A method of treatment of hernias of intervertebral disks

 

(57) Abstract:

The invention relates to medicine, and neurology. Affect corporeal biologically active points (BAP) tonic, local and segmental actions. The impact of exercise silver acupuncture needles daily for 30-60 minutes. Additionally, influence of electromagnetic radiation of extremely high frequency and/or variable pulse electric shock. The exposure is performed via a silver needle, is introduced into the zone of the periosteum interested vertebrae and/or local BAT in the zone of localization of the hernia. The local impact through the session alternated with impact silver needles on the projection area of the scalp. The method increases the duration of remission, preclude surgical intervention. 3 C.p. f-crystals.

The invention relates to medicine, in particular to reflexology, and can be used in the conservative treatment of hernias of intervertebral discs (IVD).

Known methods of conservative treatment of hernias MTD, using anti-inflammatory drugs, analgesics, therapeutic blockade, physiotherapy, kinesitherapy, massage, manual therapy, lazarote the Russian Federation No. 2078596 "Method of laser therapy pain of musculoskeletal system"; Pat. Of the Russian Federation No. 2190384 "a Method for the treatment of hernias MTD"; Mazaltov H. A. and others "Treatment of hernias MTD in the lumbar spine," journal of traumatology and orthopedics, M., No. 3, 1997; Volchkov Century A. and others, "long-term results of treatment for low back pain caused by herniated MTD, when using conductive blockades", SPb., Of Semey state medical University n.a. Acad. I. P. Pavlov, 1999).

Known treatment of diseases of the spine by the impact of acupuncture needles on biologically active points (BAP) tonic, local and segmental actions (I. H. Samosyuk and B. N., Lysenok. "Acupuncture encyclopedia", Kiev, Moscow, 1994, S. 435-438).

However, although there are many different ways to treat the number of people suffering from pain in the spine, not reduced. Prevalence among the population of the globe spinal diseases take the first place. Therefore, it remains an urgent task of developing new treatments for these diseases, in particular methods of treatment of hernias MTD.

The closest treatment to the claimed method is the treatment of spinal diseases the influence of acupuncture needles on corporal biologically active points tonic, local and segment method does not guarantee long-term remission and possible exceptions of surgical intervention in the treatment of herniated intervertebral disk.

The technical result of the claimed invention is to increase the duration of remission and exclusion of surgical intervention.

The technical result is achieved due to expansion as places of influence, which in the invention are not only corporeal biologically active points (BAP) tonic, local and segmental actions, but also areas of the periosteum of the vertebral bodies in the field of lokalizacji hernia and the projection area of the scalp, and factors, such as silver needle, pulsed alternating current and electromagnetic radiation of extremely high frequency (EHF EMR).

New in the claimed method is the following:

- impact on corporal biologically active points (BAP): a restorative BATH, segmental BAHT, the local BAT located in the area of the hernia MTD, areas of the periosteum of the vertebral bodies and the projection zones of the scalp;

- the impact of not only silver acupuncture needles, but also electromagnetic radiation (EMR) extremely high frequency range (UHF-band), variable pulsed electric current.

The expansion of the zones of influence (corporal BAHT, zone of the periosteum of the vertebral bodies in Oblasty on the affected area (local BAP, zone of the periosteum of the vertebral bodies in the affected area - the location of the hernia), but also by providing a positive impact on the parts of the pathological process, located in the cerebral cortex, through reflex effects through corporeal segmental BAHT, and through the zone of the scalp.

Expansion factors (silver needle, AC pulsed electric current, electromagnetic radiation of extremely high frequency) allowed to achieve the specified result is not due to a simple summation of positive effects on the body of each of them, but due to the mutual potentiation of their positive influences that led to the receipt of a new technical result, which was a significant increase in the duration of remission (up to 5 years or more) and the ability to do without surgical treatment of intervertebral hernias.

The method is as follows.

In each session, carry out impact silver acupuncture needles on corporal BAT: 2-4 tonic, 1-2 segmental and 2-5 local (zone localization hernia MTD).

Local effects operate through the introduction of silver needle electromagnetic radiation KRA is the area of the lesion (the location of the hernia MTD), the local impact of alternate through the session with impact silver needles on the projection area of the scalp. Sessions are conducted daily at the rate of 10-12 sessions lasting from 30 to 60 minutes. If necessary, repeat the treatment with an interval of 10 days.

The impact of millimeter electromagnetic EHF radiation is performed with the help of the generator of high-frequency signals G4-81, which emits a signal of electromagnetic radiation frequency to 5.6 GHz. Through high-frequency horn antenna system of the type Pb-35 electromagnetic wave is directed to the portion of the needle outside the patient's body, induces an EMF, which in turn generates the alternating currents in the conductor (the needle), located in the body of the patient.

The radiation source of the electromagnetic wave are placed in such a way as to ensure maximum reflection from the flat boundary line air-to-body." Radiant system provides vertical polarization, i.e., the direction vector of the electric component of the electromagnetic field EHF perpendicular to the interface, and the vector magnetic component of the electromagnetic field EHF lies in its plane.

Impact electrically snogo current bipolar orientation: voltages up to 12 V, the current strength of 10 to 500 µa, pulse duration 6 sec +, 2 sec, 2 sec pause.

The possibility of realization of the invention shown in the examples.

Example 1. Patient I., 61 appealed with complaints of severe persistent pain in the lower back, irradia in the right buttock and thigh, inability to walk and sit. Considers himself ill about 5 months, when after heavy lifting there was a sudden pain in the lower back. Notes the emergence of such pain and previously with hypothermia and after heavy lifting, which took place without treatment.

Objective: Somatic status without pronounced features.

Neurological status: when the inspection takes antalgic posture based on a crutch and healthy leg. The muscles of the lumbar region is very tense, painful on palpation, S-shaped left-sided scoliosis. Lumbar physiological lordosis smoothed. Disorder of sensation in the area of innervation of the roots of L₃-L₄, L₅-S₁on the right side. Knee and ankle reflexes on the right are not called, the positive symptom of Lasaga with angle 20.

With additional study on a series of MRI tomograms performed in the sagittal and axial projections, in the modes of spin - and gradient oslablenie Mr signal from the disk L₁-L₂, L₅-S₁whose height is significantly reduced. Dural space narrowed disk-level L₁-L₂, L₅-S₁. The posterior fragment of the disk L₁-L₂acts in the lumen of the spinal canal to 2.5 mm, the axial slice at this level most laterality right. The posterior fragment of the disk L₁-S₅stands up to 4.5 mm, has left paramedial localization. The axial slice at this level projection of the lumen of the left intervertebral holes significantly narrowed presents inhomogeneous MRI signal. Mr signal from the structure of the dural space inhomogeneous at this level.

Conclusion: osteochondrosis of the disks L₁-L₂, L₅-S₁with the presence of posterior exostosis at the level of L₅-S₁. The medial protrusion of the disk L₃-L₄with moderate lateralization to the right. Left paramedicine protrusion of the disk L₅-S₁.

On the basis of patient complaints, objective data and additional methods of examination exhibited clinical diagnosis of osteochondrosis of the lumbar spine, protrusion of disks L₁-L₂, L₅-S₁. Right discogenic lumboischialgia 4 months now. From surgical treatment the patient refused.

The treatment by the proposed method.

1 session.

Performed impact silver needles putting them in corporeal BAHT for 60 minutes. Used points restorative action GI(II)₄Hae-GU, E.(III)₃₆Zu-San-Li, E(III)₃₄Liang-Qiu; local point T(XIII)₃Yao Yang Guan, V(VII)₂₄Qi-Hai-Shu, V(VII)₂₅Yes-Chan-Shu points segmental actions of VC(XI)₃₀Huang-TNW.

In the point T(XIII)₄Min-men was introduced silver needle, the handle through which the horn antenna system sent a signal of electromagnetic radiation frequency of 4.5 GHz from the generator GC-81. The duration of exposure to electromagnetic EHF - 30 minutes

In the transverse processes of the vertebra L₃to the periosteum were introduced symmetrically silver needle, which was affected by variable pulse electrical current voltage of 6 V, a value of 200 µa bipolar orientation with pulse shape: 6 sec +, 2 sec, 2 sec pause. The exposure duration is 30 minutes.

2 session

Performed impact silver needles putting them in corporeal BATH for 40 minutes. Used t the his T(XIII)₅Suan-Shu, V(VII)₂₆Guan-yuan-Shu points segmental actions VB(XI)₂₉Ju-Liao, V(XI)₃₁Feng-Chi.

Influenced motor area (1) scalp symmetrically on two sides by the introduction of silver needles for 40 minutes.

3 session

Performed impact silver needles putting them in corporeal BAHT for 30 minutes. Used points restorative action Rp(IV) San-Yin-Jiao, GI(II)₄Hae-GU; local point T(XIII)₃Yao Yang Guan; segmental point in the field of pain radiation.

Local BAT T(XIII)₄Min-men affected by electromagnetic EHF radiation through the introduction of silver needle as described in session 1, for 30 minutes.

In the spinous and transverse processes of the vertebral body L₄to the periosteum were introduced silver needle (0.9 mm), which was applied alternating electric current of a bipolar orientation voltage of 4 V, a value of 30 μa, with the pulse shape described above. The duration of electrical stimulation to 40 minutes.

4 session

Performed impact silver needles putting them in corporeal BAHT for 30 minutes. Used point: a restorative point R (XIII)₄Da-Zhong, HC(XI)27Xiao Chang Shu, V(VII)₃₁Shang Liao, T.(XIII)₂Yao Shu; segmental point V(XII)₆₂Shen-Mai - right.

Worked on the motor-sensory area of the scalp (10) feet silver needles for 30 minutes

Further treatment was carried out similarly. The choice of acupuncture points and the degree of stimulation was dependent on the General condition of the patient and the dynamics of the disease.

It held 12 sessions. After the treatment, no complaints. The symptom of Lasaga negative, knee, Achilles reflexes are triggered by both sides, sensitive disorders are not identified. Patients walk independently without support. The series of control MRI performed in the sagittal and axial projections, there was a visible improvement. Herniated disc L₁-L₂not defined, posterior fragment of herniated disc L₅-S₁significantly decreased (up to 1.5 mm), dural space is not komprimirovannom, saved degenerative-dystrophic changes. Conclusion: MRI signs of osteochondrosis of the lumbosacral spine, clinically significant hernias MTD is not defined.

Example 2

Patient C-VA C. S., 41, has complained of severe pain in the neck is the weight carried water in buckets). After heavy lifting suddenly there was pain and aches in the neck, and then in the left upper extremity.

Objectively. Somatic status without pronounced features. Neurological status: h/m innervation without features, expressed tonic muscles of the upper shoulder girdle, left forearm and hand swollen, the skin of the forearm and hand with cyanotic tint, upset sensitivity of the lower third of the forearm and hand. The decrease in muscle strength up to 2 points, a sharp restriction of active movements of the left upper extremity.

With additional research methods on a series of MRI tomograms weighted T₁and T₂three view cervical lordosis is straightened. The height of the disk of the investigated area and the signals on T₂reduced. Diffuse disc protrusion WITH₃-C₄. Rear medial hernia₅-C₆to 0.8 mm, comprimida dural bag. The lumen of the spinal canal is narrowed at the level of disc herniation, spinal cord structural, the signal from the modes on T₁and T₂not modified.

Conclusion. MRI picture of degenerative changes of the cervical spine, complicated multiple disk herniation (C₃-C₄₅Wai Guan - symmetric, E(III)₃₆Zu-San-Li - symmetrically; point local action T(XIII)₁₄Yes-Jui; segmental point IG(VI)₁₂Bin Feng, IG(VI)₁₄Jian Wai Shu - symmetrically.

In point V(VII)₁₀Tien-Shu put silver needle, through which in the course of 40 minutes was affected by electromagnetic EHF radiation.

In the transverse processes of the vertebral bodies WITH₅and C₆to the periosteum put silver needle, through which in the course of 40 minutes was affected by pulse electric current of a bipolar orientation with the parameters described above.

2 session

Performed impact silver needles putting them in corporeal BAHT for 30 minutes - T(XIII)₄Min Men. Used point: tonic(III)₃₆Zu San Li - symmetrically, GI(II)₁₁Qu Chi - symmetrically; local point T(XIII)₄Min men, T(XIII)₁₄Yes Joy, (VII)₁₁Yes Zhu - symmetrically.

Worked on the touch zone (III) scalp acupuncture silver needles for 40 minutes.

A total of 12 similar procedures. After treatment no complaints. Movement in the Le is different disorders are not detected.

The series of control MRI tomograms weighted T₁and T₂3 projections, compared with Mr tomograms of two weeks ago is determined by the positive dynamics in the form of a reverse development hernia₅-C₆(the hernia is not defined). Significantly decreased protrusion (up to 0.3 mm)₃-C₄. Otherwise, the Mr pattern of degenerative changes of the cervical spine.

The follow-up period have been traced for 5 years. The patient healthy, continues to run.

Example 3

Patient B s C. I., 28 years old, came with complaints of pain in the chest and upper thoracic spine, difficulty with a deep breath. Considers himself ill about 6 years, when during sports dropped from a height of about 2 meters. Notes periodic subsidence and the sharpening process. Last exacerbation 3 months ago connects with hypothermia.

Objectively. Somatic status without pronounced features.

Neurological status: cranial innervation without features. The tendon reflexes of the arms, legs, uniform, sensitive disorders are not identified. Palpation of the spinous processes of Th₅-Th₁₀₁and T₂three view thoracic kyphosis is not modified. Height drives Th₆-Th₇, Thg-Th₁₁and the signals on T₂reduced. Schmorl's nodule Th₇-Th₈and Th₉-Th₁₀(up to 4 mm). The lumen of the spinal canal usual, the signal from the bone marrow is not changed, the spinal cord structural.

Conclusion. MRI picture of degenerative changes of the thoracic spine. Multiple schmorl's nodule (Th₇-Th₁₁). From surgical treatment, the patient refused.

The treatment by the proposed method: 10 daily sessions lasting 40-60 minutes. After treatment no complaints. The series of control MRI tomograms weighted T₁and T₂in three dimensions, in comparison with the Mr-study two weeks ago there was a visible improvement. Schmorl's hernia Th₇-Th₈is not defined. A marked decrease in the size of the hernia Th₉-Th₁₀(up to 2 mm). The rest - Mr-picture in the thoracic spine still. The follow-up period was tracked for 5 years.

Example 4

Patient L-B. N., 50 years old, came with complaints of persistent pain on the anterior surface of the right tibia, displacement is with sports (Alpine skiing) and frequent injuries.

When additional testing on a series of MRI of the lumbosacral spine physiological lumbar lordosis moderately straight, MRI signs of degenerative-dystrophic process in the form of changes in the intensity of the Mr signal from the intervertebral discs mainly at the level of L₅-S₁with a significant reduction of bone boundary enlargement, fatty degeneration of the bone marrow adjacent surfaces of the bodies L₅and S₁and local areas tel Th₁₂and L₂.

The most significant changes are identified at the level of L₅-S₁where severe rear-side protrusion of the disc causes compression of the anterior epidural space, dural SAC, a little more paramedicine left, a significant narrowing of the intervertebral holes and, probably, the compression of the roots.

At the level of L₄-L₅revealed diffuse disc protrusion in an arc of large radius, slightly asymmetric, more to the left with narrowing of the left lateral pockets and intervertebral foramen. Komprimieren dural bag, which also davlen in the lateral parts of the thickened yellow ligaments.

At the level of Th₁₂and L₁detected localaction narrowing of the intervertebral foramen, maybe podavlivaya spine. Gipertrofirovannyy and pointed articular facet (with signs of subchondral sclerosis intervertebral joints at these levels).

Conclusion. On MRI signs of osteochondrosis of the lumbosacral spine with marked diffuse disc protrusion L₅-S₁and L₄-L₅. Driver local protrusion of the disc Th₁₂-L₁. Deforming spondylarthrosis. MRI control in the dynamics.

From surgical treatment the patient refused.

The treatment by the proposed method.

1 session

Performed impact silver needles putting them in corporeal BAHT for 60 minutes. Used point: bracing points GI (II)₁₁Qu-Chi - symmetric, E(III)₃₆Zu San Li - symmetrically; local point T (XIII)₄Min-men; segmental point V(VII)₄₀Wei-Zhong - symmetrically.

In the transverse processes of the tel L₄and L₅to the periosteum put silver needle, through which was passed a variable electric current of different orientation (6 sec +, 2 sec, 2 sec pause), the size of 250 µa. The exposure time is 30 minutes.

2 session

Sudeste point GI(II)₄Hae-GU - symmetrically; local point T(XIII)₄Min-men; segmental point V(VII)₆₀Kun-LUN - symmetrically.

Within 30 minutes wrought silver needles on the motor-sensory area (10) feet of the scalp.

3 session

Performed impact silver needles putting them in corporeal BAHT for 60 minutes. Used restorative point GI(II)₁₀Show-San-Li - symmetrically, Rp(IV)₆San-Yin-Jiao - symmetrically local point T(XIII)₃Yao Yang Guan, V(VII)₂₅Yes-Chan-Shu - symmetric, V(VII)₂₆Guan-yuan-Shu - symmetric, V(VII)₂₈Pan Guang-Shu - symmetric, V(VII)₅₆Cheng-Jin, V(VII)₅₇Cheng-Shan.

In the transverse processes of the body L₅to the periosteum were introduced silver needle, through which was affected by electromagnetic EHF radiation, as described in session 1 of example 1, and through the same needle electric current was passed bipolar orientation with parameters as described above. The exposure time is 40 minutes.

There were 2 courses of 12 sessions with a break between courses of 10 days. After treatment no complaints. The series of control MRI of the lumbosacral spine intervertebral hernia Neva was not.

Thus, the claimed method allows to achieve a therapeutic effect and the conservative treatment of hernias of intervertebral disks to increase the duration of remission.

1. A method of treatment of hernias of intervertebral discs (IVD), including daily exposure acupuncture needles on corporal biologically active points (BAP) tonic, local and segmental actions within 30-60 min, wherein the exposed silver needles and additionally carry out local effects of electromagnetic radiation of extremely high frequency (EHF EMR) and/or variable pulse electric current through a silver needle, is introduced into the zone of the periosteum interested vertebrae and/or local BAT located in the zone of localization of hernia, with local impact through the session alternated with impact silver needles on the projection area of the scalp, in the course of 10-12 sessions held daily.

2. The method according to p. 1, characterized in that the electromagnetic radiation is performed with the frequency to 5.6 GHz, within 30-60 minutes

3. The method according to p. 1, characterized in that the impact of implementing a variable bipolar pulsed electrical current voltage on the governmental needles on the projection area of the scalp have within 30-60 minutes