The method of treatment of osteoarthritis

 

(57) Abstract:

The invention relates to medicine, arthrology. Spend a percutaneous electrical nerve stimulation. Effect of pulsed current. The frequency of 40-80 Hz, amperage of 25 to 50 mA. While conducting the cooling of the skin in the area of the affected joint, in the projection of the most painful muscles and ligaments. The course of 8-10 treatments. The method improves analgesic effect.

The invention relates to medicine, in particular to arthrology, namely the treatment of patients with osteoarthritis physical factors, and can be used in hospitals, clinics, sanatoria, preventoria.

There is a method of treatment of osteoarthritis of the use of drugs in the form of tablets, intramuscular and intra-articular injection. However, the drugs often cause unwanted side reactions (allergic, digestive disorders, and others), which limits and a number of patients precludes their use. Tsvetkova E. C. Osteoarthritis. //In the book: Rheumatic diseases / Guide for physicians:/ Under. Ed. C. A. Nasonova, N. In. Horsetail. -M.: Medicine, 1997. -S. 385-397.

The closest in technical essence of the present invention is a method of treatment of the m current (Zabolotny And. And. The primary deforming osteoarthrosis: (the. pathogenesis, clinic, diagnostics, examination of disability and rehabilitation) /1st Leningrad. the honey. Inst. them. Acad. I. P. Pavlova. Abstract. Dr. med. Sciences: L. 1990. S. 37.

In the treatment of pain syndromes of the percutaneous electrical nerve stimulation is performed with a frequency of 10 to 20 Hz, pulse duration 0.5 MS and amperage, limited vibration sensations of the patient, 5-15 mA. Treatment daily for 8-12 minutes, in the course of 10-12 treatments. This analgesic effect is most pronounced with considerable intensity of exposure (Yasnohorodska Century, Electrotherapy. M, Medicine, 1987. -S. 61).

The disadvantage of this method is that it does not significantly affect pain in osteoarthritis, because the intensity of 25-50 mA required for significant reduction of pain in these patients is limited to occur when the increasing current and the unpleasant sensations of the patient, starting with 15 mA.

The technical result of the invention is a more pronounced analgesic effect, quick pain in the area of the affected joint in patients with osteoarthritis, reaching p is that simultaneously with the influence of alternating current with a pulse duration of 0.5 MS at a frequency of 40-60 Hz amperage 25 - 50 mA, within 8-12 minutes to carry out the cooling of the skin in the area of the affected joint 10-14oC, and the projection of the most painful muscles and ligaments for 0.5-2 min 4-8oC daily for a course of 8-10 treatments.

The cooling of the skin in the projection of the most painful muscles and ligaments surrounding the affected joint, reduces the sensitivity of the patient to electrical impulses, so it allows painless for the patient to increase the intensity transcutaneous electroneurostimulation more than twice that provides rapid relief of spasm of the muscles and, consequently, decrease muscle pain and reduce pain in the affected ligaments surrounding the affected joint. Used simultaneously with the specified parameters transcutaneous electroneurostimulation additional cooling of the skin in the projection of the most painful ligaments and muscles to 4-8oC practically removes all the pain of the patient in the area of the affected joint.

Fast pain associated with muscle spasm and congestion ligaments in the area of the affected joint in patients with osteoarthritis, immediately relieves the condition of the patient and creates conditions for the most effetive who use the device TECHNOSANAT KENS (made in Germany) for the local treatment of cold. The size of cryoapplicator 7 sq. cm, the temperature sensor is located in the operating element of the device during the treatment in contact with the skin of the patient and allows you to adjust the temperature of cryoapplicator from 6 to -8oC. Cryoapplicator made of metal and connected to the device for transcutaneous electroneurostimulation company DKI (ED 2000). Procedures carried out in the position of the patient is sitting or lying down. Depending on the localization of the affected joint therapeutic effect is performed on the front and back surfaces of the shoulder joint, on the inner and outer surfaces of the elbow joint, the flexor and extensor surfaces of the wrist joint on the Palmar and dorsal surfaces of the brush on the front of the thigh and gluteal region, hip, inner and outer surfaces of the knee and ankle. Exposure is performed by moving cryoapplicator over the affected joint. This physical therapist controls the temperature of the skin surface on the instrument panel and holds it in the range of 10-14oC, and, briefly, in the areas of greatest pain, for 0.5-2 minutes in the range of 4-8oC. Simultaneously with cooling is the CR the 40-60 Hz, for 8-12 minutes daily for a course of 8-10 treatments. Frequency 40-60 Hz is chosen empirically, as that allows you to balance the required amperage and phenomena of addiction the patient to a therapeutic electrical stimuli.

An example implementation of method 1. Patient D., 66 years. Diagnosis: Poliosteoartroz, buzzella form with a primary lesion of the hip joint, right Art. II, left, Art. III, bilateral gonarthrosis II senior Osteochondrosis. Prostatic hypertrophy I tbsp. Chronic gastritis. Moderate violation of the static-dynamic functions. Upon receipt of a complaint on pain of mechanical rhythm in the area of hip and knee joints, pronounced soreness of the muscles surrounding the hip joints. Objective examination found hypotrophy of muscles surrounding the hip joints, more to the left, wasting of the quadriceps femoris on the right and left, tenderness to palpation of these muscles, reduced muscle strength. Functional testing showed moderate violation of the static-dynamic functions. However, the pain scores were high. There is a moderately pronounced asymmetry of 0.6oC in the area of the knee. Impaired venous flow in the veins of the lower konecne vremenno with exposure to shock, with a pulse duration of 0, 5 MS, a frequency of 40 Hz, rated current 25 mA for 8 minutes daily, 8 procedures for the course was conducted by a cooling of the skin in the affected joints to 14oC, and the projection of the most painful muscles within 1/2 minutes from the total time of the procedure - to 8oC. in Addition, conducted background therapy - physiotherapy. Patient treatments endured well. After the first treatment the pain intensity decreased according to the visual analogue scale of pain by 78% from baseline to end of treatment pain in the muscles surrounding the hip joints and the quadriceps muscle of thigh almost didn't bother. Objective examination marked decrease in the severity of malnutrition muscles, no pain during palpation. A functional index has improved by 32%. These studies subjective status (visual analogue scale of pain) and objective clinical evidence of pronounced analgesic effect of treatments in the patient confirmed by the results of electroneuromyographic studies: after a single exposure to a 52% decrease in the ratio of amplitude of H-reflex to the amplitude of the M response compared with baseline levels, 0.3 MS increased latent wickramasooriya. After treatment in this way the asymmetry between the right and left knee joints decreased. It was also noted positive dynamics by RVG-indicators. Analysis of clinical, instrumental and laboratory data allowed us to assess the overall results of the treatment as a significant improvement.

Example 2. Patient 47 years old, diagnosis: Poliosteoartroz, nodular form, with a primary lesion of the knee. Bilateral anserinae bursitis. Synovitis left. Gout, inactive phase. Moderate violation of the static-dynamic functions. Hypertension Art. II, III Obesity Art. Complaints about pain in the knee joints, muscle pain. The General condition is satisfactory. Walking, limping. Knee joints defigueiredo, palpation of the muscles surrounding the knee joints, severe pain. Pain at the places of attachment of the lower heads of the quadriceps femoris. The temperature of the skin over the left knee joint, muscle hypotrophy hip and legs, more on the left, thickening of the fibrous capsule. Passive flexion of the knee joint on the left is accompanied by a sharp pain.

The patient was performed percutaneous electrical nerve stimulation. Conducted impact of the R on the course. While cooling the skin in the affected joints has reached 10oC, and the projection of the most painful muscles for 2 minutes to 4oC. in Addition, conducted background therapy - physiotherapy. The patient the procedure was well tolerated. Already after the first treatment, the patient noted significant relief, according to the visual analogue scale pain decreased by 92% of immediately after the procedure, then within 12 hours returned to the level at a third lower than before treatment. After three procedures noted a steady decrease in the intensity of pain in the muscles and ligaments surrounding the affected knee joints 35% according to the visual analogue pain scale, 1 point according to functional testing and, respectively, 70% by the end of treatment according to the analysis of visual analogue scale of pain, 3 points according to the functional testing. The patient stopped limping. After treatment, a functional index has improved by 35%. These studies subjective status and objective clinical assessment of pain intensity were confirmed by the results of electroneuromyographic studies. After a single exposure ratio N/M halved, latenta active and passive motion in knee joints increased, left knee completely straight without pain. Positive-side dynamics laboratory parameters of inflammation, other instrumental data. Analysis of clinical, instrumental and laboratory data showed that disturbing painful soreness of the muscles and ligaments surrounding the affected joint, was largely eliminated at the beginning of treatment. The overall result of the treatment were assessed as an improvement.

The proposed method of treatment was used in 45 patients aged from 33 to 78 years with worsening of osteoarthritis, with varying degrees of pain. In all patients before treatment was noted pain in the muscles surrounding the affected joints, especially under load, as well as pain at rest, increasing to the end of the day. Objective examination of the most frequently occurred swelling of the joints, increase, defigure, increased skin temperature, limitation of motion, functional contracture. Almost all patients were wasting of the muscles surrounding the affected joints and severe pain in these muscles. All patients had disorders of the static-dynamic functions according to functional testing. Already after the first ligaments, surrounding the affected joints. This occurred simultaneously with the reduction of other symptoms: increased range of motion, filmed functional contracture, patients were limping less, or was no longer limping, improved performance testing of static-dynamic functions. According to clinical, instrumental and laboratory investigations in the majority of patients showed a significant improvement.

Thus, the proposed method for the treatment of osteoarthritis, in contrast to the known, provides essential, up to 76+3.2% analysis of visual analog scales, and fast, i.e. within the first three procedures, the removal of pain in patients with osteoarthritis. This is achieved by optimally selected ratio of the intensity of cooling of the skin and of the parameters of transcutaneous electroneurostimulation in the projection of the most painful muscles surrounding the affected joint, when there is a balance reduction of the threshold of sensitivity of the patient to electrical pulses by cooling and painless for the patient increase the intensity of transcutaneous electroneurostimulation. As a result of application of the proposed method is significantly and quickly reduce blogchat General condition of the patient, improves mood, allows, without prejudice to the patient to reduce the total number of procedures, creates conditions for the most effective use of other physical factors, rapid rehabilitation and improvement of "quality of life" in General.

A method of treating osteoarthritis by conducting transcutaneous electroneurostimulation with a pulse duration of 0.5 MS for 8 to 12 min, characterized in that simultaneously with the influence of alternating current at a frequency of 40 - 60 Hz amperage 25 - 50 mA carry out the cooling of the skin in the area of the affected joint until 10 - 14oC, and the projection of the most painful muscles and ligaments for 0.5 - 2 min to 4 - 8oC daily for a course of 8 - 10 treatments.

 

Same patents:
The invention relates to ophthalmology

The invention relates to Electrophotography and is intended to influence the parameters of immunity in the treatment of acute and chronic diseases of the gastrointestinal tract (GIT), immunodeficieny States, such as dysbiosis, systemic diseases (psoriasis, atopic dermatitis, rheumatism, etc

The invention relates to medicine, cardiology
The invention relates to medicine, orthopedics
The invention relates to ophthalmology
The invention relates to medical equipment, namely to prosthetics

The invention relates to medicine, namely to neurosurgery, and can be used to treat myeloradiculopathy States, due to neirohirurgicheskii disorders (spinal cord injury, herniated intervertebral discs, spinal AVM of the brain, scar-adhesive arachnophobic, intraoperative injury with the development of postoperative malaisamy)

The invention relates to the field of biomedical engineering, and more specifically to electro-stimulation devices for the diagnosis and treatment of organs and tissues, and more specifically to improvements in the electrostimulator of gastrointestinal tract (GIT)

The invention relates to medicine, in particular to physiotherapy, and relates to the therapeutic effects of light on the human body in combination with other forms of energy, including magnetic field, electrical stimulation, mechanical therapy, vacuum therapy, etc

The invention relates to medical engineering, in particular to devices for physiotherapy
The invention relates to physiotherapy
The invention relates to medicine and can be used in addiction, anesthesiology and intensive care, toxicology

Mud tampon // 2245129

FIELD: medicine, in particular, physiotherapy.

SUBSTANCE: the tampon has an envelope filled with mud, head with the recess built in the cavity of the rear section of the envelope, limiter placed on the recess of the tail, socket screwed in the threaded section of the tail and two electrodes. One of them is installed in the cavity of the head, and the other - in the cavity of the tail. The electric wire is positioned in the cavity of the envelope in the longitudinal axis. One end of it is connected to the head electrode, and the other - to one of the terminals of the socket. The wire couples the tail electrode to the second terminal of the socket. The electric cord with a plug connects the socket to the current source. The electrodes are positioned opposite each other. The electric wire is placed in a non-conducting tube.

EFFECT: facilitated procedure of use.

4 dwg

Up!