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Thermography in Neurological and Musculoskeletal Conditions
JOINT COUNCIL OF STATE NEUROSURGICAL SOCIETIES of the AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS and the CONGRESS OF NEUROLOGICAL SURGEONS Neurological clinical procedure review; Thermography Lyle Leibrook, M.D.

AVAILABLE PROOF OF EFFICACY: Evidence of prospective studies. Prospective studies have shown the excellent sensitivity and good correlation of thermography with other imaging methods. A high correlation of 84% has been demonstrated in studies comparing thermography and CT scanning of patients with low back pain and sciatica. Surgical treatment has also shown similar high rates of sensitivity. A large study of 805 patients with upper and low back pain confirm good correlation between thermographic evaluation and myelography, CAT scanning and EMG. The two objective tests for documentation of sensory radiculopathy, thermography and somatosensory cortical evoked potential’s, show equal sensitivity in the diagnosis of clinical lumbosacral radiculopathy.

SAFETY: The procedure is totally non-invasive and does not involve ionising radiation. It is without patient risk.

CONCLUSION OF REVlEW: Thermography is a safe and effective means for evaluation of vasomotor instability due to irritation or injury of spinal roots, nerves or sympathetic fibres. It is to be considered an adjunctive test and not solely diagnostic except in cases of reflex sympathetic dystrophy. While one cannot extend the technique of thermography to indicate the central phenomena of perception of pain, it is useful in detecting associated vasomotor instability and complex pain states associated with arthritis, soft tissue injuries, low back disease or reflex sympathetic dystrophy and does provide objective data to identify dysfunction in roots that are irritated in the lumbar spine, peripheral nerves that are irritated, and damage to the sympathetic nervous system.

Before and After Treatment: Bulging Disc, L5/S1 Nerve Root Irritation:


This 39 year old female’s complaints included right posterolateral thigh pain. The right lumbosacral "hockeystick" sign in the left image is consistent with a disc bulge at this level. There is correlation with mild cooling seen over the L5/S1. Following treatment with her own provider, the client reported no pain and her post treatment image, above right, no longer includes the "hockeystick" sign.

Ascending Colon 8 months prior to Appendix Rupture:


These images are abdominal views from a 38 year old female with no abdominal complaints or concerns. The image at left indicates heat along the ascending colon consistent with irritation/inflammation. Months later, she reported that her appendix had ruptured, formed an abcess, and poisoned much of her ascending colon. Was the left image an early warning sign?

The middle image was taken months after the surgery to remove the abcess and approximately 9 inches of ascending colon. No signs of heat along the colon appear. The right image was taken many months later, and indicates more heat (stress) over the ascending colon/transverse colon juncture than that of the transverse colon/descending colon juncture. Since the temperature difference between junctures is small, the finding is not clinically significant, but thermal imaging may provide a way to monitor thermal findings.

Right Kidney Stress:


This client reports that she does not drink enough water. In addition to the neuromuscular findings in the upper back, there are thermal findings (increased temperatures) over the field of the right kidney, consistent with slight stress.

Lung Field Examples: Stress vs. Compromise:


The client imaged at left, above, has increased temperatures over each lung field, as indicated in red. Also note the same over the left bronchial tube. This client had complaints of congestion, which can cause stress, irritation, and inflammation, and subsequent heat.

The client imaged at right, above, had decreased temperatures over each lung field, as indicated in green. This client's history included pneumonia in her distant past, and bronchitis twice in the past year. The thermal findings are consistent with slight compromise of lung function - less heat can suggest less function, relative to surrounding tissue and organs

Skin Concern and Need for Further Evaluation:


This 58 year old female was monitoring an irregular skin spot on the top of her left thigh. Thermal imaging revealed heat associated at the spot. Since heat can suggest concern, she decided to visit a dermatologist for further evaluation.

Fibromyalgia / Chronic Fatigue Syndrome:


This client had a 15 year history of fibromyalgia and chronic fatigue syndrome. Note the multiple focal regions of increased heat consistent with myofascial pathology and correlating with the client's areas of tenderness and pain.
Courtesy of Dr. William Amalu.

Stage 1 RSD / CRPS:


This client had severe regional pain, altered skin temperature and color changes, and severe sensitivity to touch in the left arm for over 6 months. The large area of heat loss in the left arm is consistent with serious sympathetic hyperactivity and supports her doctor's diagnosis of stage 1 RSDS/CRPS.
Courtesy of Dr. William Amalu.

Abnormal Vascular Finding - Client Suspects Mesothelioma:


The vascular finding in the thoracic region of this 53 year old male may indicate an abnormal vascular process and/or a pathological process in the spine or lungs. It was strongly recommended that the client see his primary care physician for further testing, i.e. CT.

Client already Diagnosed with Lung Cancer before Thermal Imaging:



This female client had already been diagnosed with lung cancer before being thermal imaged. Can you see the blood supply that may be associated with the cancer?

Tooth Connected to Lung Issue?

This male had experienced pulmonary embolisms weeks prior to full-body imaging, which consisted of 24+ images. While most of the images were absent of findings, the thermal findings in his anterior neck view are consistent with oral infection with lymphatic drainage from the left lower jaw. The client reported that he had a tooth worked on there in recent months, but that it still "wasn't right". (The tooth is energetically linked (by meridian) to the lungs.)

3-month Old Root Canal:


This female had a 3 month old root canal. A thermogram at month 6 revealed a reduced focal hot zone, consistent with a healing process rather than an infection process.
Can you see the red area near/under the right side of her mouth?

Symmetrical Pattern - Thyroid:


Can you see the thermal patterns associated with this client's thyroid?

Surprise:


This female’s complaint included pain. Thermal imaging led to discovery of a previously undiagnosed right leg arteriovenous malformation over 27mm deep. As a result, the client was spared a sympathectomy. Vascular surgery corrected the problem.
Courtesy of Hooshang Hooshmand, M.D.


 
     
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