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Edema and its Reduction: A Therapeutic Electromagnetic Link? September 7, 2007 Dr. Harvey N. Mayrovitz Professor of Physiology © 2007 Dr. HN Mayrovitz, All rights reserved

Edema and its Reduction: A Therapeutic Electromagnetic Link?clinsoft.org/drmayrovitz/PRESENTATIONS-ALL/Edema...Royal Raymond Rife Rife/Bare Plasma Tube Output 5 KHz. Harold Saxon Burr

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  • Edema and its Reduction:

    A Therapeutic

    Electromagnetic Link?

    September 7, 2007

    Dr. Harvey N. Mayrovitz

    Professor of Physiology

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • What is Edema?

  • What is Edema? Excess Interstitial Fluid

    “Pitting” Edema

    Lymphedema High Protein Content© 2007 Dr. HN Mayrovitz, All rights reserved

    ‘Swelling’

  • What are Underlying Causes of Edema?

  • More Fluid is Filtered than can be Removed!

    Pressure – Protein – Permeability - Pumping

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • More Fluid is Filtered than can be Removed!

    Blood Capillary

    Lymphatic Capillary

    + Permeability

    + Pressure

    - Protein

    Interstitial

    changes

    Lymphatic DysfunctionBlockage

    Arterioles Venules

    hya

    luro

    na

    te

    co

    lla

    ge

    n

    Protein

    Plasma

    Fluid

    -Pumping

    Pressure – Protein – Permeability - Pumping

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • What is Electromagnetism?

    How might it fit in?

  • Resulting in an

    i(t) = induced current

    Changing Magnetic

    field B produced by

    changing loop current

    Loop

    Current

    iL(t)

    Causes an Electric

    Field E to be induced

    Body Part

    or Tissue

    l

    AJ(t) = E(t) x GTISSUEAmps/m2 Siemens/m

    Electromagnetic Fields (EMF) and

    Induction: Basic Considerations

    E = V/l = (A/l )dB/dt

    For a circular area

    E = V/l = (R/2)dB/dtR ~ meters

    B ~ Tesla

    t ~ seconds

    E ~ volts/meter

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • How Might Electromagnetism Fit In?

    Short answer

    Almost all aspects of all bodily functions

    have an electrical component

    Thus there are ample potential

    targets for applied EMF

    © 2007 Dr. HN Mayrovitz, All rights reserved

    Induced Current

    Induced E Field

    Resonance Phenomena

    Information Coupling

  • Examples of Electric Features

  • Macroscopic ionic currents are

    present in normal tissue

    Grimes et al. Phys Med Biol 1985;30:1101-1112

    External Fields Might Interact with these Macroscopic Currents

    Earth field ~ 0.5 Gauss = 0.5 x 10-4 Tesla

  • Human Skin is like a Battery

    Barker et al. AJP 1982;242:R358-R366

    Directly Measured Currents

    Small slit

    In skin

    Field-Induced Currents Might Interact with these DC Currents

  • Human Skin Surface Voltages

    Foulds and Barker Br J Dermatology 1983;109:515-522

    Trans-skin voltages (n=17)

    Field-Induced Voltages Might

    Interact with these DC Voltages

  • EMF Application ModalitiesElectrodes (Contact) & Electrode-less (Non-Contact)

  • Low voltage Monophasic mA Pulsed Current

    Low voltage Biphasic mA Pulsed Current

    Microamp continuous direct current (mADC)

    High voltage pulsed current (HVPC)

    Contact Electro-Stimulation

    +

  • Patent 96,044 1869

    Non-Contact

    Electromagnetic Induction

  • B

    I

    J(t) = E(t) x GTISSUEAmps/m2 Siemens/m

    Transcranial

    Magnetic

    Stimulation

    (TMS)

  • Edema Reduction Evidence?

  • Pennington GM et al. Military Medicine 1993;158:101-104

    Edema

    Diapulse

    Device

    Coil

    Current

    B-Field

    Reduction

    Reduction

    Treatment of 50 Ankle Sprains Within 72 hours of injury

    30 min – medial, 30 min – lateral 10 min – epigastric

    Volumes measured before and after

  • Barclay V et al. Physiotherapy 1983;69:186-188

    230 Hand or Thumb Injuries

    Seen within 36 hours of injury

    During each visit (every other day)

    Received two ½ hour treatments

    Diapulse Device

    30 matched-pairs based on

    Age – sex – degree of trauma

    EdemaAmount

    of

    Swelling

    EMF

    Tx

  • 0.0

    0.1

    0.2

    0.3

    0.4

    0.5

    0.6

    0.7

    0.8

    0.9

    0.64 0.50 0.42 0.41 0.35

    0 1 2 3 4

    Treatments* p< 0.01 vs. initial edema volume

    Ed

    em

    a V

    olu

    me

    (L

    )*

    * **

    Edema Volume

    • High protein content edema secondary to

    node removal and/or radiation therapy

    • Occurs in 20-40% of postmastectomy women

    from months to years after surgery

    • Usually progressive if untreated - Fibrosis

    Lymphedema

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • Experimental Burn Injury

    Deming J Burn Care Rehab 2005;26:207-227

    % M

    axim

    um

    Ed

    ema

    Time (Hours)

    Typical Time Course

    For a Burn Injury

  • 3-Days Post Burn

    Untreated

    With -40mA

    Full Thickness

    Scald Wounds

    Boiling water for 10s

    Edema Inhibition in Burn Injury

    Chu: J Trauma,

    Volume 40(5).

    May 1996.738-742

    3-Days Post Burn

  • Chu: J Trauma, 1999;47:(2) 294-299

    SN Dressing Only

    SN Dressing with 40 mA DC

    Protein Leak Less

    Visible Evans Blue

    (Bound to albumin)

    Cross-Section of Underside of SNDermis

    Pannicular M.

    Two

    Days

    Post

    Burn

  • Quantitative Protein Leak

    Chu: J Trauma, 1999;47:(2) 294-299

    With DC current

    Without DC current

  • So – What’s Going On?

    Short Answer – Not Sure!!

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • Some Things to Ponder

  • Georges Lakhovsky ~ 1924

    Multiwave Oscillator (MWO)

    Augment Natural Defenses or

    Bring Defenses Back to Normal

    Via External Reinforcement

  • Normal cells have

    a natural (healthy)

    vibrational equilibrium

    frequency

    Microbes/ Viruses

    also have intrinsic

    oscillatory

    frequencies

    External

    ReinforcementLakhovsky’s Concept

    Overwhelm

    Normal Cells

    © 2007 Dr. HN Mayrovitz, All rights reserved

    Augment Natural Defenses or

    Bring Defenses Back to Normal

    Via External Reinforcement

  • Microbes/ Viruses

    can be Destroyed

    or Devitalized by

    exposure to

    appropriate

    frequencies

    Pathogenic Actions

    on Normal Cells

    Royal Raymond Rife ~ 1934

    Destroy or Devitalize

    the Bad Guys via

    External Wide Band

    EMF Excitation

    © 2007 Dr. HN Mayrovitz, All rights reserved

    Normal cells have

    a natural (healthy)

    vibrational equilibrium

    frequency

  • Radio Energy Excited Gas

    Plasma Tube as an Antenna

    8-12 inches

    Recent: 30 ft

    27.125 MHz

    Each of the multitude

    of frequencies has an

    associated impedance

    and phase angle.

    5 KHz

    Bad

    Guy

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • Demodulation

    Resonance

    Entrainment

    Altered

    Physiological

    FunctionComplex

    Modulated

    Multi-frequency

    Multi-Phase

    Waves

    Overriding General Precept

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • Key/Keyhole

    interaction model

    Jacques

    Benveniste

    But suppose

    this were true

  • As your fertile minds begin processing the

    vast amount of new information you will get

    keep in mind this unsolved problem

    Challenge

    Ponder© 2007 Dr. HN Mayrovitz, All rights reserved

  • Just maybe you will discover the basis for a

    potential causal – mechanistic link!

    Postulate Pursue Pin-it-Down Party!

    © 2007 Dr. HN Mayrovitz, All rights reserved

  • Some Added Stuff

  • How Might Electromagnetism Fit In?

    Short answer

    Almost all aspects of all bodily functions

    have an electrical component

    Interacting Voltages and Ionic Currents• Central and Peripheral Nervous Systems

    • Cellular Membranes

    • Surface Charges

    • Streaming Potentials

    Thus there are ample potential

    targets for applied EMF

    © 2007 Dr. HN Mayrovitz, All rights reserved

    Induced Current

    Induced E Field

    Resonance Phenomena

    Information Coupling

  • Untreated and Wet

    Silver Nylon Dressing

    Chu: J Trauma, 1996;40(5)738-742

    Edema Inhibition in Burn Injury

    DC current at levels

    -4, -40 and +40 mA

    (0.1 – 1.0 mA/cm2)

  • From patent # 4557273

    Peaking of Skin Potential

    Around Ovulation

    26 year old subject over one month

  • 1934

    Patent

    Lakhovsky’s Multiwave Oscillator (MWO)

  • Journal of the Franklin Institute 237(2):103-130 (1944)

    “Under the universal microscope disease

    organisms such as those of

    tuberculosis, cancer, sarcoma,

    streptococcus, typhoid, staphylococcus,

    leprosy, hoof and mouth disease, and others

    may be observed to succumb when exposed

    to certain lethal frequencies, co-ordinated with

    the particular frequencies peculiar to each

    individual organism, and directed upon them

    by rays covering a wide range of waves.”

    Rife’s Universal Microscope

    Resolution: 31,000 diameters

    Magnification: 60,000 diameters

  • Rife Machine 1947

    Phanotron

    Tube

    Modulation Frequency

    16Hz – 200kHz

    Modulation

    Band

    Modulation

    Amplitude

    Wein-bridge self-exciting oscillator

    Resting carrier frequency and

    pattern depends on tube and gas

    Typical harmonics: 2.1,4.6,9.1 MHz

    Modulated Wave

  • Royal Raymond Rife

    Rife/Bare Plasma Tube Output

    5 KHz

  • Harold Saxon Burr Fritz-Albert POPP

  • 2-30 Hz

  • ActiPatch-BioElectronics Corporation

    The clinical effectiveness of the product has been well

    established. Testing performed at the Bioelectromagnetics

    Research Laboratory at the State University of New York has

    shown that ActiPatch

    Therapy provides an adequate dosage of electromagnetic

    energy for the treatment of soft tissue, and that its power at the

    skin level is equivalent to that of traditional high-power

    devices. The power level is six to nine orders of magnitude

    higher than that which is required to show a biological effect. It

    also demonstrated that the cumulative effect of continuous

    delivery provides greater therapeutic benefit than sporadic

    treatments. More information on the testing and clinical

    effectiveness of our product can be found at the following web

    site:

  • Histamine Dilation

    in Hamster Cheek Pouch

    Karnes et al., Arch Phys Med Rehab 1995;76:381-386

    Trauma Related Edema – Prior work showed edema reduced

    by High Voltage Pulsed Current (HVPC) – MECHANISM?

    Photo

    Courtesy of

    Bill Jackson

  • Mechanisms? ----- Arteriole Vasoconstriction????

    Karnes et al., Arch Phys Med Rehab 1995;76:381-386

    HVPC = High Voltage Pulse Current

    -HVPC produced edema

    suppression in their

    earlier work

    “Anodal”

    Stimulation

    NO EXPLANATION

    Other work

    suggests

    both + and –

    HVPC

    suppress

    early (5 min)

    edema in a

    similar model

    Taylor et al.

    Phys Ther.

    1997;77:1729-1740

    +HVPC did not!

  • Dolan et al. J Athl Train. 2003; 38(3): 225–230.

    CWI=cool water immersion 12.8oC

    CHVPC=current

    Individual

    Treatments

    All Treatments

    No TreatmentTraumatic

    Edema

    Cool Water

    vs.

    HVPC

  • All Treatments

    No Treatment

    Ibuprofen

    CHVPC

    Both

    Dolan et al. J Athl Train. 2005; 40(2): 111-115

    Traumatic

    Edema

    Ibuprofen

    vs.

    HVPC

  • Coil

    Current

    B-Field

  • From patent # 4557273

    29 year old subject over one month

  • Data from patent 3924609

  • Anterior Forearm

    Laser-Doppler

    Probes

    102 Gauss

    90 Gauss

    50 ms/div

    1 Hz 27.1 MHz

    Electromagnetic Applications

    Coil

    Current

    B-Field

    Small Large

    Earth Field ~ 0.5 Gauss

    Simple “Electromagnet” High Power Therapeutic