+-----------+ | FindADoc: | +-----------+ Health Care Providers For Repetitive Strain Injury ======================================================================= Last update: 3/13/2000 CONTENTS: 1) INTRODUCTION 2) SOURCES 3) HEALTH CARE PROVIDERS 4) BEFORE YOU SEE THE DOCTOR . . . 5) GENERAL TIPS ON FINDING CARE 6) SUPPORT GROUPS ======================================================================= 1. INTRODUCTION Computer users and musicians who experience the aches and pains that may signal a potentially dangerous Repetitive Strain Injury, or RSI, are always advised to see a doctor without delay for evaluation and treatment. But what if you don't have a regular doctor, or your health care provider does not seem to know much, if anything, about the diagnosis and treatment of R.S.I? Many persons now find themselves in this frightening situation. FindADoc is a voluntary, informal effort to remedy this by listing practitioner suggestions from several sources. Each entry lists the source of the recommendation, and these sources are explained in detail below. PLEASE READ THE SOURCE EXPLANATIONS and the other introductory material before using the attached resources. It is VITALLY important to GET A DIAGNOSIS FIRST, instead of trying to choose a form of treatment first. YOU SHOULD SEE A DOCTOR. It may develop that you may find, for example, that massage therapy, acupuncture, surgery, etc. are what help _treat_ your condition, but first you need your particular condition evaluated. Repetitive injuries may have similar causes but the actual injury and damage varies _widely_ from person to person, and there are a lot of complicating conditions that may be involved as well. ********* WARNING: ********* I AM NOT A MEDICAL PROFESSIONAL and not qualified to adequately judge the credentials of any one listed herein. Moreover, I can do NO verification of any kind on the information here. This file is ONLY a raw list of patients' recommendations, subjective opinions and listings from other sources and must be used with the great caution one should bring to all health care decisions. A listing here is NOT the same as a professional referral and I disclaim any responsibility for decisions made on the basis of this information, or for the opinions of contributors. I STRONGLY SUGGEST you check any references here out with your local medical or professional associations to confirm they are reputable practitioners. ( check the Directory of Medical Specialties at your library, or for a small fee you can get a report on a doctor's qualifications through Medi-Net Reports at 1-888-ASK-MEDI/1-800-972-MEDI. ) 2. SOURCES == 1] Patient Recommendation These are providers suggested by patients, either directly to me by e-mail or to the public on Internet newsgroups and mailing lists. If you HAVE received competent and knowledgable care for a computer-related RSI, please consider sharing information about your health care provider with people who are in sore need of one. E-mail this information (names, city, office phone numbers), and any other hints about finding good RSI care, to me at: pmarxhausen@unl.edu ONLY THE HEALTH CARE PROVIDER'S INFORMATION will be added to this list; each contributors' name and e-mail address will be stripped out and per- manently discarded to maintain privacy. This is a non-commercial, voluntary effort with no official connection to the University of Nebraska. NOTE: I've received a very few complaints that one or more of the practices listed here were not helpful or made things worse. IF THIS HAPPENS TO YOU PLEASE CONTACT ME SO I CAN REMOVE THE LISTING HERE. What one patient hath recommended, another can "unrecommend". But I will not be posting comments about specific bad doctors for reasons of liability. == 2] Self Referred These are practitioners who have represented to me that they are knowledgable about RSI and related ailments and experienced in their treatment. As with the patient recommendations, I have only the word of the contributor to go by. The people listed here have simply convinced me that they might be a better place to start than a provider picked out of the blue. == 3]MSM Appendix B These are reproduced with permission from Appendix B of the excellent book by Dr. Richard Norris, The musician's survival manual: a guide to preventing and treating injuries in instrumentalists. (International Conference of Symphony and Opera Musicians, 1993. ISBN 0-918812-74-7) Many instrumentalists' injuries described therein are very similar to typing RSIs, and practitioners treating them should be able to help computer users as well. Thanks to Dr. Rob Maher for scanning this appendix, and especial thanks to Dr. Norris for his permission to reproduce it. The preface to this appendix carries the following comments by Dr. Norris: "The following list of clinics was compiled from various journal newsletter, and conference sources. It is intended for informational use only and does not imply any endorsement by the author. The clinics are listed alphabetically by state, followed by foreign clinics Please note that some of these facilities are full-service clinics, while others are primarily referral services. For further information, please contact the specific clinic." == 4] AOEC This is the Association of Occupational and Environmental Clinics. Their web site contains a list with many more details about individual clinics. I have only reproduced the basic contact information here, and only for those clinics that list expertise in musculoskeletal problems. I cannot claim that all such clinics are competent and effective in treating RSI, but they are, at least, more likely to be aware of RSIs and experienced in addressing them, than the "average" general practitioner. == 5] Hellerworker trained by Sharon Butler Sharon Butler is the author of "Conquering Carpal Tunnel Syndrome and Other Repetitive Strain Injuries: A Self-Care Program ". She writes: "The Hellerwork technique for releasing soft tissue injury is the best I've seen yet - and I've seen a lot of it in my 10 years doing this work. At the same time, Hellerworkers are skilled in teaching clients about making effective changes in how the body is used, how to avoid future soft tissue injury by using the body in a structurally balanced way, etc. In addition to being the best form of myofascial release available (in my opinion), it can also be some of the most effective ergonomic education as well. Hellerwork's form of ergonomics is based on the individual's unique body structure and how to maximize the balance of that structure while it is moving, working, playing, etc. Not all Hellerworkers will be adept at treating patients with RSI, just as not all Physical Therapists are successful with RSI. It is up to the patient to ask the therapist beforehand if they have any experience in this area. I saw the need to create a continuing education program for Hellerworkers so they could help more people around the country with their RSI injuries. I just completed my first training of ten therapists. They would be a great place to start if you choose Hellerwork as a form of treatment for your RSI." [Since Sharon wrote this she's trained even more workers. I've edited these people into the appropriate states in this document.] You can learn more about Hellerwork by checking out their web page at http://www.snowcrest.net/~hwork/ 6] Bonnie Prudden Myotherapist Bonnie Prudden Myotherapy is a technique of relieving trigger points, muscle spasm, and pain through localized pressure. Some RSI patients have found it effective as part of their recovery. The names here were provided to me with this statement: "This list is comprised of Certified Bonnie Prudden Myotherapists (C.B.P.M.s). The C.B.P.M.s on this list have completed an intensive 1300 hour certification course, passed board examinations and are required to complete a 45 hour update every two years to retain their Certification as a Bonnie Prudden Myotherapist." More information can be found at the Web Site of Prudden's institute: http://www.snowcrest.net/~hwork/ ======================================================================= 3. HEALTH CARE PROVIDERS Listed alphabetically by state & city - usually but not always. Remember to check nearby states, particularly in the Northeast US. All comments are those of contributors. United States +---------+ | Alabama | +---------+ +++++++++++++++++++++ AOEC Member Occupational & Environmental Medicine Clinic University of Alabama at Birmingham 930 20th Street South Clinic Founded 1991 Birmingham, AL 35294-2042 +++++++++++++++++++++ Patient Recommendation Dr. J. Markus Carter at Alabama Sports Medicine and Orthopaedic Center, HealthSouth Hospital, Birmingham, Al (205) 939-9011. Dr. Carter relieved my pain with medication and referred me to a wonderful physical therapist. After months of everyday pain, I finally have relief. Dr. Carter is knowledgable, experienced, and caring. I highly recomend him to anyone with RSI. +---------+ | Arizona | +---------+ +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Eleanor King, Certified Hellerwork Practitioner Dewey, AZ 520-775-3674 +++++++++++++++++++++ Bonnie Prudden Myotherapist Augustine Martinez Northern Arizona Myotherapy Flagstaff, AZ 86004 520-526-2093 +++++++++++++++++++++ Patient Recommendation I think that this osteopath may be a good one in Arizona. I have read several of his papers and have received information from his practice. He also has 1-week treatment sessions for "out of towners". He treats TOS, CTS and other RSI's. He is: Dr. Benjamin Sucher Center for Carpal Tunnel Studies 10555 N. Tatum Blvd, Suite A-104 Paradise Valley, AZ 85253-1623 (800) 443-4081 (Outside AZ) (602) 483-7387 (602) 483-3684 FAX .... Dr. Ben Sucher is one of the finest RSI docs I know. As a disclaimer, Dr. Sucher is my research partner, so I may be biased, but he has treated both a close friend of mine (for thoracic outlet syndrome) and a relative of mine (for carpal tunnel syndrome). They have had nothing but great things to say about Dr. Sucher. What makes Dr. Sucher stand out is that he is not only a clinician, he is an active researcher in the area of upper extremity RSI's. He has published many research articles on the subject, and is asked to speak around the world on the topic. +++++++++++++++++++++ Patient Recommendation Canyon Orthopaedic Surgeons Ltd. 4615 N. 51 Avenue Phoenix, AZ phone 602 846-7614 Specifically their hand/arm specialist is Richard C. Christiansen, M.D. (Board certified orthopaedic surgeon) Very knowledgable and willing to discuss alternatives, very good on keeping functionality where it is feasible, and adjusting attitudes (as in telling you flatly - if you don't rest it, it will NEVER heal!) as necessary, (yeah, he's done it to me; and I deserved it). Emphasizes rest, non-invasive treatments, and rehab if at all possible, very candid about the success rates of surgery for various conditions. +++++++++++++++++++++ Patient Recommendation Dr. Robert Lee Wilson Hand Surgery Associates 2610 N. 3RD ST-Phoenix, Arizona-85004-(602) 264-3541. He is one of the very few doctors who understand and know how to treat RSI. +++++++++++++++++++++ Self-Referred Sebastian B. Ruggeri MD FAOS Arm Shoulder & Hand Surgeons Ltd. 3104 E. Indian School Rd. #200 Phoenix, Arizona 85016 Phone 602-954-9484 Fax 602-954-6433 E-mail Benrugg@ix.netcom.com (List manager's note: I asked this doctor to provide his info on the basis of a good article he contributed to the SOREHAND mailing list that made it obvious he was knowledgable about RSI. - Paul Mx) +++++++++++++++++++++ Self-Referred Hello. My name is Mark Hyland. I am a certified hand therapist and occupational therapist. I work for a local outpatient rehabiltiation provider. I manage our work injury programs and hand therapy departments. Our staff is knowledgeable and experienced at treating soft tissue musculoskeletal illnesses/injuries. In addition, we provide patients with an education, job site visits, ergonomic job site analysis and a home/work exercise program and instruction. We are seeing more and more CTD cases and our experienced certified hand therapists are helping to educate the rest of our staff. I truly feel confident with our staffs competance of RSI's. I would appreciate being added to your list of healthcare providers. If you have any further questions please call me at 602 547-1836 or e-mail me. Thank you for your time and by the way nice RSI web page! Our address is: Strength Training, Inc. 17233 N. Holmes Blvd. Phoenix, AZ 85023 telephone: 602 547-1836 fax: 602 547-0809 +++++++++++++++++++++ Bonnie Prudden Myotherapist Ron Sacco Arizona Myotherapy Center 1600 W. Camelback Rd., Ste. 1-W Phoenix, AZ 85015 Serving Phoenix since 1981 602-277-6859 +++++++++++++++++++++ Patient Recommendation Bonnie Prudden Myotherapy Therapists are trained and certified by Bonnie Prudden Pain Erasure Clinic 7800 E. Speedway Tucson, Arizona 8571- Telephone: 602-529-3979 E-mail: Paineras@aol.com Upon request they furnish info and listing of certified therapists +++++++++++++++++++++ Bonnie Prudden Myotherapist Dave Carney Susan B. Fleming. M.D. Bennie Gemello Pain Management Myotherapy Assoc. 4725 N. First Ave. Tucson, AZ 85718 520-888-1795 +++++++++++++++++++++ Bonnie Prudden Myotherapist Frank Hammer Tomizuka Tucson Myotherapy 633 N. Stewart Ave Tucson, AZ 85716 520-795-4670 +++++++++++++++++++++ Bonnie Prudden Myotherapist Sandy Hamilton Myotherapy of Arizona Mobile Myotherapy of Arizona 602-788-1924 e-mail: dham2@swlink.net +------------+ | California | +------------+ +++++++++++++++++++++ Patient Recommendation Today I took a deposition of Victoria Brown DC, who is in Alameda. An RN for many years, Dr. Brown obtained her chiropractic degree and recently completed a course in chiropractic neurology. She treats RSI patients and does industrial work. I have no idea how she is as a treater, but I have a good feeling about her and willingness to listen. Here is the information: Dr. Victoria Brown 2241 Central Ave, Suite C Alameda, CA 94501 510-865-9919 +++++++++++++++++++++ Dr. Stephen Isono, hand surgeon, Albany, (415)524-7535. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Catherine LeFevre, Certified Hellerwork Practitioner Altadena, CA - 818-432-4121 .... The first is Catherine LeFevre, one of the Sharon Butler-trained Hellerworkers, at the Alive and Well Center, 540 W. Broadway, Glendale, CA 91204 - 818-432-4121. Erik is seeing Catherine and he's very impressed w/his treatment. Another is a certified Rolfer +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Avalon- Lavina Jones, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 310-510-0949 +++++++++++++++++++++ Patient Recommendation Glen Kohler, CMT Health Arts Wellness Services Box 9719 Berkeley, CA 94709 (510) 845-8485 gkohler@crl.com +++++++++++++++++++++ ... I've found a massage therapist [for thoracic outlet syndrome] who is able to go "deep" without pain and I get some relief of symptoms. His massages haven't "cured" me but they have helped me develop better body awareness which has led to improved posture and hence less pain. His name is Al Ichikawa 510/841-0208 and he lives in Berkeley. He makes house calls and he has students located around the Bay Area. I have no association with Al other then being one of his clients, I just wanted to help people on this list as well as help promote a practitioner who does very good work. He spends about an hour and a half on me for $75. +++++++++++++++++++++ Patient Recommendation Linda Avery & Associates Berkeley, CA (510) 841-6020 use nerve stretching as well as some Feldenkrais movements. +++++++++++++++++++++ Patient Recommendation For those of you in the SF Bay area with a diagnosis of TOS, here is another resource for medical care: Dr. Wadislaw Ellis in Berkeley (510)(564-7706) has had some success treating TOS patients with Heparin injections and with the use of a scar tissue-retarding drug called Cumerin. Dr. Ellis is genuinely caring and kind and very knowledgable. ... I highly recommend Dr. W. Ellis, 2445 Carleton, Berkeley, CA 94704, 510-849-4703. He has worked with many persons with RSI and has made referrals to Workmen's Comp, Dept of Rehab, etc. +++++++++++++++++++++ Source: MSM Appendix B Southern California Arts Medicine Program 3413 W. Pacific Ave., Suite 204 Burbank, CA 91505 (818) 953-4430 Contact: Martha Paterson, Occupational Therapy +++++++++++++++++++++ Self Recommended > Does any of you have a recommendation for a caring psychotherapist > in the Los Angeles area (preferably near Pasadena) who has dealt with > chronic pain patients? We have seen so many uncaring health care actually, I am a caring psychotherapist- I have dealt with chronic pain, and I have RSI- a very light case- I am in Burbank- carolyn cunningham ph.d +++++++++++++++++++++ Patient Recommendation >Pam Banning, P.T. >Bascom Physical Therapy and Sports Injury Center >3395 S. Bascom Ave., Suite 140 >Campbell >408-369-8556 >(Had 2 ~3-4 month twice/week sessions over the course of >1 1/2 years. Really nice, and very good and knowledgable.. and >I taught her some things to help RSI too.) +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Carmel Valley- Claire Melde, Certified Hellerwork Practitioner, Registered Nurse. Ph: 408-659-1451 +++++++++++++++++++++ Patient Recommendation Helmer Huseby, M.D., is an excellent hand specialist in the San Francisco Bay area. He treats RSI patients, and is compassionate as well as knowledgeable. Don't know the exact address, but his office is on High School Avenue in Concord, CA. +++++++++++++++++++++ Patient Recommendation If Concord is within your range, I would recommend Dr. Torsten Jacobsen (510) 676-1209. +++++++++++++++++++++ Patient Recommendation Kathy Anolick, M.S., MFCC is a licensed psychotherapist in private practice in the East Bay. In addition to a general practice, Kathy also focuses on therapy with people with RSIs and other chronic illnesses. She has locations in Concord and Oakland and can be reached at 510-685-2816. +++++++++++++++++++++ Self-Referred Timothy J. Jameson, D.C., C.C.S.P. (Certified Chiropractic Sports Physician) A pianist and guitarist. Treats RSI by implementing a protocol involving physiotherapy, chiropractic manipulation of the spine and extremities, rehabilitative exercises for shoulders, arms and hands, Laurie J. Gossett, D.C., C.C.S.P. Has experience with woodwinds and vocalists, and uses same protocol mentioned above. Robert Wright, Ph.D., L.A.c., DNBAO, Previous member of San Francisco Symphony, Acoustic Bass Player. Certified Disability Evaluator. Uses traditional chinese medicine and acupuncture to aid in healing of orthopedic complaints. Currently researching and writing a journal article regarding Acupuncture and Carpal Tunnel Syndrome. Implements rehabilitation into his protocol as well. Marcus Padilla, C.M.T. (Certified Massage Therapist) Has previous experience in massage therapy for RSI conditions. If you are interested, please contact our center by calling 510-582-5454. We are located at 3319 Castro Valley Blvd., Castro Valley, CA 94546. (Approximately 20 miles southeast of San Francisco). E-mail: chiro4u@aol.com New, second office open: 20860 Mechanical Drive Sonora, CA 95370 209-532-3900 +++++++++++++++++++++ Patient Recommendation Dr. Norman Kahan Cupertino, CA (408) 725-8124 "..was my previous doctor. He was excellent!" +++++++++++++++++++++ Patient Recommendation >Mark Congress, M.D. >Cupertino Medical Clinic >20289 Stevens Creek Blvd. >Cupertino >408-996-8656 >(Did the usual general practioner things.. but was >very supportive and listened to my suggestions, and >wrote doctor's notes for the things I told him I needed) +++++++++++++++++++++ Patient Recommendation Repetitive Stress Institute 901 Campus Dr. Suite 111 Daly City, CA 94015 (800)222-5552 They have satellite offices in San Jose, Mtn. View, Palo Alto, San Francisco and Marin. They concentrate on the static muscle tension and use bio-feedback to re-train the muscles to operate more optimally, provide ergonomic and work-site evaluation services and do industry consulting. They consider most of the keyboard-related repetitive strain injury as caused not so much by the work, but by the way the work is done and by other muscles' tension preventing adequate amounts of blood from reaching the injury site and helping in healing it. Theirs was the *ONLY* helpful treatment I got in the last 3 years of my keyboard-related wrist tendonitis and the only one that made any difference. +++++++++++++++++++++ Patient Recommendation My physician is Dr. Alan Zacharia in Daly City. At my last flare up he sent me to Cindy White in Menlo Park. He claims roughly 70% success in using accupuncture to aleviate flare ups. (I'm in the other 30%, unfortunately.) I don't have either of their numbers handy, but you might try the Repetitive Strain Institute in Daly City at 415 992-7600 and see if they will give you Cindy's number. +++++++++++++++++++++ AOEC Member University of California at Davis ITEH Clinic Founded 1983 Davis, California 95616 AOEC Contact: Stephen McCurdy, MD, MPH 916-752-3317 FAX 916-752-5300 Marc Schenker, MD, MPH Appointments: 916-734-2715 +++++++++++++++++++++ Patient Recommendation One of the people in the group just called tonight to give me this info for our page. She's seeing Dr. Neil Klein, a hand specialist and plastic surgeon with an office in Downey. This person is clear on the other side of town so I take that to mean that this doctor is pretty good. I don't have an address for Dr. Klein but his office # is 310/861-8246. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Jake Schultz, Certified Hellerwork Practitioner Eureka, CA - 707-444-3949 +++++++++++++++++++++ Patient Recommendation The speaker at our last meeting, Laura Stewart, was very impressive. She's also the therapist of one of the group's members and he feels she's helping him. Laura's a certified hand therapist and registered occupational therapist. She's with Wellspring Therapy at 1141 N. Brand Blvd, Ste. 504 in Glendale, CA 91202. The # there is (818) 637-2127. +++++++++++++++++++++ Patient Recommendation Peter I. Edgelow, MA, Physical Therapist Co-Director Physiotherapy Associates PT Hayward Physical Therapy 3100 Diablo Ave. Hayward, CA 94545 (510) 732-7881 Peter Edgelow in Hayward, CA tends to treat all RSI as though thoracic outlet syndrome or its cousens are a causative factor. He sells an exercise kit for a little over a hundred dollars which includes a video that demonstrates how to do various exercises. His exercises in general are designed to: 1) open up one or more ``tunnels'' in the neck/shoulder/arm that might be impinging nerves or impeding blood flow 2) mobalize the spine and neck and make them flexible 3) eliminate neural tension (i.e., streatch nerves impinged by or caught in other tissues) 4) Reestablished normal reflex responses His program includes (usually) aerobic walking to create cardio-vascular fitness. In fact, he eliminated all of one woman's pain solely with a walking program. He also arranges the exercises to normalize soft tissue and increase poor blood flow FIRST, before targeting problems with nerves (this because the nervous system is the most sensitive). Peter is used to working with people at a distance, over the phone, etc. and can start you on his program with relatively few in person visits (possibly none in some cases). I find him a great, dedicated human being. He has treated upwards of 600 RSI patients and is conducting ongoing RSI research. +++++++++++++++++++++ Self Referred I am an osteopathic physician specializing in RSI and other musculoskeletal problems. Kentfield Occupational Medicine Kentfield Rehabilitation Hospital 1125 Sir Francis Drake Blvd. Kentfield, CA 94904 (415) 485-3600 Our facility is located in Marin County, California. Patients undergo a thorough evaluation taking into account current symptoms, workplace and ergonomic factors, prior injuries and treatment. Treatment is comprehensive; including on-site osteopathic services, physical and hand therapy, and access to our pain clinic. We also utilize complimentary modalties such as massage and deep-tissue work, acupuncture, and biofeedback. Our approach emphasizes the appropriate treatment regimen for each individual patient, in conjunction with exercise and other prevention-oriented activities. Paul Handleman D.O. +++++++++++++++++++++ Bonnie Prudden Myotherapist Lori Drummond South Coast Myotherapy 321 Third St. Laguna Beach, CA 92651 714-497-4243 +++++++++++++++++++++ Patient Recommendation i would like to recommend a hand dr., mark s slonim, 5565 grossmont center dr., bldg 3, suite 463, la mesa, ca 91942 which is in the san diego area. after seeing 6 different dr.s i finally found one who knows something about rsi's. [NOTE: recent information suggests Dr. Slonim is in La Jolla, office phone 619-698-8889] +++++++++++++++++++++ Patient Recommendation I saw a physiatrist at Loma Linda University Medical Center in Loma Linda, California and was very impressed with his expertise in diagnosing my RSI and writing out a treatment plan. My visit lasted 1 hour and 45 minutes. His name is Dr. JienSup Kim. LLUPMR is on the list of Performing Arts Medicine Clinics along with the Miller Institute in New York where Dr. Emil Pascarelli practices. +++++++++++++++++++++ MSM Appendix B Department of Physical Medicine and Rehabilitation Loma Linda University Medical Center 11234 Anderson St. Loma Linda, CA 92354 (714) 799-2101 Director: Dr. Scott Brown [Dr. Scott Brown is no longer the director. He moved to Baltimore to practice at Sinai Rehab Center and can be reached at (410)578-5597.] +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Robert Scherzinger, Certified Hellerwork Practitioner Long Beach, CA - 310-326-8625 +++++++++++++++++++++ Self-referred I am a Doctor of Oriental Medicine. I treat many Workmen's Comp. RSD patients. Usually they come to me after unsuccesful surgeries. However it is even better to seepatients who don't want the surgeries in the first place. My treatment modalities are acupuncture and herbs. I except all insurance who except me.
--
Alexander Berks  L.Ac.   Tel:  (310) 473-7474
aberks@loop.com   Fax:  (310) 473-9767

Natural Medicine Clinic
2001 S. Barrington Ave. suite 220, Los Angeles, CA 90025 USA
Acupuncture, Herbal Medicine, Acupressure,  Nutrition, Yoga

                    +++++++++++++++++++++
Self Referred

Martinelli Sports Therapy
9911 W. Pico Blvd., Suite 200
Los Angeles, CA 90035
Tel.: (310) 286-9500.

-Fred N. Lerner, D.C., Ph.D., F.A.C.O.

We see RSI problems daily, 
and we have developed unique approaches to treating TOS, Carpal Tunnel, etc.
We are one of the few places utilizing physical therapists, a chiropractor, 
orthopedic surgeons, neurosurgeons 
 and physiatrists. If you have questions, please e-mail me at lernered@soho.ios.com. 
If you need or want some recommendations from patients, we will be glad to 
supply testimonials.
                    +++++++++++++++++++++
Patient Recommendation

For those of you are Kaiser members in the Los Angeles area, I really
recommend this doctor that is terriffic.  He is the one that came up with
the correct diagnosis for my hands and back.  And you would be surprised
to see how quickly he comes up with it -- he's very sharp!

His name is Dr. Jimmy Kung., Ph.D.,F.A.B.P.M. (I think that's pharmacy
medicine)
        Co-director, chronic pain management program
        Diplomate, American Board Of Pain Medicine
        Diplomate, American Board Of Electro-Diagnostics Medicine
        Diplomate American Board Of Forensic Medicine
        Diplomate, American Board Of Physical in Medicine Rehabilitation
        Qualified Medical Examiner, California Workers Compensation
System (but I don't a what side he              would take)

His lectures that he gives in the pain management group are really
informative.  I think they are the lectures that he gives to doctors.
                    +++++++++++++++++++++
Patient Recommendation

Hi, Adam.  I saw Dr Cathleen Godzik who is in downtown LA next door to
Orthopedic Hospital for my tendinitis and I really like her.  She is a hand
specialist and upper extremity.  She sent me to CHT/OT, however, I ended up
having surgery and am glad I did.  She did not recommend surgery first, went
through other treatments, ruled out other causes, etc.  She is a good
listener, accurately diagnosed me even tho I was a mess.  My CTS was "cured"
and I had a double surgery for my tendinitis.  She is an excellent surgeon; I
have healed beautifully, it has been 8 months since my surgery (wow!) and I
feel better all the time and I am back to working full time (more than full
time actually).  The CHT she referred also was wonderful, I certainly would
not be where I am today without all the TLC after surgery.  I was on WC also.
                    +++++++++++++++++++++
Patient Recommendation
I am curious as to whether you saw a doctor at UCLA for your RSI condition
>since your email address contains UCLA?  If so, please post the name and
>type if any.

Ah yes, I believe it was Dr. Sinel x47090, and Dr. Roy Meals x66337. It was
over 2 years ago. I went through worker's comp/Applied Risk
Management-UCLA. They had me go to physical therapy and have the ergonomic
evaluation folk come by and take a look at my work station (x55470). They
were VERY helpful. Recommended the keyboard switch, the keyboard tray, and
basically identified that my problem came from my workstation.

I then saw Arlin Low, also at x55470, who did PT on me. There's another guy
Tim  there who does Occupational Therapy, as well. There's two types of
therapy, one for the hands, and then one for the entire body. They are BOTH
very helpful.
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Yvette Cobb, Certified Hellerwork Practitioner
Los Angeles, CA - 310-670-1604
                    +++++++++++++++++++++
Patient Recommendation

I'm seeing Karen Joubert and Amelia Adamczyk at their clinic at 7414 Beverly
Blvd. Los Angeles, CA 90036 Phone: (213) 549-3904.  They have another clinic
in Newport Beach. They also have a website:
http://www.automates.com/elitept/  Another Physical Therapist who practices their same
technique is Tom Papke, in Santa Monica.  If they aren't in your area, they
can probably give you a referral.

 . . .  after 2 sessions I
was sold.  I saw significant results (pain relief, increased mobility,
overall reduction of symptoms) after only 2 visits.  I've been going for
about 3 weeks now and I'd say I'm 85% improved, and feel well on my way to a
full RECOVERY.  I'm trying to get my brother and father, both of whom have
bad back injuries, to go, and I would strongly encourage anyone who is
trying physical therapy to look these people up.  (BTW, I'm not connected to
them in any way other than as a satisfied patient.)  They call their unique
technique manual therapy, and you should know it is agressive, and not
always pleasant, but very effective.  

                    +++++++++++++++++++++
Patient Recommendation

I recommend Dr. Gerald Keane 
Menlo Park: 415-851-4900
San Jose: 415-247-4900
He has offices in menlo park, san jose, oakland and stanford.  i struggled
for a long time with a doctor who meant well, but didnt know #@!% about long
term treating of rsi.  dr. keane is a pain specialist and really gets how
long this takes for treatment and is open to alternative methods.
                    +++++++++++++++++++++
Patient Recommendation

I have received really thoughtful patient oriented treatment from
physiatrist Dr. Gerald Keane at SOAR in Menlo Park. He is open to
prescribing Feldenkrais, accupuncture, & other alternative treatments &
he's got a lot of integrity. I would agree that they get people
in-and-out quickly.  Two cautions: 1) he is VERY busy(very popular) &
I've found it best to come to the visit w/ the following prepared:
questions, treatment modalities I want try, & concise history of my
treatment up to that point for my own review  2) the best place to see
him is in Menlo Park, the support staff works much more effectively
there than in the Oakland office, especially Patient Manager Kathleen
Barry.

[13 February 2000]"...in any case, just wanted to pass on that a Calfiornia
dr. who had multiple recs on your website - Gerald
Keane in Menlo Park/Oakland/San Jose etc, affiliated
with SOAR - is no longer taking new RSI patients. His
scheduling assistant told me that, that he is now
focusing on spine patients. "
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Margaret Child, Certified Hellerwork Practitioner
Mill Valley, CA - 415-257-5337

                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Tom Merrill, Certified Hellerwork Practitioner
Mill Valley, CA - 415-380-8237
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 

Montague- Carol Martin, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 916-459-5634

                    +++++++++++++++++++++
Patient Recommendation

 am a
  pianist/keyboardist that has been alternately diagnosed with Thoracic
  Outlet Syndrome, tenosynovitis, tendinitis, carpal tunnel, etc..  About
  five years ago I was completely unable to play, and in horrendous pain,
  as well as having severe numbness and tingling in my left hand.  I was
  fortunate enough to find a chiropractor in Hollywood, CA that relieved me
  of the pain and got me playing again.  
 His name is Dr. Arlo Gordin,
  at Gordin Chiropractic, now located in Universal City.  His phone number
  is 310-436-0303.  He specializes in treating musicians, and has many
  famous clients, as well as doing work with the Musicians Institute in
  Hollywood.
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Monterey- Milton Ruth, Certified Hellerwork Practitioner. Ph: 408-372-3562

                    +++++++++++++++++++++
Patient Recommendation

James M. Vawter, MD
1010 Cass St.
Monterey CA 93940
649-5189

I have mild tendonitis, and have seen him for about three years. Judging
from the List dicussions, he isn't a real specialist in RSI, but he at
least takes the condition seriously and isn't prone to recommend surgery.
I've had good results from physical therapist 

Mark Young 
Rehabilitation Providers
917 Pacific St. 
Monterey CA 93940
373-1209
                    +++++++++++++++++++++
Self-Referred 

Travis F. Sanchez,Doctor of Chiropractic
498 Foam Street
Monterey,CA 93940

Bilingual Spanish/English
Avalable for injury prevention workshops and online consultation
408 657 0106
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Luz Fortner, Certified Hellerwork Practitioner
Newhall, CA - 805-254-7659
                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Calvin George, Certified Hellerwork Practitioner
Newport Beach, CA, 714-642-1088
                    +++++++++++++++++++++
Self-Referred 
Aquatic Therapy Associates
PO BOX 1643  Novato, CA   94948
Pool located at the Osher Marin Jewish Community Center, 200 N. San Pedro Rd
San Rafael CA 94903.  Phone (415) 479-2000 x-3046  Contact Caryl Sircus, Physical Therapist
(email:CarylS1@aol.com)

Pool is 88 degrees, fully accessible.

We provide one-on-one sessions of individualized physical therapy and/or
aquatic exercise.  

We also have a class we call Upper Body Recovery which meets tues and Thurs
5:30-6:30 emphasizing stretching and gentle strengthening for the upper body,
relaxation, and lower body and trunk exercise for increasing cardiovascular
endurance.  Cost is $9 per class.

                    +++++++++++++++++++++
Patient Recommendation
The following facility specializes in Repetitive Posture Stress Patterns and
gets excellent results. They also suggest posture modifications that help to
prevent re-occurrences.

Oceanside Pain relief Center
606-A Cassidy Street
Oceanside, CA  92054
760-721-7033
                    +++++++++++++++++++++
Patient Recommendation

SHARE in Oakland 
> I had a good experience at SHARE in Oakland. They have a variety of
> specialists on staff and seemed pretty knowledgeable about RSI.

I am currently undergoing physical therapy there with Kathy Hynes.
The current set of stretches she has prescribed seems to be helping
my symptoms of Thoracic Outlet Syndrome.

> They are located on Grand Avenue in Oakland, but I hear they are moving to
> downtown Oakland. The phone number is 510-893-7463.

They are now located at The Leamington Building, 1814 Franklin St, Suite 905.
The cross street is 19th Ave.

   Call Yumi Bellizzi at 510-893-7463 or Julie Garner at METS in Marin,
   415-457-2850.  You may want to interview them and learn about their
   services.  They both have "keyboard clinics" and do a fair amount of
   RSI/CTS evaluations (and worksite evals.).
                    +++++++++++++++++++++ 
Patient Recommendation

One doctor I saw who I thought was great was Kendrick Lee. He has
offices in Oakland, San Leandro, and I think Alameda and
somewhere on the Peninsula. He was the FIRST, after 6 months of
doctors, neurologists, and therapists, to correctly diagnose my
radial tunnel syndrome. I only saw him for evaluations, when my
doctor ran out of ideas, so Dr. Lee didn't direct my treatment at all.
He was a good listener, asked lots of questions, answered my
questions honestly, and seemed incredibly nice and sympathetic. Yes,
he's a surgeon, but, at least for me, he didn't recommend surgery,
even though there is a surgery for radial tunnel. Also, the biofeedback
therapist I was working with at the time had a very high regard for
Dr. Lee. The phone number for his Oakland office, according to the
Yellow Pages,  is 510-893-9589.

Kaiser Permanente (huge HMO) in Oakland now has an Occ. Health
clinic and has publicized it in member newsletters as a resource
for RSI. I have not been there. I know that a year ago, Kaiser was
sending patients to an excellent hand therapy clinic.

My experience is that the hand therapists are the ones who
know the most, especially about which doctors are good or bad.
                    +++++++++++++++++++++ 
Patient Recommendation

I've had very good results with Dr. Ross of Rockridge Family Chiropractic
-- 6040 Telegraph Avenue, Oakland CA 94609 (510) 428-9288.  When I first
went to him in September, I was unable to sit at a keyboard for more than a
few minutes without severe pain.  He takes a very comprehensive approach to
treating RSI, involving exercise, nutrition, spinal adjustments, postural
and ergonomic analysis, and percussive and deep-tissue massage.  Three
months later, I've started working again as a computer programmer,
routinely putting in 8-hour days of computer use, with only minor (and
controllable) pain.  Another thing worth mentioning about him is that he
formerly suffered from Carpal Tunnel Syndrome, so he knows what he's
talking about!

                    +++++++++++++++++++++ 
Patient Recommendation

The Hand Care Center in Orange, CA (in Orange County, just south of Los
Angeles) consists of a medical group (five doctors) and a therapy group
(four therapists). The specific doctor I saw was Dr. Andres Taleisnik. His
father, Julio Taleisnik, M.D., was (I think) the founder of the group and
he still practices there. The other doctors are Sterling B. Mutz, M.D.,
Mark N. Halikis, M.D., and Roger W.Wilson, M.D. I cannot say anything about
any of them from personal experience.

The address of the Hand Care Center (which gives as its subtitle, "Surgery
of the Hand") is St. Joseph Medical Plaza, 1140 West La Veta Ave., Sutie
860, Orange CA 92628. Their telephone number (for both the medical and
therapy groups) is 714-541-6100.

The therapists in that center are: Judith A. Brown (the one I saw mostly),
Nancy Parrish, Karen Sorensen, and Diane Dobner--all of them listing
O.T.R., C.H.T. after their names.
                    +++++++++++++++++++++ 
Patient Recommendation

I have solved 95% of my problems with wrist RSI, and gained the
 ability to type as much as I need at work and to play as much piano as
 I like, with the help of Feldenkrais practitioner Ralph Strauch.  I
 have taken private lessons (he is in the Los Angeles area) and worked
 with his Awareness Through Movement tapes (order form available on his
 web site).  Here's the info:

 Name: Ralph Strauch, Feldenkrais Practitioner
 Located in the Los Angeles area (Pacific Palisades)
 Phone: 310/454-8322
 email: rstrauch@caprica.com
                    +++++++++++++++++++++                    
Palo Alto Physical Therapy and Sports Injury Center
Performing Arts Clinic
913 Emerson Street, Second Floor
Palo Alto, CA 94301
(415) 324-4182 Fax: (415) 323-1952

See their Web page at http://www.carrpt.com/ , especially the personnel
in their Performing Arts Medical Care program 
(http://www.batnet.com/jazmin/musicmed.html)
to see why this looks like an excellent resource.
                    +++++++++++++++++++++                    
Patient Recommendation

My husband and I have both been treated by an excellent acupuncturist
in Palo Alto (just across the bridge from Fremont):

Aiyana Lent
530 University Avenue
415/494-3753

My husband had a rather debilitating case of tendonitis (and for a couple
of years also undiagnosed TOS), and a physical therapist worked with him
for several months.  Then when his rate of improvement slowed down, the PT
suggested that acupuncture may help and referred him to Aiyana.  Her
treatments increased the rate of his healing again.  He ultimately found
Peter Edgelow in Hayward (he's been mentioned several times on this group),
when he was finally diagnosed with TOS.  Peter taught him exercises and
some new rules to live by that have brought about the most dramatic
improvement in the TOS.

I've also been treated by Aiyana for tendonitis and other problems,
and I was impressed by how much acupuncture can help, particularly
with pain control.  We both still see her periodically for various
flare-ups and injuries, and also for an occasional "tune-up".
                    +++++++++++++++++++++                    
Patient Recommendation

Dr. Marja Javier, Palo Alto.  Dr.  Javier specializes in arms and the
   back and was originally referred to  . . .  by Dr. Ruth
   Lowengart.  . . .  has had great relief as a result of her treatment.
   Dr. Javier can be reached at  (415) 856-0606.
                    +++++++++++++++++++++
Patient Recommendation

>Paul Li
>Acupuncture and Qigong Teacher
>415-328-3718
>Palo Alto
>(Learned som Qigong from this guy)
>
>Watercourse Way
>165 Channing Avenue
>Palo Alto
>415-462-2000
>(They have good massage therapists here.)
>
>Barbara White, Feldenkrais specialist
>Body Therapy Center
>368 California Ave
>Palo Alto
>415-328-9400
>(Had 1 session. She was very good, but I douldn't afford more,
>so I bought her tapes, instead. I actually used the book:
>_Relaxercise_ by Zemach-Bersin and Reese to learn some Feldenkrais
>techniques, and relied on that book the most, for doing my muscle
>relaxation things.)

>Edward Weiss, M.D.
>Acupuncture
>900 Welch Rd. Suite 208
>Palo Alto
>415-326-6560
>(Had ~6 acupuncture sessions on back-to-back days with visits with
>Flagg.. one or both seemed to break the persistant (9 month)
>pain I had in my left wrist)

                    +++++++++++++++++++++
Patient Recommendation

Dr. Susan Tierman, MD, @ Palo alto Medical Foundation, Occupational
Medicine; 300 Homer Av., Palo Alto, CA, 94301-2794; (415) 321-4121.  Her
view is to do whatever needs to be done to get the patient back on track;
also has a good sense of humor.

Dr. Dave Schorr, Doctor of Chiropractic, 2470 El camino real, Suite 110, Palo Alto, CA, 94306;
(415)857-1221.  A DC and Physical Therapist, he specializes in deep tissue massage and
ultra sound with excellent results; also has good sense of humor.

Ms. Aiyana Lent, L. Ac., University Health Care, 530 University Av., Palo
Alto, CA, 94301; (410) 494-3753.  An acupuncturist and Chiese herbalist,
she uses the more gentle Japanese-style acupuncture with Chinese herbals
for excellent results; also has good sense of humor.

Mr. Joe Rivera, Physical Therapist, Orthopedic Sports & Spine Rehabilitation Center, 1860
Embarcadero Rd., Suite 275, Palo Alto, CA, 94303; (415) 852-1228.  A small
outfit but staffed with top notch personnel who know their business and
give very personalized care.
                    +++++++++++++++++++++
Patient Recommendation

Elizabeth Myers, R.P.T.
Physical Therapy Center of Palo Alto
3906 Middlefield Road
Charleston Center
PALO ALTO, CA 94306
Tel(415)494-0991
Fax(415)494-0129

An excellent physical therapist with over 40 years of experience, very
knowledgeable and sympathetic (she had surgery for CTS herself some time in the
70's).  She's taking a thoughtful and scientific approach to treatment of my
tendinitis, including ultrasound, ice, massage, and a home program of
stretching and exercise.
                    +++++++++++++++++++++
Patient Recommendation

Wendy Harrison, C. M.T. (certified massage therapist)
University Health Care
530 University Av.,
Palo Alto, CA, 94301
(415) 710-0897
(have not tried her, but she's familiar with RSI's)
                    +++++++++++++++++++++
Patient Recommendation

Dr. Jeffrey Saal, physiatrist (not a surgeon), (415)851-4900. Or
ask for another doctor at this number, which is the SpineCare/SOAR
clinic. They hustle people in and out of this place awfully fast,
but the doctors are very competent.

I recently had accupuncture for a bilateral forearm RSI problem
(chronic tendonitis?) from Dr. Joel Saal.  He's a physiatrist with the
SOAR group and regularly treats RSI cases.
They have offices in Menlo Park, Sand Hill at 280 and San Jose, Winchester
at 280.  Menlo Park is their main office 415-851-4900.

10 sessions of accupuncture (2/week x 5 weeks) provided some relief
though not a total cure.  I had accupuncture in July/August followed
by some PT for strengthening and was declared P&S with permanent limitations
this Tues :-(
                    +++++++++++++++++++++
Patient Recommendation

The doctor name that I'm seeing is Gordon Brody of the SOAR clinic in
Palo Alto, Ca. On his card he has

"Specialist in sport Medicine and
Orthopedic Surgery
Certificate of Added Qualification
Surger of the Hand"

He seems to be knowledgeable about RSI related problems.
                    +++++++++++++++++++++
Patient Recommendation

> I'm headed up to San Fran cause a friend of mine recommended dr. joel/jeff saal
> --- he said they were very good.  i called up SOAR --- which is where i found
> they work from reading FindaDoc --- but the receptionist says neither of them
> deal with repetitive stress (contrary to what is written in FindaDoc), but
> she can schedule me with someone in the same group --- dr. mallard.

I don't know Dr. Mallard but I've seen other doctors at SOAR and
they are excellent.  The clinic is a pain to deal with in an
administrative sense, but the doctors are very good.  I've seen
Dr. Gordon Brody, who is a hand specialist, and Dr. Jerry Sobel,
who is a physiatrist (physical medicine and rehab) and chronic
pain specialist.  If your problem is in your hands only, Dr. Brody
is a good choice, but if your problem goes beyond your hands (elbows,
shoulders, neck, back, etc.), then a physiatrist would be appropriate.
You might want to enquire about Dr. Mallard's specialty.

Your problem will be that if they rule out surgery then they will
prescribe physical or occupational therapy, and the therapists they'll
want to refer you to will be in the Bay Area.  You may have to work
with them to see if they can send you somewhere closer to home.

                    +++++++++++++++++++++
Patient Recommendation

I highly recommend the SOAR clinic.  At first I went there through
Worker's Comp for tendonitis in my wrists - I saw Dr. Gordon Brody,
who is a hand specialist.  He sent me to O.T. and was very knowledgeable
about alternative keyboards.  That was fairly good treatment during the
early (first year) stages, and much better than the other doctors I saw.
At least Dr. Brody gave me a real diagnosis (bilateral flexor
tendonitis)
whereas the first doctor I saw just diagnosed me as having CTD
(Cumulative
Trauma Disorder - not a diagnosis of injury at all, merely the mechanism
of injury).

I have tendonitis and bursitis in multiple places, most of it not work
related, and later I went to the SOAR clinic to see one of their
physiatrists, Dr. Jerry Sobel, who is a specialist in chronic pain.
I paid for this out of pocket, since SOAR doesn't take any HMO's
(which I have outside of Worker's Comp).  It was worth every penny
and then some.  I had a great deal of pain and disability before, and
after extensive physical therapy (and ongoing training on my own at
a gym now) I'm much better.  I feel like I have my life back.


                    +++++++++++++++++++++
Patient Recommendation


For those of you in the Bay Area, my doctor was Dr. Jerry Sobel from
SOAR (Menlo Park and San Jose, CA).  He's a physiatrist and chronic
pain specialist.  The physical therapist was Tony Niccoletti, who I
believe currently works at a clinic in Cupertino.  Dr. Sobel sends many
of his patients to him.


                    +++++++++++++++++++++
Patient Recommendation

Dr. John Lu, physiatrist at Palo Alto Medical Foundation
He's the main guy for my workers comp cases from treatment all the way
through to writing the final report for the case. I like him a lot. He
listens and isn't freaked out by discussion of alternative modalities. He's
also been very respectful of my decision not to have cortizone shots.

Carol Seeds, biofeedback in Menlo Park
Dr. Lu sent me to her. I've had great progress working with her, and she's
very comfortable to talk to.

Dr. Eagleston in Palo Alto, psychologist
Dr. Lu sent me to her for pain therapy. She has personal experience with
chronic pain and was the first person I'd talked to who understood that
there are times when doing something I want/need to do is worth the pain it
will cause. Like driving to see a friend who will lift your spirits.

Ken Burns, physical therapist in Palo Alto
I liked Ken a lot. He was good about explaining the mechanics of how body
parts work together and I was very comfortable with him.

                    +++++++++++++++++++++
Patient Recommendation

I've also found some good people in the Palo Alto area, both associated
with the Stanford University Health Services Hand Clinic:
Dr. Amy Ladd who is a hand surgeon
Bob White who is a physical therapist in the clinic.
All the therapists I've worked with in the clinic are quite good, too.

                    +++++++++++++++++++++
Patient Recommendation

Dr. Peony Yu, a physiatrist at Palo Alto Medical Clinic.
                    +++++++++++++++++++++
Patient Recommendation

For surigical situations you might want the Blake Wilbur Hand Clinic
adjacent to Stanford Hospital.  (415) 732-1702
                    +++++++++++++++++++++
Patient Recommendation

 The USC Hand Rehabilitation Center is one of the best
in the world.  Please contact the center by phone at 213/342-8881 ASAP
for treatment.
                    +++++++++++++++++++++
Patient Recommendation

I remember that someone was talking about a bad experience about a doctor
they had at University of Southern California (my computer can't take
abbreviations or initials). Well a friends of mine trained from a good
doctor there, and I have some information about someone you should see if
you are referred there.

Asked for Dr. Joan Wright. My friend, Dr. Elisheva Hettinger (now named
Dr.Flink), trained from Dr. Wright. She said that the other doctors there
aren't patient enough with people who have problems like ours. She said
that this doctor has the patience, and will not make a person permanent and
stationery until she feels it is appropriate--no matter watch the insurance
company says.

                    +++++++++++++++++++++
Patient Recommendation

...Another is a certified Rolfer
recommended by another group member:  Mary Bond in Pasadena, CA.  Her home #
is (213) 254-0963.  The woman who saw Mary was in very bad shape when I met
her in August.  I haven't seen her since but we talked on the phone tonight
and she was really pleased with Mary's treatment.  She had the usual ten
sessions and then, when she had a relapse, went back for some pain relief.
She anticipates returning to work in Jan.  Great news!  

                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler: 
Elizabeth Ward, Pengrove, CA - 707-792-9663
                    +++++++++++++++++++++
MSM Appendix B

Performing Arts Medicine
Kaiser Permanente
7601 Stoneridge Dr.
Pleasanton, CA 94588
(510) 847-5282
Contact: Dr. Frank Wilson

                    +++++++++++++++++++++
Patient Recommendation

> > I called Dr. Flagg, the D.O. mentioned in this forum, and have found him
> > warm, concerned, and extremely knowledgeable. He is clearly well trained
> > in the application of manual treatments for problems such as neuritic
> > entrapments and tendonitis. 
> >
> > Bruce Flagg D.O.
> > 846 Portola Road, Suite B
> > Portola Valley, CA 94028
> > (415) 851-0931

>(My long-term doctor. No question the biggest support I
>had, and the biggest reason I got better.)

                    +++++++++++++++++++++
Patient Recommendation

Dr. Rick Mehaffy
Peninsula RSI, 
260 Main Street #A, 
Redwood City, Ca. 94063, 
phone 650-599-9868, 
FAX 650-599-9068, 
email:  penrsi@ix.netcom.com

He is a chiropractor who
specializes in RSI and is very familiar with myofascial pain syndrome.
Doesn't automatically diagnose everything as Carpal Tunnel Syndrome or
tendinitis.  If you decide to choose a different primary provider, I'd
certainly recommend a vist to Dr. Mehaffy for an alternate opinion if
you're diagnosed with the standard CTS or tendinitis.  Very personable as
well.  Does not focus on "adjustments".

. . .I  have
been greatly  helped by  treatment from  Dr  Mehaffy  - I started improving
within  a  week or  two, and have been pain-free for  nearly 4  months now.
Have been  able  to  work  regular  (and  often extended) hours without any
trouble. . . concentrates solely on computer-related hand and arm 
	disorders and treats cases very hands-on with stretching, exercises, 
	and education.  Well versed in the various causes and contributing 
	factors of repetitive motion injuries.  
Insurance: Accepts Worker's Compensation and other plans

...
 I live in the Bay Area of California and I have myofascitis of
both hands and lower arms.  Have had this since 1989 and probably before
that and I've found that only (Mehaffy) has been able to help me.  He
is a chiropractor but ONLY does RSI injuries.  This is mainly how he
helps people:  we have to do some sort of aerobic exercise such as
walking to get oxygen into our muscles so they can start to heal and
stretching the affected muscles is a very important factor (especially
with myofascitis).  Anti-inflammatory meds don't really help except to
maybe give you an ulcer in time, and steroids didn't help either.  This
doctor has had amazing results with my arms and hands and he's located
in Redwood City, California (in between San Jose and San Francisco).  He
has a good chairside manner, too.  In fact, it's a pleasure to go to his
office.  Everyone is very friendly and want to help you.  (His
salt-water fish tank in the waiting room is very relaxing to watch).  I
have a great deal of trouble relaxing my muscles, especially in my arms
and hands, while sitting and this helps a lot, too.

                    +++++++++++++++++++++
Patient Recommendation

I recently met a doctor in the San Diego, CA area, wh o also woorks extensively 
in the San Francisco/Bay area.  His name is Dr Ian MacMorran, 
tel# (800)231.8226, (619) 291 9990,
fax: 619.291.9190
2918 Fifth Avenue, Suite 200
San Diego, CA  92103
.

Dr MacMorran is also the inventor of Pil-O-Splint, a unique resting/night 
splint for cts/rsi sufferers  I use this splint religiously, and have 
found that it offers me a means to treat my 
own symptoms, thereby avoiding costly trips to the doctor... or worse, surgery!

For further information about Dr MAcMorran, his philosophy, and Pil-O-Splint, 
I believe he has set up a web-site:  http://www.imakproducts.com
                    +++++++++++++++++++++
Patient Recommendation

   San Diego
   Dr. Mark Slonim          619-698-8889
   Excellent listener, involved in various treatment studies.  I recommend.
[NOTE: recent information suggests Dr. Slonim is in La Jolla, office 
phone 619-698-8889]

   Dr Dori Cage                619-287-4477
   Experienced, good listener.  Will refer to the Hand Center - terrific 
   place.

   Chiropractor:  Dr. Mike Kilbride     619-270-6005
   Very knowledgeable about body, found my leg length problem - ok 
   listener.
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Victoria Lea		
5134-2 Saratoga Ave.
San Diego, CA 92107	
619-993-0403 (San Diego)
619 221 0027  (San Diego County)
                    +++++++++++++++++++++
Patient Recommendation

I am receiving treatment from John Zlatic. He is a myotherapist trained by
Janet Travell herself. He is very, very knowledgeable about the body and
about RSI as he was a journalist in Boston 15 years ago when he was
injured. His RSI lead him to Travell and a new career as a myotherapist. He
has eliminated my pain. John's phone number in San Diego, CA is (858)274.3018.

                    +++++++++++++++++++++
Patient Recommendation


>Has anyone heard anything about Dr. John Bors in SF? I have checked
>find-a-doc and did not find anything. Any info would be appreciated.
   I've heard good things about Dr. Bors. I was originally referred to
him by another doctor who I trust wholeheartedly -- Dr. Francois
Antounian. Bors was unable to see me at that time, so I ended up with
his partner, Dr. Scott Rome, who I adore. I think either of them is
good.
JOHN GREGORY BORS MD 
Phone:415-923-6506
SCOTT ANDREW ROME MD 
SAN FRANCISCO, CA 94117 

                    +++++++++++++++++++++
Patient Recommendation

>My Rolfer is Marc Weill, 1774 Union St., San Francisco. Work phone (415)
>928-5423. Have fun!

I see the same rolfer.  He is really wonderful.
                    +++++++++++++++++++++
Patient Recommendation

Mindy Marantz MSPT
Healthwell Physical Therapy
1333 Gough St.
San Francisco Ca. 94109
(p)415-921-1211
(f) 415-921-1229

I highly recommend Healthwell Physical Therapy in San Francisco.
Healthwell's staff is unusually skilled, with their orientation being
towards

      1) Increasing normal movement
      2) Improving oxygen and water available to the tissues/cells for
healing
      3) Reducing the tension in the nervous system which affects RSI.

The approaches they use are Feldenkrais, Acquatic therapy, Pilates, and one
on one myofascial release techniques. They spend an hour with each patient,
and their facility is available through many insurance plans. They also work
with companies in the area on this problem. Because patients have use of the
gym and pool even on days that they're seen in the clinic, Healthwell seems
to be a Mercedes in the world of physical therapy providers. I especially
appreciate the friendliness of the office and the results I've had.



                    +++++++++++++++++++++
Patient Recommendation

Dr. David M. Rempel, MD
Assistant Director of Medicine
Director, Ergonomics Program
University of California, San Francisco
Richmond, CA
                    +++++++++++++++++++++
Patient Recommendation

Two recommendations for SF Area doctors:

East Bay - Incredible work, a little expensive sessions are long and they
are well worth it. I was nearly out of work and would be today if it were
not for the tremendous success I have enjoyed with this doctor:
Dr. Ron Harwin D.C.
510 525 0472


Downtown SF on Howard close to Spear
Rincon Chiropractic - good chiros, works with trigger points and right in
your price range. Achieved farily good results, but not quite as good as
with Dr. Harwin.
Dr. Anita Hildebrandt D. C.
415 896 2225

                    +++++++++++++++++++++
Self Referred

For ergonomic / worksite evaluation, treatment of RSI and TOS through neural
mobilization, postural re-education, soft-tissue mobilization and myofascial
release, and spinal mobilization, contact Jeff Harband, MS, PT at NovaCare
Outpatient Rehabilitation in San Francisco.  We are located at 530 Bush
Street, 1st floor, S. F.  94108.  (415) 398-3399.  You may also e-mail me at
JHarband@aol.com.  I can highly recommend R. Thomas Grotz, MD, for
microsurgery of the wrist and hand.

                    +++++++++++++++++++++
Patient Recommendation
As of 9/99, the Health Program for the Performing Artist in San
Francisco is headed by Dr. Frank Wilson.  I believe that he can be
contacted at (415)476-3452.  I've had good experiences with Dr. Wilson, as
well as with two physical therapists who are also associated with the
program:  Steve Garske in Walnut Creek, CA (925-945-6778) and Peter Edgelow
in Union City (510-471-8030).  Both therapists are particularly
knowledgeable in treating thoracic outlet syndrome.


                    +++++++++++++++++++++
Patient Recommendation

> > Leni K. Sinclair, C.M.T.,D.C. 
> The Bodywork Institute 
> 643 Second Avenue 
> San Francisco, CA 94118 
> 415-668-9558 

> > The Mindful Body
> > 2876 California St. 
> San Francisco, CA 94115 
> 415-931-2639 
> 
Both places are on the SF Support Group referral list, so you may want to put
them on FindADoc if that would be appropriate.
                    +++++++++++++++++++++
Patient Recommendation

Try Myofascial Pain Therapy Associates, Flood Building, 870 Market No. 1175
in SF, 415-397-5087. It's at Powell & Market, which is convenient for both
public transporation and parking in the 5th & Mission garage. Kate and
Deborah are WONDERFUL. They were the *best* health care I've gotten thru alla
dis...

...there is also a Shiatsu person in SF, Thea at 415-923-3719, who can do wonders for
pain relief.
                    +++++++++++++++++++++
Patient Recommendation

(PMx - I think the following refers to the previous clinic.)
I wanted to pass along a resource I found particularly helpful. I had about 15 sessions with a biofeedback therapist, Jenette Sperber, who works at the Myofascial Pain Treatment Center in San Francisco, a clinic specializing in the treatment of RSI. The techniques I learned from Janette were important to my recovery and I still use the techniques to stay pain free. Her imagery techniques are now available in an audio. I really enjoy using these tapes. Afterwards, I always feel very relaxed and the pain has melted away. It's great that this technique is something readily accessible that you can do for yourself anytime you want. Jeanette is delightful to work with and was very sensitive to my individual process and helped tailor the imagery to my unique situation. Janette holds a Master's degree in Rehabilitation Counseling. In addition to her use of biofeedback to retrain muscle functioning, she does computer- related ergonomic training and keyboard/equipment evaluations. She uses self- healing imagery techniques to promote recovery from RSI and other chronic illnesses. This involves learning how to access the body's self-healing resources by developing your own personal and unique healing imagery. An audiocassette of this guided imagery is available through Janette. To ensure correct application of the technique, she is offering the cassette along with one hour of telephone consultation (30 minutes before first use, and two 15 minute follow-ups afterwards). The total price is $40 - $55 sliding scale. For more information, call Janette at (415) 289-2105 and leave a message. +++++++++++++++++++++ Bonnie Prudden Myotherapists in SF Bay Area: Annie Naylor SF 415 882-0953 Joann Lauer, San Jose 408 995-0431 +++++++++++++++++++++ Patient Recommendation The USC Hand Rehabilitation Center is one of the best in the world. Please contact the center by phone at 213/342-8881 ASAP for treatment. +++++++++++++++++++++ Patient Recommendation I had one of the best acupuncturists of all time in SF. If I hadn't moved to Lost Angeles I'd still be seeing her. Her name is Zoe and she works at the Immune Enhancement Clinic (IEP). Their number is 415.252.8711. (Zoe also has a private practice in Marin, I believe.) The cost for acupuncture at the clinic is minimal, about $25 a session, since it's a clinic. If you go thru the intake process, don't do it with Sandy, do it with the other person, whose name I can't remember. (Sandy was the only person there I didn't care for.) +++++++++++++++++++++ Patient Recommendation I have been pleased with the care provided me by Dr. Robert Markison, 2000 Van Ness Avenue, San Francisco, CA 415-929-5900. He's quite a character. Super-brain guy; used to be a heart surgeon at SF General. He has designed ergonomic musical instruments (like a flute played at the center of the body rather than off to one side) to reduce the pains suffered by serious musicians. I was convinced to let him perform the carpal/ulnar tunnel release because he makes his own shoes and suits. He told me that sewing was a wonderful hobby for a surgeon, it focused the mind and the hands on the concept of "fitting". My surgery has had good and bad results. The tingling/numbness are gone. My grip strength and thus my ability to lift heavy objects and drive my car has been reduced. I can still type but it hurts after awhile; I expected that. Overall I'd say the surgery made me better but not well. .... PMx - many persons have commented on Dr. Markison to me. The upshot seems to be that he is good at RSI _evaluations_ . . . less so as the actual _treating_ doctor in that he may not treat for upper arm/shoulder/neck problems that often are involved in RSIs. +++++++++++++++++++++ MSM Appendix B Health Program for Performing Artists San Francisco Medical Center University of California 400 Parnassus Ave., 5th Floor San Francisco, CA 94143 (415) 476-7373 Director: Dr. Peter Ostwald +++++++++++++++++++++ AOEC Member Occupational & Environmental Medicine Clinic University of California at San Francisco 1515 Scott Street Clinic Founded 1979 San Francisco, California 94115 AOEC Contact: Patricia Quinlan, MPH, CIH Clinic 415-885-7770 FAX 415-771-6811 Dennis Shusterman, MD, MPH Business 415-206-3107 FAX 415-206-8949 Diane Liu, MD, MPH e-mail (Quinlan) pdq@itsa.ucsf.edu +++++++++++++++++++++ Patient Recommendation Dr. Robert Markison is one of the best. He is at UCSF. +++++++++++++++++++++ Patient Recommendation . . . some good doctors (like lawyers) are no longer taking new RSI patients as treating physicians, but will do evaluations: like Dr. Robert Markison, Dr. Dorothy Waddell (also excellent, and in the same building as Markison: Medical Arts Building, 2000 Van Ness, SF); she's an internist who specializes in pain and stress disorders; she's very thorough, and particularly good at checking for neurovascular compression in the brachial plexus/thoracic outlet. Dr. Dorothy Waddell's phone number is (415) 441-6534 *She would prefer not to be the primary treating physician (though she has been persuaded, on occasion), so I send people to her for evaluations when it is clear that they haven't been diagnosed properly.* +++++++++++++++++++++ Patient Recommendation Dr. r. Stoney, a vascular surgeon in SF +++++++++++++++++++++ Patient Recommendation I'm not sure where you are physically located, but I've had good luck with bio-feedback therapy here in the (San Francisco) Bay Area. Their number is 800-222-5552; perhaps they can recommend somebody in other areas of their country as needed. +++++++++++++++++++++ Patient Recommendation I'm truly amazed not to see Hand Therapy of San Francisco (2300 Sutter Street Suite 208, San Francisco, California 94115, 415-346-9555) mentioned anywhere on your list. I have a very complicated, unusual condition, and I went to see 15 or 20 doctors and other treaters before coming here, all of whom had absolutely no idea what was wrong with me. I saw Pam Silverman CHT/OTR, the founder, who is extremely knowledgeable as well as very caring and patient. She spent weeks investigating and diagnosing my problems, each day coming a little closer to the truth. She has been extremely helpful in treating me on a physical level, and correctly guessed at the treatment that would help me the most (a nerve drug called Neurontin). She also referred me to Dr. Tracy Newkirk (1099 D Street, San Rafael, California 94901, 415-258-1838), a neurologist and chronic pain specialist, who in one visit seems to have correctly diagnosed my neurological problems and figured out treatments that would actually help me. He will also fight tooth and nail against workers compensation. Like others, I would not recommend Dr. Robert Markison if you have pain anywhere other than in your hands and forearms. +++++++++++++++++++++ Patient Recommendation Try the Bunke clinic in SF, Dr. George Gutierrez in SF, Dr. Keane in Oakland and the SOAR group in Menlo Park (any of the physiatrists there) If you need help finding #'s let me know. +++++++++++++++++++++ Patient Recommendation My homeopath has helped immensely. He is also an MD so some insurance companies recognize him: Greg Manteuffel (415) 681-4440 San Francisco +++++++++++++++++++++ Patient Recommendation References in San Francisco: 1. Acupuncture: Dr. Jing Li, 415-282-1880 -- a Chinese doctor, and a true healer. She's the main reason I'm just now beginning to have any relief. She gets my highest recommendation. 2. Kenneth Hsu, M.D. 415-750-5836 -- He basically deals with the spine, but can refer you to one of his partners if your difficulty is outside of his specialty. +++++++++++++++++++++ Patient Recommendation Dr. Lucy O. Reinke, M.D., M.P.H. Occupational Medicine, Toxicology, and Epidemiology Telephone/FAX: (707) 837-8711 e-mail: archrock@aol.com +++++++++++++++++++++ Patient Recommendation You can call The Hand Therapy Certification Commission in San Francisco @ (415)764-4827 they should have a listing of therapists in your area. +++++++++++++++++++++ The Shiatsu person in SF is: Thea Ninos 415-923-3719 I also give my highest recommendation to someone in the Menlo Park/Palo Alto area of California who is licensed in acupuncture and homeopathy. Her work is truly remarkable. Margaret Waters 415-494-7032 +++++++++++++++++++++ Patient Recommendation BIOFEEDBACK: Dennis Ettare Biofeedback Associates of California 2211 Moorpark, #210 San Jose, CA 951?? 408-295-2944 rsi-bac@ccnet.com +++++++++++++++++++++ Patient Recommendation (I think this item refers to previous listing) For the past 2 months I've been seeing the people at Biofeedback Associates of California and am beginning to feel significant improvement. My pain has been occurring less frequently and when I do experience pain it seems to be going away more quickly. I've been hesitant about getting my hopes up because I've tried numerous things in the past. Everything from stretching regimes to chiropractic work to acupuncture. Nothing had worked consistently. For a while I was doing deep tissue massage on my arms. This helped stop the pain for a brief period, but it would then come right back. I am now feeling hopeful with this biofeedback training. +++++++++++++++++++++ Patient Recommendation I have been seeing this one chiropractor for a couple of months now and I am extrememly satisfied with the results I am getting. In my class I know of 2 others that have similar problems. They are seeing the same chiropractor and are seeing the same positive results. Dr. Cook really has a deep understanding of how these systems work and can give really positive results. Dr. Robert Cook COR Chiropactic Offices 1305 C North Bascom San Jose, CA 95128 408-985-1111 fax 408-985-2222 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: San Jose- Esther Golan, Certified Hellerwork Practitioner. Ph: 408-267-5101 +++++++++++++++++++++ Patient Recommendation Dr. William Anderson in San Mateo. He is an osteopath and will evaluate and manipulate your bones and muscles. +++++++++++++++++++++ Patient Recommendation West Bay Physical Therapy Clinic has great therapists that have had a lot of success with tendinitis patients. I believe their outcomes for tendinitis is 70 to 80 percent resolution. They are located at: 212 N. San Mateo San Mateo, CA 94401 Phone: (650) 342-7887 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Milton Ruth, Santa Monica, CA - 310-453-6535 +++++++++++++++++++++ Patient Recommendation Dr. Tracy Newkirk at METS in San Rafael. He's a neurologist and is good if you have pain in the hands and you want to know where it's coming from. He will give you the diagnosis. +++++++++++++++++++++ Patient Recommendation Dr. Gail Dubinsky at METS in San Rafael. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Mike McFarland, Certified Hellerwork Practitioner San Rafael, CA - 415-454-7804 +++++++++++++++++++++ Patient Recommendation I would like to recommend a chiropractor whom I found who has been compassionate, instructive, and open-minded in treatment modalities tailored to treating myofascial pain syndrom, and ulnar/media nerve extrapments of upper extremities, shoulders and neck. Used, tens, ultra sound and deep tissue massage for trigger points. Adams Chiropractic Clinic Dr. Maria J. Adams, Doctor of Chiropractic, DNBHE 1809 B East Cabrillo Blvd. Santa Barbara, CA 93108 +++++++++++++++++++++ Patient Recommendation ...however, i've had great care from dr. jessica brown at sansum, santa barbara, 1-800-4sansum. she determined i did, indeed, have intersection syndrome. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Santa Rosa- Elizabeth Ward, Certified Hellerwork Practitioner. Ph: 707-542-2408 +++++++++++++++++++++ Patient Recommendation I am a trumpet player in LA, and have been helped a great deal by an Alexander teacher by the name of Pam Hartman. She lives in Sherman Oaks, and has helped many musicians in the LA area. Her phone number is 818 784-0167. +++++++++++++++++++++ Bonnie Prudden Myotherapist Debbie Grace The Center for Pain Relief P.O. Box 122 Santa Maria, CA 93456 805-928-3296 +++++++++++++++++++++ Self Referred Margot Malone Margot@sbmusic.com I am a holistic healthcare bodyworker in San Marino, Ca. For the last ten years I have been specializing in a number of body techniques that I created myself after a horrific car accident in 1986 left me with many injuries that modern medicine failed to help me with. Using myself as a guinea pig I created a complete system of preskeletal muscular manipulation techniques that have a broad range of success. I work out of a beauty salon in San Marino and have created a massive intensive therapy reputation with these techniques and have won the Pasadena Weekly public poll award for the entire San Gabriel Valley, Pasadena and Gelendale area for BEST MASSAGE for 6 years. There has NEVER been a case of any of the injuries that you mention on your site that I have not been able to erase or at bare mnimum depending on the lifestyle and body structure of the individual concerned ,significantly ameliorate. I have had clients who have gone to chiropractors...doctors and physical therapists for months to years with no success...and walk out of my therapy room with no continuing symptomology...to greatly reduced sympomology in ONE session. This is not a discomfort free therapy...the amount of discomfort a client feels varies from mild to intense depending upon the duration /severity of injury..& to the native touch sensitivities of the individual. but the discomforts when there are any are brief...and offer complete... to major relief of sympoms. basically I look at the body holistically...the fingers are an extension of the arm and shoulders...I work each area starting with my basic work on the neck and shoulders which is my SPecialty called OSCTHI (Origin Specific Cervo-Thorasic Integration...I also have integration techniques for the Sacral-Thorasic area, Sacro-Pedal area,...individually in intensive area specific manipulation...or in a broad range Massage that deals more gently wtiht the issues of those areas called Passive Progressive. We had a Naturopath on staff for about a year Dr. Leon Reid who stated that he had Never seen anything like my techniques in the 30 years he had been in the health services and massage and bodywork field). I have felt the pain...I have found what worked for me...and have I found those techniques also worked for thousands of others who came across my table. I listen...and have a Sherlockean tenacity towards finding an answer for my clients that WORKS.....give me a call at The Gates Salon in San Marino Ca (626)441-1188 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Colleen Ostergren, Certified Hellerwork Practitioner Sonoma, CA - 707-939-9156 +++++++++++++++++++++ Patient Recommendation Dr. Terrance Orr 1139 Third Street South Lake Tahoe, California phone: (916) 541-3100 Dr. Orr holds a B.S. degree from Purdue University and M.S. and M.D. from the Medical College of Wisconsin. He studied as an intern at Northwestern, and completed an orthopedic residency at Washington University. After a sports medicine fellowship, he joined the Tahoe Fracture and Orthopedic Clinic in 1988. Today, Dr. Orr specializes in sports medicine as well as knee ligament repair and reconstruction, and arthroscopic surgery. He also has a special interest in hand surgery. An avid skier, Dr. Orr is currently an attending physician for the United States Ski Team. Dr. Orr did my surgery for Intersection Syndrome/Wartenberg's Syndrome. I have improved by approximately 85%. He has always shown care and concern to my well being and is a good listener. He communicates well and doesn't treat me as though my pain is imagined. He has stuck by me when other doctors said they couldn't help me. I HIGHLY recommend Dr. Orr! +++++++++++++++++++++ Patient Recommendation Dr. Vincent Hentz, hand surgeon, Stanford, (415)723-5256. +++++++++++++++++++++ Patient Recommendation Dr. Julie Ladd, hand surgeon, Stanford, (415)723-5256. +++++++++++++++++++++ Patient Recommendation WORKER'S COMP. DOCTOR Heidi Tonken, M.D. Occupational Medicine Services 325 N. Mathilda Ave. Sunnyvale, CA 94086 tel: 408-733-4380 fax: 408-733-4625 +++++++++++++++++++++ Patient Recommendation PHYSICAL THERAPY Sunnyvale Physical Therapy and Sports Injury Center (part of Richard Carr Physical Therapy, Inc.). 323 N. Mathilda Ave. Sunnyvale, Ca 94086 408-733-3670 (Michael Olson, Physical Therapist, was my usual therapist.) ERGONOMICS SPECIALIST Jane M. Hall, MS, Physical Therapist, ATC Richard P. Carr Physical Therapy, Inc. 323 N. Mathilda Ave. Sunnyvale, Ca 94086 408-739-8870 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Thousand Oaks- Merry Nell Colborn, Certified Hellerwork Practitioner. Ph: 805-379-4747 http://members.aol.com/MerryNellC/index.htm +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Valley Center- Linda Tennant, Certified Hellerwork Practitioner. Ph: 619-749-2907 +++++++++++++++++++++ Patient Recommendation Cheryl Whittaker "There is an excellent certified Bonnie Prudden myotherapist I have used for over 10 years in Walnut Creek--, at Myotherapy West, 1200 Mt. Diablo Blvd., (510) 935-5799." +++++++++++++++++++++ Patient Recommendation John Muir Hospital, Walnut Creek has a hand therapy specialist at their Broadway facility (510) 947-5300 +++++++++++++++++++++ Patient Recommendation ... Finally I was able to select my own physician through workers comp and got a recommendation from an RSI support group in my area. He diagnosed me with Thoracic Outlet syndrome and I have been off work now for 4 months and am slowly healing. The experience initially was a nightmare, but I found a doctor who understands RSI and I am in physical therapy at a facility that specializes in Repetitive Strain. They constantly see people who were misdiagnosed initially (as I was), some who were even operated on, or some who were sent back to work, like me, without getting the help they needed while continuing to aggravate and worsen their condition. Not to mention how the insurance companies tend to challenge TOS diagnosis because you can't take an x-ray or EMG and see it. The diagnosis is based upon a battery of symptoms and mobility tests performed by the MD. If you've been in my situation, especially if more than 1 nerve is involed (pinky and ring finer are ulnar; thumb, pointer and middle are median; forearm is radial) TOS, where the nerves run through the shoulders and neck, might be the cause. And if you're in Northern CA, you may want to contact the doc or see this PT group: Dr. Richard Smith, Rheumatologist, MD 120 La Casa Via Walnut Creek, CA (925) 932-8775 Optimal Performance physical therapy 801 Ygnacio Valley Road Walnut Creek, CA (925) 945-6778 In physical therapy, I received a home kit for repetitive strain that has helped me tremendously in building my endurance, easing pain, and relieving symptoms. The kit includes an instructional video, audiocassettes, 2 foam rollers and an air pillow for mobilizing the ribcage and spine, a ball-on-a- stick for mobilizing ribs, and a gymnastic ball for strengthening muscles. If you currently are in physical therapy, and are interested in this kit, have your physical therapist contact Peter Edgelow in Hayward, CA at 510-732-7881. Since someone can be injured using the kit without proper guidance, Mr. Edgelow only resells the kit to other physical therapists trained in treatment of repetitive strain. +++++++++++++++++++++ Self Referred I am a physical therapist and co-author of CRS, Computer-Related Syndrome, The Prevention and Treatment of Computer-Related Injuries, Richard Dean Smith, MD & Steven T. Garske, MS, PT, Prometheus Books, 1997. ISBN 1-57392-145-9 (paper) It is available at Amazon.com. (I have treated computer workers, musicians and athletes with repetitive motion injuries. There are some intriguing similarities and differences.) Perhaps this book will serve as a resource for your readers. My wife Heidi & I own a physical therapy clinic, Optimal Performance, and an injury prevention company, Optimal Kinetics, both in Walnut Creek, CA. (East San Francisco Bay Area). Dr. Smith is a physician in Walnut Creek, the head of the Rehab. Dept. at John Muir Medical Center and a well respected doctor specializing in the treatment of repetitive motion injured workers. Please feel free to contact me at my e-mail address anytime: shgarske@aol.com. +++++++++++++++++++++ Patient Recommendation Dr. W. Bradford of Torrance Mullikin Medical Center in Torrance, Ca lectures about TOS at Harbor-UCLA Medical Center. +-----------+ | Colorado | +-----------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Claudia Smith Aspen Valley Myotherapy 1629 Delores Way Carbondale, CO 81623 970-963-4360 +++++++++++++++++++++ MSM Appendix B University of Colorado Health Sciences Center Department of Neurology Campus Box B 183 4200 E. Ninth Ave. Denver, CO 80262 (303) 270-7566 Contact: Dr. Stuart Schneck +++++++++++++++++++++ Bonnie Prudden Myotherapist Judith Gerhart Rocky Mountain Myotherapy 1240 15th Ave. Longmont, CO 80501 303-776-8853 Denver office: 303-320-1918 +-------------+ | Connecticut | +-------------+ +++++++++++++++++++++ AOEC Member University of Connecticut Occupational and Environmental Medicine Program Farmington Ave. Clinic Founded 1989 Farmington, Connecticut 06030 AOEC Contact: Eileen Storey, MD, MPH 203-679-2893 FAX 203-679-1585 +++++++++++++++++++++ AOEC Member Yale University Occupational/Environmental Medicine Program 135 College Street, 3rd Floor New Haven, Connecticut 06510 Clinic Founded 1979 AOEC Contact: Mark R. Cullen, MD 203-785-5885 FAX 203-785-7391 +++++++++++++++++++++ AOEC Member Waterbury Occupational Health 140 Grandview Ave. Suite 101 Waterbury, Connecticut 06708 Clinic Founded 1989 AOEC Contact: Gregory McCarthy, MD, MPH, RS 203-573-8114 FAX 203-755-3823 +++++++++++++++++++++ Bonnie Prudden Myotherapist Christine Whittlesey Godfrey 45 Castlewood Rd. West Hartford, CT 06107 860-521-5320 +----------------------+ | District of Columbia | +----------------------+ +++++++++++++++++++++ AOEC Member Division of Occupational & Environmental Medicine DISTRICT of COLUMBIA School of Medicine, George Washington University 2300 K Street NW Clinic Founded 1985 Washington, DC 20037 AOEC Contact: John M. Balbus, MD, MPH 202-994-1734 FAX 202-994-0011 +++++++++++++++++++++ Patient Recommendation Yes, I have been going to Dr. Balbus at George Washington University. (202/ 994-1734) He is a doctor of occupational medicine and I believe the bulk of his patients are RSI. He sent me to Hand-in-Hand Therapy in Arlington for PT. (703/ 527-8446) I've made more progress in the last three weeks than have in a year. +----------+ | Florida | +----------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Cheryl Williams Myotherapy Pain Management 235 South Wymote Rd. Suite 103 Altamonte Springs Fl 32714 407-865-9439 +++++++++++++++++++++ Bonnie Prudden Myotherapist Dee Winslow, R.N. Southwest Florida Myotherapy 848 Miramar Ct. Cape Coral, FL 33904 941-945-7613 Patient Recommendation I have been under the care of Dr. William J. Myers, Orthopedics, for the last three years. I am very pleased with his care and treatment of CTS. His address and phone number are as follows: 350 N. Clyde Morris Blvd. Daytona Beach, FL 32114 904/238-3290 or 904/238-3283 FAX 904/238-3250 1-800-321-1227 +++++++++++++++++++++ Patient Recommendation Dr. Nasser Eftekhari, MD, PA Diplomate, Amer. Board of Physical Medicine & Rehab. 8600 SW 92 St Ste. 201 Miami, FL 33156 (305) 273-5577 This Dr. did my nerve conduction studies, but was not my primary care physician, so I didn't get to know him that well. Nonetheless, he was great at listening, explaining, and giving hope, and he was open to a variety of treatment options. Carol Cornelison, Licensed Massage Therapist Miami Massage (305) 661-3590 Carol does Swedish, Deep Tissue Massage, and Reiki; she uses a variety of treatments and can suggest exercises, recognizing that different people respond better to different treatments. She focuses on underlying alignment problems which can cause the nerve entrapment associated with repetitive strain injuries. She's great, but this method of treatment does take time. +++++++++++++++++++++ Patient Recommendation Dr. Steven Mirabello New Port Richey, FL 813-848-4249 he graduated from Harvard and does all the orthopedic stuff for the Toronto Bluejays... His bedside manner is wonderful, and he has made me feel a lot better.... He is located in New Port Richey. He is listed under his name or Florida Joint Replacement Center. I also see another Dr. there for my CTS, his name is Sang Choi, (he speaks english). He is a highly respected hand surgeon, but I think my hands were too far gone for him to really help much. I also saw a Dr. Greene in Tampa (THOMAS LEE GREENE MD.STE 560 2727 W MRTN L KING JR BLVD TAMPA , FL 33607 ) for a second opinion on my hands, (workman's comp idea) he is located near St. Joseph's hospital on Martin Luther King Blvd. He was pretty cool, and completely agreed with Choi. +++++++++++++++++++++ Patient Recommendation 1. Scott Wittmer, D.C., The Wittmer Clinic, 5435 Lake Howell Road, Winter Park, FL 32792, (407) 677-7272 I have found a fantastic chiropractor who is carrying the load of RSI patients for the Orlando area. He has diagnosed and treated my problem when all others couldn't/wouldn't. Even the W/C chiropractor before him did not fully treat me and just adjusted my neck even though I had entire upper extremity pain. Dr. Wittmer has treated ny neck, shoulders, arms, wrists, and also has a carpal tunnel distraction machine. This doctor stood up for me and admitted I had a problem and needed treatment. In his own words, "I treat patients, not insurance companies." 2. Greg Johnson, Licensed Massage Therapist, 251 Maitland Avenue, Suite 111, Altamonte Springs, FL 32701, (407) 834-4422 I also have a great massage therapist who provides neuromuscular massage and also understands those trigger points, the pain, and how to relieve the pain and improve circulation. +++++++++++++++++++++ Patient Recommendation CHIROPRACTOR 1. Mark Harris, Doctor of Chiropractic, CCSP Goldenrod Groves Shopping Center 5270 Aloma Avenue, Suite 162 Winter Park, FL 32792 (407) 657-2433 He is a great chiropractor with emphasis in quick reduction of symptoms and prevention of further injury. BIOFEEDBACK 2. Timothy E. Fennell, Ph.D. (c) 1870 Aloma Avenue, Suite 110 Winter Park, FL 32789 (407) 629-2883 Biofeedback - he is a sports psychologist specializing in stress reduction, and is very mind/body aware. I'm sorry I have not really found a good orthopedist in the area, I have one that is pretty good, but as far as a Worker's Comp case goes, he does not believe in RSI so I can't recommend him. NEUROSURGEON Frank Hellinger, MD 2501 N. Orange Avenue, #307 Orlando, FL 32804 He believes in RSI, but I have not been able to use him for Worker's Comp so I cannot vouch for how he rates people. One lawyer did recommend me to him however. +++++++++++++++++++++ Patient Recommendation The Chiropractor that I am seeing is Lisa Calhoun in Panama City, FL. She is wonderful!!! If any of you are in the Panhandle of Florida...she is the one to see. +++++++++++++++++++++ Patient Recommendation ...he sent me some information on an RSI doctor that was trained by Peter (Edgelow) in his method for treating RSI patients. He is in Pensacola, FL. I spoke with him today and they are trying to get an RSI center established at Baptist Hospital in Pensacola. ... The doctor I spoke to was Layne R. Yonehiro. He seemed extremely knowledgeable about RSI and the run around with doctors that RSI suffers have to put up with. I have hope again that a doctor might actually be of some help. I'll let you all know how things go when I see Dr. Yonehiro. +++++++++++++++++++++ Self Referred John A. Prokopiak I would like to be added to you site, I am a DC in Sarasota FL that specializes in Extremity and soft tissue injuries. I use Active Release Techniques. My web site is www.prohealthcenters.com E-mail Dr.JohnPro@home.com Call toll free 1-888-JOHN PRO (564.6776) +++++++++++++++++++++ Patient Recommendation ROBERT JOHN BELSOLE MD 4 COLUMBIA DR STE 730 TAMPA , FL 33606 FAX 813-259-0885 +----------+ | Georgia | +----------+ +++++++++++++++++++++ Self Referred My Name is Dr. James Locher. I am a Chiropractor (DC) and Certified Chiropractic Extremity Practicioner (CCEP) in the Atlanta, GA area. Thank you for your very informative and useful site. May I add my name to your list of physicians and therapists. My protocol for RSI includes examination of the entire brachial plexus, from the spine, through the thoracic outlet, shoulder, arm, elbow, forearm, wrist and hand, as the symptoms often result from multiple sites of muscular, ligamentous and osseous neurological and vascular involvement (the "double crush" phenomenon). Treatment is designed to reduce neurovascular compression and irritation at as many sites as possible, using chiropractic spinal manipulative adjustments, soft tissue massage, trigger point therapy, electrical muscle stimulation and ultrasound therapy. I have additional certification (CCEP) beyond the average DC in extremity treatment using muscle testing and shoulder, elbow, wrist and hand manipulation. Postural therapy, nutritional and herbal supplementation and exercise are employed for rapid response and long term benefit. Dr. James Locher, DC, CCEP 9850 Nesbit Ferry Rd., Ste 6 Alpharetta, GA 30022 (770) 641-9295 +++++++++++++++++++++ Patient Recommendation I am a musician in Atlanta, GA and have suffered from RSI for a number of years. I found this doctor (chiropractor) who not only specializes in treating musicians, but also had an extensive knowledge of RSI's and other extremity injuries. I cound on being in top shape to sing and play guitar and my injuries kept me from doing that until I started seeing Dr. Donna M. Polk, D.C. I haven't had any problems since then. I know she treats all types of musicians from a local to a national level, working with major lable talents to keep them on the road and playing. She just recently spoke at a nationally sanctioned NARAS event called Vocal Tech. She was on the leading medical expert panel. The artist panel included Rob Thomas from Matchbox 20. Anyway, she's an incredible doctor and I would recommend her to anyone regardless of whether they are a musician or not!! Donna M. Polk, D.C 17-A Lenox Pointe Atlanta, GA 30324 404.233.4002 or 404.932.6689 chirodrop@aol.com +++++++++++++++++++++ AOEC Member Environmental and Occupational Program The Emory Clinic at Perimeter 875 Johnson Ferry Road Clinic Founded 1990 Atlanta, Georgia 30322 Mailing Address: Department of Environmental and Occupational Health Rollins School of Public Health of Emory University 1518 Clifton Road Atlanta, GA 30322 AOEC Contact: Howard Frumkin, MD, Dr.PH Offices 404-727-3697 FAX 404-727-8744 Chair INTERNET frumkin@sph.emory.edu Edward Galaid, MD, MPH Clinic 404-778-5978 FAX 404-727-8744 Director of Clinical Services INTERNET galaid@sph.emory.edu +----------+ | Hawaii | +----------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Lezlie Campbell Bignami Myotherapy of Hawaii P.O. Box 37984 Honolulu, HI 96837 808-524-3221 808-524-2575 gsb@aloha.net +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Clare Apana, Certified Hellerwork Practitioner, P.T., Honolulu, HI - 808-737-3313 +----------+ | Idaho | +----------+ +++++++++++++++++++++ Patient Recommendation I realize how close most of y'all are to Idaho Falls , but there are 2 guys I'd recommend here, Dr. Gary Walker, a physiatrist, and Wayne Miller, RPT. My biofeedback guy, Wayne Miller in Idaho Falls, ID, is adept at getting the approval of my health insurance company. +----------+ | Illinois | +----------+ Patient Recommendation Dr. Michael Minieka Northwestern Hospital Wesley Pavillion 251 E Chicago Ave Suite 930 Chicago, IL 60611 312-908-2731 +++++++++++++++++++++ Patient Recommendation Towards the end of 1995, I saw Dr. Daniel J. Nagle, 448 East Ontario, Chicago, IL (312) 337-6960, who is affiliated with NorthWestern Memorial Hospital. He specializes in hands and upper extremities. After reading my history, taking an additional oral history, consulting old x-rays and taking new ones, he recommended a nerve conduction test, but immediately treated by DeQuerivain syndrome with a cortisone shot. We then discussed the possibility of surgery for my ulnar nerve problem as well as the first dorsal compartment pending test results. No question was too silly, too small or too "stupid" for Dr. Nagle. He answered every single question I asked, thoroughly explained the risks and benefits of surgery and did not treat me in a condescending manner. Last month Dr. Nagle performed cubital release, ulnar transposition and first dorsal compartment release surgeries on my left arm. I am currently undergoing physical therapy with Marcie Moran COTA/L, at his office. I know it's going to be a slow process but am expected to regain between 85 and 90% use of my hand. I trust Dr. Nagle and my physical therapist Marcie implicitly. Additionally, prior to surgery I spoke with several other therapists in his office regarding my post-surgical concerns. Little things you take for granted, such as how to put on a bra when your arm is casted at a 90 degree angle, how to floss your teeth. Granted these are not earth-shattering events, but everyone took time to answer my questions. Consequently, I was as prepared for the post-surgical experience as I was for surgery itself. I highly recommend Dr. Nagle to anyone with hand problems. The office does take worker's comp. My initial visit, including x-rays and a cortisone shot was $250. I have rarely met medical professionals who are as concerned with your whole being as these people. +++++++++++++++++++++ Patient Recommendation if you are anywhere near Chicago, contact the rehab institute at Northwestern Memorial Hospital. They were a great, non-surgical help to me in my playing & computer work. +++++++++++++++++++++ MSM Appendix B Medical Program for Performing Artists Rehabilitation Institute of Chicago 345 E. Superior St. Chicago, IL 60611 (312) 908-ARTS Director: Dr. Alice Brandfonbrener +++++++++++++++++++++ AOEC Member Occupational Medicine Clinic Cook County Hospital 720 South Wolcott Clinic Founded 1976 Chicago, Illinois 60612 AOEC Contact: Stephen Hessl, MD, MPH 312-633-5310 FAX 312-633-6442 +++++++++++++++++++++ AOEC Member University of Illinois Occupational Medicine Program 840 S. Wood P.O. Box 6998 M/C 678 Clinic Founded 1976 Chicago, Illinois 60612 AOEC Contact: Linda Forst, MD, MS, MPH 312-996-1063 FAX 312-996-1286 Stephen Hessl, MD, MPH +++++++++++++++++++++ Patient Recommendation If you live in Chicago, there is a very good FREE accupuncture/oriental medicine clinic on Montrose avenue, in Uptown (I don't recall the exact address, but its on the 2nd floor of the highrise building on the SEC of Hazel and Montrose. Evening hours until at least 8:30 or 9:00 on Mondays and Tuesdays; maybe other days, too). I found out about it from my son's babysitter who is a student clinician there. +++++++++++++++++++++ MSM Appendix B Division of Performing Arts Medicine Evanbrook Orthopaedic and Sports Medicine Associates, Ltd 1144 Wilmette Ave. Wilmette, IL 60201 (708) 853-9400 Director: Dr. William J. Dawson +----------+ | Indiana | +----------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Terry Huff Indiana Myotherapy Clinic 1106 Meridian St., Ste. 409 Anderson, IN 46016 317-642-0529 +++++++++++++++++++++ MSM Appendix B Rebound Sports Medicine 839 Auto Mall Rd. Bloomington, IN 47401 (812) 332-6200 Contact: Lexi Orfanos, Physical Therapy +++++++++++++++++++++ MSM Appendix B Performing Arts Medicine Program Indiana University School of Medicine 541 Clinical Dr. Indianapolis, IN 46223 (317) 274-4225 Director: Dr. Kenneth D. Brandt +-------+ | Iowa | +-------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Michael Fleischman Diana Fleischman Midwest Myotherapy 1938 Kelp Ave. Fairfield, IA 52556 515-472-7741 +++++++++++++++++++++ AOEC Member University of Iowa, Occupational Medicine Clinic T304, GH Dept. Internal Medicine - College of Medicine 200 Hawkins Drive Clinic Founded 1981 Iowa City, Iowa 52242 AOEC Contact: David Schwartz, MD, MPH 319-356-8269 FAX 319-353-8973 Emma Rosenau, MPH 319-353-8344 There's a Workers' Health Clinic in the University of Iowa Hospitals in Iowa City, which offers physical rehabilitation and works with patients from agricultural & manufacturing industries in Iowa. The contact given on the Association of Occupational and Environmental Clinics list is David Schwartz, (319) 356-8269, fax (319) 353-6406. The AOEC is an interesting organization, with a Patient's Bill of Rights in every waiting room, and a pledge to help patients deal with all the bureaucracies involved with occupational illness, such as Workers' Comp. Even if you can't go to Dr Schwartz, you might phone or fax & ask for advice and/or a local referral--for a WC advocate, as well as for medical help. Also, you might check the Yellow Pages for a chiropractor or osteopath; sometimes the listing even specifies that the DC or DO works with work-related injuries. +-----------+ | Kentucky | +-----------+ +++++++++++++++++++++ Patient Recommendation I am on the sorehanders list and recently recieved excellant care from a hand surgeon. His name is Dr. T. Greg Sommerkamp, and is located in Cincinnati, Ohio and Northern Kentucky area. He gave me excellant care and recieved many glowing reports from other patients that have been seen by him. He is in a group called "Hand Surgery Specialists". Dr. T. Greg Sommerkamp EDGEWOOD , KY 41017 606-344-1150 +++++++++++++++++++++ Bonnie Prudden Myotherapist Susie Kalz Grace Pain Relief Center 3879 W. Hwy 80 Somerset, KY 42501 606-679-1655 +-----------+ | Louisiana | +-----------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Gayle Feibel Myotherapy Clinic of Louisiana P. O. Box 508 Homer, LA 71040 318-927-6838 +++++++++++++++++++++ Patient Recommendation In the New Orleans area, Rodney Erickson, LMT (Licensed Massage Therapist), helped me recover from a painful and limiting bout with Thoracic Outlet Syndrome. Rodney is familiar with myofascial massage, trigger point work, deep tissue, etc. He was the first and only health care practitioner who actually offered me advice on how I could alter my behavior (mainly stretching and postural changes) to speed my recovery and avoid further injury. Rodney can be reached at (504) 861-8000. +++++++++++++++++++++ AOEC Member Ochsner Center for Occupational Health 1514 Jefferson Highway Clinic Founded 1952 New Orleans, Louisiana 70121 AOEC Contact: Douglas A. Swift, MD, MSPH 504-842-3955 FAX 504-842-3977 +-------+ | Maine | +-------+ Patient Recommendation For New Hampshire, Northern Mass, and Southern Maine, an execellent service provider specializing in repetitive stress injuries and ergonomic workstation analysis is: WorkRite Medical Associates 427-3 Amherst St. Suite 265 Nashua, NH 03063 Phone/FAX (603) 672-2214 They have both Physical Therpists and Occupational Therapists (with Hand Therapy certification) on staff. The company has a superb reputation for successful management of repetitive stress injuries. +++++++++++++++++++++ AOEC Member Center for Health Promotion 1600 Congress Street Clinic Founded 1987 Portland, Maine 04102 AOEC Contact: Sue Upham, MD, MPH 207-774-7751 FAX 207-828-5140 Self Referred Hi, please add me to your list of docs. I have a special interest, and extensive experience with RSI. Charles Sullivan, D.O. Osteopathic Manipulative Medicine Therapeutic Nutrition Preventative Medicine 9 Field St, Suite 219 179 Main Street Suite 403 Belfast, ME 04915 Waterville, ME 04901 (207)338-6878 (207)877-0950 Voice (207)877-2441 FAX (207)821-4076 toll free Pager mailto:omt@mint.net http://www.mint.net/~dorje +----------+ | Maryland | +----------+ Patient Recommendation Hand Clinic at Union Memorial Hospital has been in existence for many years in Baltimore MD. ... I suggest you contact Dr. Lee Dellon at Johns Hopkins in Baltimore, Maryland as he is the ulnar nerve expert. His # is 410-832-7600. He has extensive literature published on the success and failure rate of this surgery and can advise you properly. He came highly recommended to me by several people including my doctor of one year at UCLA in Los Angeles. ..You also are very close in proximity to a one of the best hand clinics in the U.S. It is called the Raymond Curtis Hand Center at the Union Memorial Hospital in Lutherville, Maryland. Their # is 410-296-6232. The Towson Times published an excellent article about this clinic in the July 19, 1995 edition. I suggest you get a copy of this article. +++++++++++++++++++++ Patient Recommendation Here is some more info on the Peripheral Neuropathy specialist I mentioned: Dr. John Griffin Neurological Consultation Center Departments of Neurology and Neurosurgery 601 North Caroline Street, Room 5032 Baltimore, MD 21287-0870 (410) 955-6484 I saw him at Hopkins Outpatient Center, but he may see patients at other offices as well. Another physician arranged for me to see him. This may or not be necessary. +++++++++++++++++++++ Patient Recommendation I would personally recommed Keith Segalman from the Curtis Hand Center at Union Memorial Hospital in Baltimore, or Kyle Bickel, MD, chief of plastic and hand surgery at Johns Hopkins who also trained at Curtis. Thet are both excellent. +++++++++++++++++++++ Patient Recommendation - I was one of the chorus who recommended Dr. Segalman, and I have to say he was the most thorough diagnostician of any of the doctors I've seen. He was the first to do a thorough exam from back/neck down to my fingertips and identified such things as bilateral cubital tunnel entrapment which had escaped previous diagnoses. +++++++++++++++++++++ Patient Recommendation The Curtis Hand Clinic at Union Memorial Hospital in Baltimore MD was the first in nation --founded in 1975 Congress recently designated the facility as the National Center for the Treatment of the Hand and Upper extremitiy with a 1.2 million federal grant -- I went to clinic from CA for consultation and was grateful for evaluation. Perhaps there others in locality who could offer more specifics on MDs. +++++++++++++++++++++ Patient Recommendation I spoke with Dr. Pascarelli's office a few weeks ago and in the DC metro area, Dr. Pascarelli recommends Dr. Margit Bleeker in Baltimore, a neurologist with the Center for Occupational and Environmental Neurology, Childrens' Hospital Professional Building, Suite 101, 3901 Greenspring Ave, Baltimore MD 21211. phone number: 410/669-1101.. There is also a therapist there: Virginia Moratz, Dir, Occupational Therapy, 410-462-6800, x3355 is in hospital bldg I think they're both very good. == I've seen five doctors in the DC area. The only one I would recommend is Margit (sic) Bleecker in Baltimore. I didn't want to go that far out of town to see a doctor at first, but trust me, she is worth it. She is the only doctor I've had who understand ergonomics. She is the only one who tested me on biofeedback monitors to see if my muscles were tense. She is the only one who recommended deep muscle massage which made a world of difference. She is the only one who told me that although I tested within the normal range on the nerve conduction study, I was borderline for carpal tunnel syndrome. +++++++++++++++++++++ Patient Recommendation National Arts Medicine Center & Center for Repetitive Motion Disorders National Rehabilitation Hospital 3 Bethesda Metro Ctr. Suite 950 Bethesda, MD 20814 (301) 654-9160 Director: Dr. Richard Norris I haven't seen Dr Norris, but everything I have experienced through NRH has been very helpful. My myofascial pain syndrome and irritated nerve (resulting in RSI-type sypmtoms of arm pain, numbness, tingling) has been improving over the course of therapy at NRH. [ . . . ] I recommend NRH and indirectly, the Bethesda group (I go to the DC facility) for anybody that lives in the Washington area and hasn't found good answers or relief for their pain. ... While I haven't seen Dr. Norris for treatment, I did have the pleasure of an examination with him for workers compensation insurance company. I think it is unusual for one to be so impressed with a physician under these circumstances. Dr. Norris is the only physician I have seen (and I've seen 8) to relieve and re-create my pain on examination. He spent a lot of time explaining to me what exactly is going on - he showed me pictures in books and he even made recommendations on equipment and braces. The best part is that his assessment of my condition has since been confirmed by my treating physician with further diagnostic testing. If not for my attorney he'd be my treating physician!!! I would highly recommend him to anyone with RSI. +++++++++++++++++++++ Patient Recommendation I saw Dr. Edward Bieber (301-530-1010) in the Bethesda area (calling it Bethesda is a stretch)... He was recommended by several people who had repetitive strain problems that were successfully treated. He's also on both Washingtonian's and Washington Checkbook's list of top doctors. He was pretty blunt about my options, and had me get voice recognition software. Unfortunately his last recommendation was surgery, but couldn't really say that it would produce improvement. He encouraged me to get another opinion, which brings me to the second recommendation. The RSI find a doc list mentioned Keith Segalman a couple of times (at the Ray Curtis Hand Clinic at Union Memorial hospital in Baltimore). At least one other doctor in his practice, Greater Chesapeake Hand Specialists, was also mentioned, and my boss saw yet another doctor there for reconstructive work. I saw Dr. Segalman (410-296-6232) the Monday before Christmas and kicked myself the rest of the day that I hadn't gone to him when I first found the RSI find a doc list last summer. He doesn't particularly have the answer, but he did provide a whole lot more explanation of what's happening in my arm/wrist skeletal structure than anyone to date - and I've been dealing with doctors with increasing frequency for almost two years. And - - duh! - - the first thing he wanted done was a very extensive blood work up to make sure that it's not something systemic causing the problem, such as Lyme Disease or Lupus. He also didn't hold out any false hope; a systemic problem was a long shot, but the alternative is at least one surgery. +++++++++++++++++++++ Patient Recommendation Dr. Steve Silverston, , Normandy Business Center, 8492 Baltimore National Pike, Ellicott City, MD 21043, 410 461-3435. He helped me tremendously while I was recuperating from a broken finger and still had to perform at the computer. Using accupressure, trigger point therapy, manipulation , ultrasound, water therapy and exercise, he helped restore my hand to normal functioning. He's a great chiropractor. +++++++++++++++++++++ Patient Recommendation Here are some referrals you may want to check out in the Baltimore area. 1. Dr. Lee Dellon is an ulnar nerve specialist at Johns Hopkins in Baltimore. My sister and a friend of mine from the west coast has seen him and was very impressed. He can be reached at (410)832-7600. Dr. Dellon has also authored articles with Dr. Susan Mackinnon, a renowned RSI specialist at the Washington Univeristy School of Medicine in St. Louis, Missouri. 2. Raymond M. Curtis Hand Center at the Union Memorial Hospital in Luthersville, Maryland. A friend of mine from the west coast saw Dr. Gaylord Clark and was very impressed with him. Congress recently designated the Union Memorial facility as the National Center for the Treatment of the Hand and Upper Extremity and awarded its administrators a $1.2 million federal grant. Dr. E. F. Shaw Wilgis is the director. There was an excellent write up in the July 1995 Towson Times in the Health section authored by Lisa De Nike. 3. Dr. Scott Brown, the former director of Loma Linda Physical Medicine and Rehabilitation in Loma Linda, California just moved over to Baltimore to work at Sinai Rehab Center. He personally recommended I go see Dr. JienSupKim at LLPMR because he trained him. He can be reached at (410)578-5597. I was very impressed with Dr. Kim. Dr. Brown also took the time to listen to my patient history over the phone before he gave me a recommendation. +++++++++++++++++++++ AOEC Member Johns Hopkins University Center for Occupational and Environmental Health 5501 Hopkins Bayview Circle Clinic Founded 1978 Baltimore, Maryland 21224 AOEC Contact: Edward J. Bernacki, MD, MPH 410-550-2322 FAX 410-550-3355 +++++++++++++++++++++ AOEC Member Occupational Health Project University of Maryland School of Medicine Div. of General Internal Medicine/University of Maryland 405 West Redwood Street Clinic Founded 1978 Baltimore, Maryland 21201 AOEC Contact: James Keogh, MD 410-706-7464 FAX 410-706-4078 Janie Gordon, ScM e-mail OHP@MEDOCCMED.ab.umd.edu Kate McPhaul, Registered Nurse, MPH For new referrals call Kate McPhaul at 410-706-7464 +++++++++++++++++++++ Bonnie Prudden Myotherapist Jan Stoughton, Myotherapy Pain Control Center 20101 Darlington Dr. Gaithersburg, MD 20879 301-258-0205 Personal Exercise Training Workshops & Company Seminar Presentations Also Available +---------------+ | Massachusetts | +---------------+ +++++++++++++++++++++ Patient Recommendation In Massachusetts, I highly recommend James Gronemeyer D.O. (290 Massachusetts Ave. in Arlington (781-646-7790)). He practices osteopathic manipulation. He looks at the whole body, and how it moves, when he diagnoses things (you're not just "the wrist" to him). He himself spends a full hour with new patients, a half hour with returning patients. One caveat -- he does not accept insurance. His written bill should be sufficient for you to bill your insurance company directly for compensation, though. I have seen him at least 3 times in the last year. My husband is now a regular patient of his, and one of my co-workers has seen him (and thinks highly of his abilities) as well, after I recommended him. Dr. Gronemeyer manipulates the body to deal with immediate issues, then refers to a physical therapist for stretching and strengthening over time. +++++++++++++++++++++ Bonnie Prudden Myotherapist Helen N. Haskell 612 Berkley St. Berkley, MA 02779 508-824-3302 +++++++++++++++++++++ Bonnie Prudden Myotherapist Claire A. Cirafice Myotherapy & Wellness Clinic 250 Dodge St. Beverly, MA 01915 508-922-1744 800-479-1744 +++++++++++++++++++++ Bonnie Prudden Myotherapist Kathy Lavelle, 4 Freeman Street Bourne, MA 02532 508-759-9717 +++++++++++++++++++++ Patient Recommendation Call Kerry Souza at the Coalition on New Office Technology (617-247-6827) and make an appointment to see the RSI ACTION Health Care Referral binder. This is a binder with RSI sufferers' individual opinions and experiences with health care providers in the Boston area. It covers doctors, OTs, Physical Therapists and alternative providers. +++++++++++++++++++++ MSM Appendix B Music Medicine Clinic Massachusetts General Hospital 1 Hawthorne Pl., Suite 103 Boston, MA 02114 (617) 726-8657 Director: Dr. Fred Hochberg +++++++++++++++++++++ MSM Appendix B Performing Arts Clinic Brigham and Women's Hospital 75 Francis St. Boston, MA 02115 617-732-7432 Director: Dr. Michael E. Charness +++++++++++++++++++++ Patient Recommendation With all the email about cubital tunnel syndrome, I thought I should mention that I had this problem successfully solved in one of my elbows by Dr Nalebuff at New England Baptist Hospital in Boston. I don't have time to go into details, but for those of you who are considering surgery, from what I found out he is one of the best surgeons for hand problems in this area and he did a great job on me. Obviously try to avoid surgery in the first place, but if you got to do it, make sure you get the best possible surgeon. The consequences of screwing up your nerves are severe as many messages to this mailing list have documented. My surgery story, fortunately for me, has a happy ending. . . . Can I just also add my endorsement to Dr. Edward Nalebuff, who operated on my right hand about 15 yrs ago, and I never had any further problems with it. +++++++++++++++++++++ Patient Recommendation When I posted my pal's experience, I had no idea people would want to know so much about this specific doctor. Nancy feels there are prob. other doctors in other parts of the country who have expertise very similar to Dr. Chan's. Hopefully anyone who's interested in Dr. Chan's treatments will be able to find a doctor with comparable training in their own town. Here is the info from the business card: Ping C. Chan and Domenic L. D'Addio, Licensed Acupuncturists Acupunture, Tui Na Bodywork Therapy, Chinese Herbal Medicine 98 Tyler Street (in Chinatown, near South Station) Boston, MA 02111 617/228-7228 M, W, Th, Sat: 10AM - 6PM, Sun 10AM - 1PM 455 Central Avenue (near Pawtucket, RI) Seekonk, MA 02771 508/399-8820 Tues and Fri: 10AM - 6PM I believe that Domenic is in the Seekonk office on M and W if people wanted to call then. He is American and is easier to talk to to set up an appointment. But I did fine over the phone when I originally called Dr. Chan and spoke to him. Domenic is very good at explaining Chinese Medicine to people who are unfamiliar with how it works. +++++++++++++++++++++ Patient Recommendation I've had excellent treatment from (and rapport with) Dr. Robert Yood, who's affiliated with the Fallon Clinic in Worcester (no 'H'), MA where I live. +++++++++++++++++++++ Patient Recommendation I have received competent medical care for my RSI from Dr. R. J. McCunney, at MIT's medical department. On the other hand, I earlier received less than competent care from the doctor on call there asbout a year ago (the moral being that you should be sure to get someone who deals with RSI frequently). +++++++++++++++++++++ Patient Recommendation RSI doctor in the Boston area, I can offer the name of Dr. Diamond at MIT Health Services. As you might expect RSI is a big deal at MIT with lots of CTS sufferers. Diamond is the local specialist. However, I have not yet seen him so I cannot recommend him at this time. Also I don't know about access for non-MIT people. I don't have his number at hand, but call the MIT switchboard, 617-253-1000 to get it. .... You can try Dr. Diamond at the MIT Medical Center (I'm not sure if he takes patients outside of MIT, but I think he does...) I went to him, and he was pretty knowledgable. Good luck! +++++++++++++++++++++ Patient Recommendation I heartily recommend Ben Benjamin for any massage work in the Boston area. He wrote the book "Listen to your Pain" and is exceptionally well trained. +++++++++++++++++++++ Patient Recommendation WorkRite Medical Associates 427-3 Amherst St. Suite 265 Nashua, NH 03063 Phone/FAX (603) 672-2214 They have both Physical Therpists and Occupational Therapists (with Hand Therapy certification) on staff. The company has a superb reputation for successful management of repetitive stress injuries. +++++++++++++++++++++ Patient Recommendation I owe thanks to Dr. Sarni, Dr. Stein, and OT Priscilla Mann at Boston's Spaulding Rehabilitation Hospital. +++++++++++++++++++++ Patient Recommendation For about two months, I went to the Spaulding rehab hospital (the one in Boston) and saw a occupational therapist named Priscilla Mann. She seemed *very* knowledgeable, and the exercises and stretches she gave me seemed to help some; they certainly didn't hurt. I even heard that she helped someone else to get tested with a nerve conduction/emg test using a method that finally verified that he had a problem. (Often people have rsi symptoms, but an emg/nerve conduction test done in the usual fashion doesn't show any problem. This can make getting workers comp very difficult.) ... A great resource for finding Boston area doctors, occupational therapists, chiropractors,... is the Coalition for New Office Technology, on 650 Beacon Street. The organization has a binder full of health care provider reviews written by rsi patients. CNOT's phone number is 617-247-6827. +++++++++++++++++++++ Patient Recommendation I ended up going to the Cambridge Hospital occupational medicine clinic, to whom I was referred by the really helpful folks at Office Technology Education Project (OTEP), 617.776.2777. +++++++++++++++++++++ Patient Recommendation I personally have found Dr. Thomas Winters (617/472-9925), who was my GP (general practictioner), very helpful in providing me with the basics of RSI wcare. He has had extensive RSI experience. (I believe he is *the* person DEC uses.) He was the person who referred me to Elaine LaCroix. (I believe my use of Elaine has subsequently led her to become *the* person Lotus uses.) The following are hand surgeons who I have been told are some of the top in Boston. (However, it is not clear to me that surgery is usually the best route.) - Dr. Andrew Terrono, 617/738-0857 - Dr. Craig Stirrat, 617/232-5561 - Dr. Richard Gelberman, 617/726-2946 +++++++++++++++++++++ Patient Recommendation Elaine LaCroix of Hand Rehabilitation, Inc. is a therapist who is very good and is widely used throughout the Boston area. She is located at Lakeside office park, 607 north Avenue, door 12,wakefield, Massachusetts 01880, 617/224-3480. +++++++++++++++++++++ AOEC Member Occupational & Environmental Medicine Program Boston University Medical Center 88 East Newton Street Clinic Founded 1979 Boston, Massachusetts 02118 AOEC Contact: John Meyer, MD, MPH 617-638-8400 FAX 617-638-8406 e-mail: jmeyer@acs.bu.edu +++++++++++++++++++++ Patient Recommendation For those of you living in the Boston area: St. Elizabeth's Hospital in Brighton has begun a Mind Body Program. Phone # is 617-562-7916. It's based on Jon Kabat-Zinn's pain program at UMass. Cost is $750 - your insurance may cover it. Cost includes - 8 weekly 2.5 hour sessions, one all day session, tapes, book, etc. We learned meditation and yoga and mindfulness, etc... Dr. Pamela Pettinati runs the program. The woman is incredible. She's been practicing and teaching meditation for years. She also has a VERY personal perspective...she was a reconstructive surgeon for 30 years and woke up with myasthenia (sp) gravis (a nerve and muscle degenerative disease that also causes double vision) about 5 years ago to find her career over before she even got out of bed. She uses a very personal perspective to teach the program and alot of humor too. The hospital itself now also offers several alternative med programs like Feldenkreis, Alexander, etc. as part of Mind Body Program. I can't tell you how much it has helped me deal with my thoracic outlet pain, loss of ability to do many activities I enjoy, missed work, depression, dealing with idiotic suggestions like I should learn to write with my right hand (I'm a left handed teacher with TOS on left side), etc, etc... I still don't even know if my insurance will pay...if not, it's still the best $750 I will have spent to date! +++++++++++++++++++++ Patient Recommendation Ben E. Benjamin, massage therapist 47 Grant Street Concord, MA 01742 (508) 369-0514 He also founded a school which I believe is in Boston and uses his name in the title. +++++++++++++++++++++ Patient Recommendation I work in Concord, Ma. and there are two Dr.'s I would recommend very highly. One is a Chiropractor - Dr. Sandy Chapnick - at Billerica Chiropractic. (Route 3 & TrebleCove Road) He has had a lot of experience with patients with RSI injuries. He not only does adjustments but uses UltraSound and TriggerPoint therapy as well. He has helped me a great deal. The 2nd is an Orthopedic Surgeon - Dr. Ericson - in Winchester - from Winchester Hand Surgery. (Route 128 to Exit 37 - to Montvale Ave) He is be really careful and caring - he doesn't jump to surgery immediately - and he really takes the time to listen to you. +++++++++++++++++++++ AOEC Member Occupational & Environmental Health Center Cambridge Hospital 1493 Cambridge Street Clinic Founded 1981 Cambridge, Massachusetts 02139 AOEC Contact: Rose Goldman, MD, MPH 617-498-1580 FAX 617-498-1671 Susan Rosenwasser, MEd., Coordinator +++++++++++++++++++++ Bonnie Prudden Myotherapist Mary Ann Cernak Myotherapy & Exercise Center 184 J Northampton St. Easthampton, MA 01027 413-529-9223 +++++++++++++++++++++ Bonnie Prudden Myotherapist Seth P. Cheney Treatments in your Home 12 Potter Rd. Framingham, MA 01701 508-887-0207 +++++++++++++++++++++ Bonnie Prudden Myotherapist Claire Naylor-Pollart Fitness Express/Myotherapy 42 Bridge St. Great. Barrington, MA 01230 413-528-5600 +++++++++++++++++++++ Self Referred I also practice myotherapy and have had success treating RSI patients in my office for ten years (now on Cape Cod). I have treated musicians in the Cape Cod Symphony Orchestra as well as local musicians who are serious about their music. I am myself a musician and chiropractic physician who specializes in musculoskeletal medicine, but do not limit myself to just spinal manipulative therapy as treatment. I do use myotherapy often, and also use other massage techniques. I am a sports physician, and have been a team physician for professional soccer (Cape Cod Crusaders, USISL, 1993-4), and college baseball (Cape Cod League, 1997-present). I am currently a tour physician for the AVP Professional Beach Volleyball U.S. National Tour, and also for the NBC Sports Gravity Games (Sundays on NBC, October 1999). My father was a professional musician and taught music to adolescents for 50 years. I was also a professional musician (woodwinds) and director-founder of my college wind ensemble (Bowdoin College). I have promised my musician patients a thorough clinical history and physical examination with appropriate diagnosis, and a caring approach to treatment. I will not waste a patient's time if their symptoms are not improving in an appropriate amount of time. I refer to an appropriate physician or physical therapist where necessary. I offer myotherapy, massage, spinal and extremity manipulative therapy where appropriate, bracing, taping, splinting, casting, and orthoses as needed. I am an expert in exercise rehabilitation and have committed my practice to the teaching of safe exercise. I hope to help many more of us afflicted with RSI injuries. Thank you. Gregory T. Wright, D.C. P.O. Box 676 2 Doane Rd. Harwich Port, MA 02646 Tel: (508) 432-5008 E-Mail: drwright@capecod.net +++++++++++++++++++++ Bonnie Prudden Myotherapist Kathleen M. McMahon Myotherapy Muscular Pain Relief 201 Hovey Rd. Monson, MA 01057 413-284-1623 +++++++++++++++++++++ Patient Recommendation I don't have a doctor to recommend, but if you need a physical therapist, I would certainly recommend Diane Sheehan in Natick, 508-253-0773. She is particularly good at deep tissue massage. +++++++++++++++++++++ Bonnie Prudden Myotherapist Betsy Wilkes Greater Boston Myotherapy 43 Grand St. Reading, MA 01867 617-942-0840 +++++++++++++++++++++ Bonnie Prudden Myotherapist Nadine M. Tondreault Reclaim Health 14 Ropes Street Salem MA 01970 508-745-2240 +++++++++++++++++++++ AOEC Member Center for Occupational and Environmental Medicine Massachusetts Respiratory Hospital 2001 Washington Street Clinic Founded 1977 South Braintree, Massachusetts 02184 AOEC Contact: Dianne Plantamura, Coord. 617-848-2600 for appointments 617-848-2600 ext. 445 FAX 617-849-3290 or 617-356-2335 +++++++++++++++++++++ Patient Recommendation > i would be interested in who you went to for myofascial release and > the cost... I went to Raftis Physical Therapy Associates, 313 Washington St. Suite 304, Newton, MA, 617-332-0911. I think it was $75 for a 45-minute appointment, but since that was 2 years ago almost, the price may have changed. My insurance paid 80%. They have one physical therapist who specialized in neck and shoulder treatments, and I saw her for my myofacial release treatments twice a week. Tell them I sent you, I might get a free massage... They also had a massage therapist and some other folks working out of that office. +++++++++++++++++++++ Patient Recommendation Erica Waly Myofascial Pain Treatment Center 1275 Main Street Waltham, MA 02154-1762 Ph. 617-894-9430 ...I highly recommend my myotherapist, Erika Waly in Waltham. I tried deep tissue massage, but have found myotherapy much more effective; I believe that myotherapy goes more directly to the root cause of tight painful muscles. Erika is well-trained, experienced, and compassionate; you'll also find her frank in telling you whether or not she thinks she can help you. +++++++++++++++++++++ Patient Recommendation Is currently treating patients with CTS and RSI with low level bio-stimulation (laser) and acupuncture to achieve 100% results. Treatment is non-invasive and non-surgical. Kenneth Branco, Ac. Acupuncture Resource Center 216 American Legion Highway Westport, MA 02790 508-636-3780 +++++++++++++++++++++ Bonnie Prudden Myotherapist Brice Leonard Elm Farm Exercise and Myotherapy Center 27 W. Elm St. W. Townsend, MA 01474 508-597-2519 also 1093 Beacon Street Brookline, Ma 02146 +++++++++++++++++++++ AOEC Member Occupational Health Program Dept. Family & Community Medicine University of Massachusetts 55 Lake Avenue North Clinic Founded 1982 Worcester, Massachusetts 01655-0309 AOEC Contact: Thomas Hicks, MD, MPH 508-856-3053 FAX 508-856-1680 Glenn Pransky, MD, MOccH 508-856-4159 Appointments: 508-856-2818 +--------+ | Mexico | +--------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Dore' H. Schenkendorf APDO 1-1419 Humboldt Prive I ,Casa I Cuernavaca, Morelos Mexico 62000 (73)-187224 +----------+ | Michigan | +----------+ +++++++++++++++++++++ Self Referred Ann Arbor Therapeutic Massage Clinic 2358 Carpenter Road Ann Arbor MI 48105 734-677-0030 This clinic can do neuromuscular, myofascial, postural analysis, tendonitis treatment. The all the therapists are Nationally Certified in Therapeutic Massage and Bodywork. +++++++++++++++++++++ Self Referred Formerly with Occupational & Environmental Medicine Clinic University of Alabama at Birmingham Victor S. Roth, M.D., M.P.H., F.A.C.O.E.M. Clinical Assistant Professor University of Michigan Occupational Health Services (MWorks) 2098 South Main Street Ann Arbor, Michigan 48103-5827 Phone: (734) 998-8788 Voice Mail: (734) 998-6656 Facsimile: (734) 998-6562 E-Mail: vroth@umich.edu I don't mean to be long-winded, but I felt it was important, especially if you get many hits from people seeking help for work-related RSI, that I needed to explain in some detail about the specialty of occupational medicine and a little about myself. First, to answer your question, as part of the University of Michigan Occupational Health Services, yes, I am accesible to the general public for work related injuries, work related or environmental exposures, potential work related diseases (including such things as occupational asthma, possible work related cancer) by consutation. Though we do have contracts with certain companies to see those particular company's injuries, physicals etc., based both on our reputation at the University of Michigan, and the reputation and acheivements of our occupational medicine group of physicians, including myself, we frequently get called upon to do consults and depositions in the field of occupational medicine (for such things as RSI, chemical exposures, asbestos, disability evaluations etc). To give you a little background, not only for me, but in the specialty of occupational medicine: I am residency trained (at the Unviersity of Michigan) and board certified by the American Board of Preventive Medicine (ABPM or www.abprevmed.org) in the field of Occupational Medicine. Part of doing the residency includes getting a Master of Public Health (MPH) degree. Many physicians who claim to be specialists in the field of "occupational medicine" just happen upon that type of practice as a way of getting more business and thereby more income. However, many of these physicians do not have the proper training to practice in this field. There are only a relatively small number of physicians who have actually completed a full residency in occupational medicine, which is a 2 year program after one also completes a one year clinical internship (total of at least 3 years). Our (occupational medicine) board certification is by the American Board of Preventive Medicine, which is one of the only 24 specialty boards recognized by the American Board of Medical Specialties (see www.abms.org and click under Preventive Medicine). A board approved by ABMS differs from the so-called self designated boards which are set up by various and sundry people without regulation and without approval by ABMS - such as the "American Board of Environmental Medicine." "The American Board of Medical Specialties (ABMS) is the umbrella organization for the 24 approved medical specialty boards in the United States. Established in 1933, the ABMS serves to coordinate the activities of its Member Boards and to provide information to the public, the government, the profession and its Members concerning issues involving specialization and certification in medicine. The mission of the ABMS is to maintain and improve the quality of medical care in the United States by assisting the Member Boards in their efforts to develop and utilize professional and educational standards for the evaluation and certification of physician specialists." In additional to clinical practice and consultations, many of us are involved in research and writings in our chosen field. I myself have written numerous book chapters and have served on government (CDC) panels. If you do a search (using my name) on the internet, you will likely turn up some of these items. Thanks for reading this and I hope it helps in your understanding of occupational medicine. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Anne Carbone, Certified Hellerwork Practitioner, Registered Nurse Ann Arbor, MI 313-662-5770 +++++++++++++++++++++ AOEC Member Division of Occupational and Environmental Medicine Wayne State University /Dept. of Family Medicine 4201 St. Antoine, Suite 4-J Clinic Founded 1984 Detroit, Michigan 48201 AOEC Contact: Raymond Demers, MD, MPH 313-577-1420 FAX 313-577-3070 +++++++++++++++++++++ Bonnie Prudden Myotherapist Patricia Isaacson The Point Myotherapy Ctr., Ltd. 1356 Grebe Highland, MI 48357 810-887-9880 +++++++++++++++++++++ AOEC Member Occupational Health Service St. Lawrence Hospital Work and Health Institute 1210 W. Saginaw Clinic Founded 1988 Lansing, Michigan 48915 AOEC Contact: R. Michael Kelly, MD, MPH 517-377-0309 FAX 517-377-0310 +++++++++++++++++++++ There is a chiropractor in Lansing that treats CTS/RSIs. Tim Dumin, Doctor of Chiropractic Lansing Chiropractic Clinic I checked his credentials via Chiropractic America referral service. I don't know him personally. His phone # is 708-895-3228. +++++++++++++++++++++ Bonnie Prudden Myotherapist Richard & Diane Kmiotek Myotherapy Center for Pain Relief, Inc. 5825 McDowell Rd. Lapper, MI 48446 810-664-4322 +++++++++++++++++++++ Bonnie Prudden Myotherapist Robert W. Howell Myotherapy Center of Michigan 24525 Southfield Rd., Ste 109 Southfield, MI 48075 810-443-0796 +++++++++++++++++++++ Patient Recommendation My experiences with Rolfing have been truly life-changing. After 5+ years of tennis&golfer's elbow in both arms, I'm about 95% pain free. As far as pain from Rolfing goes, I wouldn't describe it that way, rather as some discomfort and muscular stress. Of course, from my point of view, nothing can hurt more than 5 years of disability - others may be more sensitive... For anyone in SE Michigan who's interested, I can recommend Kathleen Strauch (248-354-3484). With me, she has also used some techniques she said she learned from Richard Rossiter(www.rossiter.com) specifically for my elbow problems. The first two-hour session did more for me than 5 years of shots, surgery, PT, phonophoresis, iontophoresis, acupuncture, NSAIDs ... the whole list of treatments most long-time sorehanders have been through. +-----------+ | Minnesota | +-----------+ +++++++++++++++++++++ Patient Recommendation I saw Dr Kevin Wall through Health Partners, think he is really from st.Paul Ramsey clinic, St. Paul, now called Regions Hospital. He was good, supportive very occupational medicine focus. However, I got my diagnosis, (pronator teres syndrome) from
Dr. Richard Hills,Physical Therapist and Doctor of Chiropractic,
Director, Rehabilitation Clinic
Northwester College of Chiropractic
2501 West Eighty-Fourth Street
Bloomington, MN 55431-1599
Phone 612-885-5404

Very unusual combination - I think he's Very Good.

                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Thomas G. Benson
Benson Pain Prevention Center
504 108th Ave., NW
Coon Rapids, MN 55408
612-755-1366

                    +++++++++++++++++++++
MSM Appendix B

Instrumental Artists Hotline and Clinic
Sister Kenny Institute
800 E. 28th St.
Minneapolis, MN 55407
(612) 863-4495
Director: Dr. Jeanine Speier
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Lois C. Sjogren
Minnesota Myotherapy and Fitness
601 W. 28th St
Minneapolis, MN 55408
612-872-6935
                    +++++++++++++++++++++
MSM Appendix B

Mayo Clinic
200 Second St.
Rochester, MN 55905
(5O7) 284-2511 X 7129
Contact: Dr. Ann Schutt

                    +++++++++++++++++++++                    
Patient Recommendation

I live in Rochester, MN. I have seen Dr. Peter Amadio. An orthopedist at
Mayo Clinic for the last 5+ years.  The telephone number for the general
appt office is 507-266-5800. They will lead you through the process to
get an appt with a doctor. The general telephone number for Mayo Clinic
is 507-284-2511.
                    +++++++++++++++++++++                    
Patient Recommendation

I highly recommend Dr. Peter Amadio, hand surgeon, of the Mayo Clinic in
Rochester,Mn. He has done 5 different hand surgeries for me all successful
and one for kienbock's disease on my son also successful. A very caring and
talented surgeon. Mayo Clinic appointment nu. 507-266-5800
                    +++++++++++++++++++++
AOEC Member

Columbia Park Medical Group                             
Occupational Medicine Department
6401 University Avenue, NE #200   Clinic Founded 1980   
Minneapolis, Minnesota 55432

AOEC Contact:   Donald Johnson, MD, MPH                 
                612-572-5710  FAX 612-571-3008
                Dorothy Quick
                    +++++++++++++++++++++
AOEC Member

Ramsey Clinic                                           
Occupational and Environmental Medicine &
Occupational Medicine Residency Training Program        
640 Jackson Street         Clinic Founded 1979     
St. Paul, Minnesota 55101-2595

AOEC Contact:   Paula Geiger, Administrative       
           Secretary                                    
      612-221-3771  FAX 612-221-8848
                Steve Kirkhorn, MD   

                           +-----------+  
                           | Missouri  |
                           +-----------+  
                    +++++++++++++++++++++                    
Patient Recommendation

I would like to recommend Dr. Charles Conrad, a neurologist with Neurology Consultants.  
He is a very caring doctor and treated me for carpal tunnel syndrome to both hands.  He 
does not perform surgery, but I would recommend on work comp cases that you keep him as 
"treating physician".  He will do whatever is necessary to get you better, and will 
help you battle through the work comp maze.  He is very caring and would recommend him to 
one and all.  The organization he works for has their own web site: 
http://www.cinpc.com and phone number is 800-753-6992.  They have four locations in 
Kansas City and multiple outreach offices in Kansas and Missouri.

                    +++++++++++++++++++++
MSM Appendix B

Medical Program for the Performing Arts
Jewish Hospital
216 S. Kingshighway
St. Louis, MO 63110
(314) 454-STAR
Director: Dr. Jerome Gilden
                    +++++++++++++++++++++
MSM Appendix B

Neurologic Restoration Center
Bethesda Hospital
3655 Vista Ave
St. Louis, MO 63110
(314) 776-8100
Director: Dr. Simon Horenstein
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Patricia Trout
Myotherapy Pain Relief of Missouri
7415 Hazel Ave.
St. Louis, MO 63143
314-644-3360

                           +----------+  
                           | Montana  |
                           +----------+  

                    +++++++++++++++++++++
MSM Appendix B

Dr. George Saari
925 Highland Blvd.
Bozeman, MT 59715
(406) 567-5533



                           +----------+  
                           | Nebraska |
                           +----------+  

Self Referred

        Julie Sheridan OTR/L
        Physical Therapy and Sports Rehab
        207 S. Burlington Ave.
        Hastings, NE 68979
  (402) 462-8824

This is an outpatient rehab clinic. There are four physical therapists, a
PTA, who does myofacial release by the way and myself an occupational
therapist working mainly with hand and upper extremity rehab.
                    +++++++++++++++++++++
Self Referred

Physical therapist Jane Austin at the University of Nebraska - Lincoln
Health Center responds that they are knowledgable in the diagnosis and 
treatment of typing RSIs and can provide therapy. 402-472-7490
                    +++++++++++++++++++++
Patient Recommendation

After reasonable initial testing & treatment at Mutual of Omaha Health
Plans of Lincoln, I got referred to Lincoln Orthopedic Physical Therapy,
P.C., where I got good, competent testing and advice from Jake DeNell,
PT/OCS, and others.  LOPT: 402-483-6161  MOHPL: Requires membership in HMO.
                    +++++++++++++++++++++
Lincoln General Hospital maintains the "Ask-A-Nurse" telephone line to
help people find appropriate health care for their ailments: 402-473-5500
                    +++++++++++++++++++++
Patient Recommendation

See the doctor/therapist first, but if you are looking for massage as
part of your recovery, check out:

Tim Newman / Massage Wellness Clinic
1350 N 48th, Lincoln       402-466-8844

Does neuromuscular massage, trigger point stuff, was happy to teach me
what I could do on myself, very reasonably priced, and laughs a lot.
                    +++++++++++++++++++++
Omaha's Methodist Hospital has Methodist WorkAbility Services that, judging 
by their publications, are very involved in RSI prevention and treatment.
They suggest that individuals with RSI symptoms call Health Touch One
at (402) 331-1111 for referrals to health care professionals.
                    +++++++++++++++++++++
Patient Recommendation

One of the treatment methods that I have been most impressed with is the
McKenzie approach to physical therapy.  In order to be credentialed in this
treatment approach the therapist has to complete 4 continuing ed courses and
take a credentialing exam.  I checked the credentialed therapist list and
there is only one credentialed therapist in Nebraska.  I do not know him
personally but have found that people with this training are generally
excellent clinicians.  You may want to speak with him.  His info is given as:

Henri Prieels, Physical Therapist
Regional West Medical Center
4021 Ave. B
Scottsbluff, NE 69361

Work Phone:  (308) 630-1355

                           +----------+  
                           |  Nevada  |
                           +----------+  
                    +++++++++++++++++++++                                                       
Patient Recommendation

I am writing a letter regarding Terry Wright, D.C..  I have recently been
treated for my carpal tunnel syndrome with amazing success by Terry Wright,
D.C.  On my first visit, he explained the anatomy pertaining to my
situation as well as preventative ergonomics.  
 At the time of my first visit, I was waking up 8-10 times a night with
numbness and discomfort in my hands and wrists.  I rock climb, kayak and
mountain bike and was almost continuously experiencing numbness and loss of
strength during these activities.  After eight treatments, combined with
home stretches which he taught me, I found that my symptoms had all but
disappeared.  I was experiencing numbness in my hands maybe 2-3 times a
week instead of 8-10 times a night, and my grip strength had gone up from
90 to 120.  
 One of the techniques he used to work with the nerve entrapment sites is
called the Active Release Technique.  This technique I learned is
relatively new, and is very effective when treating repetitive sports and
occupation injuries, such as carpal tunnel syndrome.  He is currently the
only doctor in the state of Nevada certified in this technique.  
 Dr. Wright is very professional, thorough, and personable.  I recommend
him highly, he has helped me a great deal.

His address:

ACTIVE LIFE CHIROPRACTIC
Terry Wright
Chiropractic Physician
3650 S. Virginia, Suite K-1
Reno, NV, 89509

Phone/fax number: 702-829-7575


                           +---------------+  
                           | New Hampshire |
                           +---------------+  
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Jane Sawyer
Myotherapy of Monadnock
Rt. 124 at Silver Ranch
Jaffrey, NH 03452
Extended stay myotherapy available
1 to 5 days in caring, comfortable country surroundings.
603-532-7318
                    +++++++++++++++++++++                                                       
Patient Recommendation

          WorkRite Medical Associates
          427-3 Amherst St. Suite 265
          Nashua, NH 03063
          
          Phone/FAX (603) 672-2214
          
          They have both Physical Therpists and Occupational 
          Therapists (with Hand Therapy certification) on staff. The 
          company has a superb reputation for successful management of 
          repetitive stress injuries.                          
                    +++++++++++++++++++++                                                       
Patient Recommendation

Have received excellent care for Carpal Tunnel from:
Dr. Malek
Christina Tebo

Occupational Health Solutions of New England
26 Manchester Square
Pease Tradeport 
601 Spaulding Turnpike, Unit #19
Portsmouth NH 03801
Phone (603)430-9675
Fax (603) 334-6088
                    +++++++++++++++++++++
Patient Recommendation

My doctor is fantastic.  He is considered a "insurance doctor", but he has
helped me when others had written me off.  

          Steven Brown, MD
18 Constitution Drive
Bedford, NH 03110 telephone 603-471-1634.  


He is patient, understanding of the pain of these injuries, and a very good
surgeon.  He
has done two surgeries on my right wrist and elbow.  I would highly recommend
anyone who suffers from RSI.  He is a plastic surgeon and hand specialist.

Also, for hand therapy, my therapist is the best.  She is compassionate,
caring, and willing to try whatever is necessary to ease your pain.  

       Monica Labrie
       Dover Rehab.
       Plaza Drive
       Dover, NH 03820
       (603) 749-9000

This is a rehab center/nursing home, but they take outpatients and have all
the equipment necessary for these types of injuries.  

.... I have multiple crust
neuropathies of both upper extremities.  Dr Brown has been most 
patient, compassionate and
understanding in the 2 years he has been treating me.  Suzanne Boisclair, OT CHT at
HealthSouth Rehabilitation Center at 18 Constitution Drive, Bedford, NH 03110
telephone 603-472-3673 has been my occupational therapist for the
last two years helping me to regain strength, mobility and keep my spirits up as well.  Suzanne
and Dr. Brown work together very closely
and together are a fantastic team for people with RSI injuries.
                    +++++++++++++++++++++                                                       
Patient Recommendation
Dr. John T. Wolf
30 Canton St.
Manchester, NH
(603) 623-5434

Dr. Wolf is the best doctor I've ever had.  He is a Board Certified Plastic
Surgeon and Hand Specialist.  I had carpal tunnel, epicondylitis, tendinitis and
a neck problem.  Dr. Wolf tried several therapies before deciding on carpal
tunnel surgery.  He sent me for tests and referred me to a physiatrist for my
neck problem.  (In other words:  he isn't knife happy!)  He was very helpful
with dealing with my employer (worker's comp).  He didn't send me back to work
until he knew I was ready.  He's the most compassionate doctor I've ever had and
he really cares about his patients.  I had my surgery in 1994 and the carpal
tunnel hasn't returned.  I have had occasional flare ups of the epicondylitis
but with physical therapy, exercises and stretches have managed to keep my job
as a secretary manageable.   I wouldn't hesitate at all to recommend him to
anyone with RSI's.    I also would like to recommend my Occupational Hand
Therapist, Lynn Heller.

Lynn Heller
HealthSouth Sports Medicine & Rehabilitation Center
505 W. Hollis St.
Nashua, NH   03062
(603) 886-2710


                           +------------+  
                           | New Jersey |
                           +------------+  
                    +++++++++++++++++++++
Patient Recommendation

...perhaps you might want to add my doctor to the list of
find-a-doc.  He is a very good and caring physician and a specialist in what
ails most of us on the list.  His name is Fadi J. Bejjani, M.D., M.A., Ph.D.
(and a bunch of other titles) and his speciality is in
Orthopaedic/Occupational Biomechanics & Ergonomics.  He has been affiliated
with Kessler Institute in New Jersey and the University of Medicine and
Dentistry of NJ and I'm sure many other fine institutions.  Additionally, he
has written many articles on the problems discussed on our Sorehanders list.

What I like mostly about Dr. Bejjani is his genuine concern and interest in
wanting his patients to get well, get strong.  He has gone out of his way to
help me look at the glass half-full instead of half-empty.  He directed me to
the DVR in our state to help me retrain in another field where I will not use
my hands as repetitively.  ... his entire staff is very caring and professional.  It's comforting to
know that there are care providers who still CARE.

Atlantic Occupational Orthopaedic Centers, P.A., 
14 Franklin Street, 
Belleville, NJ 07109 
Tel: (973)450-5840 Fax (973) 450-5861.  
He also has another office in South Jersey at 645 Ocean Road, Point Pleasant.  His
email address is AOOC@MSN.com.
                    +++++++++++++++++++++
Patient Recommendation

Eatontown NJ - Shore Rehabilitation - 1 Industrial Way, Eatontown - 908
542-9222

The proprietors, Ellen and Elaine, are Physical Therapists (at least one
is also an OT).  They seem to know a lot about RSI (or CTD as they're 
more likely to call it). They seem to be philosophically aligned with Dr. 
Hunter of the Philidelphia Hand Center. My recommendation of Shore Rehab 
is a cautious one for two reasons. First, their office is somewhat 
disorganized and I didn't always get the continuity of care I would
have liked (the therapist I saw often changed and the treatment plan
changed as well); a little assertiveness might prevent this.  Secondly, 
overall my therapy there did not help me; however, from the beginning my 
RSI has been atypical in some ways and many things that are generally 
agreed to be helpful (e.g., improved posture) had adverse effects, so 
maybe it wasn't them.  They're a better bet than someone who doesn't
know much about RSI.  (They would, for example, give me anatomy lessons
and talk about anatomical variations that most doctors allegedly aren't 
aware of which can influence symptoms.  I obtained interesting medical papers 
from them I hadn't heard about elsewhere.) 
                    +++++++++++++++++++++
Self-Referred 
                           
Dr. Adam S. Goldstone
Board Certified Chiropractic Sports Physician
250 Maple Place 
Keyport, N.J. 07735
(908)264-8900
Please be advised that I am a fully accredited and board certified
Chirorpactic Sports Physician, and a published author.  I deal with C.T.S.,
T.O.S. and the various R.S.I. disorders.  I have published on C.T.S. and I am
always continuing patient research on these topics.
If you need treatment or patient referrals, please contact me.
                    +++++++++++++++++++++
Self-Referred 

From:             drmanzo@bellatlantic.net
I am a Doctor of Chiropractic that has specialized training in a
procedure called Active Release Techniques(R).  This is a proven
nonsurgical treatment for peripherial nerve entrapments due to scar
tissue, adhesions and fibrosis.  I am a Doctor of Chiropractic that is
trained and credentialed in a proven successful
treatment for RSI call "Active Release Techniques(R)".  This is a
nonsurgical procedure that releives adhesions, scar tissue and
entrapments to peripheral nerves.  . . I have been in practice
for 11 years and this is the most POWERFUL treatment I've seen for such
a serious condition.  
        This technique was developoed by P. Michael Leahy, D.C.,
C.C.S.P.  He
published an article in "Chiropractic Sports Medicine"  Volume 9, Number
1, 1995 (Wiiliams & Wilkins).  In this article he notes a 96.4% success
rate  and an average of 6 treatment for Carpal Tunnel and related
syndromes.  I have been frustrated with patients with chronic rotator
cuff,elbow, hand and finger pain that I have told them "you have scar
tissue and adhesions with is like a hard boiled egg - you can unboil
it".  I have since performed this procedure and within 1 - 2 visits they
are able to get more range of motion with less pain or are able to sleep
without their hand throbbing. 

web site under developement   @   WWW.triemme.com/drmanzo
Address   2640 Route 70
          Manasquan, NJ 08736
Phone (732)528-5533
Fax   (732)528-0360

                    +++++++++++++++++++++
Patient Recommendation

Doctors from the Philadelphia Hand Center (see Pennsylvania)
are said to also serve at:

The South Jersey Hand Center
1025 Briggs Road
Suite 144
Mt. Laurel, NJ 08054
(609) 840-1050
                           
                    +++++++++++++++++++++
AOEC Member

Environmental and Occupational Health Clinical
CenterEnvironmental & Occupational Health Sciences
Institute
UMDNJ - Robert Wood Johnson Medical School              
P.O. Box 1179                       Clinic Founded 1981
Piscataway, New Jersey 08855-1179

AOEC Contact:   Howard Kipen, MD, MPH                   
                     908-445-0123  FAX 908-445-0127
                     Gail Buckler, Registered Nurse, MPH, COHN
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Joan Colombo
Danise Tocci
Northern New Jersey Myotherapy Center
139 Christie St.
Ridgefield Park, NJ 07660
201-641-5438
Also: New York City Office 
201-641-5438
                    +++++++++++++++++++++                              
Hellerworker trained by Sharon Butler:
Frances Ogden, Certified Hellerwork Practitioner W. Orange, NJ  201-731-8634

                           +------------+  
                           | New Mexico |
                           +------------+  
                    +++++++++++++++++++++
MSM Appendix B

Dr. Peter Stern
7615 Indian School Rd
Albuquerque, NM 87110
(505) 883-6281
                    +++++++++++++++++++++
AOEC Member

Presbyterian Occupational Medicine Clinic               
5901 Harper, NE                Clinic Founded 1993 
Albuquerque, NM 87109                                    

AOEC Contact:   Don C. Fisher, MD, MS, DABT             
                     505-823-8450  FAX 505-823-8484
                     Karen B. Mulloy, DO, MSCH
                    +++++++++++++++++++++                              
Hellerworker trained by Sharon Butler:
Santa Fe- Akala, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 505-988-7350

                           +----------+                         
                           | New York |
                           +----------+
                    +++++++++++++++++++++
AOEC Member

Eastern New York Occupational Health Program            
155 Washington Avenue        Clinic Founded 1988
Albany, New York 12210                                  

AOEC Contact:   Anne Tencza, Registered Nurse, COHN                   
                     518-436-5511  FAX 518-436-9110
                     Eckardt Johanning, MD, MSc.
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Faith Trotta
Alfred Myotherapy and Exercise
Box 534, 49 Hillcrest
Alfred, NY 14802
607-587-9218
                    +++++++++++++++++++++
MSM Appendix B

Department of Nuclear Medicine
105 Parker Hall
3435 Main St.
Buffalo, NY 14214
(716) 838-5889
Contact: Dr. Alan Lockwood

                    +++++++++++++++++++++
MSM Appendix B

Neurological Consultants of Central New York
P. O. Box 505
5730 Commons Park
Dewitt, NY 13214
(315) 449-0011
Contact: Dr. Pieter Kark
                    +++++++++++++++++++++
Self-Referred 

I am the director of a facility located on Long Island (NY)called
Bellmore Physical Medicine and Rehabilitation....we have PT, chiro care,
Physiatry and specialize in treating CTS with mobilization, stretching
and traction.....we have had close to an 80% success rate with mild to
moderate cases in the past 2 and 1/2 years...

phone 516.221-0225   Dr. Michael Schonfeld & Dr. Mark Greenbaum
                    
                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Kaye O'Connell
Muscle Works
9565 Maple Ave.
Machias, NY 14101
716-353-4415
                    +++++++++++++++++++++
Self-Referred 
                    
                  Dr. David Drier
                  PO Box 198, Monroe, NY 10950
                  Ph. (914) 774-7378
e-mail Bodyworks1@juno.com

I am a chiropractor, working almost
exclusively with repetitive stress and cumulative trauma injuries, with a
specialty in performing artists (dancers, musicians, etc.).  

 I work in Orange and Rockland counties, NY, with trips into New
York City, to deal with performing artists, as well as athletes and
others, "on site", before or after performances. 
 My own specialty is Active Release Technique, developed by Dr.
Michael Leahy, and used on Ironman and Olympic athletes, as well as
professional musicians and dancers, and thousands of  "carpal tunnel"
sufferers.  Very few have true carpal tunnel.  The problem, instead, is
usually the development of scar tissue- fibrous adhesions- in the
muscles, and between them, and along nerves.

 Until those adhesions are broken up, the patient will make little
progress.  And Active Release Technique is unique in its use of body
mechanics to achieve its aims.  In brief, it combines muscle "stripping"
of a low compression/high tension variety with active patient motions. 
Because the patient is using antagonist muscles to the ones being
treated, the muscle being treated moves under the therapists fingers. 
I.E.  you work with, not on, the patient.  The idea is similar to PNF-
proprioceptive neuromuscular technique.

 I combine this work with chiropractic adjustments, Feldenkrais
technique, massage, rehab exercises, and nutrition to maximize value for
the patient.
       
                    +++++++++++++++++++++                              
MSM Appendix B

Institute of Rehabilitation Medicine
NYU School of Medicine
400 East 34th St
New York, NY 10016
Contact: Dr. Matthew Lee

                    +++++++++++++++++++++                              
MSM Appendix B

Roosevelt Hospital
Department of Hand Surgery
428 W. 59th St.
New York, NY 10019
(212) 523-7591
Contact: Dr. Richard Eaton

                    +++++++++++++++++++++                              
MSM Appendix B

Shmuel Tatz Physical Therapy
Carnegie Hall Studio 142
154 W. 57th St.
New York, NY 10019
(212) 246-7308

                    +++++++++++++++++++++
Patient Recommendation

"My experience with the following medical professionals has been excellent. 
 . . . these professionals have made it possible for me to avoid surgery. I
can also say that all of the people I've listed have been respected by peers,
attentive to my needs, kind, compassionate, and helpful. . . ."	 
 
Orthepedic Surgeon:     Dr. Stephen Kates
                        1415 Portland Ave.
                        Roch, NY 14621
                        Phone # (716) 336-5200  (Appt line 336-5403)
 
                Also well respected, kind and compassionate...
                Dr. Richard Dellaporta, 125 Lattimore Rd., (716) 271-4390
 
Physical Therapist:     Idi Cole
                        (There are 3-4 Physical Therapists in this group. 
                        All are very good.)
                        Hand Rehabilitation
                        2180 S. Clinton Ave.
                        Roch, NY 14618
                        Phone # (716) 275-4556
                        (They're part of University of Rochester/Strong
                        Memorial Hospital)
 
Rheumatologists:        Dr. C. Douglas Angevine
                        (He recently moved to a new office at 1415 
                        PortlandAve  I don't have his new phone #)
 
                        Rochester Rheumatology Group, PC
                        125 Lattimore Rd., Suite 175
                        Roch, NY 14620
                        Phone # (716) 442-1112
                    
                    +++++++++++++++++++++          
Patient Recommendation

The Mount Sinai-Irving J. Selikoff Center for
   Occupational & Environmental Medicine
Mount Sinai Medical Center

1391 Madison Avenue
New York, NY 10029
(212) 987-6043 Telephone
(212) 987-6649  Fax

Hudson Valley Center
(914) 366-3670

Brooklyn Center
(718) 780-2805

My neurologist is here and my MD works at Mount Sinai; 
the care and assistance provided is excellent.  The following
information (edited for brevity) is from their flyer.  Medical evaluation

of groups or individuals w/hazardous exposures.  Written information
about specific hazards...at work.  Advoce on how to reduce or eliminate
work conditions that are causing problems.  Education programs.  Help
getting Workers Compensation and other available legal benefits.  Social
work services to help w/social, psychological and financial problems
caused by work-related health problems (including Susan Nobel's support
group).  Epidemiologic services.  No one will be turned away due to an
inability to pay.  Sliding scale for charges not covered by insurance.

To make an appointment call (212) 987-6043, Monday - Friday between 9:00
am and 5:00 pm.  A Center staff person will briefly interview over the
telephone about health concerns...  Appointments are scheduled Monday -
Thursday from 9:00 am to 2:30 pm.
......
. . . Jonathan Dropkin.  He's the ergonomic
coordinator at the Mt. Sinai Center for Occupational Medicine around 96th
street (if I can remember).  I know a few people who have seen him through
NYCOSH referrals and swear by him as effective.  I've first met him in the
beginning of this year and I can tell you that he works "with patients"
rather than "working on them".  You can find him at 212-241-2582.
Jonathan Dropkin is NOT an MD.  He is an ergonomist (and also degreed as a
Physical Therapist; I believe he did that before going ergonomist).  He does evaluation of
workstations, industrial sites, etc. If needed, you are referred to him by
the treating physician at Mount Sinai.
                    +++++++++++++++++++++          
Patient Recommendation

Julie Weiner, MS, BCIA-C

5997 Riverdale Ave. at 260th St.
The Bronx, NY 10471
(718) 601-4569

984 North Broadway, Ste. LL-05
Yonkers, NY  10701
(914) 633-2991

After a thorough evaluation to find out which muscles are involved in your
particular case, you will be given a course of physiologic feedback
and pain management training that may include diaphragmatic breathing,
muscle relaxation, minibreak training, posture awareness, stress
management training and help in establishing basic health habits.. The
latter may involve assistance in finding an exercise routine that fits
your lifestyle, making time for healthy meals or quitting smoking.
(smoking increases the risk of muscle injury.) You may also be advised on
the role of nutrition in maintaining relaxed, healthy muscles, tendons,
joints and cartilages. 

She takes a holistic approach to the process and respect the outlook of
the patient, tailoring treatment to the person. Ms. Weiner is very
flexible and will work hard to find the combination which works for the
patient. I found her innovative and responsive. She is very collaborative
in her approach and worked with my Physical Therapist and myself to help
solve treatment issues there as well as in her own arena. I mentioned her
in passing to a person who, it turned out, had worked with her years
before, remembered her treatment with great appreciation and continued to
use the training she received. 


                    +++++++++++++++++++++          
Patient Recommendation

Hospital for Joint Diseases would be my first choice! They're on the East
Side I believe.
                    +++++++++++++++++++++          
Patient Recommendation


Lisa Sattler, MS, PT, ART
1140 First Avenue, #6
New York, NY 10021

(212) 838-6847

Lisa Sattler does a thorough intake/history/evaluation during the first
visit. She is very knowledgeable about RSI, treats holistically and is
open to the use of multiple modalities during PT (such as Alexander
Technique, etc., to assist w/posture and realignment). Exercises are
appropriate in type and speed for developing strength and flexibility. She
checks on home progress and is mindful of reviewing exercise regimen to
make sure they are being done correctly.  She is trained in myofascial
release and Applied Release Therapy (a treatment which helps "unstick"
nerves and works well with many patients).  She is also knowledgeable
about early RSD and is concerned with prevention.  Accepts WC patients.


                    +++++++++++++++++++++          
Self-Referred 

Jackie Ross, Physical Therapist
I am a physical therapist who has worked with RSI problems for 9 years

22 W. 21. ST - SUITE 802
NEW YORK, NY 10010

212- 627 5670
FAX- 212 6270591 (JROSSPT@aol.com)

                    +++++++++++++++++++++          
Self-Referred 

Gene Desepoli
258 Henry Street
Brooklyn, NY 11201
718-855-0664

I am trained as a chiropractor and massage therapist with a special 
interest in RSI and overuse syndromes which respond well to 
sost-tissue techniques.  I have additional certification (although I 
use that term lightly) in muscular and myofascial disorders.


                    +++++++++++++++++++++          
Patient Recommendation
A. Benja-Athon, MD
210 East 36 Street
New York, NY 10016

(212) 545-7075

Located between Second & Third Streets.  Accepts Workers Compensation.  I
find Dr. Benja-Athon very concerned and aware of life as well as medical
issues involved w/injury.  I have been going for acupuncture and have
found it very helpful.  Needles are sterile/disposable and sanitary
procedures are strictly followed.  Decor is in calming colors, lights are
kept low for pain patients.  Staff is helpful and pleasant.  This MD is a
former surgeon, who now does rehabilitation medicine and acupuncture.  Has
done research on pain and has experience working with RSI.  He provides an
accurate picture of benefits of acupuncture and does a thorough intake
interview/evaluation.

Following is from the flyer:  Board-certified physicians & specialists;
multidisciplinary approach; ethics; cutting-edge skills; cost containment.

Pain Management:  Using body biomechanics, medicine, anesthetic blocks,
biofeedback, acupuncture, rehabilitation, physical therapy, and
psychiatric management. 

Acupuncture:  Pain management and related disorders using sterile and
disposable needles.

Rehabilitation Medicine:  Physical therapy and rehabilitation treatments
by American-trained and board-certified physicians to restore health,
function, independence and productivity.

web site:  http://www.musclejointnerve.com

                    +++++++++++++++++++++          
Patient Recommendation

   Phyllis W. Sherman, Physical Therapist
   Columbia Presbyterian-Eastside Sports Medicine
   15 E. 60th Street, 4th Floor
   New York, New York
   (212) 326-3330

   I was referred to Phyllis by Dr. Emil Pascarelli. She is an    
experienced, caring professional who recognizes the intricacies and    
difficulties of treating RSI. I've had RSI since 1993 and have tried 
about a dozen Physical Therapist's and different types of therapy. After 8 months of 
intensive therapy with Phyllis, consisting mostly of stretching and 
gradual strenthening, I am well on my way to a pain-free state. I never 
could have believed it possible after the years of unrelenting pain and 
agony. This outfit takes Worker's Comp as a form of payment.
                    +++++++++++++++++++++          
Patient Recommendation

. After much searching for a doctor to treat me for a bad case of
Cubital Tunnel Syndrome, and many bad experiences, I was finally lucky
enough to be referred to Keith Raskin, who is an upper extremity
specialist in New York City.  317 E 34 St bet 1 & 2 Ave  212-683-4263.

In addition to having a reputation as a great technician and surgeon,
he is also very patient in answering questions and explaining things.
On various visits I brought in articles from medical journals on my
condition, and also Dr. Norris' Book (Survival Guide for Musicians) in
order to ask questions and confirm what I read. He was not at all
threatened by this, and actually appreciated that I was well-informed.
He really cares about his patients....
I told Dr. Raskin facetiously that he is more like a TV doctor than a
real doctor, because he is such a nice guy. 
                    +++++++++++++++++++++          
Patient Recommendation

My physical therapist, Susan Scanga, is amazing. 4 - 1/2 weeks after 
elbow surgery, my doctor says my range of motion is where he would 
expect it to be after 8 weeks. Susan is also very reassuring, patient and 
good-humored. Most importantly, she REALLY knows her stuff. 

I have been to other P.T.s, O.T.'s, etc. who  had five people in the 
treatment room at once. At Susan's, I have never had more than one other patient 
being worked with at the same time as me. (One other is nice because you 
can trade war stories.)

Susan Scanga
212-406-2568

(In Manhattan)
                    +++++++++++++++++++++          
Patient Recommendation

New York City - W 90th St Manhattan - John Bloomfield - 212 799-2257

John is a piano teacher who retrains RSI-afflicted musicians and
computer users in how to use a keyboard in a non-injurious way.
When I first went to him I was in too acute a phase to consider typing,
but he showed me how to do various acts of daily living - picking up a
glass, turning a doorknob or a faucet, writing, dial a phone, etc.,
in ways that did not aggravate my injuries.  (I've had occupational
therapists claim they do the same sort of thing, but I know John helped
me a lot and no OT I've talked to claimed expertise on typing.)  Later
I took up keyboard retraining with John.  I think he is definitely on to
something.  He is very sensitive and pays attention to the way you
respond individually.  And he can generally figure out how to do things in a way
that doesn't hurt.  One friend I sent to him claimed a "miracle cure" --
an initial flare, still quite recent, receded in a matter of weeks.
Usually takes a little longer, but I think most RSI suffers who still
have an interest in typing could benefit from John's lessons.  The only
qualifier I would add is that while John knows a great deal about arms
and hands, he knows less about shoulders and back (not that he claims to
know anything he doesn't); this was relevant to me insofar as the typing
retraining did not address my TOS (brachial plexus) issues, though it was
beneficial in other ways.

                    +++++++++++++++++++++          
Patient Recommendation

John S. Artandi, MD
Director of Orthopedic Medicine
Advanced Pain Care Center of New York
18 E 50th St.
New York, NY 10022
(212) 758-4688

I have received very effective treatment for bilateral carpal tunnel syndrome, 
including  ultrasound and fluidotherapy three times a week.  Dr. Artandi goes 
out of his way to explain the diagnostic procedures and the treatments in 
great detail.  Patients are never rushed.  

                    +++++++++++++++++++++
AOEC Member

Bellevue/New York University                                 
Occupational and Environmental Medicine Clinic
Bellevue Hospital, Room CD349
27th Street & First Ave.       Clinic Founded 1991      
New York, New York 10016

AOEC Contact:   George Friedman-Jiminez, MD             
                     212-562-4572  FAX 212-562-4574
                     Rafael de la Hoz, MD, MPH

Chinese, Spanish and French spoken, in addition to English.

                    +++++++++++++++++++++          
Patient Recommendation


Ellen Saltonstall, MS, MT
17 East 16 Street
New York, NY 10003
(212) 727-7288

Ellen Saltonstall offers a class specifically designed for and 
limited to sufferers of RSI which combines Yoga and Kinetic 
Awareness at an affordable price.  The class is very helpful 
and gentle.

Ms. Saltonstall has an MS in Therapeutic Human Movement from 
New York University and a BA from Cornell University.  in 1981, 
she began to study Hatha Yoga and to teach it in 1983; and for  
over five years  has been especially interested in its therapeutic 
uses.   She is on the staff at Mind-Body Medical Institute at St. 
Peter's Medical Center in New Brunswick, NJ, and has a private 
practice in Massage Therapy and Kinetic Awareness Technique, 
which is used to release tension in the body and facilitate 
movement.  Her book, Kinetic Awareness:  Discovering Your 
Bodymind  was published in 1983.



Chloe Wing
60 Fourth Street, Apt. 15
New York, NY 10011
(212) 598-9434

Ms. Wing teaches the Alexander Technique in New York City and 
has specialized in neck and hand injuries during her twelve years 
in private practice; she has extensive experience working with RSI.  
She is Director of The Musician's Body, a national program 
dedicated to the health and well-being in music.  In addition, she 
directs a three-year teacher training program in  the Alexander 
Technique and is a founding member of Alexander Technique 
International where she certifies teachers world wide.


                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Claire Naylor-Pollart
Fitness Express /Myotherapy
105 W. 78th, #3
New York, NY 10024
212-595-3225
                    +++++++++++++++++++++
AOEC Member

Finger Lakes Occupational Health Services               
980 Westfall Road, Suite 210      Clinic Founded 1987
Rochester, NY 14618                                     

AOEC Contact:   Deanna Woodhams, Administrator          
                     716-256-0853  FAX 716-256-2271
                    +++++++++++++++++++++          
Patient Recommendation

Michael P. Nancollas, MD
475 Irving Ave., Ste. 418
Syracuse, NY 13210
315-426-0197
nancollas.michael@hcds.com
http://www.cnybonedocs.com
I am an orthopaedic hand surgeon who has a special interest in overuse
syndromes as they apply to both workers and musicians. I presently treat
a large number of musicians, both amateur and professional. Along with
Lynn Fye, CHT (an occupational hand therapist), I am establishing the
Clinic for Perfoming Artist to better evaluate and treat upper extremity
musician injuries.
My resume includes presentations and publications on carpal tunnel
syndrome. My interest in musician's injuries stem from my background as
an amateur pianist and trombonist.

                    +++++++++++++++++++++
AOEC Member

Central New York Occupational Health Clinical Center    
6712 Brooklawn Parkway
Suite 204                           Clinic Founded 1989  
Syracuse, New York 13211-2195


AOEC Contact:   Michael B. Lax, MD, MPH                 
                     315-432-8899  FAX 315-431-9528

                    +++++++++++++++++++++
AOEC Member

Center for Occupational and Environmental Medicine 
School of Medicine
Health Sciences Center, L 3-086    Clinic Founded 1986
University at Stony Brook                               
Stony Brook, New York 11794

AOEC Contact:   Wajdy Hailoo, MD, MSc., DIH             
                     516-444-2167  FAX 516-444-7525

                    +++++++++++++++++++++          
Patient Recommendation

Linda Marvin, MPhil, MS
162 Lake Avenue
Tuckahoe, NY 10707
(914) 337-9096
(516)  299-2436 (LIU)

Ms. Marvin is an Assistant Professor in the Speech and Hearing 
Department of Long Island University, C. W. Post Campus and has 
private consulting practice.  She specializes in the problems of 
people who use their voices professionally, including users of voice
recognition software.  She will evaluate you at your work site (including
home) to better assist you with voice health and safety.


                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Mary Lou Maxon
Wellsville Myotherapy & Exercise
RD#3 Box 301
Wellsville, NY 14895
716-593-5685 
                    +++++++++++++++++++++
MSM Appendix B

Blythedale Children's Hospital
Department of Rehabilitation Medicine
Valhalla, NY 10595
(914) 592-7555
Contact: Dr. Yasoma Challenor


                         
                           +----------------+
                           | North Carolina |
                           +----------------+      

                    +++++++++++++++++++++  
Bonnie Prudden Myotherapist 

Kathleen McDonald-Waddell  R.N.
Partners In Health Family Clinic 
P.O. Box 1226
Aberdeen, N.C. 28315
910 944 7777
Self-Referred 

Dr. Brad Batchelor Chiropractor
483 Hwy 105 Ext.
Boone, N.C. 28607
704 264 0140
fax 704 262 1182
e-mail drbatch007@appstate.campus.mci.net

Doctor Batchelor practices in the Mountains of N.C.
and cares for hundreds of people using the latest methods
available. Dr. Batchelor cares for many R.S.I. patients especially 
carpal tunnel. Dr. B utilizes the new Malley Exposer, a device used 
to measure alignment of the wrist bones (carpals) for alignment 
and their potential to place pressure on the nerves of the wrist.
complete rehab., carpal manipulation and therapy is available with 
excellent results.
                    +++++++++++++++++++++          
Patient Recommendation

Deb Lindsay, Occupational Therapist, OTR/L, CHT
Pro Active Therapy
218 Ashville Ave., Suite 20
Cary, NC
919-851-9199
This O/T did deep tissue massage on me, which helped.  She explained
a lot about posture, movement, force, thinking about ways to do tasks
differently.  She didn't dislike the Pascarelli book.
                    +++++++++++++++++++++          
Patient Recommendation

Deborah Gangemi, Physical Therapist
Sunshine Physical Therapy Associates
100 Europa Drive (Europa Center), Suite 599
Chapel Hill, NC 27515
(919) 932-1400
(919) 942-1118 FAX

Very knowledgeable in myofascial release (trigger
point therapy a la Janet Travell et. al.). Also
specializes in orofacial pain (TMJ, for example).
She understands the connection between nerve
pain, muscculoskeletal disorders and even quite
a bit about TP perpetuating factors.

>From her brochure:

   "Physical therapy in the treatment of facial
   pain, headaches, TMJ disorders, and cervical, 
   thoracic, lumbar and pelvic pain and dysfunction".

Her husband is a Physical Therapist also, and is part of the practice.
                    +++++++++++++++++++++
Patient Recommendation

I was seen by Dr. Bevins at the UNC Hand Rehabilitation Center, Chapel Hill, 
North Carolina, 919-966-1056.  Thomas Gilliam, an upper extremity specialist 
at the Hand Center, did most of the testing on my hands, made suggestions of 
ways I could improve how I work, etc.  Both were very professional and good, 
IMO.
                    +++++++++++++++++++++          
Patient Recommendation

...there is a new department of Physical Medicine and Rehab at UNC Hospitals
in Chapel Hill, NC.  The Head of the department if Dr. Michael Lee.  His
is my physiatrist (and my husband's!).  His office number is 919-966-8812.
Good luck!
                    +++++++++++++++++++++
Patient Recommendation

Dr. Sam Moon
Division of Environmental and Occupational Medicine
Duke University Medical Center
Box 2914
Durham, NC 27710
(919) 286-3232
(919) 286-1021 FAX
Chris Martin - Secretary
Office: Erwin Square, Suite 700 (2200 W. Main St.)
                    +++++++++++++++++++++
Patient Recommendation

Rochelle Rodriguez, OTR/L, CHT
Carolina Hand and Occupational Therapy
1777 Durham-Chapel Hill Blvd, Ste. 204
Chapel Hill, NC 27514
(919) 933-6255
(919) 967-6932 FAX
                    +++++++++++++++++++++
Patient Recommendation

Mary B. Cochran, Certified Feldenkrais Practitioner
Somatic Learning Center
3021 Essex Circle, Building B
Raleigh, NC 27608
(919) 782-6931

Mary has been certified by the Feldenkrais Guild
since 1986. Both her Functional Integration and
Awareness Through Movement classes have helped
me a great deal.
                    +++++++++++++++++++++
MSM Appendix B

Dr. David Goode
3000 Bethesda Place, Suite 102
Winston-Salem, NC 27103-3323
(919) 760-0120


                           +------------+
                           | Nova Scotia| 
                           +------------+                          
                    +++++++++++++++++++++
Patient Recommendation

I moved to Halifax in September of 97 from Toronto, with a repetitive
strain injury that was reaching its second birthday.  I have been
looking for resources and treatment ever since.  I can't yet say that I
have found a physiotherapist to recommend.  Michael Ritchie of Scotia
physiotherapy on Quinpool is quite good at spinal manipulation and
muscle imbalance.  Everyone and his dog does acupuncture in Halifax;
Brian Tomie of Renova Physiotherapy in Bedford (835-6561) and Sackville
does actual dry needling of trigger points, which is a form of treatment
that many people in Toronto have had very good experiences with.

Physiotherapy in Nova Scotia is covered by the provincial health plan if
it's in a hospital clinic — these have months-long waiting lists. 
Private physio ranges between $30 and $36 per session ($40 for
assessment). 

The Center for Work and Health at Dalhousie tells me that Wendy Tooth at
the Physioclinic at Dalplex is good for RSI — I haven't tried her (I saw
her boss instead...).  The Center for Work and Health, by the way, is
nothing to write home about, judging by my somewhat aggravating
experience with them around an ergonomic assessment of my office.  This
Center was also unable to tell me the name of a doctor in Halifax who
has any particular knowledge or expertise in RSI.  This is either a
measure of the inadequate state of the medical profession towards RSI in
Halifax, or a measure of the inadequate state of this Center, or both.

The local Feldenkrais practitioner is Kelly Beale (5871 Spring Garden
Road, 477-8569 phone; 458-2714 pager).  He has group Awareness Through
Movement lessons (currently) Tuesdays at 5:30 at the Shambhala
elementary school, Maritime Conservatory of Music, on Chebucto at
Windsor ($10 for drop-in; discount for series), and Wednesdays at noon
at the Shambhala Center on Tower Road ($8 for drop-in).  His private
Functional Integration sessions are at his office on Spring Garden
Road.  I find these both helpful.  I've just started yoga with Jody
Myers (823-2746), beginner classes Thursdays at 6 in the Unitarian
Church, Inglis Street ($10 for drop-in).  There are lots of other yoga
teachers around.  From what I have seen so far, she encourages
self-exploration, and is flexible in dealing with your physical
limitations, which makes her approach good for people with RSI.

Massage in Halifax seems to run between $45 and $70.  I've had good
experiences with Linda Weeks (trained at Sutherland Chan in Toronto,
especially interested in myofascial release), who is in a chiropractor's
office in the professional center at the corner of Spring Garden and
Robie (429-3443), Don Himmelman, a shiatsu massage therapist capable of
working gently enough for someone with RSI (also at 5871 Spring Garden
Road, 429-1253), and Julie Berkowitz, Dresden Row, 423-4407, who does
lovely craniosacral work.  (They're all in the $45 to $55 range.  That's
really a fairly random list of massage practitioners.  Some people who
are well-known for myofascial release work are Peter Goodman and Kermit
Stick at Eastwind Health Associates and Brian Jenings at Advanced
Wellness Center.)

If anyone who sees this wants to start some support group activity,
contact me (Lynette Reid) at lereid@is.dal.ca.

                    +++++++++++++++++++++                              
Self Referred

There is now a Myosymmetries Halifax Clinic, in Bedford, N.S., sister clinic 
to Myosymmetries Calgary, Myosymmetries Edmonton, and Myosymmetries 
Washington, D.C.  They are a multidisciplinary clinic specializing in the 
treatment of chronic pain disorders (as FMS, CPS, MPS), closed-head injuries, 
whiplash, and CFS.  Patients may be referred by their MD, chiropractor, PT, 
etc. or self-referred.
Web page for the clinic may be found at http://www.myosymmetries.org
 
What separates Myosymmetries from others in treatment of Fibromyalgia is that 
they consider Fibromyalgia to have Central Nervous System involvement.  
Research done by Suart Donaldson, Ph.D., founder of Myosymmetries, shows FMS 
patients to have a "signature brain spike". Using biofeedeback EEG, the 
Flexyx Neurotherapy System (FNS),  patients' brains are "reset" to the 
"normal" mode.  To the patient, this means higher energy levels, improved 
concentration, no more "fog", and return to "Delta" (restorative) sleep. 

Similarly, muscle imbalances are quanitified using sEMG (surface 
Electromyography), where  passive electrodes are placed on the surface of the 
skin, over the muscle being tested.  The patient is asked to perform a simple 
movement, to involve the muscles in question.  Comparison of muscle activity, 
left side to right side, is made.  Anything larger than a 20% difference is 
considered an imbalance.  While still connected to the electrodes, a "micro 
exercise" is designed to isolate and train the target muscle.  These 
exercises are continued at home.  

Massage therapy, myofascial work is also part of the program. 

There are no physicians in the clinic, although, where indicated the patients 
will be referred for a medical consult.  

Which therapies are used depends on each patient's individual assessment.  In 
Halifax, the initial interview with the clinic director is $100.
  
As a former patient of the Myosymmetries Calgary clinic, I can say, without 
exaggeration, that Myosymmetries gave me my life back.  Previously, I had 
been diagnosed with TOS, MPS, CFS, CPS, and FMS by Dr. Beverly Tompkins of 
Calgary, a physician specializing in the treatment of chronic disorders.  I 
did not complete my treatment in Calgary
(completed 2 of 4 months), but left much improved, and continued to improve 
ever since.  I still have some aches and pains, but I have not "crashed" 
since my return to Nova Scotia.  I no longer have migraines, IBS, frequent 
UTI's, "fog", severe muscle spasms, severe fatigue, costochondritis, sleep 
apnea, dizziness, sleep deprivation, and I have lost 30 lbs. My success in 
Calgary was instrumental in bringing the clinic to Nova Scotia.  I am 
co-owner of the Halifax clinic.

Martha Haley



                           +------+
                           | Ohio | 
                           +------+                          
                    +++++++++++++++++++++                              
Hellerworker trained by Sharon Butler:
Akron- Pam Byard, Certified Hellerwork Practitioner. Ph: 216-655-6885

                    +++++++++++++++++++++
AOEC Member

Center for Occupational Health                          
Holmes Hospital-Tate Wing
Eden and Bethesda Ave.              Clinic Founded 1960 
Cincinnati, Ohio 45267-0458

AOEC Contact:   James Donovan, MD, MS                   
                     513-558-1234 FAX 513-558-1010
                     Douglas Linz, MD, MS
                     Susan Pinney, PhD
                    +++++++++++++++++++++
AOEC Member

Greater Cincinnati Occupational Health Center      
Jewish Hospital Evendale
10475 Reading Road, Suite 405  Clinic Founded 1984 
Cincinnati, Ohio 45241

AOEC Contact:   Harriet Applegate, Director             
                     513-769-0561  FAX 513-769-0766
                     Margaret Atterbury, MD, MPH
                    +++++++++++++++++++++
MSM Appendix B

Clinic for the Performing Arts
2123 Auburn
Cincinnati, OH 45219
(513) 281-3224
Director: Dr. G. James Sammarco
                    +++++++++++++++++++++  
Patient Recommendation

I am on the sorehanders list and recently recieved excellant care from a hand 
surgeon. His name is Dr. T. Greg Sommerkamp, and is located in Cincinnati, 
Ohio and Northern Kentucky area. He gave me excellant care and recieved many 
glowing reports from other patients that have been seen by him. He is in a 
group called "Hand Surgery Specialists".
 
Dr. T. Greg Sommerkamp
EDGEWOOD , KY 41017 
606-344-1150
                    +++++++++++++++++++++
MSM Appendix B

Medical Center for Performing Artists
Cleveland Clinic Foundation
9500 Euclid Ave.
Cleveland, OH 44106
(216) 444-5545
Director: Dr. Richard Lederman

                    +++++++++++++++++++++
AOEC Member

WorkLink                                           
Occupational/Environmental Health Clinic
Dept. of Family Medicine/MetroHealth Medical Center     
2500 MetroHealth Drive        Clinic Founded 1990
Cleveland, Ohio 44109-1998

AOEC Contact:   Kathleen Fagan, MD, MPH                 
                     216-778-8087  FAX 216-778-8225
                    +++++++++++++++++++++
Patient Recommendation
I go to see Dr. David Leak and Dr. Raineri at Pain Net, Inc. in Columbus, OH.  Pain-Net is a
consortium of clinics across the country (they have a web site).  I can only speak for my two
doctors.
...These doctors were different
- - they (gasp) ran TESTS!!!!  And they don't stop.  They ran the test for RSD and found that I
do have it.  They implanted a programmable medtronic SCS (I wouldn't recommend letting anyone do
it except for this doctor, who has had good reviews) that is a lifesaver - cuts the pain down
and may keep the RSD from spreading from my "arms" to the rest of my body.  They also diagnosed
cervical spondylosis.  
                    +++++++++++++++++++++

Self-Referred 

Brent Bamberger
Hand Surgeon
Dayton, OH
"I am A hand Surgeon who did my fellowship at USF with Dr belsole."
BBAMBERGER@DESIRE.WRIGHT.EDU

                    +++++++++++++++++++++

Self-Referred 

Ohio Sports & Spine Institute, Ltd.
1265 Boardman-Canfield RD.
Youngstown, Ohio 44512
(330)758-9400 P
(330)758-4288 F

Multidiscplinary Musculoskeletal Diagnoses and Rehabilitation Center
3 Locations in Eastern Ohio


John L. Dunne, D.O. - Occupational Medicine
Joseph Cerimele, D.O. - Physical Medicine & Rehabilitation
Joseph A. DiDomenico, D.C. - Chiropractic

All are board certified.
Staff consists of physical therapists, massage therapists,
Kinesiologists, Athletic trainers.
In the most general of terms we approach RSI from a multidisciplinary
standpoint;ergonomic intervention, reduction or removal of causative
factors, nutrition & rest, appropriate medication, soft tissue
techniques/joint mobilization, and an overall reliance on good luck.


                           +----------+
                           | Oklahoma |
                           +----------+

                    +++++++++++++++++++++
AOEC Member

WorkMed, Inc.                                                
9330 E. 41st Street, #102      Clinic Founded 1947
Tulsa, Oklahoma 74145-3718                                   

AOEC Contact:   James W. Small, MD, MPH                 
                     918-627-4646 FAX 918-669-4425
                     Steve Snyder, MD
                     Tiari A. Harris, MD, MPH
                     Lloyd Anderson, MD

                           +--------+
                           | Oregon |
                           +--------+

                    +++++++++++++++++++++
Hellerworker trained by Sharon Butler:
Leah Shapiro Lue, Certified Hellerwork Practitioner 
Beaverton, OR - 503-225-0299 +++++++++++++++++++++ Patient Recommendation Dr. Ruth Lowengart, MDOM 786 State Street Medford, OR 97504 (541) 776-5111 She used to be chief physician at the Alta Bates Occupational Medicine Clinic in Berkeley . . . and an assistant clinical professor at the University of California, San Francisco. She was overloaded with a lot of the cases (from all over the Bay Area) that no one else knew what to do with. Her specialty is occupational medicine, and she's had some osteopathic training; she also acknowledges learning from a wide range of other sources, including "alternative" health practitioners and listening to her patients (a novel idea for most doctors I've run into in treating RSIs). She has a holistic view of the body and thus has an excellent undertanding of the relationship between RSI and other things going on in one's body, 23especially in (but not limited to) the back/neck, and is very good at recognizing and treating thoracic outlet syndrome as well as myofascial stress. She's also a hands-on physician--very rare--who does some manipulation for both diagnosis and relief, and very good at giving appropriate exercises and educating her patients. I wish she were still here! +++++++++++++++++++++ Patient Recommendation Rick Lockwood Research Associate Portland Hand Surgery & Rehabilitation Center NoEndo@AOL.com +++++++++++++++++++++ Patient Recommendation Either of the Western States Chiropractic College's outpatient clinics. These clinics are in the Portland, OR area. You can contact the college at 1-503-251-5734, or 1-800-641-5641. +++++++++++++++++++++ Patient Recommendation I've been going to Dr. Buehler, who is an Arm/Hand specialist and Orthopedist. He is the only one who has listened to me, and specializes in micro-surgery of the arm and hand. His offices are located in the Providence Medical Center adjoining Providene hospital. Good Luck! +--------------+ | Pennsylvania | +--------------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Nancy Lake Bleam Loretta J. Shann Myotherapy Center 2200 Hamilton St. Allentown, PA 18104 610-437-6187 610-437-0733 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Lansdale- Connie Keener, Registered Nurse. Ph: 215-997-8056 +++++++++++++++++++++ Self Referred The Upper Extremity Institute "Emphasizing Conservative Care of Injuries to the Neck, Arm, and Hand" 180 West Germantown Pike Suite B-1 East Norriton, PA 19401 Phone us toll free at 1-800-Nerve-55 Send us a fax at 1-610-277-2007 Dr. Scott M. Fried and Dr. David E. Reinhardt +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Paoli- Sharon Butler, Certified Hellerwork Practitioner. Ph: 610-889-9683 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Perkasie- Barbara Hopkins, Certified Hellerwork Practitioner. Ph: 215-249-0672 +++++++++++++++++++++ Patient Recommendation I live in California but I am aware of a place in Philadelphia called "The Philadelphia Hand Center" phone #215-629-0980. +++++++++++++++++++++ Patient Recommendation If you are going to the Philadelphia hand center you need to see either Dr. A. Lee Ostermann or Dr Randall Culp. ... I went to see Dr. Randall Culp at the Philadelphia Hand Center for a 2nd opinion on complications I encountered from a carpal tunnel surgery I had done elsewhere. He was the only dr of the many I saw that had even a clue what my problem was -- a neuroma in the palm -- and he competently laid out what my options were, both surgical and non-surgical. I didn't end up having any surgery done because I didn't think it was worth it, so I can't vouch for his expertise there, but he at least seemed very knowledgeable. +++++++++++++++++++++ Patient Recommendation Philadelphia PA - Philadelphia Hand Center I went for a comprehensive evaluation there. I saw Dr. Hunter (who must be on the edge of retirement) and a younger doctor training with him. I've read papers written by doctors a the Hand Center and been impressed by them. Them seem to know a lot about nerve entrapment, and have some somewhat unconventional surgical approaches to CTS and TOS, though I didn't get the impression they were surgery-happy. They also have procedures for doing nerve conduction testing under stressed conditions that supposedly show things other test procedures miss. I was warned that the office is extremely disorganized and it takes a full day to deal with your appointment. (They also lost my advance paperwork and failed to be responsive to a billing problem.) The examination itself seemed quite competent. I didn't follow up because all this amounted to a second opinion in my case. Probably worthy of consideration, though I obviously can't vouch for their long term treatment.Philadelphia PA - Philadelphia Hand Center I went for a comprehensive evaluation there. I saw Dr. Hunter (who must be on the edge of retirement) and a younger doctor training with him. I've read papers written by doctors a the Hand Center and been impressed by them. Them seem to know a lot about nerve entrapment, and have some somewhat unconventional surgical approaches to CTS and TOS, though I didn't get the impression they were surgery-happy. They also have procedures for doing nerve conduction testing under stressed conditions that supposedly show things other test procedures miss. I was warned that the office is extremely disorganized and it takes a full day to deal with your appointment. (They also lost my advance paperwork and failed to be responsive to a billing problem.) The examination itself seemed quite competent. I didn't follow up because all this amounted to a second opinion in my case. Probably worthy of consideration, though I obviously can't vouch for their long term treatment. +++++++++++++++++++++ Patient Recommendation Philadelphia PA - Philadelphia Hand Center A piece of letterhead suggests the Philadelphia Hand Center has the following locations: The Benjamin Franklin House 834 Chestnut Street, Suite G114 Philadelphia, PA 19107 (215) 629-0980 700 South Henderson Road, Suite 200 King of Prussia, PA 19406 (610) 265-3135 9892 Bustleton Avenue, Suite 303 Philadelphia, PA 19115 (215) 698-2144 1503 North lansdowne Avenue, Suite 3007 Darby, PA 19023 (610) 586-9440 I believe the main office/scheduling center can be reached via 1-800-971-HAND. The following doctors are listed on said letterhead: John S. Taras A. Lee Osterman John M. Bednar Randall W. Culp James S. Raphael I believe that the same doctors visit: The South Jersey Hand Center 1025 Briggs Road Suite 144 Mt. Laurel, NJ 08054 (609) 840-1050 +++++++++++++++++++++ MSM Appendix B The Arts Medicine Center 1721 Pine St. Philadelphia, PA 19103 (215) 928-8300 Director: Dr. Robert Sataloff Occupational & Environmental Medicine Program +++++++++++++++++++++ AOEC Member University of Pittsburgh 130 DeSoto Street, Room A729 Clinic Founded 1982 Pittsburgh, Pennsylvania 15261 AOEC Contact: David Tollerud, MD, MPH 412-624-3155 FAX 412-624-3040 +++++++++++++++++++++ Patient Recommendation Where: Pittsburgh, PA Who: Dr. David Stone at the University of Pittsburgh Center for Sports Medicine, 412/578-3300. Satisfaction level (1 is bad, 100 is good): 70 Comments: Not an RSI specialist, but definitely better than the other folks I've seen here. If you see Dr. Stone, prepare by figuring out what exactly (positions/activities) exacerbate your symptoms, and then present him with this information; He's good at figuring out problems, but his inventory of tests seems a little small. Also, I had to ask for PT before it was prescribed. Request Marnie for PT if possible. She's brusque, but seems to know what she's doing. I've been getting better since seeing her. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: WArminster- Christine Keener, Registered Nurse, Licensed Massage Therapist. Ph: 215-672-1543 +++++++++++++++++++++ AOEC Member Center for Occupational & Environmental Health Abington Memorial Hospital 2510 Maryland Road, Suite 101 Clinic Founded 1991 Willow Grove, Pennsylvania 19090 AOEC Contact: Lora S. Regan, MD, MPH 215-881-5904 FAX 215-881-5920 Medical Director +----------------+ | Phillipines | +----------------+ +++++++++++++++++++++ Bonnie Prudden Myotherapist Angela L. Gonzaga First Asian Myotherapy Exercise 91 San Juan St. Bacolod City Neg. Occ. Phil 6100 011 (6334) 25396 +----------------+ | Rhode Island | +----------------+ +++++++++++++++++++++ Patient Recommendation Dr. Stephen L. Sarno, Doctor of Acupuncture Acupuncture Resource Center 64 Harvard Street Pawtucket, RI 02860 401-724-8259 Is currently treating patients with CTS and RSI with low level bio-stimulation (laser) and acupuncture to achieve 100% results. Treatment is non-invasive and non-surgical. I have received treatment from Dr. Stephen Sarno. I was crushed in an elevator door at the cancer institute where I worked in Boston, and received 'top medical care from the best hospitals in Boston.' Nothing was as effective as the treatment from Dr. Sarno to reduce pain and make movement and life bearable and viable again. +----------------+ | South Carolina | +----------------+ +++++++++++++++++++++ MSM Appendix B Dr. Robert G. Schwartz Piedmont Physical Medicine and Rehabilitation 317 Francis Dr., Suite 350 Greenville, SC 29601 +++++++++++++++++++++ Self-Referred I have an effective nonsurgical treatment for RSI. Bordeaux, M.D. Horizon Healthcare, Inc. 192 Hwy 31 East, Longs, SC 803-365-4994. email: horizondoc@juno.com or purdy@sccoast.net +-------------+ | Tennessee | +-------------+ +++++++++++++++++++++ MSM Appendix B Dr. Paul Parsons 1345 Carters Creek Pike Franklin, TN 37064 (615) 790-3290 +++++++++++++++++++++ Self-Referred My name is Lisa A. Shelter. I am firstly a Christian wife and mother then a Licensed Massage Therapist, Massage Instructor, guest lecturer and a Chiropractic Assistant with over 20 years of experience. I have work with RSI and many other like injuries. Please add me to your list of providers. I am confident I am more than qualified to meet the need of many of your readers. Thank you for your valuable service. The following information is provided as requested: Lisa A. Shelter, C.A., L.M.T. Memphis, TN 38119 (901) 681-9634 +---------+ | Texas | +---------+ +++++++++++++++++++++ Patient Recommendation t took trying out a few different chiropractors before I found one that I liked. Frank Greenberg in Arlington, Texas. He respected my own knowledge about my condition and worked with me on the areas I knew needed help. The other (rejected) chiropractors did two things wrong: 1. relied on that little metal thingie to go up and down my spine..... sorry, but I don't buy that it works. 2. another worked in his own way, ignoring the area I said needed help. Her was fixated on the way my legs/feet laid and adjusted my back (with a metal thingie) based on the way my feet were resting. He ignored the fact that my problem was C6/7 T1 (shown on x-rays). Greenberg also adjusted my wrists, thumbs, and lower back, depending on what *I* tell him is going on. He didn't try to get me in 3-4 times a week. We did one month at once a week, and now it's just once a month. In a nutshell, he *listens* to me, and I don't get the impression he wants to drain my bank account. Instead of poking me with the "activator?," he contorts me, twists me, jumps on me, body slams me.... all for $20 a visit... and it's working very well. +++++++++++++++++++++ Patient Recommendation >I'm trying to find a >> >physical therapist or orthopedic surgeon here in Austin, Texas. Anybody i've had a lot of luck with stella torres at capital hand and physical therapy. 512-302-3922 do you have anthem insurance thru ut? she is on the ppo list. +++++++++++++++++++++ Patient Recommendation Austin, Texas Three years ago I saw a handfull of doctors and one chiro and finally ended up seeing Dr. Eduardo Elizondo. I highly recommend him. His number is 476-3399. Let me know how it goes. +++++++++++++++++++++ Self-Referred F.J. Dallal D.C. 909 HOUSTON ST. CASTOVILLE. TX 830-538-2126 Serving Alignment and Body Usage Adjusting. The power that made us from two microscopic cells is still inside and does a better job of fixing things whenever or Posture and Body usage create no or less stress. Gravity Oxygen are very powerfull powers that we have control of their influence better with correct posture and better body usage, i think! Posture is the main attention and helping them adjust their posture in the office as well as on the job developing a good posture habit has been very helpfull. +++++++++++++++++++++ Doctor Referred One of the best (clinics) is the Texas Center for Music and Medicine at Univ. North Texas - Fort worth under Bernard Rubin, MD. +++++++++++++++++++++ MSM Appendix B The Southwest Regional Arts Medicine Center The Institute for Rehabilitation and Research Texas Medical Center 1333 Moursund Ave. Houston, TX 77030-3405 (713) 799-5010; (800)-44REHAB Director: Dr. Rebecca R. Clearman +++++++++++++++++++++ Bonnie Prudden Myotherapist Kim White R.N. B.S.M. Myotherapy & Fitness of Texas 5740 W. Little York, Ste. 222 Houston, TX 77091 713-466-3060 +++++++++++++++++++++ Miscellaneous Somebody was asking about resources in the San Antonio area. I've just found a Hand Institute website which seems to say all the right things. It's run by an orthopedic group based in Houston & San Antonio. Website is http://www.mysurgeon.com/ and follow the link to "institutes". Hopestar Orthopedic Group is on McCulloch Ave, phone 225-5741. ---- I live here in San Antonio and have had 2 hand surgeries done here. I have also checked out the web site you mention and there is a lot more offered here than what is available on the web. For instance, Dr. Green the leading hand surgeon and author of "Green's Operative Hand" and many more books lives here in San Antonio. He has also operated on David Robinson the center of the San Antonio Spurs. Also Dr. Paul Pace, yes of the Pace picante family, resides here in San Antonio and has a hand clinic at the downtown Nix hospital. You can find just about any medical specialist here. San Antonio is a medical and military city with the infamous Brooke Army Medical Center which burn unit services patients from around the world. +++++++++++++++++++++ AOEC Member Texas Institute of Occupational Safety and Health Highway 271 & 155 P.O. Box 2003 Clinic Founded 1988 Tyler, Texas 75710 AOEC Contact: Jeffrey Levin, MD, MSPH 903-877-5900 FAX 903-877-7982 Chair, Department of Occupational and Environmental Medicine Lesa Williams 903 -877-7948 FAX 903-877-7982 Occupational Medicine Marketing Coordinatori +---------+ | Utah | +---------+ +++++++++++++++++++++ AOEC Member Rocky Mountain Center for Occupational and Environmental Health Bldg. 512 University of Utah Clinic Founded 1981 Salt Lake City, Utah 84112 AOEC Contact: Anthony Suruda, MD, MPH 801-581-3841 FAX 801-581-7224 Royce Moser, MD, MPH Appointments 801-581-5056 +------------+ | Vermont | +------------+ +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Susan Clarke, Certified Hellerwork Practitioner, Registered Nurse Norwich, VT 802-649-5244 +++++++++++++++++++++ Bonnie Prudden Myotherapist Marilyn Belding Hilly Myotherapy and Fitness of Vermont RR1, Box 47-2 Waitsfield, VT 05673 802-496-2550 +------------+ | Virginia | +------------+ Patient Recommendation Jeffrey Brown, Doctor of Chiropractic Alexandria, Virginia (703) 370-5335 +++++++++++++++++++++ Patient Recommendation Peter Bower, M.D., Osteopath, 2200 Old Ivy Road, P.O. Box 5752, Charlottesville, Virginia, 22905-5752, (804) 296-4160 email:pbower@virginia.edu I noticed that the Virginia section did not list a very knowledgeable and fantastic doctor, only the 2nd doctor I have seen that understands my problem. I travelled all the way up to Virginia from Florida to see him. I had read his articles in 2 newsletters, online in the RSI Newsletter and also in the ARMS RSI Newsletter. His advice seemed to sum up my problem, so I took the plunge and saw him over the course of 2 appts/2 days. He provided me with an osteopathic adjustment and a very keen understanding and knowledge of my pain and trigger points. He is only the 2nd doctor that has been able to reproduce my pain exactly on physical examination. His name can be found in the newsletters mentioned above, and he also has a Home Page on the web at http://galen.med.virginia.edu/~pjb3/ComplementaryHomePage.html. Whether local or travelling from afar, it is worth the visit to see Dr. Bower. +++++++++++++++++++++ Patient Recommendation Trinity Physical Therapy, PC 10560 Main Street, Suite PH#9 Fairfax, VA 22030 703-385-8232 Owned by Patrice Winters Trinity has four physical therapist that provide myofascial treatment. All are very knowledgeable in RSI. All are able to pick up where the other has left off. They encourage rotation through the therapist so that each has the opportunity to provide input into solution. This is a wonderful facility. The therapist also work on postural correction, breathing, and functionality. The atmosphere is very relaxing and everyone is friendly and helpful. And they have Saturday hours!! +++++++++++++++++++++ Patient Recommendation Sharon Gehrman, OTR, Occupational Therapist, Dominion Physical Therapy/ Franklin Clinic. She works mornings in Springfield office, afternoons in Herndon office. She is very experienced, and good at explaining better body postures, and how to exert force, and what positions/actions to avoid. The Franklin Clinic, 13350 Franklin Farm Rd, Suite 120, Herndon, VA 22071 703-481-0222 Ms. Gehrman and Dr. Maurath have a good working relationship. Dr. Katherine L. Maurath, physiatrist Dr. Maurath does a thorough exam, and listens to the patient. She does not hesitate to write notes to the employer about work restrictions. She is good at explaining anatomy. She wanted to do conservative methods on me, and not consider any surgery, which I also thought was best. Franklin Farm Orthopaedics & Physical Medicine 13350 Franklin Farm Rd, Suite 220 Herndon, VA 22071 703-471-5300 11/12/1998 "- I'm sorry to say that Dr. Maurath left the Herndon, VA, area last June and relocated to Georgia." +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Leesburg- Margie Hyer, Certified Hellerwork Practitioner. Ph: 703-777-6081 +++++++++++++++++++++ Bonnie Prudden Myotherapist Henry H. Sloan Tysons Myotherapy 7710 Old Springhouse Rd., Ste. 209 McLean, VA 22102 703-448-0997 +++++++++++++++++++++ Patient Recommendation I heard of this guy from my neighbor-paramedic who recommended him for his professionalism/intelligence/competence/and personalbility. He is a full MD who was trained in acupuncture in CA. Price was around $80 per visit, double for initial visit. He is extremely respectul and nice, and professionally reassuring. Dr, Richard Steinberg, MD Diplomate, Amer. Board of Emer. Med. Licensed Med Acupuncturist Phlebologist 8075 Leesburg Pike, Suite 780 Vienna VA 22182 (703) 556-4491 +++++++++++++++++++++ Patient Recommendation Thomas Sheppler, MD (arm surgeon who doesn't do surgery unless necessary) Vienna, Virginia (703) 242-6363 +++++++++++++++++++++ Patient Recommendation Dr. Martin Shopp 8408 Morey Lane Alexandria, VA 703-360-8652 His practice is mostly myofascial release. +-----------------+ | West Virginia | +-----------------+ Hellerworker trained by Sharon Butler: Susan Clarke, Norwich, VT 802-649-5244 +------------+ | Washington | +------------+ +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Anacortes- Dan Grignon, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 360-299-2543 +++++++++++++++++++++ Self-Referred I am a naturopathic physcian and would like to submit my clinic as treatment source for folks with TOS and RSI. I use a variety of manual therapies, as well as botanical and nutritional medicine to treat musculoskeletal problems. Our clinic also has 2 licensed acupuncturists and a massage therapist, all skilled in the treatment of pain and injury. For more information please contact: Dr. Stephen O. Wangen, N.D. EastWind Holistic Medicine Clinic Bothell Way Professional Center 19110 Bothell Way N.E., Suite 103 Bothell, WA 98011 425-424-3588 +++++++++++++++++++++ Bonnie Prudden Myotherapist Roberta Fletcher An Answer to Pain...Myotherapy 107 N. Tower, Ste. 7 Centralia, WA 98531 360-736-8219 +++++++++++++++++++++ Patient Recommendation I have found help at: Neuro Care Of Washington 22309- 7th Ave. South Des Moines, WA 98198 Phone:206-870-1786 Fax 206-870-1787 Contact: AJ Terpak They are a treatment Center Using Electro-therapy units that a patient can use at home. They are having great results. +++++++++++++++++++++ Hellerworkers trained by Sharon Butler: Debra Levine, OTR/L,Certified Hellerwork Practitioner, Redmond, WA - 206-233-8055 Susan Kramer-Pope, Certified Hellerwork Practitioner, Licensed Massage Therapist Bainbridge Island 206-780-9462 Shelley Smith, OTR/L,Certified Hellerwork Practitioner, Bellevue, WA - 206-233-8055 Bothell- Linda Knickerbocker, Certified Hellerwork Practitioner, Licensed Massage Therapist, PT. Ph: 206-823-4865 Everett- Pamela Wise, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-710-7499 Freeland- Liz Falso, Certified Hellerwork Practitioner, OTR/L. Ph: 360-293-3174 Issaquah- Kim Illig, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 425-391-1883 Redmond- Valarie Keaton, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph : 206-869-1534 Renton- Harry Tweedie, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-282-8874 Seattle- Stephanie Colony, Certified Hellerwork Practitioner, Physical Therapist. Ph: 206-996-5187 Seattle Jacques Couturier, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-782-5890 Seattle Dorian Ford, OTR/L. Ph: 206-244-HAND Seattle Daniel Foppes, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-706-3410 Seattle Jill Green, Certified Hellerwork Practitioner, Registered Nurse. Ph: 206-781-3534 Seattle Steve Paschall, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-632-3593 Karen Petersen, Certified Hellerwork Practitioner,Licensed Massage Therapist Seattle, WA - 206-328-5143 Mary Wallace, Licensed Massage Therapist Seattle, WA - 206-244-2177 Stephen Wallace, Certified Hellerwork Practitioner,Licensed Massage Therapist Seattle, WA - 206-244-2177 Maggie Meyer, OTR/L,Certified Hellerwork Practitioner, Seattle, WA - 206-233-1166 Seattle -Diane Rose-Harr Ueis, Certified Hellerwork Practitioner, OTR/L. Ph: 206-528-5350 Seattle Nancy Thorpe, Certified Hellerwork Practitioner, Licensed Massage Therapist. Ph: 206-523-0844 +++++++++++++++++++++ Patient Recommendation Dr. Roberta Brockman 600 Broadway Medical Center Suite 440 Seattle, WA 292-6252 +++++++++++++++++++++ Patient Recommendation Just to give you a brief synopsis: A little over two years ago I developed bilateral RSI that left me in chronic pain. I had little success in finding anything that would help ease the pain or help aid in my recovery. Fortunately, I learned about Sandy Hatton, LMP and the work she does specializing in Aston-Patterning. During the past few months, the quality of my life has improved with Sandy's expertise and execution of the Aston- Patterning techniques. I know that this improvement is directly attributed to the combinations of this form of therapy and with Sandy's diligent professionalism and compassion. I strongly recommend anyone who sufferer's from this condition to contact Sandy. Her phone # is: Sandy Hatton, LMP (206) 367-5720 Seattle WA +++++++++++++++++++++ Patient Recommendation I recommend the Seattle Hand Group at Swedish Hospital on James and Broadway. I had surgery with Almquist, and I have many co-workers that have had similar success with Brockman. +++++++++++++++++++++ Patient Recommendation I know of one rheumatologist who has a special interest in rheumatic >conditions that occur in musicians in general and perhaps pianists in particular. Dr. Kenneth Wilske in Seattle, has had a number of professional musicians come to him with tendonitis and other problems. I have the feeling that perhaps some of them were personal friends. Anyway he has an interest and wanted to do a session on this topic at a past meeting I was involved with. I don't know that he has any special solutions but you could do worse than write to him. His office fax number is 206/625-7288 +++++++++++++++++++++ Self-Referred I have a practise dedicated to RSI prevention and treatment for massage therapists and musicians. I have published articles and a book on both subjects, am a massage therapist and a seasoned musician myself, and have over 4 years experience dealing with both populations. I can be reached at: 1315 Madison St., #242 Seattle, WA 98104 (206) 328-7921 E-mail: lgreene@booksatoz.com Lauriann Greene, LMP +++++++++++++++++++++ Patient Recommendation Seattle I have found Dr. Marion Krader (pronouced Crater) to be very helpful. University of Washington, Family Medicine Clinic. 206-548-4055. My physical therapist also thought she (Dr. Krader) was very good. +++++++++++++++++++++ Patient Recommendation Please add to your list the following MD and OT's. My physician in particular has been supportive, knowledgable and forthright in her evaluation of treatment options. Elizabeth A Plotkin, MD (Internal Medicine) Pacific Medical Center, Northgate 10416 5th Ave. NE Seattle, WA 98125 (206)326-4147 Occupational Therapy Northwest Ginger Pollock, OTR and Joan Kerr Neubauer, OTR 525 Minor Ave. Seattle, WA 98104 (206) 323-2000 +++++++++++++++++++++ Hellerworkers trained by Sharon Butler: Kim Illig, Snoqualmie, WA 206-391-1883 Dorian Ford, O.T. (hand therapist - not a Hellerworker), Seattle, WA 206-244-HAND Joseph Freeman, Seattle, WA, 206-932-5655 +++++++++++++++++++++ MSM Appendix B The Clinic for Performing Artists Section of Physical Medicine and Rehabilitation Virginia Mason Medical Center 1100 Ninth Ave. P. O. Box 900 Seattle, WA 98111 (206) 223-6600 Patient Recommendation Dr. Michael Weinstein at Virginia Mason Medical Center, which you mention in your list of performing arts clinics, took good care of my son, a pianist and at the time a music student at the U of Oregon, whom pain had rendered unable to play music for five months. Hence I think his clinic warrants the asterisk with which you denote specialists in this field. At my sons first meeting with him, Dr. Weinstein gave him nearly two hours of consultation and has been similarly unstinting in subsequent meetings. I consider him an excellent physician. The physical and occupational therapists at VMMC seemed similarly experienced and also deserve a mention in your list of Washington occupational clinics. As my son put it, the unhelpful therapists at the Eugene (OR) Hand Clinic seemed to have gotten their skills from a book; those at VMMC seemed to have written the book. ======= [NOTE: another patient considers it important that this glowing review be tempered with their contrasting OPINION that they found Dr. Weinstein to be "... sorely lacking in social skills ("bedside manner"), skills in differential diagnosis, especially for examining someone who is in severe pain at time of initial meeting" and perhaps not a reliable diagnostician in cases with ambiguous origins (female adult, RSI of unknown origin), in contrast to the case above (juvenile male with straightforward overuse injury.)] +-----------+ | Wisconsin | +-----------+ Patient Recommendation For Milwaukee area people I strongly recommend Dr. Jeffrey B. Gorelick, a specialist in Physical Rehabilitation, 28.6 North 76th Street # 105, Wauwatosa WI 53213, (414) 771-2707 and also at 400 West Silver Spring drive #212, Milwaukee Wisconsin 53217 (414) 964-6666. +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Mark Ensweiler, Doctor of Chiropractic., Certified Hellerwork Practitioner, Plover, WI - 715-345-0655 +++++++++++++++++++++ Bonnie Prudden Myotherapist Bettie Myers 2109 41st St. Two Rivers, WI 54241 414-794-8343 +----------------+ | Australia | +----------------+ Patient Recommendation a specialist in RSI is: > > Dr Milton Cohen > Eastern Sydney Musculoskeletal and Pain Centre > The Scottish Hospital > 2 Cooper St > Paddington NSW 2021 > Australia > ph (02) 361 1066 > > He is very professional, and seems to advocate a 'big picture' approach > (though I haven't seen other specialists, so I can't judge). > Unfortunately, I wasn't happy with the diagnosis (basically, > if I can't work w/out pain, get another job). He did suggest I > investigate Feldenkrais & Alexander Tech. +++++++++++++++++++++ Patient Recommendation I went to the Crows Nest Chiropractic, in Sydney. The Chiropractor is Dr. Craig Moore, and he has been really helpful, he listens to me and is ready to try different things with me to help me get cured. He is the only person who has really helped so far. +++++++++++++++++++++ Patient Recommendation After ten years of R.S.I. and multiple treatments, the following massage therapist has cured me about 90%. Ordinary remedial massage helped but never cured. Kevin Mason 11 Kirkwood Ave Epping,NSW ph 02 868 2904 [ Sydney Australia] +++++++++++++++++++++ Patient Recommendation I would recommend Dr. Bernard Lake in Sydney, who is both a physician and a Feldenkrais Practitioner. I don't have his phone number, but his email address is BJLAKE@magna.com.au, and he has a website at http://www.magna.com.au/~bjlake. Also, the Australian Feldenkrais Guild can provide information about Australian practitioners. They can be reached at Australian Feldenkrais Guild Inc. Locked Bag No. 19 Glebe, NSW 2037 ph/fax (61) 2/597 6561 +----------------+ | New Zealand | +----------------+ Auckland- Karn Muller, Certified Hellerwork Practitioner. Ph: 09-528-4905 +----------------+ | Canada | +----------------+ Patient Recommendation Greg Webb: Registered Massage Therapist and Touch For Health Instructor Tel (403) 294-1999 Pager (403) 260-9919 Therapeutic Massage Touch for Health Specialized Kinesiologies Assisted Stretching HYPERTON-X (Calgary, Alberta CA) On a recent trip to Calgary I was lucky enough to work with Greg for 1 week. During the course of a week, using non-traditional and traditional techniques (listed below) Greg decreased my daily pain level and restored tremendous range of motion to both my hands (I can now flex my left hand almost 25 degrees more than I could two weeks ago). Upon my return to Ontario last week I almost sent my Physical Therapist into shock! :) I am now attempting to move to Calgary so that I can work for an extended period of time with Greg Webb. I feel I owe it to myself to rediscover pain free living! I am now 26 and thanks to Greg I feel that there is hope for a happier more active future. +++++++++++++++++++++ Patient Recommendation I have been meaning to send along some information about Calgary practitioners. Here are my recommendations: Dr Brendan Adams, #206, 1010 1 Ave NE, Calgary, 269-5323 Occupational physician, works with Northern Telecom, strongly opposed to surgery, has assembled a team for referrals, covered by Alberta Health Care Greg Hart, kinesiologist, Human Effort Inc, #228, 200 Barclay Parade SW (Eau Claire Market) but planning to move in fall 1998, 215-4442, works mainly with third-party insurers such as Workers' Comp, has assembled a team of practitioners for referral, hopes to have them all practicing out of one central building soon Janice Charnstrom, massage therapist, Wild Rose Wholistic Clinic Inc, #400, 1228 Kensington Rd NW, 270-0891, diploma from BC reflects 2500 hours of training, teaches at Foothills Massage Therapy School, listens carefully & takes thorough history, massage goes deep, gives good wrist traction, $30 half hour, $50/hr (1998 rates) +++++++++++++++++++++ AOEC Member Occupational Medicine Consultation Clinic University of Alberta Department of Public Health Sciences 13-103 Clinical Science Bldg. Clinic Founded 1984 Edmonton, Alberta T6G 2G3 AOEC Contacts: Dr. Chang 403-492-7849 FAX 403-492-0364 +++++++++++++++++++++ Self-Referred Myosymmetries International Inc. in Edmonton, Alberta, Canada is a privately-owned, nonmedical, multidisciplinary, pain treatment clinic specializing in the application of integrated psychological, massage and physical therapies to the treatment of persons with chronic musculoskeletal pain resulting from either traumatic or repetitive strain injuries and who have been diagnosed with fibromyalgia or chronic fatigue syndrome. We are Canadian pioneers in the application of a combination of EEG neurotherapy and specialized myofascial pain physical therapies, including sEMG neuromuscular retraining, to successfully treat FMS/CFS. Myosymmetries International (Edmonton) Inc. Phone: (780) 483-8542 Fax: (780) 483-8691 e-mail: myoed@telusplanet.com web site: www.MyosymmetriesEdmonton.com or www.Myosymmetries.com +++++++++++++++++++++ Patient Recommendation A pioneer in the treatment of RSI in Vancouver is a physician named Dr. Chan Gunn, who operates the Gunn Pain Clinic. I have had quite a bit of success with his techniques for trigger point release using dry needling, which I have been treated with at the Clinic for Injury and Disease Response in Toronto (with another physician, Dr. Tick), I understand he sees few patients these days, but his office should be able to help you. I would suggest you contact I-Stop, the Institute for the Study and Treatment of Pain in Vancouver. You mention generalized RSI so I assume it is myofascial type pain. I-Stop is headed by Dr. Chan Gunn, who is world reknowned for his treatment of myofascial pain through the intramuscular stimulation technique aka dry needling. I am being treating by a Dr. Gunn trained physician and I have been extremely happy with the treatment results. For more info, check out the I-Stop website. I-STOP is located at 5655 Cambie Street, Lower Floor, Vancouver, B.C., Canada V5Z 3A4 Tel: (604) 264-7867 Fax: (604) 264-7860 +++++++++++++++++++++ Nicola Tahair, a Physical Therapist at the Orthopaedic Therapy Clinic. There are two registered massage therapists there too. +++++++++++++++++++++ Patient Recommendation I am a pianist who was severly crippled for ten years. I found a chiropractor with an usually broad eduction base including an appreciation for soft tissue work. He has completely fixed me. He is very interested in RSI and musicians' injuries. I have sent him a large number of RSI referals and they have also all been very impressed. Dr Robert Rowe 1-250-655-1233 Victoria, British Columbia (Vancouver Island) +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Jenny Lou Linley, Certified Hellerwork Practitioner Abbottsford, B.C. - 604-859-4523 Lonnie Fox, Victoria, B.C. - 604-383-7256 Maggie Hains, Victoria, B.C., 604-744-4445 Helen Jarvis, Victoria, B.C., 604-383-7256 Bert Proulx, Certified Hellerwork Practitioner Comox, B.C. - 604-978-4099 Vancouver- Donna Rasplica, Certified Hellerwork Practitioner. Ph: 604-738-1081 +++++++++++++++++++++ Patient Recommendation in Guelph,Ontario the best person to see is Dr. Margo Mountjoy who works out of the South City Physio clinic (519 763-2885) as well as her own practice (519 763-9554). Most people swear by her. This information comes from a trusted person in Guelph who saw her. +++++++++++++++++++++ Patient Recommendation I had some success with a sports medicine doctor near K-W, Ontario. His name is John P. Schaman RR#2 Breslau, Ontario N0B 1M0 Dr, Schaman utilizes phyisotherapy and electro-magnetic laser therapy. He has an excellent facility and also tends to be cheaper than Toronto and area clinics with like treatments. He has also treated a number of Olympic athletes such as Victor Davis, the Canadian Women's Alpine Ski Yeam...a tennis player named Lendl and many more. I did not find any success at his clinic due to my type of injury but I am sure that you will. BTW, in his office he states that Victor Davis broke a world record and won a gold medal with numerous RSI one of which was rotator cuff tendinitis.... +++++++++++++++++++++ Self-Referred My name is Marcy L. Hull. I am a Massage Therapist in Hamilton Ontario Canada specializing in the repetitive strain injuries of musician's and artists. I have completed 2200 hrs of education at Kikkawa college, one of the top two schools in Canada. Most of my practical education came when I had my preceptorship with Dr. John Chong at the Musician's Clinic's of Canada in both Hamilton and Toronto. I was better able to understand the intricate relationship of muscles, joints, nerves and other structures involved in musicianship by studying posture and surface EMG. What I've learned most was that the body is an extension of the instrument. When the body is properly functioning, free of injuries and imbalances the music is better able to flow. When it hurts to play there is a decrease in coordination, and proprioception making musicianship a difficultly. Music is a joy, but playing with an injury is not. I've learned that not being able to do the thing you love because it hurts too much, permeates who you are. That is why I have dedicated my life to studying this area of rehabilitation. I treat all conditions related to the artist's occupation. I customize each treatment for the individual using Swedish massage techniques, trigger point therapy, ergonomic retraining and modified stretching. I've treated pianists with focal dystonia, oboe players with painful ampiture, guitar players with weak fretting hands to name a few. I feel confident in what I do and actually have lot of fun. I love the field of rehabilitation and I love music. " What I have in my heart must find a way out. that is the reason for music" ~L.V. Beethoven My stats are: Marcy L. Hull RMT Hamilton, Ontario Canada (905) 575-5985 akashasasha@yahoo.com. +++++++++++++++++++++ Patient Recommendation I can recommend the following physiotherapy organization for treatment as they do trigger point therapy, surface EMG, etc. and seem willing to find other doctors/facilities and other things to assist the RSI sufferers. WorkWise 1800 Bank Street, Suite 212 Ottawa Ontario K1V 0W3 (613) 731-5888 +++++++++++++++++++++ Bonnie Prudden Myotherapist Paul LaForest Canadian Myotherapy Centre 2434 Lesperance Rd. Tecumseh, ONT Canada N8N 2W5 519-979-7123 +++++++++++++++++++++ Self-referred I am a registered massage therapist in Toronto, Canada. I have had a clinic for performance artists for 3 years. Most of my clients are musicians with repetitive strain injuries and compression disorders. I have had amazing success in the treatment of RSI's, TOS and other related problems through agressive joint and tissue manipulation and ergonomic assesment of playing posture and muscle imbalances. Education seems to be the key. Susan Chapelle, RMT,LMP 40 Ellerbeck St. Toronto, Ontario, Canada M4K-2V1 (416)406-6803 +++++++++++++++++++++ Self-referred I have a multidisciplinary Carpal Tunnel Clinic in Toronto, Ontario. Amongst our diverse approaches to CTS we are using the CTD Mark 1. I wasn't sure there was info about it on your site. Please check my site at http://www.carpaltunnelclinic.com Best wishes Dr. Brian Kleinberg Carpal Tunnel Clinic The Dufferin Steeles Chiropractic Health Centre 1520 Steeles Avenue West, Suite 102 Concord, Ontario L4K3B9 Canada +++++++++++++++++++++ Self-referred According to two studies I have read, on CTS and massage therapy, massage significantly improved the condition of over 90% of subjects. In the study, half were on disability and after three months treatment, they were all able to return to work (some only part-time.) In about 75%, it was completely cured. Compare this with the rate of those with improvement after surgery(40%). I suggest trying less invasive procedures like massage therapy, or physio before resorting to surgery. Physiotherapy has a lower rate of improvement than massage therapy, but it has the advantage of being mostly covered under OHIP. (Musicians, I find don't always have the money for MT.) If physiotherapy doesn't work, it at least does no harm. If you have the money or workplace extended health care, then go straight to a massage therapist after seeing your doctor. It is your best bet. The results in my practice back up what I have read. Brad Wilson RMT The Holistic Centre (Hamilton) 324 James St North Hamilton, Ont. (905) 521-9664 E-mail: bradrmt@ispnet2000.com +++++++++++++++++++++ Self-referred VOICE CARE SPECIALISTS Ear, Nose and Throat Medicine, Video Stroboscopy, Voice Rehabilitation and Enhancement, Speech Therapy, Vocal Coaching Dr. Brian Hands 200 St. Clair Avenue West, Suite 404 Toronto, Ontario M4V 1R1 (416) 922-0070 voxcura@interlog.com +++++++++++++++++++++ Self-referred Physio/Rehab Inc. 300 - 920 Yonge Street Toronto, Ontario, Canada M4W 3S1 Tel: (416) 315-1100 Fax: (416) 921-0569 Toll Free: 1-800-459-FEET E-mail Dayal@Sprynet.com Web: http://home.sprynet.com/sprynet/dayal/ +++++++++++++++++++++ Self-referred I am a bass player and a chiropractor. I am getting quite a few referral from the music community in my town. Taking care of thoracic outlet, cervical radiculitis, carpal tunnel syndrome, etc. Dr_John Bureau, Chiropractor Active Health Care Centres, Tillsonburg & Waterloo, Ontario, Canada 102721.517@compuserve.com http://ourworld.compuserve.com/homepages/Dr_John/active.htm Waterloo Office Tillsonburg Office 140 Columbia Street West Chiropractic Care 9 Woodcock Drive Waterloo, Ontario, N2J 2Z3 Sports Injury Tillsonburg, Ontario, N4G 4L7 (519)-746-6508 Nutritional Consulting (519)-688-3901 +++++++++++++++++++++ Patient Recommendation Re: Toronto, Ontario resources At the Get A Grip workshop I attended last fall, Dwayne Van Eerd spoke knowledgeably & was recommended by other panelists and by workshop attendees. He's a kinesiologist with The Clinic of Injury and Disease Response, at 984 Bay St, Ste 704, ph 944-9008. I can recommend the Clinic for Injury and Disease Response on Bay and Wellesley - Drs. Heather Tick and Mark Gilbert, and excellent Kinesiologist, Dwayne Van Erd. Also Ms. Lois Singer, Speech Language Pathologist in North York - if you are thinking of going with voice recognition software. +++++++++++++++++++++ Self-referred The Clinic of Injury and Disease Response "...where muscles get back to work." 984 Bay Street, Ste. 704, Toronto, Ontario M5S 2A5 Canada. phone number: 416-944-9008 e-mail: cidr@idirect.com Web page: http://web.idirect.com/~cidr We are a multi-disciplinary, medical clinic that specializes in RSI +++++++++++++++++++++ Patient Recommendation Dorothy Madgett Physiotherapy Clinic/Iris Weverman Physiotherapy Clinic Dorothy Madgett Physiotherapy: covered by OHIP; you need a Doctor's referral phone: 416-340-7070 Iris Weverman Physiotherapy: covered by cash or extended health care; no Doctor's referrral necessary phone: 416-340-7080 Both are situated at: 123 Edward Street, Suite 1124 Toronto ON, M5G 1E2 TTC: St. Andrew == Health Recovery Clinic Mississauga: 1550 Enterprise Rd.; 905-564-0494 Yorkdale: 3200 Dufferin St.; 416-256-1170 Scarborough: 10 Milner Business Crt.; 416-754-8459 +++++++++++++++++++++ Hellerworker trained by Sharon Butler: Leslie Larson, Certified Hellerwork Practitioner Montreal, Quebec 514-483-1962 During our discussions and bodywork I found Leslie to be both knowledgable and articulate. His understanding of anatomy and his ability to explain it in simple terms helped me to visualize how various muscles, tendons and nerves affect one another. Consequently I am better able to release tension from the soft tissue. I am also impressed by Leslie's commitment to his clients. He calls a day or two after each session to ensure that everything is 'ok'. He makes sure I'm not pushing myself and if necessary we make modifications to the stretches I am doing. During our work Leslie stresses that I am in control of what is happening - if at any time I experience too much pain just let him know. This theme that I am in control and that I have to take responsibility for my healing (because no one else will do it for me) is what impresses me most about Hellerwork. +++++++++++++++++++++ After 9 or 10 different doctors (you have to be aggressive, keep going to different ones if you're not satisfied, or if they tell you outright they don't know anything more to do), my last referral seems to have struck gold. My plastic surgeon recommended I see Dr. Fitzcharles (Rheumatologist). She's quick, innovative, and manages to diagnose the most mysterious ailments. After 5 minutes she spotted an abnormality no other doctor had noticed - it's very rare, and x-rays the next day confirmed she was right, in my case. I have an extra rib, which compresses circulation and promotes tendonitis and carpal tunnel. If you want to give her a try, she's moving to the Montreal General Hospital in January, and I recommend her highly. +++++++++++++++++++++ Patient Recommendation ... thought i'd give you info about a couple of hcp in montreal who have REALLY helped me in recovering from rsi.
Dr. Monique Isler
520 Verdun Ave.
Verdun, PQ
514-766-1696
The health and safety officer at mcgill univ recommends her to univ employees with rsi problems. she's great. she takes the time and she knows her stuff. she's also bilingual - very important in this province. she, and hence her recommendations, are very highly regarded by the workers' comp board in the province (CSST). thankfully in my situation, she was the first md i saw about my problem and so i did not have to run around trying to find a doctor who knew about rsi injuries. i was lucky.

Lorraine Casavant-Gagne
acupuncturist
McGill Sports Medicine Clinic
475 Pine Ave West
Montreal, PQ
H2W 1S4
514-398-7007
Lorraine is amazing. she practices japanese acupuncture (as opposed to chinese). i'd try to explain the difference but too much typing involved. anyway, she's excellent. she really understands chronic pain and what it's like to live with it (she was in a horrible car accident years ago, eventually had acupuncture, it helped with the pain and so she decided to become trained. she really cares about her patients. she too is bilingual. she works at the sports med clinic on mondays only from sept to april. she has her own clinic in Sorel, QC which is open all year round but i don't have the address or phone #. i would definitely recommend her to ANYONE with any kind of chronic pain. +++++++++++++++++++++ MSM Appendix B Performing Artists' Health Program Centre for Human Performance and Health Promotion Sir William Osler Health Institute 565 Sanatorium Rd. Hamilton, Ontario L9C 7N4 Canada (416) 574-5444 Director: Dr. John Chong +----------------+ | United Kingdom | +----------------+ Patient Recommendation Cambridge UK: Martin Callingham Cambridge Physiotherapy Centre Sedley Taylor Road Is clued up about RSI and AMT, and is very helpful. +++++++++++++++++++++ MSM Appendix B ISSTIP/London College of Music Performing Arts Clinic London College of Music Greater Marlborough St. London, England W1V Consultant: Dr. C. B. Wynn Parry +++++++++++++++++++++ Patient Recommendation In the UK (which sometimes tries to pretend it isn't in Europe), Dr R.M. Pearson is an acknowledged expert sympathetic to RSI cases; he's been an expert witness in several RSI cases in the courts, typically on the side of the sufferer. phone +44 171 4365961 (Harley Street) He also practices at Harold Wood hospital (Romford, N.E. London) on the NHS. +++++++++++++++++++++ We are UK lawyers and know of good consultants over here who help us in our work. Please phone us on 0151 284 8585 first to discuss. Graham Ross Ross & Co ALeRT http://www.alertuk.com +----------+ | Europe | +----------+ +++++++++++++++++++++ MSM Appendix B Dr. Jochen Blum Am Rosengarten 5 D-6500 Mainz Germany (011) 49-6131-839-482 +++++++++++++++++++++ MSM Appendix B Music Medicine Clinic The Conservatory of Bari Bari, Italy Director: Professor Alfredo Musajo-Somma, University of Bari (for info: S. Edith Nicoletti, Via dei Chiavari 6, 00186 Roma, Italy 686-7957) +++++++++++++++++++++ Patient Recommendation I won't bore you with my story. You know. One day, pain in hands, lack of strength and agility, and all the stuff. After almost three years from one doctor to another, discarding CTS, receiving surgery (Kiloh-Nevin syndrome, they supposed, median nerve trapped by the elbow), I was decepted and stopped getting near a doctor. Then I was told about this one who I'm going to recommend you. When you phone his clinic, you are asked if you are a musician. He is known for many members of Spanish orchestras, and he is specialized in helping musicians. He didn't even put an eye on the EMGs, nuclear resonances or any of the thousand analysis I have brought. He listened to me, then explored my hands and concluded that my injury was that the muscles I used to open my hands were too weak as compared with the ones which close them. He applied me a really painful massage and commanded me to play as much as I could. Well, this is the only thing which has worked, when I had lost any hope. Now I still have pains, but weaker and I am able to play for hours. Maybe he can help you too. There goes the information: Dr. Escudero Sanatorio del Dr. Leon Pza. Mariano de Cavia 3 MADRID SPAIN Tlf. 433 29 48 ======================================================================= (The following copyrighted material is reproduced with permission from: Carpal Tunnel Syndrome: How to Relieve & Prevent Wrist "Burnout!" by Rosemarie Atencio Copyright*1993 Rosemarie Atencio pp. 49-51 HWD Publishing, PO Box 220 XA, Veneta, OR 97487. (503)935-1608 FAX (503)935-0705 $13.95 + $2.50 s/h) 4. IF YOU NEED TO SEE A PROFESSIONAL: 1) On a piece of paper, write a list of your symptoms. Here are questions for you to consider: * What are the sensations? * Where are these sensations? * What time of day do the symptoms occur? * What are you doing at the time that you have symptoms (asleep, specific movement at work..) ? * What makes you feel better? * What makes you feel worse? * What treatment(s) (drugs, splinting, etc) have you tried that did not work? * How long did you stay on the treatment? * How long have you had the problem? (In addition to the specific symptoms, you need to be prepared to briefly describe any traumas or accidents that you may have had to the neck, shoulders, arms and hands.) 2) On the same piece of paper, write down the information about your lifestyle and job. * What physical actions are required on your job? * What are your hobbies? * What kind of physical activities do you do regularly? * Do you participate in any sports? * Do you sleep well? * Do you eat well? * Do you take any drugs or supplements? 3) Finally, list the questions that you have about the professional people and the course of treatment that recommended. ( Be bold! You are the consumer.) * How long have they worked with cumulative trauma or repetitive motion disorders? * What is the course of treatment that they recommend for such disorders? * How do they feel about second opinions? * How do they feel about cooperating with other professionals (physical therapists, acupuncturists, osteopaths, for example)? * What results would they consider satisfactory? * How long would they continue a specific course of treatment? * If surgery is required, what arrangements do they have for after-care? Copyright*1993 Rosemarie Atencio ======================================================================= 5. GENERAL TIPS ON FINDING CARE Some excerpted comments on practitioners in general: these are the OPINIONS of some Internet users. I am an occupational therapist who specializes in treatment of the hand, and I have also suffered from Carpal tunnel sydrome. I think that before you take any medical advice over cyberspace, perhaps you should see (1) a hand surgeon, and (2) a hand therapist. Proper diagnosis depends on many factors, to include a history, an exam, neurological tests, and others. As they vary for person to person, each must be properly considered. After proper diagnosis, your physician may send you to a hand therapist, who can hopefully help. Be advised -- the news media and medical literature are overflowing with a lot of confused information on this condition. That's why you need a trained guide. +++++++++++++++++++++ There is no good "rule of thumb" that can be used to find a good health practitioner when it comes to CTD's. At least not any one that I can figure out. There is a diverse set of individuals, such as Hellerworkers, Massage Therapists, Physical Therapists, Surgeons, Physiatrists, Orthopedic Surgeons, Chiropractors, Feldenkrais and Alexander Practitioners, Plastic Surgeons, Osteopaths and who knows who else, that all have had success in treating patients. The problem is, that for each successful practitioner, there are a number of unsuccessful practitioners WITHIN THE SAME AREA OF PRACTICE. So we can't make a blanket statement such as, "You need to see a physiatrist (or whatever) in order to get good treatment" because there are "good" and "bad" physiatrists. Couple that with the fact that, in my opinion, no one practitioner has all of the answers (i.e., near 100% success rate) and you can see where some of the discouragement comes from. My advice for someone looking for treatment is this: Get as much of an education as you can before seeing someone for treatment. Then you will be better able to determine, in 1 or 2 visits (or perhaps over the phone, if you are lucky), whether or not this person has any answers for you. Be ready to be scorned by medical practitioners who either (1) know less than you or (2) are perplexed because they don't have any answers to your questions. At least you will know right away not to book a followup appointment :-) +++++++++++++++++++++ >Also I would suggest these folks seek speciality >care whenever possible. An orthopedic specialist is not necessarily a >specialist in CTD. Also it's important to find out up front the number of >>cases with a similiar diagnosis the physician sees each year. Sometimes a >good way to find a doctor is to call a nurse paractioner in the area or to >call your local rehab unit and ask the director of OT or Physical Therapist to recommend a >doctor who treats patients with a particular diagnosis. I'm afraid I don't >have many other suggestions. > >Karen Schneider, OTR, CHT >RSI Moderated Panel Member +++++++++++++++++++++ check the Directory of Medical Specialties at your library. It is a national directory and lists by specialty. Included is the MD's educational qualifications, year(s) and location(s) of same, and their addresses/hospital affiliations. It's a good resource for checking background. Also ask about board certification, when interviewing MD and, in our cases, never forget to ask about RSI knowledge/experience. +++++++++++++++++++++ It's worth your time and $ to get the book: Repetitive Strain Injury: A Computer User's Guide Dr. Emil Pascarelli & Deborah Quilter (ISBN 0-471-59533-0) It will do much to give you info you need to make an intelligent choice of doctors and has specific advice on finding care. +++++++++++++++++++++ I've seen several messages over time about experiences with doctors regarding repetitive stress injuries. My experience is that the best type of Dr. is a specialist in Physical Rehabilitation medicine. These types of doctors are used to dealing with muscles, tendons and connective tissues--that's their specialty. +++++++++++++++++++++ Look for a good physiatrist or hand surgeon for evaluation. As far as therapists go, try to find a Physical or Occupational Therapist with the CHT (Certified Hand Specialist) designation. I think you'll find private-practice settings more personal and responsive than corporate- or hospital-owned. Not always true, but . . . +++++++++++++++++++++ Have you tried seeing a physiatrist (md of physical medicine). They are much better than most hand md's & orthos in txing RSI. I work w/ workers comp as an RN case manager and have found the physiatrist to be better at diagnosing and informing the claims examiners about how one area of injury causes guarding and this results in pain in other areas. +++++++++++++++++++++ Return-Path: X-Sender: snugglez@mail.rdu.bellsouth.net Date: Sat, 7 Nov 1998 18:54:00 -0500 Reply-To: "Discussion of Carpal Tunnel Syndrome, Tendonitis etc.." , Sherri Mains Sender: "Discussion of Carpal Tunnel Syndrome, Tendonitis etc.." From: Sherri Mains Subject: Re: shoulder,neck,armpit,elbow,forarm, wrist pain Comments: To: Meg Wood To: SOREHAND@ITSSRV1.UCSF.EDU Courtesy of: http://www.erols.com/nscia/resource/factshts/fact11.html A physiatrist (pronounced fizz ee at' trist) is a doctor that specializes in the physical medicine and rehabilitation (non-surgically) of patients. Many people are unaware that there is a special branch of medicine specifically dedicated to the diagnosis and treatment of physical disability. Physiatrists are doctors who are certified as specialists in rehabilitation medicine by the American oard of Physical Medicine and Rehabilitation. The area of medicine they practice is called "physiatry." Physical Medicine and Rehabilitation (PM&R) was born in 1946 in response to the hallenge to help disabled citizens reach their maximum potential. What is so special about these specialists? After completing medical school and obtaining an MD or DO degree, they study four more years and take two extra examinations, one written and one oral. The purpose of this extra training is to make sure that physiatrists are focused on the patient as a whole person. Most physicians deal with illness and possible threats to life. The physiatrist deals with functional loss and threats to living fully -- the physical and psychological disabilities remaining after initial medical or surgical treatment. The physiatrist often coordinates a team of other doctors and health professionals in developing and carrying out a comprehensive rehabilitation plan which extends beyond hospital walls into the patient's family, community, occupation, friends, and utimate life style. This rehabilitation team may include physical, occupational, and/or speech therapies, nurses and doctors from various specialties, including neurology and orthopedics, psychologists, counselors or social workers, rehabilitation engineers and others. The physiatrist's success comes through a team effort where the patient is an itegral part of the team process. Each improvement in function, however subtle, can significantly improve the life of a patient. +++++++++++++++++++++ There are more and more performing arts medicine centers forming, and musicians' injuries are often very similar to typing RSIs. So you might see if nearby hospitals or medical centers have such a center. +++++++++++++++++++++ I find that many people who are successfully recovering from RSI report a major factor is "physical re-education", or learning to use the body in non-stressful ways. Some leading methods to do this are: the Feldenkrais Method, the Alexander Technique, Tai Chi, and others. Look for local practitioners of these disciplines . . . BUT I still say SEE A DOCTOR FIRST for evaluation, because RSI can involve so many different factors. +++++++++++++++++++++ I've been really picky about my doctors in the years since I first started getting help for my RSI (in late 1992) I have had good luck by calling the doctors and asking the nurse or receptionist if the dr is patient and listens to you, or if the dr just listens for a little while then tries to treat you. I have found several folks who will tell me ON THE PHONE that the dr is one of the brusque types, so I can stay away. So folks, I recommend that you SHOP for your doctor, and make it clear on the phone that you are doing so. It will be hard at first, and confusing, but it is worth it. BTW, I just shopped for a therapist and all the places I called were willing to talk to me over the phone for extended periods (more than half an hour in one case) to understand my problem. Some of them even turned me away and recommended someone else. So be polite but firm, and ask for what you want. And remember, even in the ins co is paying, YOU are hiring the doctor, the dr is not doing you a favor by treating you! Would you take this kind of abuse from your landscaper? Your cleaning service? A clerk in a clothing store? +++++++++++++++++++++ California Labor Code Section 4600 under the term "physician"; Acupuncturist are included in the term and are approved to treat industrial injuries. An acupuncturist must hold a certificate issued per Business and Professions Code section 4925 et seq. This authorization is effective until Jan 1. 1997. However acupuncturists are not authorized to determine the extent of disability. Cite: CA Workers Handboook, 13 edition by Herlick +++++++++++++++++++++ When speaking to my accupuncturist about other physical ailments, I was told that accupuncture is often waht is needed to lift any pain you have, but in some cases it will not work as a curative agent. It will however take away the pain, and give you some use back until you can do something else for the problem. For me, accupuncture was inexpensive (hip hip hooray, because I was a student at the time) painless and VERY effective. My experience with accupuncturists is that they know their limits and will tell you if you have a problem that they can't help you with (unlike some other members of the medical profession ou there) so if you can just make an appointment to go speak to someone, I believe you'll get some sound advice. +++++++++++++++++++++ Why don't you try an Occupational Therapist. OT's are trained both in mental health as physical dysfunction. OT's modify activities or physical environments and fabricate assistive devices to enable a person to function independently in self-care, work or leisure activities. And as with most RSI's, activity or work station modification is the solution to the source of the problem. Therefore, an OT is a qualified healthcare professional to assist in this matter. +++++++++++++++++++++ There is no one type of medical practitioner that has an edge over another, for the most part. It seems to depend directly on their interest and experience in treading CTDs. If you call and ask if they treat TOS or CTS or RSI (choose your buzzword), they are likely to say "Oh, yes, of course!" when in fact they have only heard these terms used on the local news channel. One thing to do is learn as much as you can as fast as you can, then talk to them in general terms. Ask them open ended questions and see how they respond. You don't have to know the answer beforehand, and you may not know the answer, but you should have enough familiarity with the topic that you will know whether or not this person even has a clue. For example, if you are suffering from chronic myofascial trigger points, ask what s/he thinks about Travell's thoughts and practices of treating muscle pain. (Hint: Don't say trigger points). If s/he does not know who Travell is or does not know about her treatments (and does not mention TP's) then that is a pretty good clue that you need to look elsewhere. Similarly, if you are seeking TOS treatment, ask about Roos'. Though he is only one of many, he has done a lot with TOS (rib resections, that is). If s/he does not know Roos, then ask whose protocol s/he follows in treating TOS. Perhaps s/he may tell you that it is his/her own. Well, that may be good, but I would be skeptical. If you have a family doctor, consider educating him/her on this topic. Pass on journal articles, etc. Then ask this person to make some calls and do the screening for you. Peer to peer, the doctors talk differently, and you may be able to get some better information. Might even ask to be put on the speakerphone :-) The bottom line is, without a good referral, you are going to have to do the screening. Otherwise, get ready to dump a lot of money into a black hole. +++++++++++++++++++++ I am an occupational physician. I have not seen you in consultation, nor have I examined you. Therefore, my advice to you is generic, and may not apply to you. However, I see many cases of upper extremity pain, and have considerable experience with it ( . . . ) chiropractors are generally safe therapists if they use standard precautions. For many kinds of upper extremity pain for which surgery is not suggested, both standard physical therapy and chiropractors have about the same rate of success, and the outcome is quite variable in the hands of both kinds of practitioners. Personally, at the present time, I prefer to send my patients to physical therapists who have been trained and certified (and I mean CERTIFIED) in the McKenzie technique of evaluation and treatment. They are not in every city by a long shot. You will have to call the McKenzie Institute, or one of its satellites, to get the McKenzie-certified therapist nearest to you. I know there is such a place in Syracuse, New York - the spine center which is affiliated, I believe, with the medical school there. Call them to find the nearest McKenzie therapist if you are interested in that approach. +++++++++++++++++++++ Some chiropractors adjust the bones in your hand, in addition to those in your spine. Often many adjustments are done, and many patients find they must continually return for adjustments -- when a bone ``goes out''. Forceful movements of bones may stretch ligaments and soft tissue, so that the bone no longer stays where it should, but tends to wobbble -- thus the revolving door effect. I expect this is especially true of the small bones in the hand. Therefore, I recommend chiroproactors that use gentle adjustment techniques, such as non-force technique, move the bones by working on their associated soft tissue, and/or give you exercises to strengthen and balance the tissues that hold bones in place. If a spinal or hand bone is in the wrong position, and there was no tramatic injury -- there is a reasons. Like CTS surgery, correcting the effect will not help long unless the cause is addressed. +++++++++++++++++++++ As far as Chiropractors go, please check out there credentials first, as with any physician, there are good ones and bad ones. The good ones will have post graduate certificate and diplomates, along with plenty of continuing ed credits. +++++++++++++++++++++ For the past year I have been seeing various chiropractors and out of my personal experience I am now a student at a chiropractic college in San Jose, Ca. At first I didn't think a chiropractor could help with RSI or considered musculartendonous involvement. A good chiropractor works with remodeling the whole body. This includes active release therapy, proprioceptive neuromuscular facilitation, isometric and tubing exercises, weights, stretching, adjustments, and more. I have found that it is relatively inexpensive since I didn't have insurance and could not afford to go to a physical therapist. +++++++++++++++++++++ > > I would like to reiterate the sentiment that unless there is a very > > urgent need for a surgical intervention, at least get a consultation by > > an Osteopath. It is excellent stuff. > All Osteopaths are qualified surgeons and have the same training as > MD's plus 300-500 additional hours of extensive training in bodily > manipulation including spinal, joints, & connective tissue. > The American Academy of Osteopathy > (317) 879-1881 +++++++++++++++++++++ The most frequent problem I see is when a general practitioner, family practice doctor, or internal medicine doctor, dabble in the area of occupational medicine and try to diagnose these conditions based on the relatively basic information found in Merck, DeGown/DeGown and similar references. Family practice, general practice and internal medicine doctors have the unenviable task of screening patients for literally thousands of diseases. Because of managed care, health maintenance organizations and health care reform, these doctors are increasingly being asked to diagnose and treat conditions which are really outside their area of expirtise. Even specialists like neurologists and neurosurgeons that don't understand occupational medicine can fall prey to diagnosing people with TOS when they really have RSI or SJD. Occupational medicine is a complicated field. It takes a lot of advanced training and actual experience in treating ill and injured workers to become proficient at it. I would encourage any person who has a medical condition they feel is caused or aggrevated by their work to consult an occupational medicine doctor. +++++++++++++++++++++ In my experience, probably as many as 80% of the reputed specialists in RSIs never look above the elbows, and I think about the same percentage of injuries probably originate in neurovascular compression in the brachial plexus area. But what do I know; I'm a lay person! I definitely recommend that people look for physiatrists--or osteopaths and chiropractors if they can't find physiatrists--and question them about their understanding of hand injuries, what percent of their patients have RSIs, what kind of therapies they prescribe, and what has helped their patients. If they can't give specific answers, thank them very firmly and move on. Some practitioners are very knowledgeable about backs/necks but don't seem to understand that they are related to what's going on in the hands/arms--as if the hands/arms belong to one person and the neck/back belongs to someone else. +++++++++++++++++++++ Early in my disability I visited a homeopath several times. I don't feel that the medicines he gave me accomplished very much, but the sessions with him were quite wonderful. He spent most of his time understanding my life, attempting to put my injury into context. I think this is an incredibly valuable thing, given that I got injured in the process of trying to prove myself, overcome perceived failures of the past, and was caught in a stressful relationship with my employer. By helping me to see my injury as my body's way of saying that my life was out of balance, he turned it into something with value rather than simply an experience of pain and loss. I never fully recovered, and did quite a few other modes - from Chinese herbs to Feldenkrais - still living with a certain level of pain depending on what I do. Thanks to the homeopath I treat the pain as a guide and a reminder that my priority is to value my health and the balance of my life over all else. +++++++++++++++++++++ One of my favorites when a doctor is avoiding my questions is to ask, "I just want to be clear, maybe I misunderstood, are you refusing to answer my question about X?" I also bring a friend and a list of written questions, and have the friend write down the answers. If the doctor doesn't have time to answer them, I produce a stamped addressed envelope for her/him to mail back to me with the answers. Then I call every few days until I get it back. The friend I bring along takes notes to record what the doctor says. Some doctors have let me use a tape recorder. I explain that the examinations hurt, which impairs my ability to remember exactly what he/she tells me, and I know whatever he/she tells me is important and I want to get it right. Furthermore, this stuff is upsetting and I'm not objective, so sometimes what he/she says and what I hear are not the same. +++++++++++++++++++++ For those of you who feel unjustly targeted by your care giver try something: Treat the care giver as a teammate and insist that they treat you the same way. Be honest and supportive and insist that they be honest and supportive with you. Give your best effort and insist that they give you their best effort. And if you can't or they don't, then you need to find another provider. +++++++++++++++++++++ What I try to do is: Learn as much as I can about the anatomy and origin of the problem(s) I have. Consider who referred me: do I trust their judgement? Are they knowledgeable? Have they given me good referrals in the past? Are they desperate to refer me? What can they tell me about the practitioner? Ask around and see what other people can tell you about them. Find out about the background of the person I'm seeing. Interview them beforehand on the phone. What can they tell me about their background, and their knowledge of my problem? Do the communicate well? Do they make sense? What diplomas do they display? What are the dates? Does this person have a lot of experience? Do they take in-service training? Have I heard of the granting institution? Do they have a broad background? Look at the books on their shelves. Do I know any of them? Do they look substantial, silly, pompous, clearly outdated? How do they treat me? What do they tell me? Is it useful, does it fit with what I already know? Are they willing to spend the time with me to really talk about their findings? Does their treatment help immediately, hurt immediately, or does their explanation of why it will take time make sense? Ask questions. Speak up if you're puzzled. +++++++++++++++++++++ Actually, NURSES are a great source for referrals, because they often have worked with a number of local doctors, and because part of their professional training involves comforting patients by talking, which means they might be willing to spend a little longer...Occupational nurses, in particular, are the front line workers for RSIs in most workplaces. So if you are anywhere near a nursing college, like in telephone distance, you just might get lucky if you call and ask what doctors work with the occupational nursing program. FWIW. Try the occupational health/rehab track. +++++++++++++++++++++ I have often seen this term 'applied kinesiologist' emerge on the list. Many of you will notice that the signature on my posts indicates I am a 'kinesiologist'. I think it is important to identify the significant differences. Kinesiology is defined as the study of movement and more specifically with reference to the human body. It involves four basic areas of learning: Biomechanical - force loading of body structures Metabolic - energy systems and hormonal modification Neuromotor - initiation and control of movement PsychoSocial - internal and external non-physical influences on movement These areas are specifically related to how they affect the movement of the human organism. The training for this profession is scientific in background and involves the completion of at least a Bachelor's level degree. > We are often heavily involved in ergonomics as well as assessment and conditioning of individuals. We are well qualified to assess all inputs into any movement situation and are proponents of interdisciplinary team approaches to all issues. +++++++++++++++++++++ Subject: Re: physiatrists May be source for MD in area and/or possible > guidelines for treatment American Academy of Physical Medicine & Rehabilitation One IBM Plaza, Suite 2500 Chicago, IL 60611-3604 (312) 464-9700 Fax: (312)464-0227 +++++++++++++++++++++ << Of course the items in the 'healing toolbox' are many. It is only by using them together, in the right combinations pertinent to each situation, >> I agree with you 100%, in fact in my book, this is the major theme. The RSI sufferer needs an arsenal of health care providers all working together to help the patient. My health center uses the same philosophy - I developed a center that offers chiropractic, massage therapy, acupuncture, rehab, nutritional counseling, guided imagery, naturopathy, and personal training. (Even referrals to M.D.s when needed!) +++++++++++++++++++++ It's very important to know the background and training of any practitioners to whom you go for treatment . . . I have been disturbed over the years by the number of RSI "experts" who write books or give training and certification, and yet have no definable medical or ergonomics training or background themselves. . . . I feel it's really important to have some formal health care training before you are qualified to give "treatment" advice for RSI (which is, after all, a physiological condition). Ergonomists can give ergonomics advice, but should not recommend or give treatment. I myself had only one year of training as a massage therapist, so I didn't feel qualified to write my book, Save Your Hands!, without having a physician edit it. In any training I've ever given, I'm very careful to suggest people see physicians, since I am not qualified enough to give any treatment advice other than the most basic things (stop doing what caused the injury, rest, icing, etc.). This is just a form of "consumer protection" for people with RSIs. Be skeptical about who you go to for treatment and advice, ask lots of questions about their training and qualifications, and you'll be more likely to avoid bad experiences with underqualified "experts". +++++++++++++++++++++ First of all, I would like to reiterate (read knock you in the head until it really registers) how important it is to continue to search out and see the best specialists. In many cases you may have to travel some distance to reach them. But there is a world of difference and it is well worth it. ... Based on my experiences I offer you the following recommendation: If you think you have Carpal Tunnel, Tendonitis, or similar problems bypass "general" Orthopedic Specialists and see a Hand/Upper Extremity Specialist. If you think you have a more complicated problem such as TOS, see a Hand/Upper Extremity Specialist _and_ a Neurologist which concentrates on peripheral neuropathies _and_ make sure both of them see alot of (potential) TOS cases. When it comes to physical therapy, go to those that the above specialists recommend. While there are exceptions (and some of those exceptional people participate in this list), I believe my suggetion is a good rule of thumb. Also... I would strongly suggest you consider seeing doctors which are part of a teaching hospital. Having seen a number of Neuro's and Ortho's, I have realized that they do have different approaches to diagnosis. When appropriate, the Neuro's do a variety of blood work, take MRI's of the brain, do nerve biopsies,etc in an effort to rule-out general neuropathies and various diseases which can mimic problems such as TOS. It has been my experience that the Ortho's don't look for such things. On the other hand, Neuro's probably don't understand some of the other issues (such as tendonitis, connective tissue problems, etc) that Ortho's do. Which is why I am glad I am seeing both and recommend the same to you. +++++++++++++++++++++ It is probable that chiropractic can help you maximize your healing potential. That's what chiropractic does - it increases your body's healing capabilities. We do this by adjusting (manipulating) your spine and extremity joints. I am in my tenth year of chiropractic practice, and have not found one person with CTS who has not had problems in the neck and upper back. By "problems" I mean this: a) spinal subluxations (misalignments) that leads to nerve compression, loss of joint motion, and accelerated degeneration, b) myofascial components involving the entire upper extremity - not just the area around the wrist, c) misalignments of the joints of the wrist, and possibly the elbow and shoulder. When you visit a doctor of chiropractic's office, he/she will evaluate your carpal tunnel syndrome in a number of ways (depending upon the doctor - but that's too involved to get into right now). A chiropractor knowledgeable about RSIs will first take a complete history of your condition, including past problems or injuries to the neck, shoulder, arm, etc., and also investigate arm/wrist use in your profession and hobbies. Once this information is gathered, he/she will evaluate your spinal health by feeling (palpating) along the spinal column. We check for subluxations which are misalignments of the spine. The subluxation complex leads to a number of events - a localized inflammatory process, nerve irritation, loss of normal range of motion, localized muscle spasm, and degenerative processes to the joint involved. Next, we will evaluate the muscular health of your upper extremities. Palpation of the muscles, tendons, and bones of the upper extremity is performed, checking for irritation, spasticity, loss of range of motion, and myofascial trigger points. Some orthopedic testing may be performed, depending upon the type of problem you are experiencing. Neurological tests help to determine the extent of nerve injury. Most chiropractors will take x-rays of the neck, upper back, and possibly the wrist in CTS cases to help determine the extent of spinal involvement. All this information gathered is put together in your "report of findings" and you will learn whether or not chiropractic can help your condition. A good treatment protocol for your recovery should implement chiropractic adjustments, nutritional counseling, rehabilitation protocols, and myofascial therapy. I hope this helps you decide on your future health care. +++++++++++++++++++++ But please remember: The History and Physical are much more important than electrodiagnostic tests, MRIs, etc. So help the doctor out by preparing the following: 1. The chief complaint - what it is that's bothering you, i.e., pain, paresthesias (pins & needles), numbness (loss of feeling), motor weakness or other loss of strength and loss of range of motion. Those are the essential factors of any musculosketal problem, be it CTS, tendonitis, TOS, tennis elbow, etc. Write them down before you go in. 2. Your health history - all significant injuries or illness you have suffered from birth onward. Particularly physical traumas, such as fractures, MVAs, WC injuries, any injuries involving litigation, sporting injuries, accidents around the house, etc. 3. The history of your present illness, accident or other dysfunction. This should be time-related as much as possible, i.e., when you first started having whatever is bothering you. It's important to list which came first (pain, paresthesias, loss of feeling, etc.) and any relationship it may have to your work, sports, hobbies, accidents and so on. If you can make up a list like that -- type it up and keep it on your computer so that you can amend it and adjust it from time to time. It can become a diary, so that you can list doctor encounters, including medications, PT efforts, chiropractic visits, etc., and what the results were. Everyone should keep and start something like this on their computer and keep it up to date, so they can print it out whenever an encounter with a new doctor is planned. But keep it terse. Just the facts, ma'm. Your doctor doesn't want to plow through _Gone With The Wind_, and he or she wants to reading typing, _not_ hand writing. +++++++++++++++++++++ Sharon Butler , Author: "Conquering Carpal Tunnel Syndrome and Other Repetitive Strain Injuries: A Self-Care Program " writes: The Hellerwork technique for releasing soft tissue injury is the best I've seen yet - and I've seen a lot of it in my 10 years doing this work. At the same time, Hellerworkers are skilled in teaching clients about making effective changes in how the body is used, how to avoid future soft tissue injury by using the body in a structurally balanced way, etc. In addition to being the best form of myofascial release available (in my opinion), it can also be some of the most effective ergonomic education as well. Hellerwork's form of ergonomics is based on the individual's unique body structure and how to maximize the balance of that structure while it is moving, working, playing, etc. Not all Hellerworkers will be adept at treating patients with RSI, just as not all Physical Therapists are successful with RSI. It is up to the patient to ask the therapist beforehand if they have any experience in this area. I saw the need to create a continuing education program for Hellerworkers so they could help more people around the country with their RSI injuries. I just completed my first training of ten therapists. They would be a great place to start if you choose Hellerwork as a form of treatment for your RSI. The Hellerworkers who successfully completed this training are: [Since Sharon wrote this she's trained even more workers. I've edited these people into the appropriate states above in this document.] You can learn more about Hellerwork by checking out their web page at http://www.snowcrest.net/~hwork/ I think you will find it a very interesting site to visit. +++++++++++++++++++++ Subject: how much of pt should be pain To: SOREHAND@ITSSRV1.UCSF.EDU This question raises an extremely important point. I went from getting nowhere with physical treatment to starting to get somewhere, when two things happened: first, I figured out "how physiotherapy works", and second, I found a physiotherapist who understood this too! Physiotherapy is an interactive process. An essential part of it is that you are aware of what effects the treatments are having on you, and that you go back to your physiotherapist and tell your physiotherapist about the pain or relief you feel in response to his or her treatment. A good physiotherapist will work with this feedback, modifying your treatment and coming to a better understanding of your condition, based on what you tell him or her. There are many bad physiotherapists in the world, so the more flexibility you have in being able to shop around, the better. The important thing is that when treatment doesn't work, or causes you pain, you mustn't think that it's because there is something wrong with you (that you have a low pain threshold), or that it's because your physiotherapist is bad or stupid: your physiotherapist is only bad or stupid when he or she can't work with your feedback when you tell him or her that it causes pain. As for "good pain" and "bad pain", there are different approaches to this, and in the end you need to listen to your own body to figure which is right for you. Many people in Toronto have had great benefit from an extremely painful dry needling procedure -- for this form of treatment, the phrase "no pain, no gain" might be appropriate. Some people benefit better from a gentler approach: I go to a very gentle physiotherapy clinic, where the phrase "no pain, no gain" is banned; here the standard is that the treatment should not cause you more than 24 hours of flare-up. This happens to work for me. It's fairly normal for an assessment to cause a flare-up, since part of what goes on in assessment is the attempt to reproduce your symptoms. ======================================================================= 6. SUPPORT GROUPS These groups may be able to give you local medical references. Most of the listings are from the RSI Network newsletter, Caroline Rose, editor. The Association for Repetitive Motion Syndromes (ARMS) P.O. Box 514 Santa Rosa, CA 95402-0514 707/571-0397 (please call between 10 a.m.-5 p.m. only, Pacific Standard Time) +++++++++++++++++++++ RSI Support Group sponsored by the Irving J. Selikoff Occupational Health Clinical Center at the Mt. Sinai Medical Center in New York City. +++++++++++++++++++++ Susan Nobel, MSW The Mount SinaiIrving J. Selikoff Center for Occupational & Environmental Medicine Mount Sinai Medical Center 1425 Madison, Fourth Floor, 79-A New York, NY 10029-6574 (212) 241-1527 Repetitive Strain Injury Support Group; monthly meetings (one evening, one afternoon). Susan Nobel is a *very* able moderator and members of the group provide a wide variety of information and assistance: references (good and bad) to MDs and legal help; "veteran" RSIs offer "tips" to newer members, general all-round support and a committee of politically proactive people has recently been formed to fight defunding of Mount Sinai and legislative attacks on Worker's Compensation. Susan Nobel also offers one-to-one counseling appointments when members are in need. People interested in joining the group *must* contact Susan Nobel first. ++++++++++++++++++++ Injured Workers United, Inc. Injured Workers Resource Center of Rochester The Barn Twelve Corners Presbyterian Church 1200 South Winton Road Rochester, NY 14618 Mailing Address: P. O. Box 92035 Rochester, NY 14692 (888) 558-HURT Rena Weiss is the Director. The Resource Center was opened in February 1997, by the Repetitive Motion Injury Action & Support Group to address the unserved needs of injured workers. The only injured worker organization by and for injured workers in the Rochester area; newsletter. Membership is $12.00/year for injured workers (may be waived for financial hardship), $25.00/year individual sponsor, and $50.00/year professional group sponsor. Make checks payable to Injured Workers United, Inc. Nonprofit status pending. +++++++++++++++++++++ RSI Support Group forming: Learn about available health resources and exchange information and experiences. For more information, contact Debby Margoluis at (914) 785-6706 or 769-5980. +++++++++++++++++++++ RSI Action: injured and at-risk users sharing resources, educating for RSI prevention, and advocating for changes in the workplace and to the laws. The Boston-area RSI Drop-In location has been changed! The Boston area RSI Drop in now being held at Barnes and Nobles at BU (the Boston University Bookstore) in Kenmore Square on the Green Line (right down the street from the CNOT office). This informal group meets the first Wednesday of each month to share information and support. Everybody is welcome. Hope to see you there! OTEP/CNOT/RSI Action now have a new phone number. The office has moved to Kenmore Square in Boston. The new number is (617) 247-6827. Robyn Gold goldchip@world.std.com for RSI ACTION CNOT, the Coalition on New Office Technology, 650 Beacon St., 5th Floor, Boston in Kenmore Square, 617-247-6827 is a great resource. While most of their members are in Massachusetts, they are a national resource. They run various seminars and maintain a referral book with reviews of various doctors related to RSI. If you need to find a good doctor, or you want to check on a referral, or you have a good or bad experience with a doctor, give CNOT a call. Out of the same office is the Office Technology Education Project, with the same phone number. Finally, in this one space, there is RSI Action, (an unaffiliated inspiration for Harvard RSI Action), which works on issues of RSI in the UniveRSIty, across universities in the Boston area. _Boston_: Kerry Souza , Office of Technology Education Project, 617-247-6827. +++++++++++++++++++++ New England Conservatory's Injured Musicians Support Group: Contact: Merav Reuel/Melissa Ruff Phone: (617) 354-6652/262-1120 x380 Address: 33 Gainsborough St. Boston MA 02115 Email: m.reuel@rocketmail.com We meet every other Friday (during the academic year) at 6PM at New England Conservatory of Music, 30 Gainsborough St. Boston MA Our next meeting is on Friday May 2ed. Anyone is welcome to come you can call Merav or Melissa for more information. +++++++++++++++++++++ From: Moe Clancy long island RSI sufferers have struggled alone. so i am starting a monthly rsi support group. What: RSI support group Where: Riverhead Public Library 330 Court St., off of Route 25 in Riverhead When: Wednesday, May 28, 7-8:30 pm Who: anyone with RSI and their families and friends Contact: me at (516) 765-4136 or mc2@hamptons.com, or the library at (516) 727-3228 ======= Stephanie Barnes* P.O. Box 471973 Aurora, CO 80012 (303) 369-0803 Executive director of ARMS (Association for Repetitive Motion Syndromes), a tax-exempt, charitable organization incorporated as a national information clearinghouse. No meetings at present; bimonthly national newsletter. +++++++++++++++++++++ Contra Costa (Pleasant Hill) Melinda Moreno Diablo Valley College Learning Ctr LC107, 321 Golf Club Road (510) 685-1230 X 553 Contra Costa RSI Education Group Every 3nd Mon., 7 pm Tri-City (Union City, Fremont, Newark) Kokila Patel, Physical Therapist Tri-City Physical Therapy 2805 Whipple Road, Union City (510) 790-9480 or 441-8906 Every 4th Tues., 7:30 9 pm Tri-Valley (Dublin, Livermore) Cyndee McClain (510) 447-0218; fax 5715 Every 1st Tues., 7 pm, Cafeteria Golden State Rehab Hospital 7777 N. Canyon Rd., San Ramon Los Angeles May Ellam (213) 259-2456 Every 3rd Sat., 10 am 12:30 pm Eagle Rock Branch Library 5027 Caspar Ave., nr. Occidental College San Francisco CA: Judy Doane, (415)474-7060. Monthly, first Wednesday, 7-9:30 PM, Booker T. Washington Comm. Service Center, 800 Presidio Ave. at Sutter (in front door, second door on left). RSI Support Group of SF 415-931-8780 _East_Bay_: Joan Lichterman, (510)653-1802. Meets monthly, usually on the second Wednesday, 7-9 PM, at CalARM, 400 29th Street, #105 (at summit), Oakland. RSI Resource Network of Long Beach Meets the 2nd Saturday of the month at 10 am At Sovereign Condominiums bldg, 360 W. Ocean Blvd., Long Beach Please contact Pamela Wood Browne for more info at PWBrowne@aol.com or (562) 491-0358. Redding Janice Morrison (916) 275-6899 Monthly mtgs., call for info. _South_Bay_: Pat Roggy, (408)280-1134, or Petzoldt Hand Center, (408)261-7660. Second Monday of every month, 7 PM. _San_Mateo_: Beth Weiss, (415)696-4562. Meets second Thursday of every month, 7-9 PM. Mills Hospital, 100 So. San Mateo Drive. Sean Bunnel is in the process of organizing a support group in the San Diego area. Any one wishing to help him can reach him at (619) 230-1673. Shawn Bunnell has founded the San Diego RSI support group. Their first meeting is scheduled for Saturday, October 31, 1998 at the downtown WMCA, 500 W. Broadway, San Diego. Time is from 11:00 AM to 1:00 PM. For additional information Shawn can be reached at (619) 230-1673, and an RSVP would be appreciated. I'm told there is street parking, and a parking garage across the street fromthe WMCA. [13 August 1999] Tonight is the first meeting of the San Diego RSI Support Group. Could you change your list on FindADoc to indicate me as the new/correct contact for this group? Thx Trina Dunbar 619 295 4491 rsigroup@hotmail.com ++++++++++++++++++++++++++ Atlanta GA area: Ken Thomas, (404)377-4943, P.O. Box 901, Decatur GA 30031. _New_York_City_: Susan Nobel, (212)241-1527. Meets monthly. She is a social worker at Mount Sinai Hospital who offers free counseling to RSI sufferers. Flagstaff AZ: Caren Joyner, (602)525-2148, or Mary Underhill, (602)525-1838. Every other Weds 7-9 PM at Information Services Building, Northern Arizona University, Classroom 1. Salt Lake City UT: Christy S. Katzl, chris.miller@m.cc.utah.edu. _Toronto_: Catherine at (416)622-1561 or email cfenech@aracnet.net for more info or if you would like to receive monthly notices by email. Meet on the second Wednesday of every month, from 6:30 - 8:30 pm at The RSI Clinic, 984 Bay Street, Suite 704 Toronto, Ontario (Bay St. north of Wellesley). We are a positive and supportive group of people who meet monthly to share tips and advice on living with and overcoming Repetitive Strain Injuries. Guest speakers are invited to address the groups on a variety of issues of concern to those with RSI. All are welcome to join us. - The Repetitive Strain Injury Support Group of Toronto. The group meet monthly to exchange ideas on various healing methods and discuss our experiences with the physical and psychological effects of RSI. Guest speakers are invited to address the group, mainly chiropractors, massage therapists, and other health professionals who are skilled at treating RSI from a holistic point of view. There is also another group in north eastern Scarborough. The Seattle Repetitive Injury Support Team Seattle RIST meets regularly, on the third Monday of each month, at the Fremont Public Library. Meetings go from 7pm to 8:45pm. The library is located at 731 N 35th St. That's just east of the center of the "Center of the Universe", on 35th Street, just down the hill a couple of blocks from the Fremont Troll. (206)442-2066, http://torii.satori.org/rist/ _Connecticut_: Connecticut Chronic Pain Outreach Network (CCPON); for information, call Jewel Shue (pronounced "shoe-ay") at (203)658-2971. ===== Hi, my name is Joelle Clark. I have RSI and have started a support and wellness group for Southern Connecticut. The meetings will be held in the Darien, Greenwich, and Stamford area; however, I would be happy to talk to anyone about other potential locations. I have done a lot of research, and my mission is to share information and support with anyone going through RSI. I will also have speakers address the group on a variety of RSI-related topics. My first meeting will be held on Tuesday, May 19 at the Darien Public Library from 12:30pm to 1:30pm. I can be reached at (203)967.4341. Please feel free to call me; if I'm not in, please leave me a message. Thanks! _Vermont/New_Hampshire_: Nellie Pennington or call (603)643-2800, 8:30 AM to 2 PM M-F. Monthly meetings near Hanover NH. Connecticut: Connecticut Chronic Pain Outreach Network (CCPON); Jewel Shue (pronounced "shoe-ay"); (203)658-2971. +++++++++++++++++++++ Cyberspace (America Online): Weds., 9:15 PM EST. Keyword is "dis"; enter "Equal Access Cafe." +++++++++++++++++++++ San Antonio RSI Support Group Contact: Mona Bracken E-mail Address: mbracken@accdvm.accd.edu Snail Mail aDdress: Mona bracken St. Philip's College CC103 1801 Martin Luther King Drive San Antonio, TX 78203 Phone (voice/TDD): (210) 531-3514 (during normal office hours or leave message on voice mail. Can access voice mail from TDD as well). Meetings: 2nd Saturday from 9:45-10:45 AM Our meeting place is in the process of changing now, so people would need to contact me for the current meeting place. +++++++++++++++++++++ Groups wanted: These are not (yet) formal groups, but please contact if you'reinterested in forming a group or being in a group, or are just looking for a kindred spirit. Dallas TX: Merryl Gross, (817)656-5154 or merryl@aol.com. Central VT: Montpelier/Rutland/Burlington. Steve Larose, slarose@aol.com. Anchorage AK: Jaz Klinski, P.O. Box 222072, Anchorage AK 99522, (907)248-5767. NEW! (North) Wilmington DE area: Musicians' RSI Support Group, c/o 23 E. Dale Rd., Wilmington DE 19810. Anonymity guaranteed. Allow two weeks for response. NEW! Seattle WA: George Hu, georgehu@microsoft.com. Phoenix AZ: Kevin Garnier, (602)991-8700. Redlands CA: Gloria Ludwick, (909)798-8834. Southern OR: Marie Morehead, (541) 535-6404. Albuquerque NM area: Rebecca, (505)897-4815. +++++++++++++++++++++ Workers' (Repetitive) Injury Support Team c/o Dan Jordan 44 Moulton Court Ingersoll, Ontario Canada N5C 4C4 phone/fax: (519) 425-4296 Their web site (http://www.geocities.com/CapitolHill/Lobby/2614/) has links to several other Canadian injured workers organizations. +++++++++++++++++++++ | United Kingdom | The RSI Association Chapel House 152-156 High St Yiewsley West Drayton UB7 7BB Tel: 01895 431 134 This phone line is staffed Mon-Fri, 2.00 pm to 4.00 pm, answering machine at other times. Send 2.50 pounds plus a 10 inch by 7 inch stamped self-addressed envelope for a very useful information pack. Please make an additional donation if you find this useful, as they are very short of funds. Cambridge Area -------------- A Cambridge RSI Support group is run by Pery Burge: Pery Purge 319 Milton Road Cambridge 0223 420 254 Australia ========= ACT RSI Support Group Inc. PO Box 717 Mawson, ACT. 2607 Australia Phone: (06) 290 1984 And now the good news!!!! We have also begun a support group here in Central Victoria for sufferers, their family and friends. The first meeting will be held on June 2nd, 1.00 pm at 118 Hargreaves Street, Bendigo. Victoria. 3550. If it suits the majority of people we will aim to have the meetings on the first Monday of each month at this time - although we are open to ideas re time slots if an evening meeting is better. So the contact details for this group are: Central Victorian RSI Support Group 118 Hargreaves Street Bendigo. Vic. 3550. Australia. Phone: (03) 5442 4857 Fax: (03) 5441 7218 ========= A Dutch RSI support group web page is at: http://www.rsi-vereniging.demon.nl/ ========= There are only two active RSI groups in Australia at this point in time. One is based in Canberra and has been going for a number of years and I have set up a Victorian group (with the help of another RSI sufferer) which is almost one year on now. I also have a web page which gives a little info about the Australian issues and of course links with some of the recognised sites which are of great benefit to us all. I don't like to 'advertise' myself at all but if you wish to do so - you can visit the web site at http://www.hitech.net.au/lloyds/ ======================================================================= file compiled by Paul Marxhausen University of Nebraska - Lincoln Updates available: FTP: ftp.engr.unl.edu/pub/eeshop/findadoc.txt WWWeb: http://www.engr.unl.edu/eeshop/findadoc.html auto e-mail: send with the subject "Findadoc" to mpaul@engrs.unl.edu (NOT mpaul@unlinfo.unl.edu) =======================================================================