The method of treatment of degenerative-dystrophic diseases of the spine

 

(57) Abstract:

The invention relates to medicine, arthrology. Exercise influence on biologically active points located in the area of the affected spine. Influence of laser radiation. The wavelength is not less than 1.06 Ám. The total capacity of not more than 2.5 kW. Influence of contact, a single pulse. Then at the same point injected drug solutions. The method provides lasting remission.

The invention relates to medicine, namely to traumatology and orthopedics, and can be used for the conservative treatment of patients with degenerative-dystrophic diseases of the spine.

The problem of choosing a method of treatment of degenerative-dystrophic diseases of the spine conservative methods remains unresolved up to the present time. Usually the success of the treatment is noticeable depending on the duration of remission of the disease, the degree of functional activity of the joint in remission, terms of disability - disability. Also important is the freedom of the patient from the drug loads in remission.

The known method of conservative treatment of degenerative dystrophies and orthopedic care in the clinic. Saint-Petersburg. 1994. S. 281) by applying acupuncture, laser therapy, magnetotherapy and perliminary blockages within 2-3 weeks.

However, relieving pain in acute condition, this treatment does not provide long-term remission has mainly symptomatic effects: in the area of the structures of the spine continue pathological changes, as may occur after treatment, the remission is always accompanied by drug therapy with the use of nonsteroidal anti-inflammatory, analgesic and cardiovascular drugs, which are also known to cause General and local complications. In addition, if not the exact adherence to the technique blockade may receive various complications, including death.

There is a method of treatment of degenerative-dystrophic diseases of the spine (M. A. Berlizov. Degenerative and post-traumatic joint diseases in outpatient practice. Act. speech. M,- 1993. -S. 21) by paravertebral injections of various drugs: rumalon, arteparon, hydrocortisone, etc., and laser therapy and acupuncture.

However, the known method can javarebel tissues, caller subsequently various chronic strain and myopathy with formation mythicism syndrome. The method does not provide drug-free remission after treatment, and the remission continues depending on the stage of the disease relatively short period of time: from a few weeks to a year.

As the closest analogue of the adopted method for the treatment of degenerative-dystrophic diseases of the spine (degenerative disc disease) (Petkovski I. P. Rehabilitation of patients with spinal osteochondrosis in terms of IFL and a sanatorium. The methodological. recom. Odessa, 1989) by exposure to a focused radiation of low-energy laser in the red spectrum on biologically active points (BAP) - segmental and tonic.

However, the known method does not solved the problem of constantly repeated warnings drug-free remission, and used low-intensity laser radiation has a small penetration depth, not always appropriate location depth BAHT. In this regard, the use of laser irradiation causes a rather General non-specific effect, rather than the impact directly on the BAT with getting a clear answer in the first method of treatment of degenerative-dystrophic diseases of the spine, to ensure a long lasting basicamente and repeat when repeat courses of remission, improvement of the intervertebral discs, prevent complications, concomitant anti-inflammatory therapy known drugs.

The invention consists in that in the method of treatment of degenerative-dystrophic diseases of the spine, including the impact on biologically active points of the focused laser radiation influence on biologically active spondylopathies points located in the area of the affected spine high-energy laser radiation with a wavelength of not less than 1.06 Ám with a total capacity of not more than 2.5 kW, contact, single pulse at each point, and then at the same point injected solutions of vitamins, drugs with local anesthetic, antipruritic and chondroprotective effect. With the defeat of the cervical spine using point - 11V, 21VB, with the defeat of thoracic - 12VG, 12V, 16V; lumbar - 23V, 25V, 28V, 32V, 34V on both sides. When combined with osteochondrosis syndrome "shoulder-brush" effect on point 11V, 21VB, 10GI, 14GI, 15GI, 16GI; and when Lomborg is SS="ptx2">

The method is highly effective. It allows almost 100% of cases to prevent the development of complications, trauma of the tissues, the aggravation of degenerative-dystrophic processes in the intervertebral discs, surrounding joints and tissues. Provides stable, long-term, repeat when repeat courses of treatment, basicamente remission. The method reduces disability and improves quality of life of patients, especially in the later stages of the pathological process.

The method has practically no contraindications. Contraindication can only be individual intolerance of drugs used for the introduction of biologically active spondylopathies point (BAST).

The authors first established the following.

System zones acupuncture is part of the apparatus of biological regulation of the body and is tasked with maintaining optimal energy level in accordance with the changing external and internal conditions, those of BAST are areas of energy exchange. Under the influence of irradiation of high-level neodymium laser changes their electrical conductivity. We have developed zvanicnika with the use of basic drugs with regard to the nature and localization of the pathological process. Comparative study of different methods of conservative treatment of degenerative-dystrophic diseases of the spine based on the injection of various drugs, showed a significant potentiation of the action of drugs, enter in BEST, and acceleration of clinical effect during the preliminary irradiation points of the laser. Under the influence of laser irradiation with a capacity of 0.5 - 0.6 kW in periodic mode with an interval between pulses of 1-2 with a total capacity per session point - 2-2,5 kW, showed a significant potentiation of the action of drugs, enter in BEST, and accelerate the timing of any clinical effect: on average 3-5 days after the start of treatment is relief of pain, improved function of the affected segment, including disappears muscle tension, tightness, and when participating in pathology limb (syndrome shoulder-brush, lumbodynia, ischialgia), respectively, improves the function of the concerned limb. The positive effect of the laser with the above parameters is provided by the light penetration depth, allowing you to lead BEST in the excited state and to improve the response points for drugs. Obligement, which in turn leads to the shortening phase of inflammation, and therefore speeds up the process of cupping process as a whole.

The method is as follows.

The biologically active spondylopathies points located in the area of the affected spine, influence of high-energy laser radiation with a wavelength of not less than 1.06 Ám with a total capacity of not more than 2.5 kW contact, single pulse at each point, and then at the same point, introduce a solution of vitamins and drugs with local anesthetic, antipruritic and chondroprotective effect. When the symptoms of involvement in the pathological process of the upper or lower limb, the combination of osteochondrosis syndrome "shoulder-brush or phenomena lumbodynia and ishialgii affect extra point.

To do this, locate biologically active spondylopathies points (BEST) according to anatomical landmarks. For example, the point 11V is on both sides of the spine 1.5 CUN laterally from the spinous process. To identify point spend a horizontal line through the spinous process and deviating 1.5 CUN Karu the aqueous vertebrae 1.5 CUN outward from the process. With the defeat of the lumbar spine with the involvement of the sciatic nerve or nerve root irritation possible combinations of points depending on the localization of pain. But not necessarily in every case, use point 23V. BEST combined as follows: 23V and 25V or 23V, 28V and 34V (at the clinic, and interest of the sacrum), or 23V and 34V on both sides. During exacerbation of about lumbodynia, ishialgii 23V, 28V, on both sides, 36V and 57V. During exacerbation of pathology of the cervical spine in combination with the syndrome shoulder-brush" points combined in the following way: always use the point 11V 21VB on both sides and add to the mix through day 10GI, 16GI and 14GI, 15GI from the syndrome. For the physical effects of domestic use neodymium laser apparatus "Good light" or import "SHARPLAN" Nd: YAG LAZER SYSTEM or other laser devices having the specified parameters. Perform the tuning apparatus for pulsed exposure regime, using a point light guide, allowing you to focus the laser radiation stream. Moving the fiber directly to the surface of the segment, first sequentially irradiated previously found biologically active points vysokoenergeticheskikh. The puncture points are produced at an angle of 90oto the skin surface, the depth of insertion of the needle is about 1 CUN.

Determine the nature of the flow of the process: the presence or absence of signs of synovitis. In the presence of phenomena of synovitis use an antihistamine, a local anesthetic (novocaine or its analogues), vitamin B12, protective agents. In BEST corresponding localization exacerbation of the pathological process, pre-irradiated with a neodymium laser, enter the above mixture of drugs in average therapeutic doses, spaced equally on all active points. The procedures are performed daily. Possible 1-2 day break in the middle of the course. Throughout the course of 10-14 procedures. Conducted a comprehensive conservative treatment with physical therapy, bracing drug therapy. The proposed method eliminates the use of steroid hormones. The criterion for remission is the normalization of indices and biochemical studies of blood levels of seromucoid and clinical results of the treatment: the function of the affected spinal segments, related lesions of the extremities, normalization veget bentosnyh drugs.

The method applied in 41 patients with degenerative-dystrophic diseases of the spine at the city hospital, Art. Russa and 15 clinical hospital, Moscow. Of them in age from 37 to 63 years were 22 women and 19 men. As a result, the method has provided a positive clinical result, based on the fact that for 3-4 days was docked pain syndrome, for 5-6 day significantly increased functional range of motion in the spine and extremities, passed tightness, decreased the severity of autonomic responses. Throughout the year, and more not mentioned headaches. Remission was from one year to ten years. A single patient had no complications as a result of the treatment.

Clinical examples.

Example 1. Patient M, 51, was on treatment for acute exacerbation of degenerative disc disease of the lumbar spine with radicular syndrome. The patient complained of pain in the lumbar spine with irradiation in the right gluteal region and posterior surfaces of the lower limb. Revealed "antalgic posture, the feeling of" weakness" in his leg. Objectively determined the reduction of pain and tactile sensitivity on the back of the thigh and golenia structure of the vertebrae, signs of spinal instability, schmorl's nodule L4-L5 lumbar vertebrae. Treatment: for 11 days was conducted therapy on BAST: point 23V (at the intersection of a horizontal line drawn through the apex of the spinous process of L2 lumbar vertebra and vertical lines on the edge of the paravertebral muscles), 25V (the intersection of the horizontal line through the middle of the spinous process of L4 and the vertical line on the edge of the paravertebral muscles) on both sides, 36V (in the center of the gluteal folds) and 38V (in the corner formed by the medial edge of the twin peak muscle and the lateral edge paliperidonesee muscles to 1 CUN above the popliteal crease) were irradiated with a neodymium laser with a power of 0.6 kW on a single point. After irradiation point it has introduced a portion of a cocktail of drugs: rumalon, suprastin, vitamin B12, lidocaine. At the same time, events were held: exercise therapy, the introduction of nicotinic acid and aloe parenteral N 10. On day 3 the pain decreased significantly improved gait. By the end of treatment lost the feeling of "weakness" in his leg. Two weeks later the patient returned to work. Remission for more than four years.

Example 2. Patient C. 46 years was in outpatient treatment of acute cervical degenerative disc disease. Marked the other torticollis. On radiographs of the cervical spine is reduced the height of the disks, the smoothing of the cervical lordosis, signs of instability in the region C3-C4. Patients received therapy for this scheme: laser point 11V (1.5 CUN laterally from the spinous process of the Th1 thoracic vertebra) and 21VB (mid trapezius muscle: the top of the vertical line through breast nipple until it intersects with the trapezius muscle) and the introduction of rumalon, lidocaine and vitamin B12 N 10. LFK, massage-relax, nicotinic acid and aloe parenteral. Welcome aktovegin, auravita. The course is two weeks. The condition rapidly improved. Headache is gone for 3-4 session. Pain and stiffness in the cervical spine and shoulder girdle held on 5-6 session. Therapy continued to consolidate the results. The patient began to previous work. Remission three years now.

The method of treatment of degenerative-dystrophic diseases of the spine, including the impact on biologically active points of the focused laser radiation, characterized in that the impact on biologically active points located in the area of the affected spine, high-energy laser radiation with a wavelength of not less than 1.06 Ám total thickness is of faminow, drugs with local anesthetic, antipruritic and chondroprotective effect.

 

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