Medical Intervention

Despite the strong desire of the patient and clinician to render a quick and lasting solution to the debilitating effects of MD, a conservative treatment approach is often taken. The wisdom of this is underscored by the understanding of the potential untoward results of the current surgical treatments for the disease. Additionally, it is known that MD resolves, with or without medical intervention, in 70-80% of the cases over a few years' time.² The goal of the clinician is to control or manage the symptoms to an acceptable level and hope for an early remission of the disease without resorting to more aggressive treatments. 

Because the etiology of MD and the amelioration of the disorder are unknown, many treatment regimens are employed. Generally, MD is managed to acceptable levels in approximately 40% of the cases by instituting lifestyle changes such as a low-salt diet, reduction of stress, caffeine, tobacco and alcohol. Another 40% of the population is successfully treated with medical therapy by use of drugs or combination of drugs. The remaining 20% who fail medical therapy are indicated for surgical intervention.⁸ Figure 3.

Figure 3.  Traditional treatment. Click on image to view larger.

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