I've had more people with nerve issues,
39:14
Speaker 2: and I've had three people who did have a fractured
39:17
Speaker 2: humoral head. Those odds to me, just I wouldn't want
39:21
Speaker 2: to take that risk. And when you think about it, Okay,
39:24
Speaker 2: they're good now. But many of these folks primarily women,
39:27
Speaker 2: but there are men like yourself. How are they five years,
39:30
Speaker 2: ten years? Is that put them a greater risk for
39:32
Speaker 2: any other debilitation when they're older?
39:35
Speaker 3: Not known?
39:36
Speaker 2: Because oh yeah, twenty years ago I had a frozen shoulder,
39:38
Speaker 2: I had an MUA. And now that you have some
39:41
Speaker 2: type of you know, arthritis or something that's I don't know.
39:45
Speaker 2: I just it's so barbaric.
39:48
Speaker 3: Well, it's a brute force. I just called brute force.
39:50
Speaker 2: Yeah, it's brute force. Yeah, So I don't know, but
39:55
Speaker 2: you know it does it does provide relief to people.
39:58
Speaker 2: It's almost like I look at it like when you're
40:00
Speaker 2: preparing a turkey for Thanksgiving. Do you want to go
40:04
Speaker 2: in and break off the legs and then cook everything separately,
40:09
Speaker 2: or do you want to cook the turkey. Let everything
40:11
Speaker 2: get moist and soft and then bend the legs and
40:14
Speaker 2: everybody can enjoy a piece. That's what prpy is to me, right. Yeah,
40:20
Speaker 2: when you got to rip off that leg, I mean,
40:22
Speaker 2: you just don't know how even and clean it comes off.
40:25
Speaker 3: And you know the old saying about root force too,
40:28
Speaker 3: roote force doesn't work. You're not using enough.
40:30
Speaker 2: Ah, we've got a bunch of questions. Let's see if
40:36
Speaker 2: we can get through. I would say to the folks,
40:39
Speaker 2: as far as we've gone over some of the symptoms
40:42
Speaker 2: and things like that, we mentioned a lot of the
40:45
Speaker 2: ways that this can happen in people from just prior
40:48
Speaker 2: history of diabetes, autoimmune. It could just be stressed trauma,
40:52
Speaker 2: things like that. It could be any number of things.
40:55
Speaker 2: It does happen in women more than men, perimenopausal hormonal shifts. Animals.
41:01
Speaker 2: I wouldn't know, and I wouldn't know because I don't
41:04
Speaker 2: know if an animal can explain when they get something,
41:06
Speaker 2: and I just don't know, do you know, I don't know.
41:11
Speaker 2: Brands and supplements and stuff. I know we've probably got
41:14
Speaker 2: a couple of different ones in both of our books.
41:17
Speaker 2: Any supplements you want to suggest.
41:19
Speaker 3: I mean, other than the usual vitamin D supreme five
41:24
Speaker 3: thousand units with vitam McKay and tourmerica is a hot topic.
41:32
Speaker 3: Unfortunately recently, I've come across some issues with liver toxicity
41:35
Speaker 3: for too much for cuman. I was not aware of that.
41:39
Speaker 3: So if you start turning yellow when you're taking throughcumen,
41:41
Speaker 3: it might not just be them too much. Yeah, and
41:44
Speaker 3: then other and the to go to remedies we use
41:51
Speaker 3: a lot in the group are beast royal and emso
41:56
Speaker 3: the dimethyls. Yeah, and they can be combined in various
42:00
Speaker 3: diferent ways. You can put the DMOS on first, it
42:02
Speaker 3: has to be a seventy percent dilution. You never put
42:05
Speaker 3: one hundred ninety nine percent on your skin all it
42:08
Speaker 3: cause burning and skin thickening. But seventy percent seems to
42:11
Speaker 3: be the optimal thing. But some people are mixing it
42:13
Speaker 3: with castor oil and put the two on together while
42:18
Speaker 3: the DIMO so on, let it dry. It drives pretty quickly,
42:21
Speaker 3: and then put the castor ol pack on top of
42:23
Speaker 3: that with a heat pack. But I think if you
42:26
Speaker 3: do that every day that you're going to get major
42:28
Speaker 3: decreasing inflammation. Yeah.
42:30
Speaker 2: On my last frozen shoulder. I had heard that on
42:33
Speaker 2: the group, and so I tried the castor oil and
42:35
Speaker 2: they had talked about castor oil, mixed it with lysine,
42:38
Speaker 2: break open a lyacetine capsule.
42:41
Speaker 3: A lot of different things.
42:42
Speaker 2: Yeah, and it was helpful. And I've also used the DSMO.
42:46
Speaker 2: I was trying that on my hip. I felt that
42:48
Speaker 2: it was helpful and it did give relief. I didn't
42:51
Speaker 2: find that that was the big trigger for healing, but
42:53
Speaker 2: in the process of getting it diagnosed and getting it treated,
42:56
Speaker 2: DSMO is really good. So those are all really good ones.
42:59
Speaker 2: I don't have any to add really as Ganda.
43:02
Speaker 3: Yeah, BOSWELLI is another one you know which people use.
43:07
Speaker 3: But the secret is if you mix. You can mix
43:10
Speaker 3: kestrel and dima so with any of these other things
43:12
Speaker 3: and they work better. Actually helps move any of these
43:17
Speaker 3: creations into the skin and the caveats for DIMO. So
43:21
Speaker 3: you're not supposed to take it when you when you
43:23
Speaker 3: drink alcohol, but you can even take it internally. I've
43:27
Speaker 3: been drinking dmaso.
43:28
Speaker 2: You know, I haven't really found anything where I can
43:31
Speaker 2: find out how to take it or how much to take.
43:33
Speaker 3: I take like a teaspoon and an aun glass of water,
43:37
Speaker 3: and I mean, I happen to like the taste of
43:39
Speaker 3: sulfury things. But the only downside of taking internally is
43:43
Speaker 3: then you youreek of sulfur for the next day, and
43:47
Speaker 3: my wife hates that. So but you know, it's an
43:52
Speaker 3: option otherwise putting on your skin. Uh, And you're supposed
43:56
Speaker 3: to be careful about washing your hands because you don't
43:59
Speaker 3: want to use any perfume things because the DMSL will
44:02
Speaker 3: just push it into your skins. And that's what I
44:06
Speaker 3: called mccasuro is.
44:07
Speaker 2: It's messy, yeah, it is, and it I mean, I
44:10
Speaker 2: don't know, it's a little greasy too, And you know,
44:13
Speaker 2: I usually recommend people doing that at night.
44:15
Speaker 3: Or if you're going your furniture, and it's like.
44:18
Speaker 2: Yeah, it can really leave some marks. We did mention
44:22
Speaker 2: about the menopause symptoms, and yeah, hormonal shifts and hormonal
44:25
Speaker 2: changes can be triggering. So if you're going through a
44:30
Speaker 2: period of time where you're either premenopausal, menopausal, or postmen apostal,
44:34
Speaker 2: those shifts seem to be one of the indicators for developing.
44:39
Speaker 3: And as estrogen goes down, inflammation goes up and your
44:42
Speaker 3: whole body. But the thing is tricky in the group
44:44
Speaker 3: is it's about fifty to fifty some women or I mean, well,
44:48
Speaker 3: first of all, there's a study from Duke saying that
44:50
Speaker 3: if you're on HRT already, your chances of getting a
44:54
Speaker 3: further shoulder go down by half. So fifty decrease just
44:58
Speaker 3: from being on HRT. But the the problem is there's
45:01
Speaker 3: no studies showing what happens if you get a frozen
45:03
Speaker 3: shoulder and you start HRT and the results in the
45:07
Speaker 3: group are like some people say, an HRT, my frozen's
45:10
Speaker 3: are a lot better. Other people say started didn't do anything.
45:13
Speaker 3: So it can't hurt these days to do HRT, especially bioidenticals,
45:19
Speaker 3: now that the big scare about cancer seems to have receded,
45:23
Speaker 3: now that Kennedy and HACS have revised some of the guidelines.
45:27
Speaker 2: Yeah, I agree. I think hormone replacement therapy, and that's
45:30
Speaker 2: why I do a lot of work with the Castle
45:32
Speaker 2: Rock group, because we'll do hormone replacement, We'll we do peptides,
45:36
Speaker 2: we'll do all those types of things, and so you
45:38
Speaker 2: can get a good balance and the brain. Back to
45:41
Speaker 2: kind of some of the work that I do with psychiatry,
45:45
Speaker 2: when you can optimize the brain, and we do some
45:47
Speaker 2: different things outside of the frozen shoulder discussion today, but
45:51
Speaker 2: we notice when we're optimizing the brain and we can
45:54
Speaker 2: have the right neural transmitters release, we improve the production
45:58
Speaker 2: of the right hormones, and in doing that, you're creating
46:02
Speaker 2: this homeostasis in the body. So hormon replacement therapy can
46:05
Speaker 2: be very helpful to alleviate a lot of the symptoms
46:08
Speaker 2: and to certainly be of some benefit with frozen shoulder.
46:12
Speaker 3: The one thing I'll mention from our running hormones is
46:14
Speaker 3: I never thought I'd take a female hormone as a supplement,
46:17
Speaker 3: but I take submucazal progesterone every night.
46:21
Speaker 2: Oh do you okay? We have guys estrogen blockers.
46:24
Speaker 3: It's one of the best sleep aids there is. It
46:28
Speaker 3: directly stimulates the GABBA receptors. And I can tell just
46:32
Speaker 3: how many drops I've taken, and I have restless legs,
46:36
Speaker 3: so that presses my restless legs. And if I take
46:39
Speaker 3: six drops, not quite enough. If I take eight, I
46:43
Speaker 3: might have a little hangover. But if I could take seven,
46:45
Speaker 3: it's usually right in the sweet spot and I'll sleep
46:48
Speaker 3: really well all night long. So and you know it's
46:52
Speaker 3: pretty cheap. Simply progesterone you can get from Health Matura
46:56
Speaker 3: for sixty bucks for a bottle and take a few drops.
47:00
Speaker 3: Nice so that bottle lasts for a couple of months.
47:02
Speaker 3: Oh boy, it has it has no it's not like
47:06
Speaker 3: a or something that has addictive problems. It's really benign.
47:12
Speaker 2: Well, that's definitely good for the guys in the group.
47:15
Speaker 2: A couple quick questions because we are almost out of time.
47:17
Speaker 2: I don't know if you can show your book again,
47:19
Speaker 2: doctor Larry, but just to get the title of Frozen
47:21
Speaker 2: Shoulder Healing. That's the book by doctor Larry Birke. As
47:26
Speaker 2: far as insurance generally, insurance is not going to cover peptides.
47:31
Speaker 2: It's not going to cover PRPs. If you've got an illness,
47:35
Speaker 2: as I treat it myself and I have patients now
47:37
Speaker 2: that I treat. For the dollars that you use to
47:40
Speaker 2: heal between supplements PRP, maybe some peptides use your HSA card.
47:46
Speaker 2: I would rather be back in motion, feeling good, getting
47:49
Speaker 2: to be my best self for a couple hundred to
47:51
Speaker 2: one thousand dollars to treat and heal it, and then
47:54
Speaker 2: you can certainly turn in your your forms for you know,
47:57
Speaker 2: your insurance company as a know, to go against your deductible.
48:01
Speaker 2: Let them know. Look, this is what I did to
48:02
Speaker 2: get treated. I'm better. I just saved you ten grand
48:05
Speaker 2: because we didn't do you know, multiple visits and I
48:07
Speaker 2: didn't do a procedure under anesthesia. But it's a choice.
48:11
Speaker 2: And see there's concierge services out there now that I
48:14
Speaker 2: think folks need to realize. Medical model generally is going
48:17
Speaker 2: to give you things that are going to keep you
48:19
Speaker 2: in the healthcare system or the medical model. I've been
48:22
Speaker 2: doing it forty years, so I've earned the right to
48:24
Speaker 2: have my opinion. But in that opinion, there's great holistic
48:28
Speaker 2: ways to heal it don't have to take steps and
48:31
Speaker 2: layers and a lot of cost. So we do need MRIs,
48:35
Speaker 2: we do need X rays, we do need a lot
48:36
Speaker 2: of things. But for the cost of peptide or PRPs,
48:40
Speaker 2: PRP injections are anywhere between four fifty and seven hundred
48:43
Speaker 2: dollars an injection. They're more expensive than peptides. Peptides on
48:48
Speaker 2: average are going to spend maybe three to five hundred dollars.
48:50
Speaker 2: But if you can treat it and heal it and
48:52
Speaker 2: get back to what you want to do in life
48:54
Speaker 2: versus weight see it. You know, an orthopod book, an MUA,
49:00
Speaker 2: you sit and do an MRI. You know. Some of
49:02
Speaker 2: those things are essential. But I want to get people
49:05
Speaker 2: feeling better fast.
49:07
Speaker 3: And some people in the group are so desperate to
49:09
Speaker 3: get better they're willing to pay a crazy amount of money.
49:12
Speaker 3: Like now said that is MUAs usually about four thousand
49:18
Speaker 3: dollars total. A lot of that's covered by insurance. Now,
49:20
Speaker 3: the more extreme example is the World Froes and Shoulder Clip,
49:23
Speaker 3: which we charge up the seventeen thousand dollars cab and
49:27
Speaker 3: in Canada they were getting some insurance Reinborsement. When they
49:31
Speaker 3: tried to open a clinic in Dallas. That was aborted
49:34
Speaker 3: because they had licensing problems, and so they closed the
49:37
Speaker 3: clinic in Dallas.
49:38
Speaker 2: Yeah, it's great.
49:39
Speaker 3: One Toronto is on hold right now being reorganized.
49:42
Speaker 2: So yeah, I don't have a lot of faith in them.
49:45
Speaker 2: I did some research on them. I don't know. We'll
49:47
Speaker 2: leave that one, but I'm not a big fan.
49:50
Speaker 3: We have some great testimonials in the group cinming miraculous results.
49:54
Speaker 3: But now the other thing, just to mention in terms
49:57
Speaker 3: of extreme therapies. There is trans cap that are arterial
50:00
Speaker 3: embolization that's being pushed by some people down in Texas,
50:04
Speaker 3: and it's done by radiologists and they're basically putting a
50:08
Speaker 3: little EMBLI up into your small vessels in your in
50:11
Speaker 3: your shoulder and they're claiming great results, but there's no
50:15
Speaker 3: long term studies. It's like, okay, blocking those arteries in
50:18
Speaker 3: your shoulder. I know outcome from that.
50:21
Speaker 2: That sounds like a Frankenstein adventure, but we are out
50:24
Speaker 2: of time. Folks wanted to know Doctor Larry is an MD,
50:28
Speaker 2: radiology trained and and.
50:31
Speaker 3: I'm a certified Energy Health Practitioner Health practition coaching.
50:34
Speaker 2: Credentials, So yeah, well experienced, well versed. I'm nurse practitioner,
50:40
Speaker 2: spent twenty five years in the operating room, developed and
50:44
Speaker 2: cultivated a lot of stuff from physiology and nutrition background. So, guys,
50:48
Speaker 2: I had such a great time talk with doctor Larry,
50:51
Speaker 2: wonderful questions. You can tune in. Our show is going
50:54
Speaker 2: to be on iHeartRadio probably airs Monday. If you need
50:57
Speaker 2: to catch up or if you want to hear anything again,
50:59
Speaker 2: you can tune in and catch me on wellness. Oh
51:02
Speaker 2: my gosh, magnoiabewellness dot com. Doctor Larry, how can people reach.
51:06
Speaker 3: You at larryburg dot com? Just just like my full
51:11
Speaker 3: name with a dot com after it, and also the
51:13
Speaker 3: Frozen Shoulder Healing group. You just throw Facebook and type.
51:15
Speaker 2: That in and it's Larry l A r R Y
51:19
Speaker 2: and Burke is b U r K dot com dot com.
51:23
Speaker 2: So if you want to look up doctor Larry questions,
51:26
Speaker 2: you can send it over to nine oh four three
51:28
Speaker 2: seven seven one one nine six and we can also
51:31
Speaker 2: if you text us, get the information to doctor Larry
51:33
Speaker 2: as well. So thanks again. We're going to need to
51:35
Speaker 2: do a repeat. I think people have lots more questions,
51:38
Speaker 2: so I hope you guys all stay tuned. Next Thursday,
51:41
Speaker 2: we're going to have a nice big group to talk
51:43
Speaker 2: about some of the controversies that have come up now
51:46
Speaker 2: that are going to be with Senator Ron Johnson bringing
51:49
Speaker 2: forth all of the exposure to the vaccine injured and
51:54
Speaker 2: those devastated and injured in COVID and COVID depths. He's
51:58
Speaker 2: bringing together a Senate hearing. We're going to have some
52:00
Speaker 2: speakers on that are going to be talking about that.
52:02
Speaker 2: You can get your voice heard if you want to
52:04
Speaker 2: do a letter, we'll tell you how. The deadline's approaching.
52:07
Speaker 2: So we've got three or four different folks coming on
52:09
Speaker 2: from the Betrayal Project USA group and several other folks,
52:13
Speaker 2: Marshall Joyner who actually headed up work on Oh my
52:19
Speaker 2: Gosh hospice and some of the fraud that's been found
52:22
Speaker 2: in hospice where they've actually not been treating people right
52:25
Speaker 2: and they've been let's just say, not been helpful to
52:28
Speaker 2: love ones. So more to come. Tune in next Thursday,
52:30
Speaker 2: three pm. Take care, guys, we will see you next week.
52:33
Speaker 2: Thanks doctor Larry. Hold tight thiks ty