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Integration of Naprapathy in Pain Management Medicine

Medical Information:
Name: Naprapathy and Manual Therapy
CPT Code: 97140
Procedure Type: Medical Therapeutic Massage Manual Manipulation of Spine and extremities.
Preparation: Patient is medically draped and laying in either a prone or supine position on a therapy table. Time of treatment may range from one to two hours depending on the condition of the patient and treatment needed to alleviate symptoms.
How Performed: Patient is medically draped and laying in either a prone or supine position on a therapy table. Time of treatment may range from one to two hours depending on the condition of the patient and treatment needed to alleviate symptoms.
Followup: Followup visits may be needed especially in cases of trauma or chronic conditions. It is recommended that patients suffering from back pain respond better within six treatments.

Naprapathy for Chronic Pain, Acute Pain and Chronic Fatigue

Naprapathy comes from the Czech word "napravit", meaning to correct and the Greek word "pathos" meaning to heal. The science of Naprapathy maintains a whole body approach to healing. In clinical pain management it can be applied bilaterally to sections of the spine to reeducate and balance muscles, ligaments, tendons the vertebral bodies and sacrum.(1)

The father of naprapathy is Dr. Oakly Smith D.C., D.N. during the late 1800's. He was a chiropractor who had sustained a trauma causing him chronic back pain. Dr. Smith attempted to manage chronic pain through manipulation, however, soon he realized that the only lasting benefits were facilitated by deep manipulation of muscles, tendons and ligaments between the bones.(1)

The science of Naprapathy is a comprehensive integrative medical technique comparable to OMT. The applications of Naprapathy and OMT can be a very effective therapeutic tool in addressing conditions of chronic fatigue, chronic pain and acute pain. The primary cause of pain is an imbalance of connective tissues along lines of stress caused by poor posture, age related dyskineticesthesia facilitating dysfunction in mechanopathophysiology and numerous types of trauma. These dysfunctions facilitate deviations in the vertebral spine sacrum and extremities.(2)

The secondary cause of pain is afferent and efferent neurological communication negative feedback traveling from the site of pain to the central nervous system (CNS) back to the site of pain. The mechanoreceptors provide signals from the peripheral nerves with signal medullar response with parts of the CNS. The brain response with corrective impulses which serve as a survival mechanism but may not duplicate normal neuromechanical function.

Nociceptors respond to both trauma and chronic pain stimulating a cascade affect causing numerous adverse cellular tissue and organ system dysfunction. This negative feed back should be controlled at onset through medication, but not for prolonged periods of time.

Over time use of medication without proper medical therapeutic management bilaterally will facilitate conditions that stimulate mechanoreceptors and nociceptor response resulting in chronic and acute pain.(3)

Naprapathy is remarkably more beneficial than OMT in integrative medical therapies to treat some of, but not exclusively, the following chronic and acute pain conditions: Fibromyalgia, age related connective tissue imbalances, structural deviation facilitating peripheral nerve root compression, joint dyskineticesthesia, joint displacement, and subluxation. Naprapathy stimulates fibroblast activity increasing the production of collagen, elastin and glyco-saminalglycans. Naprapathy is an effective tool in the reparative process and balancing of the muscular skeletal system.


  • (1) Healthy Living Copyright 1998 2002 SLM & Healthy Living
  • (2) A New Look At The Mechanopathophysiology Of The Joint Complex Copyright 07/04/2003 Dr. Gregory T. Lawton D.C., D.N.
  • (3) Department of Neurology, Mayo Clinic, Rochester, MN. Dr. Eduardo E. Benarroch, M.D. Sodium Channels and Pain Copyright 11/07/2006

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rated this answer: 5
In 2009 back surgery was performed for my L5-S1. In 2011 and 2012 I had severe pain in my legs. Now 3 times in the past six months. One doctor said scar tissue is putting pressure on my nerves. Is there any other explanation for the pain? what kind of doctor should I ask a second opinion?
Doctor: Dear Robert; It is very possible you may have scar tissue causing soft tissue entrappment of the nerve. In this case the surgeon can release the periferal nerve, with orthoscopic surgery and save you thousands of dollars on treatment cost. Do you have an MRI? That I can evaluate? I have in the past dealt with soft tissue entrappment and recommended the patient have surgical consultation. If there is no soft tissue entrapment you may be a very good candidate for Naprapathy, ligaments are corrected and the tendon, muscular and skeletal imbalances corrected and stabilized. Reply
Robert: Im glad you say I could save a good sum of money this way. The MRI shows I have the tissue entrapment problem. I going through with the surgery after doing a lot of wishful thinking about avoiding it.