The method of treatment of pain syndrome, osteoarthritis of the spine and the device for its implementation

 

The invention to medicine, namely to neurology. The invention allows to activate microcirculation in tissues, improves blood rheology, to achieve a relaxing and analgesic effect. The method is carried out by acting on the spine of the high-frequency electromagnetic field and at the same time exposure to low-intensity monochromatic radiation of visible and near infrared ranges with a small spectrum width. An electromagnetic field is formed by a sinusoidal signal in the frequency range 100 - 2000 kHz and modulated by the amplitude of the low frequency signal in the frequency range 15-8000 Hz by means of the radiator, which is made in the form of a resonant oscillating circuit. Effect of contact on dermatome in areas of irritation posterior roots of the spinal cord, along the spine paravertebral lines on the skin of the forearms, shoulder blades, buttocks, extremities, projected main vascular-nerve trunks. The device comprises a generator of sinusoidal signal of the oscillator with the carrier frequency of 100 to 2000 kHz. The inductive element of the resonant circuit of the oscillator is simultaneously the emitter element exposure. However, ustroiat, and provided with a path control, the input of which is connected to the oscillator circuit and which contains series-connected amplitude detector, a DC amplifier and indicator. The device also contains M LEDs connected in series and the power source. The power source and a low frequency generator is designed as a separate functional element. 2 AD. and 2 C.p. f-crystals, 4 Il.

The invention relates to medicine, namely to neurology.

Osteochondrosis is a system of degenerative-dystrophic lesion of the intervertebral discs and other tissues potoczna-motor segments.

The vertebro-neurological lesions are the most common chronic human diseases. Every second person in life feels clinical manifestations of osteochondrosis.

The main methods of treatment of pain syndromes of spinal osteochondrosis are conservative, i.e., nehirurgicheskim methods: medical, orthopedic, methods of manual therapy, physiotherapy.

There is a method of treatment of pain syndrome, osteoarthritis of the spine, including Voskresenie weakened stabilizing ligaments and capsules bootroom joints musculoskeletal spinal segments.

Medical practice has shown that the known method of treatment has limited therapeutic possibilities.

Wide application in medical practice has found exposure to low-frequency electromagnetic field with a frequency of 50 Hz [2].

So when the neurological manifestations of cervical, lumbar and thoracic osteochondrosis with reflex-tonic syndromes affect the pathological zone electromagnetic field with a frequency of 50 Hz using the device for magnetotherapy “Magniter” [3].

The disadvantage of this method is the use of low-frequency electromagnetic fields.

It is known that when the frequency of 50 Hz alternating current induced in biological tissues, is distributed mainly in the vascular and interstitial spaces around the cells, as the cell membrane at a frequency of 50 Hz are thousands of times more resistance compared to the extracellular fluid [4].

Therefore, when using low-frequency electromagnetic fields in the treatment of diseases it is necessary to significantly increase the power output.

So, for example, power consumption of the apparatus Magniter” 30 VA.

Large currents flowing through the extracellular fluid, an adverse action is itoe field with a frequency in the frequency range 100 - 1000 kHz [5].

In this case, the capacitance of the cell membranes will not interfere with the penetration of current into the cells and its density inside and outside the cells becomes comparable. The penetration depth of the electromagnetic field in biological tissue at a frequency of 100 kHz is equal to 120 cm at a frequency of 1000 kHz - 40 see With increasing frequency, the penetration depth decreases.

As a prototype, the accepted method of treatment by affecting the spine sinusoidal electromagnetic field with the element of exposure emitter.

The apparatus Magniter” is accepted as equivalent therapeutic device. The apparatus comprises a generator of sinusoidal signal, whose role performs industrial network with frequency of 50 Hz, and the item effects - emitter.

The objective of the invention is the enhancement of therapeutic effectiveness.

This is achieved in that in the method of treatment of pain syndrome, osteoarthritis of the spine by impact of physical factors, according to the invention, the impact on the spine carry out high-frequency electromagnetic field formed by amplitude-modulated sinusoidal signal with carrier frequency in the frequency range 100 - 2000 kHz and a modulation frequency in the range is but affect the spine irradiation of low-intensity monochromatic radiation of visible and near infrared ranges with a small width both radiator is designed as a single element of exposure, effect of contact on dermatome in areas of irritation posterior roots of the spinal cord, along the spine paravertebrally lines, as well as on the skin of the forearms, shoulder blades, buttocks, extremities, projected main vascular-nerve trunks, the item exposure move the reciprocating motion, the velocity of no more than 1 cm/S.

This is achieved by a device for therapeutic effects, contains a source of sine wave signal and an element of influence, according to the invention, the sinusoidal source signal is made in the form of the oscillator with the carrier frequency in the frequency range 100 - 2000 kHz, while the inductive element of the resonant circuit of the oscillator is simultaneously the emitter element exposure device is further provided with a low-frequency generator, the output of which through a modulator connected to the oscillator circuit with path control, the input of which is connected to the oscillator circuit, and includes series-connected amplitude detector, a DC amplifier and indicator contains M LEDs and the power source.

Sushnost the effects of physical factors, the influence exercised by an alternating electromagnetic field, which is formed of amplitude-modulated sinusoidal signal with carrier frequency in the frequency range 100 - 2000 kHz and constantly changing modulation frequency in the range of 15 to 8000 Hz, with simultaneous irradiation of low-intensity monochromatic radiation of visible and near-infrared wavelengths with small spectrum width. When exposed to the use of the joint element exposure containing the emitter of electromagnetic waves range 100 - 2000 kHz and emitter of electromagnetic waves in the optical range.

In Fig.1 shows a functional diagram of a device for physical therapy, and Fig.2 shows the element exposure Assembly; Fig.3 shows the electromagnetic emitter and the light emitter of Fig.4 - possible impact zones.

Device for physiotherapy contains an element of influence 1, power supply 2 and the low-frequency generator 3.

Item action contains the winding of the electromagnetic emitter 4, which by means of the capacitor 5 is connected to the oscillator circuit 6. Winding 4 at the same time acts as a radiator of electromagnetic waves in space and the role of inductive the ti winding 4 and the capacitance value of the capacitor 5. Operating frequency of the generator is selected in the frequency range 100 - 2000 kHz. To the output of the low-frequency generator connected to the input of the modulator 7, the output of which is connected to the oscillator circuit 6. The signal of the oscillator amplitude is modulated by low-frequency signal from the low frequency generator. The signal frequency is in the range of 15 to 8000 Hz and constantly changing (bobs). The oscillator circuit is connected to the channel control 8, which contains series-connected amplitude detector 9, a DC amplifier 10 and the indicator 11. The item impacts 1 contains a light emitter 12, which is made in the form M of LEDs connected in series and connected to the power source 2. The group includes red LEDs and infrared wavelengths.

The item impacts 1 is made as a separate functional element (see Fig.2) and includes a casing 13, which is fixed to a flat dielectric frame 14, to host winding 4, and the base 15, which is set to m, the LEDs 12. In the upper part of the casing 13 fixed fee 15, on which the elements of the circuits of the oscillator 6, tract control modulator 8 and 7.

The bottom of the casing is closed plastic is Astia 1 by means of the cable 19 is connected to the power source 2 and the low-frequency generator 5.

The power source 2 and the low-frequency oscillator 3 is structurally designed as a separate functional element.

The emitter of electromagnetic oscillations (Fig.3) includes a flat dielectric frame, which is made in the form of radially arranged blades with clearance, and has in the Central part of the hole. On the frame is placed a coil 4 made in the form of a spiral, wire each spiral turn around one or the other side of each petal frame. The odd number of blades.

The light emitter comprises a base 15 made in the form of a printed circuit Board with conductors running Meters of LEDs 12.

The treatment of the pain syndrome of spinal osteochondrosis of the proposed method electromagnetic resonance therapy is carried out by contact of the impact on dermatome in areas of irritation posterior roots of the spinal cord: the spinal column turn on paravertebrally lines, as well as on the skin of the shoulder girdle, shoulder blades, buttocks, extremities, projected main vascular-nerve trunks. For the impact of a new physical device.

The position of the patient lying on his stomach.

Palpation are the most painful point in about the ohms and a reciprocating move at a speed of not more than 1 cm/S. Possible areas of impact are shown in Fig.4.

The exposure time on the field:

cervical spine 3-5 minutes,

thoracic spine 5-7 minutes,

lumbar spine 7-10 minutes,

the area affected joints

when radicular syndromes 2-3 minutes,

When severe pain syndrome exposure is performed in conjunction with medication. For this purpose, a mixture of 20% aqueous solution of Dimexidum, 20 ml, 2% solution of novocaine in the amount of 10 ml, of sodium diclofenac in the amount of 25 mg

After producing a mixture of gauze moistened in a solution of the desired concentration and is applied on the affected area. The cloth top cover with plastic wrap.

Item effects are placed on the tape and start the action.

The exposure time indicated above. Treatment with medicines is carried out in 2-3 days. Then moved on to a conventional contact method of exposure. Treatment 7-10 sessions.

The proposed device and method of treatment allows to restore the circulation of blood and lymph in the structures of the spine, to achieve analgesic and anti-inflammatory effect.

Subjectively, the patients reported a positive is compulsory points along the neuro-vascular bundles, increased range of motion in the spinal column, disappeared or significantly decreased centers nanoactuators.

For a more objective assessment of the effectiveness of treatment for pain syndromes, osteoarthritis were removed electrical characteristics of the skin in the fields, where he made an impact, before and after treatment. The main sign of the normal state is the same conductivity current positive and negative polarity.

In patients with pain syndromes, degenerative disc disease before treatment at the level of the stakeholder segments were marked by two distinct features associated with the change of the electric characteristics of the zones. Firstly, there was registered an increase in the absolute current values, both positive and negative polarity. The current of positive polarity was increased by an average of up to 20 to 40 μa, negative polarity up to 40 to 80 μa. Secondly, the asymmetry factor, expressed as the ratio DC (+) polarity to current (-), was equal to 0.57+/-0.09. During treatment, the asymmetry of power in these areas decreased gradually, mainly due to the current of negative polarity. To 7-10 sessions magnetic resonance therapy, when patients had a significant reduction in pain, the coefficient of the Agen asymmetry of the conduction current shows in pathological conditions of the soft tissue in the affected area become semiconducting properties. After treatment restored the intervertebral ratio and related disorders of the peripheral nervous system. In the analyzed segments of the spine again acquire the properties of conductors with the same bilateral conductivity. Biophysical parameters become similar or equal to those from a group of healthy people.

One of the manifestations of acute pain syndrome osteoarthritis is considered a violation of blood supply to the tissue surface, reflecting mainly the interest of the autonomic nervous system. For the evaluation of local vegetative-vascular changes were recorded skin temperature in regions of the electromagnetic field. The electric thermometer, skin was performed before and after treatment in healthy and diseased side. It was determined a clear asymmetry to 1.5-2.0°C to exposure in the field of pathological segments with respect to the norm. Also found that after the electromagnetic exposure in the field of pathological segments skin temperature increased to 0.8-2.0°C in 5 min, which indicates that Ulu is Thus electric thermometer allowed to objectively assess the nature of the violations of surface blood flow and, consequently, involvement in the pathological process of the relevant structures of the autonomic nervous system, to objectify the effectiveness of treatment of patients with pain syndromes, osteoarthritis method of electromagnetic therapy.

Act alternately on paravertebrally lines left and right of the spinous processes.

The proposed device for therapeutic treatment is intended for the treatment of inflammatory diseases in various fields of medicine. In the apparatus as a therapeutic effect is used, the effect on biological tissue electromagnetic field formed by the amplitude-modulated high-frequency sinusoidal signal with carrier frequency in the frequency range 100 - 2000 kHz, with a constantly changing modulation frequency in the range of 15 to 8000 Hz, and low-intensity monochromatic radiation of visible and near infrared ranges with a small spectrum width.

The impact without causing the generation of endogenous heat in biological tissues, restores blood circulation and stimulates microcirculation in the tissues, improves the rheological soistmann the influence of electromagnetic waves of radio wave and optical ranges allows to obtain the synergistic effect of the influencing factors (total effect greater than the sum of effects of each factor), which significantly increases the total therapeutic effect of treatments.

Under the action of the electromagnetic field of the radio wave range decreases the optical density of biological tissues, resulting in increased penetration depth of the radiation in the optical range and increasing its therapeutic efficacy.

Sources of information

1. RF patent №1835299, class 5 And 61 1/18, 1993, bull. No. 31.

2. Soloviev, R. Magnetotherapy apparatus. - M.: Medicine, 1991

3. The device for magnetotherapy “Magniter”. A comprehensive catalogue “products for the communications industry”. Series 1 Radiosurgically devices, thematic catalogue of Electronic medical equipment”, - M.: AO "ECOS", 1994, S. 19.

4. Gurevich, M. I. and other Impedance realtystore. Kiev, Nauk. Dumka, 1982, S. 18.

Claims

1. The method of treatment of pain syndrome, osteoarthritis of the spine by impact of physical factors, characterized in that the influence exercised by the high-frequency electromagnetic field formed by amplitude-modulated sinusoidal signal with carrier frequency in the range of 100-2000 kHz and a modulation frequency in the range 15-8000 Hz using the CNIC irradiation of low-intensity monochromatic radiation of visible and near infrared ranges with a small width both radiator is designed as a single element of exposure, effect of contact on dermatome in areas of irritation posterior roots of the spinal cord along the spine paravertebral lines, as well as on the skin of the forearms, shoulder blades, buttocks, extremities, projected main vascular-nerve trunks, the item exposure move the reciprocating motion, the velocity of no more than 1 cm/S.

2. Device for therapeutic treatment, comprising a generator of sinusoidal signal and an element of influence, wherein the sinusoidal signal generator is made in the form of the oscillator with the carrier frequency in the frequency range of 100-2000 kHz, while the inductive element of the resonant circuit of the oscillator is simultaneously the emitter element of influence, further provided with a low-frequency generator, the output of which through a modulator connected to the oscillator circuit with path control, the input of which is connected to the oscillator circuit, and which includes series-connected amplitude detector, a DC amplifier and indicator contains M LEDs connected in series, and the power source.

3. Useni flat dielectric frame to host winding inductive emitter, the fee, which includes the oscillator, modulator and path control, and M LEDs mounted on the substrate and connected in series.

4. The device according to p. 2, characterized in that the element effects the winding of the inductive emitter is placed on a flat dielectric frame, which is made with a Central hole in the form of radially arranged blades with a gap, and the winding is made in the form of a spiral, wire each spiral turn around all the petals from coil to coil a wire around one or the other side of each petal frame.



 

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FIELD: medicine; medical engineering.

SUBSTANCE: method involves acting upon pathological cells and tissues with constant and/or low frequency alternating electromagnetic field of 1 to 100 mTesla units large intensity and frequency of 1 to 1000 Hz. The device has means for producing constant and/or low frequency alternating electromagnetic fields permeating working space.

EFFECT: enhanced effectiveness in treating pathological tissues without harmfully influencing healthy cells.

19 cl, 5 dwg, 5 tbl

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