Dr Stuart L. Weg/pain management /patient home therapeutics, great info

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The following pain management protocol of Stuart L. Weg, M.D. is

presented as an adjunct therapy to the antibiotic protocol for

inflammatory rheumatic diseases presented on this web page,

particularly for patients with intractable pain.

Dr. Weg is an anesthesiologist specializing in pain management. He

practices at several locations in New York - West End Avenue and

Grand Central in Manhattan, as well as in Mt. Kisco, NY

(Westchester), Suffern, NY, Latham, NY (near Albany) and also in

Broomfield, NJ. He can be reached through his secretary at 1-201-320-

6758.

He is a member of the following organizations:

Diplomat American Board of Anesthesiology with added Qualification in

Pain Management

Fellow American College of Anesthesiologists

Diplomat American Academy of Pain Management

Member American Board of Oxidative Medicine

ANTI-INFECTIVE PAIN MANAGEMENT PROTOCOL

Part One - Patient home therapeutics

Home oxidative therapy with hydrogen peroxide for all patients:

A. Peroxide baths: Mix 3-4, 16 oz. common brown bottles of 3%

peroxide in a hot water bath with 2 cups of Epsom salt. Soak for 30

minutes. Do this at least 1 to 3 times per week (no vitamins should

be taken 4-8 hours before bath). This is the preferred way to take

peroxide. Still better is a Jacuzzi with the jets turned on. This

enhances the effects. A home whirlpool such as Polinex (cost about

$110) fits on a standard bathtub and also greatly improves the

effect. Increase the amount of peroxide and Epsom salt proportionally

for the larger tub sizes. For economic bulk purchase of peroxide,

consider obtaining the concentrated 27% solution sold by the gallon

as a cleaner in some swimming pool shops. It is called " Baqua Shock " .

This product is dangerous to the skin right out of the bottle. It

must be diluted in your bath. Use about 1/10 the volume needed of 3%

peroxide in your baths.

B. Peroxide sponge/spray bath: Apply straight or dilute 3% peroxide,

less than a full 16 oz. bottle in total, to your skin. Use liberally

directly over as much surface as you can. Leave this on for up to 5

minutes and then wash off. This technique can work very well

especially after a work out, hot shower or hot tub, when you are warm

and/or sweaty with your pores open. To obtain results equivalent to a

bath, it is required that you first apply the tanning product

described below and wait about 5 minutes for your skin to flush

before applying the peroxide.

HIGHLY RECOMMENDED - The use of Swedish Beauty " type A " or " Platinum "

tingle factor 2 or 3 brand of tanning accelerator (available at

tanning salons) applied to your skin and left on for 5 minutes before

you sponge or bathe greatly increases the absorption of peroxide. The

phone number of the manufacturer of this product is 1-800-532-9035.

Note: The tanning accelerator should make you red and flushed before

you apply peroxide to the skin. Try it on a small area first and then

increase with each bath/sponge as tolerated.

Other home oxidation techniques

C. Oral Peroxide: Use 3% without preservatives. Take one capful in a

full glass of water daily as tolerated, on empty stomach. (Substitute

35% food grade drops if possible). This is recommended only in cases

when baths or IV's are not available. CAUTION: Although approved by

the FDA as a food additive, some doctors believe oral H2O2 can be

dangerous.

D. Peroxide mouth irrigation: Use 1 part 3% peroxide with 2-5 parts

warm water three times a day. Vigorously swish this mixture around in

your mouth for 5 minutes rinsing several times. (Use 3 times daily

for acute migraines or other head, neck or dental problems -

especially recommended for sinusitis.) Using a Waterpik device for

this treatment greatly enhances its effectiveness.

E. Peroxide enema: 1-4 tablespoons in 1 liter instilled rectally

(works well in CFIDS)

F. Ozone baths in hot tubs etc. with ozone sterilized water may not

contain enough ozone to have much therapeutic effect. If adequate

ozone levels are achieved, the effect is excellent.

G. The exposure of the skin to the sun or tanning salon without UV

blockers will cause a systemic oxidizing effect by the UV rays

reaching the blood near the surface. The use of the Swedish Beauty

tanning accelerator greatly enhances the effect. High levels of oral

vitamin C help avoid skin damage, but gradual, controlled exposure is

important to avoid injury.

Note: You should have vitamin C out of your system (at least 4 hours)

before getting peroxide in any form. It's not dangerous if you

forget. It just makes the peroxide treatment less effective. Vitamins

should be resumed immediately after the peroxide.

H. Immersion baths with sodium bicarbonate (baking soda) or lathering

up to the neck with alkaline bar soap (Fels Naptha laundry soap) will

help with achy flare reactions that can occur after oxidative

therapies.

Essential Nutrients for all patients

1. Vitamin C . Push to bowel tolerance. This means take 500 mg to

3000 mg (1/2 to 3 grams) at a time and throughout the day until you

get diarrhea, gas etc. then back down to what you can handle. Keep

that dose daily and increase in times of flare to as much as 20,000

mg (20 grams) daily. Tablets are for daily use and one teaspoon of

powder for flare problems. One level teaspoon of ascorbic acid powder

equals 5 grams of Vitamin C. A typical dose is around 2-8 grams

daily.

2. Acidophilus with Bifidus, taken daily. This should be taken in

doses of 2-3 times recommended on package. Buy several brands and

dissolve some in bottled chlorine free water before ingesting. If you

have rectal mucus you should consider taking enemas of this

supplement. This is the simplest and safest way to enhance colon

health.

3. Mixed fiber daily 30 grams or more. This may be adjusted for

people who consume lots of fruit, vegetables etc. Both soluble (oat,

psyllium, flax) and insoluble (wheat, rice) bran must be included.

Omit wheat bran if you are on a wheat free diet. This is needed for

two reasons: First to avoid constipation associated with narcotics

and second to promote colon health by reducing stagnation and

overgrowth leading to high levels of bacterial translocation.

4. Grape Seed extract (also known as pycnogenol) 100 mg daily. This

is an anti-fungal and anti-microbial, especially in the bowel.

Less essential nutritional supplements

5. Milk Thistle daily as directed on the bottle. (This herb is very

important if you take medication.)

6. Coenzyme Q10 - 100-300mg daily. (This supplement is very important

in heart patients.)

7. Flax seed oil - use on food daily

8. Vitamin E 1200 I.U. daily

9. Good high potency multiple vitamin with trace minerals daily

10. Bioflavinoids (usually contained in vitamin C preparations)

11. Selenium +/- 100 mcg daily

12. Calcium 1000 mg with magnesium 500 mg daily

13. Borage oil is available in capsules. Take 1000 mg daily.

Very useful supplements in selected patients and conditions:

14. Cranberry concentrate tablets are very effective with

uncomplicated urinary symptoms, enhancing secretion of shed urinary

bacteria. Use only as needed.

15. Bismuth 120-240 mg tablets (available as Formula SF734 by Thorne

Research) are reported by many patients to be highly effective for

gastric discomfort. This is a mandatory replacement for H (stomach

acid) blockers that are specifically avoided on this protocol. Use

only as needed.

16. Undecyn 150 mg. 1-5 tablespoons orally 2-3 times daily. This is

an anti-fungal for people intolerant of Nystatin or wanting to use an

over the counter product etc. Pharmacies and physicians can order

this from Thorne Research, Product #SF742, 1-800-228-1966.

17. Glucosamine sulfate & chondroitin sulfate (separate or combined

pills). Many people are now reporting that this is effective for

joint and general pains. Take the recommended dosage on the bottle.

18. N-acetyl-cycteine or NAC is specifically recommended for

assistance in drainage of sinus infections. Use only when needed.

The following are promising and under investigation. They are

optional due to limited physician experience.

19. Catsclaw 1,000-3,000 mg/daily. Take this intermittently. The tea

seems to work better than the pills. Find a brand that is best for

you.

20. Wheat, milk and sugar free diet. These foods may be reintroduced

after one month, one at a time

21. L glutamine for digestive/gut problems

22. Cartilage products (shark, beef, chicken). Hylauronic acid (in

the cartilage) is a potent anti-infective substance.

23. MSM taken in dosages of about 1500 mg per day is useful for

muscle aches.

Very important things NOT to do

Patients must cease using tobacco products completely and greatly

limit alcohol if they expect any of these therapies to be successful!

NO cortisone, prednisone or any other corticosteroids should EVER be

used. This includes nasal or lung sprays and any skin products

whether over the counter or by prescription.

Patients must also try to avoid all nonsteroidal medications

including aspirin and Tylenol as well as all of the other over the

counter pain remedies such as Motrin, Aleve, Excedrin, etc. These

medications will make the pain and disease worse over the long run.

Pure narcotic analgesics can be used as needed without this danger.