A method for the treatment of trigeminal neuralgia in patients with deforming osteoarthritis tmj

 

(57) Abstract:

The invention relates to medicine, namely to neurology, and can be used in the treatment of trigeminal neuralgia in patients with deforming osteoarthritis of the temporomandibular joint.

The essence of the method consists in the influence of needles on acupuncture points one Meridian remote localization within 25-43 min, treatment 5-7 sessions. table 1.

The invention relates to the field of medicine, particularly acupuncture in the field of neurosonology, and can be used in hospitals for the treatment of trigeminal neuralgia in patients with OSTEOARTHRITIS of the TMJ.

Known methods of treatment of trigeminal neuralgia in patients with OSTEOARTHRITIS of the TMJ: medical and physiotherapy (Egorov M. P. and Karapetyan I. S. "Pain TMJ dysfunction". M. Medicine, 1986). These authors suggest anaesthesia jet chloroethyl over adjusted by start area, infiltration painful areas of the masticatory muscles weak solution of anesthetic. In the same publication provides methods of treatment, previously proposed by foreign authors: short-term intensive stimulation of trigger points dry injection needle; introduction isotonic restwood only local effects on painful areas without regard to pathogenic factors.

In our opinion, their disadvantage is the complexity and the relative invasiveness. The duration of treatment of patients in this way and the recurrence rate is also not known. On the closest to the technical essence and the achieved effect as a prototype we have chosen a method of treatment of trigeminal neuralgia in patients with OSTEOARTHRITIS of the TMJ method of acupuncture (luvsan, "Traditional and modern aspects of Eastern reflexology. M. Nauka, 1986). The disadvantage of the prototype, in our opinion, is time consuming, as it requires for its implementation the choice of a larger number (41) of the local and remote points in different meridians, and therefore the duration of treatment and rehabilitation options TMJ increase.

The present invention is to develop a treatment for trigeminal neuralgia in patients with OSTEOARTHRITIS of the TMJ, which allows to reduce the treatment time and reduce the complexity of the method.

How is the impact of needles for acupuncture points only one Meridian, without impact on the local point.

The method is as follows. With the patient lying on the stomach are marked and processed point (V 11, the measures 1.

Patient W. 22 years. Was admitted to the hospital on 15 November 1994 in outpatient treatment with a diagnosis of OSTEOARTHRITIS of the TMJ. Appointed 5 sessions of acupuncture with a duration of 25 minutes there was a decrease in pain in the joint after the first session, exacerbation after the third session, the absence of pain in the joint at the end of treatment.

Patient A. 42 year history N 17962. Was admitted to the hospital on October 31, 1994, with a diagnosis of OSTEOARTHRITIS of the TMJ. Appointed 6 acupuncture sessions lasting 35 minutes there was a decrease in pain in the joint after the third session, exacerbation after the fourth session, the absence of pain in the joint at the end of treatment.

Example 2.

Patient M 38 years old, history N 19942. Was admitted to the hospital on November 24, 1994, with a diagnosis of OSTEOARTHRITIS of the TMJ. Appointed 7 acupuncture sessions lasting 45 minutes there was a decrease in pain in the joint after the second session, exacerbation after the fourth, the absence of pain in the joint at the end of treatment.

Example 3.

Patient P. 32 year history N 16316. Was admitted to the hospital on 8 October 1994 with a diagnosis of OSTEOARTHRITIS of the TMJ. Conducted 15 sessions lasting 35 min on the prototype method, i.e. using local points and different meridians. Olustee noted at the end of treatment.

Indicators of patient in the table.

The method has been tried on 32 patients aged from 25 to 47 years (12 men and 20 women), who underwent biochemical, radiographic and gnathodinamometria examination. The patients were divided into 2 groups of 16 people. In treatment 1 (control) group were used traditional methods. In the treatment group-2 stimulation points remote location (up to 10) needles for 25 to 45 minutes Therapeutic effectiveness of the new method is characterized by significant decrease in pain after 3-5 sessions, their complete absence in all patients at the end of treatment, improve the function of the TMJ in the form of increase of the amplitude of its movements and the strengthening of the chewing load that is confirmed radiographically and data gnadenkapelle, and no recurrence within 6 months.

A method for the treatment of trigeminal neuralgia in patients with deforming osteoarthrosis of the temporomandibular joint by acupuncture, characterized in that for 25 45 min. affect points in one Meridian remote location, in particular at 11 Da-Zhu, 14 Ju-Yin-Shu, 17 GE-Shu, 22 San-Jiao-Shu, 24 Qi-Hai-Shu, 27 Xiao-Chang-Shu, the rate of the cured

 

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