Summary: Therapy-resisting pain caused by large scars after multiple operations is sometimes a challenge in rehabilitation. In this case-study a 57 year old lady is presented who has had a lot of operations in the past 20 years and was suffering from severe pain in her back, her left arm and left thorax. Among the operations were a total amputation of the left breast after a mamma-carcinoma with consecutive reconstruction with a latissimus-fap and implantation of a silicone prosthesis, reduction of the right breast for symmetry, an uterus extirpation, and a videoscopic thorax operation on the left side. Treatment with NSAR, Physiotherapy and Electrotherapy was unsatisfactory. So finally a neuraltherapeutic therapy-concept was performed. After thorough investigation the treatment was started with infiltration of the large hypertrophied scars on the back and on the thorax with Lidocain (Xyloneural). Additionally the iliosacral joints and the lumbar vertebral arches were infiltrated (TLA). This therapy released the pain but it did not have a permanent effect. So the smaller scars were included in the therapy. Among them was a hardly visible scar after thyroidectomy more than 20 years ago, which she herself had almost forgotten. Palpation was positive so the scar was infiltrated with Lidocain. The pain on her left side was almost immediately reduced and the patient started weeping unreasonably. This treatment had to be repeated once and since then the effect is continuous.
Conclusion: Alternative methods like Neuraltherapy provide us with a very good weapon against problems that can not be solved by conservative pain-management. A thorough investigation of the patient even in regions where currently no problems exist is necessary A correlation with meridians or Head-zones is possible but not obligatory. The size, form and location of a scar are no measure for its potential in causing severe problems for the whole body.