A majority of patients suffering from chronic pain were successfully treated with various nerve blocks combined with EAP. Those were found very effective especially on certain types of severe, intractable pain. A variety of techniques or methods were used by not only long-experienced experts but also unexperienced physicians, and generally patho-physiological improvements were observed on a majority of treated cases. Upon these observations, I have concluded the indications of EAP treatments as follows:
1) Treating patients who dislike and refuse nerve block treatments.
2) Safely used by physicians who are unexperienced or u nreliable on nerve blocks.
3) For patients suffering from pain for which effective and safe approaches of nerve blocks are not applicable anatomically.
4) Treating refered pain and visceral pain.
5) Treating muscular pain from over-ex cersices and sports.
6) Regulating the autonomic nerve disturbance to res tore homeostasis.
And indications of nerve blocks as follows:
1) Intractable pain such as trigem inal neuralgia, etc.
2) Treatment for trigger-points or trigger-zone.
3) Senile or mal-nutriated patients whose pain is not in a nature of being permanently cured, etc.
Combination of nerve blocks and EAP are roughly classified into as follows:
1) Nerve blocks supplimentated with EAP.
2) EAP used as main treatment, suppo rted with nerve blocks.
EAP treatments are not covered under the present regulations of the Japanese govcrnmental scial insurance policy. Therfore, EAP treatment must be charged only on private basis.
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