Quaddle Therapy

7 Quaddle Therapy

The intracutaneous quaddle is an injection used frequently in neural therapy. It is of use only when given into disturbed tissue identified by information from the patient, examination, and palpation. The mechanism by which it acts is provided by the cutaneovisceral reflex channels. Non-selective quaddling has nothing in common with neural therapy and is to be deprecated. Quaddles must be strictly intracutaneous. For children and overanxious patients, the Dermojet has proved useful; with this, a quaddle is set in the skin at supersonic speed without the use of a needle.

Materials: Size 20 needle, 0.2–0.4 ml procaine or lidocaine.

Fig. 7.1 Intracutaneous quaddle

Intramuscular Infiltration

Indications:	Myalgia, fibrositic nodules, muscle spasm, cervical syndrome, muscle contractures, pulled muscle, sprains; all segmental muscle-reflex symptoms.
Materials:	The size of needle depends on the depth at which the process occurs, while the quantity is measured in tenths of a milliliter only and depends upon the extent of the tissue changes.
Technique:	Point of insertion: Set a quaddle over the painful area indicated by the patient or found by palpation.
	Direction of needle: Pass the needle through the quaddle to probe deeper, infiltrating as you proceed.
	Injection depth: To the ‘ouch point’ indicated by the patient, into the fibrositic nodule and painful tissue, to the periosteum, to ligaments, and ligamentous attachments.

Quaddles in the Region of the Knee Joint

Indications:	Arthrosis or arthritis of the knee, post-traumatic disorders.
Materials:	Size 20 needle, 0.5 ml procaine or lidocaine per quaddle.
Technique:	Point of insertion: Laterally: one quaddle at the level of the joint line. Medially: one quaddle each over the head of the tibia, the joint line, and the head of the femur; and another in the middle of the popliteal fossa.