Medical device gives new life to Utah boy

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SYRACUSE — A new FDA-approved medical device has given new life to a Utah boy who has been suffering from a very painful, yet common form of dystrophy for nearly two years.

"I never thought I would see this six months ago," Taylor Johnson said. "I thought I would be on crutches forever."

In a symbolic celebratory walk, the 14-year-old recently waved goodbye to his crutches,free from severe pain from a nerve disorder called reflex neurovascular dystrophy, or RND. The disease, he explained, "sends pain signals to the brain even through there is no injury, and it shuts off the blood vessels. So my (left) leg would get really cold and swollen."

What is ... reflex neurovascular dystrophy?
Reflex neurovascular dystrophy (RND) is a painful condition that leads to severe pain in the joints and muscles in children. The pain may be described as sharp, burning, achy, crampy, a pounding hammer, or cutting like a knife. The pain is caused by a nerve sensitivity whereby the nerves in the body send pain signals to the brain inappropriately. RND affects girls more than boys (80 percent girls). -Children's Hospital of Pittsburgh of UPMC

The pain was so bad the teen could not stand on the leg. "It would be like needles stabbing right below my knee and then just like fire everywhere else," he explained. On a scale of one to 10, the pain was at 10.

"You would see him and you would just kind of brush the skin, or sometimes just even blow on it, and he would have pain," recalled Craig Johnson, Taylor's father.

Dr. Robert Chalmers with the Spero Clinics said, "There are people who have had this affliction for 30 or 40 years and essentially never get any relief other than through pain management medications."

Drugs failed to bring Taylor relief, and physical therapy had done little to strengthen atrophied muscles in his leg. The Johnsons had even turned to a pain specialist in Philadelphia.

"We had kind of reached a plateau," said Mindy Johnson, Taylor's mother. "He wasn't getting any better or any worse with the physical therapy, but you could also get on their waiting list in Philadelphia and wait six months." She said the family could end up spending anywhere from $10,000 to $30,000 doing that.

As a last resort, the Johnsons took Taylor to Utah's Spero Clinic to try out a new device called Calmare. They had seen a story last December on KSL about how the system relieved severe pain in Alex Lambson, one of two St. George teenagers struck by lightning in October while they waited for a ride home from school. Lambson is now living pain free.

"We just threw caution to the wind and went to St. George for a week; and two weeks later he's taking six steps down the hall when he hadn't walked for six months," recalled Mindy Johnson.

What is... Calmare Pain Treatment Therapy?
Calmare Pain Therapy Treatment uses a biophysical rather than a biochemical approach, avoiding the adverse side effects and addictive properties linked to narcotic pain killers. A 'no-pain' message is transmitted to the nerve via disposable surface electrodes applied to the skin in the region of the patient's pain. The perception of pain is cancelled when the no-pain message replaces that of pain, by using the same pathway through the surface electrodes in a non-invasive way. Regardless of pain intensity, a patients's pain can be completely removed for immediate relief.

Researchers believe Calmare's electrical manipulation of peripheral nerves may be retraining the brain that the pain is not there after an injury has healed; or in Taylor's case, where there's no injury at all. Chalmers was not optimistic it would work on the teen's dystrophy, but it did.

"In Taylor's case, he had less than a dramatic response as he endured the first therapy," explained Chalmers. "But after he went home, after the first 24 hours, he had experienced a significant difference."

After several treatments the pain was gone. "Now, he can run and walk and do whatever activity anyone else can do, so it's amazing, a miracle," Craig Johnson said.

"I've started playing more sports again, like baseball and football at lunch with a bunch of other kids," the 14-year-old said. He also recently returned from a 25-mile hike along the rim of the Grand Canyon.

Taylor calls the Calmare device "really awesome."

Calmare is now being tested in clinical trials at five major medical centers. Insurance companies have also taken a renewed interest in the device because it's drug-free, appears to have no side effects and is relatively inexpensive to use.

Chalmers manufacturer said while the device was relieving pain in about 60 to 70 percent of his patients during limited use last summer, that success ratio has now jumped to 90 to 95 percent as the patient pool has expanded.



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Ed Yeates


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