(First published in the professional journal of ICAK-U.S.A)
The Coxsackie virus is the most common cause of acute myocarditis which could lead to more serious illnesses including chronic myocarditis, dilated caridomyopathy, substantial cardiac damage, and severe acute heart failure.(1, 3, 4) Although, age is a determinant for the increased susceptibility to any infection including the Coxsackie virus, (2) this is not only an illness affecting an aged population, but also young adults. While the complete cascade of events related to this virus is unknown, there is substantial evidence that suggests there is a dysregulation of the body’s immune system causing detrimental degenerative changes to the myocardialtissue. (1) Being an opportunistic virus, we know that it is imperative to have optimal immune function to initially prevent the infection. We also know with the study of neuroimmunology, that there is an important connection between the nervous system and the immune system. If functional integrity of the nervous system is lost, the body may lose its ability to maintain proper immune homeostasis and function. In applied kinesiology (AK), manual muscle testing is used to evaluate the neurological integrity of a patient via sensory receptor based challenges. (5) Through the use of an AK clinical protocol called Quintessential Applications, a neurological hierarchy is implemented to evaluate and treat patients with an ordered application of clinical procedures. The imbalances in the nervous system are then addressed and cleared in a precise systematicfashion in order to achieve maximum results and return the patient to neurological homeostasis.
A 47 year old female patient presented to my office with a musculoskeletal complaint of right elbow pain, but her major complaints consisted of anxiety, panic attacks, and feelings of being overwhelmed. She also complained of diffuse, general chest pain, pressure, and discomfort; decreased visual acuity; sleep difficulties, rosacea, and weight management concerns. The patient was in overall good health with proportional height and weight (5’6”, 128 lbs). She was a former competitive athlete, and stays active with her current occupation of outside sales. She was concerned about a family history of heart attack, because her father died at an early age due to a myocardial infarction brought on by a viral infection. The patient’s past interventions included acupuncture two times per week and biofeedback with minimal results.
The patient’s care was coordinated through a medical doctor to rule out any serious pathology or heart condition. The medical doctor ran all relevant heart related tests and could not come up with any heart problems. They also ran a thyroid profile and are subsequently managing her with thyroid medication. Their final diagnosis was acute anxiety and recommended anti-anxiety medication to help reduce her stress. A thoracic and chest x-ray series were also ordered to rule out pathology, with negative impressions. At this point, it was decided that the patient should be assessed with The Quintessential Applications applied kinesiology clinical protocol, a 32 step protocol that is a “physiologically based, basic science driven, neurological hierarchy, for the ordered application of clinical procedures and techniques.”6 Initial therapeutic intervention included efforts to reduce cortical and/or cerebellar asymmetry and restore normal muscle spindle cell control mechanisms necessary for muscular and postural control. Systemic nutritional factors vital for proper healing, and having a direct impact on nerve, brain, and immune function were also assessed; as well as inflammation, energy production, tissue oxygen supply, and connective tissue repair. Systemic inflammation levels were determined by the strengthening of an inhibited muscle with an aspirin mix (Aspirin, Acetaminophen and Ibuprofen) placed on the tongue, allowing the gustatory receptors to respond to the mix. Oral nutrient testing further revealed the need for essential fats, in particular,
Omega 3, to be added as a natural systemic anti-inflammatory. (5, 6) Systemic structural factors resulting in aberrant postural patterns, often secondary to immune system dysfunction, and having a direct impact on the mesencephalic reticular formation, affecting pattern generation, TMJ muscle function, and autonomic expression, were also addressed.
The adrenal glands were also evaluated by the Adrenal Challenge Technique within the first few visits, and the patient was given the necessary supplementation as well as Chapman Reflex (CR) stimulation, to help normalize function as quickly as possible. (7)
Subluxations were assessed and corrected on every visit using the FRA (Flexor Reflex Afferent) technique for hierarchal subluxation correction along with coupled adjusting. (7) Initial exam revealed subluxations at C2, C4, C5, T5, T9, T12, right posterior ilium, and a left first rib. Segments varied with each visit, and included upper extremity adjustments of the right elbow and wrist over the course of treatment.
The patient was seen 1–2 times per week for approximately one month with positive effects, including better sleep. During that time a hair analysis was also acquired. The labs indicated elevated levels of Tin (.655 with normals being <=.149), Bismuth (1.703 with normals being <=.178) and Antimony (.030 with normals being <=.016). Treatment was then augmented to help eliminate the metals with a homeopathic product. However, after one month, her anxiety, panic attacks, emotional distress, and chest pain were still an issue.
During one visit, approximately one month after her initial visit, clinical assessment included bilaterally inhibited Subscapularis muscles. Upon Therapy Localization (TL) to the CR, the muscles facilitated. She was then tested utilizing homeopathic frequency vials, revealing a positive test for the Coxsackie virus. During history and consultation, it was noted that her father had died of a myocardial infarction exasperated by viral myocarditis. The doctors at the time of her father’s death did not specify the type of virus, but there appears a strong possibility at least, that it may have been the Coxsackie virus. The virus is known to go years being undetected, asymptomatic, and is also very contagious.
At this point, the patient was directed to begin homeopathic remedies for the Coxsackie virus immediately, as well as cold laser therapy treatments over the area of the heart. The laser was set at varying frequency settings to affect the Coxsackie virus frequencies directly. It is well documented and known that each virus strain has a different frequency and as such can be specifically targeted with a homeopathic remedy as well as laser frequency treatment. The Coxsackie virus has six known strains classified as B1, B2, B3, B4, B5, and B6; each with differing frequencies. The patient tested as having multiple strains from B2-B5. The cold laser treatments also assisted the patient with reduction of inflammation and lymphatic congestion in the thoracic area, which sometimes occurs with Coxsackie or any other viral infection.
In addition to the cold laser therapy, a light beam generating lymphatic drainage machine was used to facilitate lymphatic flow throughout the body. This device was placed over the axillary lymph vessels and directly over the heart. Utilizing cold gas ionization, the procedure allowed the lymphatic vessels to drain, facilitating the release of toxins as the virus was eliminated. The laser and lymph drainage treatments were utilized twelve and ten times, respectively, over the course of two months treatment. These treatments were given as an adjunct to her regular visits.
After two months of treatment, the patient tested negative for the Coxsackie virus utilizing the homeopathic frequencies. Bilateral Subscapularis tests were normal and facilitated, and most of all, the presenting symptoms had greatly diminished.
The anxiety and panic attacks had subsided, the chest pain subsided, and the patient began sleeping without difficulty. As a side effect, the feelings of “being overwhelmed,” and persistent elbow pain were alleviated.
The patient has not been discharged from care, but is no longer being treated for the Coxsackie virus, and has been moved to maintenance care. Lab tests have not yet been re-administered to evaluate for reduced metal toxicity, and further testing is warranted to confirm all findings. Echocardiogram was also performed with all normal conclusions.
Cardiovascular disease is now the leading cause of death in the United States and is estimated to be the leading cause of death in the world by the year 2020. A significant proportion of heart disease in Western populations is associated with inflammation. Myocarditis, or inflammation of the heart muscle, is the major cause of sudden death in young adults. Although most individuals recover from acute myocarditis, genetically susceptible individuals may go on to develop chronic myocarditis and dilated cardiomyopathy (DCM) resulting in congestive heart failure.3 Viral infection of the heart is relatively common and usually of little consequence. It can, however, lead to substantial cardiac damage and severe acute heart failure. It can also evolve into the progressive syndrome of chronic heart failure.
Recent studies have gone some way towards unraveling the complex mechanisms underlying the heart muscle damage that occurs after viral infection.4 When it comes to a Coxsackie viral infection, there are many events that take place that can cause harm to the patient. The most damaging aspect of this viral infection is the cardiac remodeling that takes place, and if too extensive, may contribute to disease.
Remodeling is achievedby extracellular proteolysis. As this virus replicates in the cardiac myocyte, the immune system is alerted by several signaling events. This complex series of reactions has been shown to be the cause of the cardiac remodeling, which is caused by the extracellular proteolysis activity. (1)
A practitioner is confronted with many different alternatives to assess a patient with presenting symptomatology. Without an ordered approach to our clinical assessment, it becomes increasingly difficult to do an effective differential diagnosis. With the proper tools however, one can effectively understand the functional imbalances and disease process in the body. It is this author’s opinion that the Quintessential Applications clinical protocol allows the practitioner to approach and assess anyone with any presenting symptomatology, utilizing a functional neurological hierarchal approach. After serious pathology is ruled out early in the assessment, conservative, adjunct therapies and care can then be delivered. If a patient presents with any of these aforementioned symptoms, it would be wise for the healthcare practitioner to rule out viral myocarditis and in particular the Coxsackie virus early on in the protocol. You may just save their life with your quick and decisive intervention.
While traditional allopathic medicine techniques advocate the use of Angiotensin Converting Enzyme (A.C.E.) inhibitors, Beta (Adrenoceptor) blockers, and spironolactone to improve the prognosis of a patient with Coxsackie viral infection, (4) this author suggests that these treatments do not address the underlying issue of this devastating virus and do not eliminate it from the body. Homeopathics and laser frequencies, along with functional muscle testing, can help to address the virus directly. The integrity of the nervous system is vital, and as such, should be evaluated concurrently for any and all functional imbalances. The application of the Quintessential Applications protocol allows for the ordered application of clinical procedures. This allows for a complete and thorough patient assessment and treatment in a neurological hierarchy. Of course, a strong immune system is necessary to both aid in the prevention of the initial infection of the virus, as well as aid in the control and eventual elimination. A healthy immune system to prevent opportunistic infections should be the goal of any health practitioner.
Though positive outcomes are seen in this particular case, further studies are recommended and warranted.
Special thanks to my patient and her passionate desire for me to write this paper as a beginning to understanding this devastating virus and a hope for many who have been diagnosed or are experiencing the symptoms with no diagnosis.
1. Crocker SJ, Frausto RF, Whitmire JK, Benning N, Milner R, Whitton JL. Amelioration of Coxsackievirus B3-Mediated Myocarditis by Inhibition of Tissue Inhibitors of Matrix Metalloproteinase-1. Am J Pathol.
2007 Dec; 171(6):1762-73. Epub 2007 Nov 30.
2. Gay RT, Belisle S, Beck MA, Meydani SN. An Aged Host Promotes the Evolution of Avirulent
Coxsackievirus into a Virulent Strain. Proc Natl Acad Sci U S A. 2006 Sep 12; 103(37):13825-30.
Epub 2006 Sep 1.
3. Fairweather D, Rose NR. Coxsackievirus-Induced Myocarditis in Mice: a Model of Autoimmune Disease for Studying Immunotoxicity. Methods. 2007 Jan; 41(1):118-22.
4. Kearney MT, Cotton JM, Richardson PJ, Shah AM. Viral Myocarditis and Dilated Cardiomyopathy: Mechanisms, Manifestations and Management. Postgrad Med J 2001 January; 77:4-10.
5. Schmitt W., Yanuck S. Expanding the Neurological Examination Using Functional Neurologic
Assessment Part II: Neurological Basis of Applied Kinesiology. Int J Neurosci.1999; 97:77-108.
6. Schmitt W. The Neurological Rationale for a Comprehensive Clinical Protocol Using Applied
Kinesiology Techniques. Annual ICAK-USA proceedings. 2005-6; 1:157-161.
McCord KM, Schmitt WH. Quintessential Applications A (k) Clinical Protocol. 1st Ed. St. Petersburg, FL: Health Works!; 2005. Sections 5, 6, 9–11, 14–16, and 26–29.
Copyright 2009 Dr. Carl Amodio Whole Body Health, Inc.555 Sun Valley Dr. NW,Suite A1,Roswell, GA 30076, USA. (770) 993-4633 www.wholebodyhealth.orgFind a kinesiology practitioner
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