A method of treating degenerative disc disease

 

(57) Abstract:

The invention relates to medicine, namely to the field of physiotherapy and can be used for treatment of nervous system diseases of the spine. Effect of low-intensity infrared laser radiation, modulated low frequency not more than 3 Hz, with an energy of not more than 50 j, the wavelength of 960 nm paravertebral right and left along the entire length of the spine within 1 minute. Then, after lubricating the affected area of the spine fir oil, effect of low-intensity ultrasound modulated low frequency up to 3 Hz, with a capacity of not more than 0.1 W/cm2on the intervertebral discs in the area of exit of the spinal nerves within 2 minutes. Spend 15 treatment sessions. The method allows to increase the effectiveness of treatment of degenerative disc disease by improving blood circulation and lymphocirculation, reduce venous edema, destruction and fibrosis of the connective tissue membranes surrounded by roots, accelerating the dissolution of salt deposits, removing the pain, inflammatory processes, improve muscle tone and muscle contractures. table 2.

The present invention relates to the field of Medizintechnik.

Known methods of treatment of osteochondrosis by the massage of the soft tissues from the sacral area to the occiput, mobilization aimed at eliminating compression syndrome, relaxation of the muscles of the neck and thoracic spine, systematic muscle tension and stretching of the spine (1, 2), by exposure to UHF lectromagnetic waves and sinusoidal electric shock (3).

The closest is a method of treating degenerative disc disease (4), consisting of sequential procedures: electrotherapy, aimed at the blockade of pain, by introducing into tissue anesthetics in combination with medication, physical therapy and swimming, hand massage, the impact of biogenic stimulants and vitamins.

However, the known method of treatment is not effective enough because of the lack of objective assessment of cerebral blood flow, voltage adaptive reactions of the organism, morpho-functional changes in connective tissue, nerve, muscle tissues, effects on degenerative and inflammatory processes, circulation and microcirculation, reflex effects on the Central nervous system.

Based on the existing level of treatment technologies is ecene of osteochondrosis by improving blood circulation and lymphocirculation, reduction of venous edema, destruction and fibrosis of the connective tissue membranes surrounded by roots, accelerating the dissolution of salt deposits, removing the pain, inflammatory processes, improve muscle tone and muscle contractures.

The set task is solved as follows.

Treatment of osteochondrosis is carried out by exposure to massage the spine, the introduction biogenic stimulants and vitamin therapy. New in the solution of the problem is the fact that additionally influence modulated low frequency not more than 3 Hz, low-intensity infrared laser radiation with an energy of not more than 50 j, the wavelength of 960 nm paravertebral right and left along the entire length of the spine within 1 minute. Then, after lubricating the affected area of the spine fir oil, effect of low-intensity ultrasound modulated low frequency up to 3 Hz, with a capacity of not more than 0.1 W/cm2on the intervertebral discs in the area of exit of the spinal nerves within 2 minutes. Spend 15 treatment sessions.

Explain any significant distinguishing features of the proposed method.

The modulated and the paravertebral left and right along the length of the spine may affect a number of mechanisms of the body.

Currently, among the objective and numerically described in conventional medical practice, the medical action of the laser can be called such as reducing blood viscosity, promote microcirculation of blood in the tissues, analgesic effect. However, regardless of the primary mechanisms of laser radiation absorption, therapeutic effect is achieved by integrating body systems - nervous, circulatory and immune (5, 6). Crucial in therapeutic result, we have the parameters of laser radiation, and is now firmly established that the laser radiation in the wavelength range of 0.4-1 μm with a power density of 1 mW/cm2up to 1 W/cm2has a stimulating effect on various processes in biological tissues, organs and the organism as a whole (7).

Biological effects of low energy infrared (IR) radiation is of a soft nature, and its effect is not energy, but rather an information control. It is also important that low-intensity laser irradiation has no genetic effects and is not inherited (8).

The radiation of the infrared range having a wavelength of 960 nm and a power of up to 50 at radiation “transparency window” (9). Thus, the radiation reaches all the dermal and subdermal, nervous and vascular plexus and structures, as well as muscle layers.

Biorhythms are the very basis of life. Experimental data on laser therapy (8, 9, 10) showed that when the parameters of the biorhythm of the body can achieve greater therapeutic effect (10). This means that the frequency of the radiation parameters should be as synchronized with a specific physiological biorhythm. According to Botoucharova centuries (11), one of the most important biorhythms of organs and tissues is a biological rhythm with a frequency of 0.2 to 3 Hz. This rhythm provides accelerated passage of blood through the body, accelerated metabolism and gases between blood and tissue and drain fluid from the intercellular spaces in the lymphatic vessels.

Then after lubricating the affected area of the spine fir oil impact modulated low frequency range up to 3 Hz low-intensity ultrasound with a capacity of not more than 0.1 W/cm2on the intervertebral discs in the area of exit of the spinal nerves, which provides thermal and nonthermal effects. Thermal effect when applied to the muscle tissue up to 40 to 50°accompanied by uvebrant, changing the concentration gradient and hence influence the diffusion of ions to molecules through the membrane, increasing its permeability and oxygen (14). In addition, the effects of ultrasonic vibrations in resonance with proof fabrics, we strengthen the positive effect associated with blood flow, metabolism, lymph drainage therapy (11), and prevent the formation of microthrombi (13).

The use of pine oil improves blood circulation, pain relief, removal of the inflammatory process. With an amazing “permeability factor”, and with the help of ultrasound, biologically active substances fir oil can easily penetrate through the skin into the tissues directly to the very center of the disease.

The 15 sessions of treatment is optimal to achieve a positive treatment outcome.

Conducted patent research subclass a 61 N 23/00, 39/00, And 61 N 1/05, 1/32, 5/00, 5/02, And 61 In 5/04 and analysis of scientific and medical information that reflects the existing level of treatment of osteochondrosis, did not reveal technology that is identical to the one proposed. Thus, the proposed method for the treatment of osteochondrosis is new.

The relationship and interaction of beings is that in solving the problem, namely, to increase the effectiveness of the treatment of osteochondrosis by improving blood circulation and lymphocirculation, reduce venous edema, destruction and fibrosis of the connective tissue membranes surrounded by roots, accelerating the dissolution of salt deposits, removing the pain, inflammatory processes, improve muscle tone and muscle contractures. Thus, the proposed solution involves an inventive step.

The proposed method for the treatment of osteoarthritis is industrially applicable in the field of practical health care, as it can be played repeatedly without requiring exceptional resources to implement.

The essence of the method consists in the following.

Before treatment according to REG, EMG, ECG of the patient determine the metabolism and blood flow to the brain, degenerative changes in the spinal roots and muscles, muscle hypertonicity, impaired regulation of heart rhythm, the degree of tension of adaptive reactions of the organism, the differential diagnosis of cardiac pain. The patient after treatment with alcohol skin lay on the area of the spinal needle applicator 20×30 cm At neck-grunge lumbar, and lay the patient on his back for 20-30 minutes Then raise the patient involved and wipe the skin area with alcohol. In the position of the patient lying on his stomach” influence of infrared, modulated low frequency from 0.2 to 3 Hz, low-intensity laser energy from 10 to 50 j, the wavelength of 950 nm paravertebral sequentially shifting the laser on the length of the emitter along the entire spine. The exposure time is one minute. The total time is determined by the length of the spine. Then, lubricating Sano thoracic or lumbar spine fir oil, affect the ultrasound modulated low frequency of 0.2-3 Hz, low-intensity, power of 0.1 W/cm2on the intervertebral discs and the exit area of the spinal nerves, starting from the second cervical and sixth thoracic vertebrae in the cervical-thoracic osteochondrosis and from the first to the fifth lumbar vertebrae in the lumbar. The contact time of one point two minutes. Then spend vibration massage psegment, along exit the spinal roots within 10-15 min. vibration Frequency of 10 Hz. After the above procedures have injections subcutaneously 1 ml PHIBBS and vitamins B1, B6, B12 (500 mcg) and 1 ml, alternating between 31 and vitamins B6 black is Saga, bio - vitamin injection is 15. A pronounced therapeutic effect usually occurs after 5-8 procedures.

The proposed method of treatment was applied in the treatment of patients with cervical osteochondrosis (25 men and 36 women) and lumbar osteochondrosis (42 males and 38 females), aged from 31 to 65 years with a mean disease duration of 1-10 years.

As a result of the treatment of pain along the spine and headaches, diminished or disappear pain during flexion to extension of the spine, palpation of the spinous processes, increases the amount of rotary motion, improve blood circulation and metabolic processes in the impact zone, blocked pathological impulses that support pain focus on different levels of their occurrence, there is a reflex decrease in muscle hypertonicity, decrease inflammation, are resorption of salts in the bone joints of the spine.

The essence of the proposed method is illustrated by clinical examples.

Example 1. Patient H, 61. Diagnosis: Cervical osteochondrosis. History:

Complaints of headache, dizziness, pain in the neck when turning head, pain in the heart, sometimes to the left. During examination of the patient revealed induration in the area of seventh cervical vertebra, pain when bending and turns heads, tenderness to palpation of the spinous processes and paravertebral points nigricana spine. According to REG were identified (pool carotid arteries): a significant increase in resistance postcapillary and venules left, venous return to the left much more difficult, asymmetry of pulse blood filling of 22.5%, (pool vertebral arteries): resistance arterioles left significantly increased, the resistance of postcapillary and venules left significantly increased, the asymmetry of the pulse of the blood supply to 41%. On the EKG revealed a violation of the nervous regulation of heart rhythm and prestressed state of the organism.

According to EMG has increased background activity, which was accordingly left to 128 Mac, right 67 µv, maximum static tension of the back muscles: left 259 MACs right 123 MACs ministrations changes were observed in the muscles of the left 75%, right at 74%, the deterioration of the function of the spinal roots left on 35%, right by 55%.

After cleaning the skin with alcohol, since C2 vertebra was imposed on the needle applicator and b is the sizes, observed reddening. The temperature of the skin in this area increased by 1.8°C. Then worked infrared, modulated low frequency of 0.5-3 Hz, low-intensity energy 10-50 j, a laser wavelength of 960 nm for one minute on each side paravertebral, starting from the second cervical to the sixth thoracic vertebrae. Then worked for two minutes on the intervertebral discs and exits the spinal roots, starting from the second cervical vertebra on the sixth thoracic, low-intensity, modulated low frequency of 0.5-3 Hz ultrasonic power of 0.1 W/cm2pre-lubricated skin fir oil. Then there was a vibrating massage of the spine with a frequency of 10 Hz along exit the spinal roots within 15 minutes After physiotherapy performed injections of aloe subcutaneously 1 ml, vitamins B1 and B6 intramuscular injection of 1 ml On the next day physiotherapy was repeated, and the injections were performed: PHIBBS 1 ml) and vitamin B12 (500 µg) intramuscularly. The total number of treatments was 15. As a result of treatment, the patient disappeared hypertonicity of muscles, pain in the head, heart, spine, improve circulation and metabolic processes of the spinal cord, spinal Korea increased slightly, the asymmetry of the pulse of the blood supply to 5% (pool vertebral arteries): resistance arterioles left mildly increased, the asymmetry of the pulse of the blood supply to 8%. According to ECG symptoms disappeared prestressing state, which indirectly confirms the disappearance of pain. According to EMG disappeared background electrical activity, the maximum electrical activity: left 792 MACs right 621 µv, myodystrophy muscles were:

left 41%, right 33%, the function of the spinal roots: left 7%, right 17%.

Thus, the pain disappeared, improved blood flow to the brain, the adaptive reactions of the body, muscle rigidity, gipostesia, muscle strength increased left by 17%, to the right by 24%, ministrations changes decreased left at 22% right 25%, improved the function of the spinal roots to the left by 30%, to the right by 45%.

Example 2. Patient N., 60. Diagnosis: lumbar osteochondrosis. History: complaints of pain in the lumbar-sacral spine, which iradionet in the gluteal region. Palpation is determined by painful dense cushion, more pronounced on the left, with percussion spinous processes are allocated painful point at the level of L3-S1, ha positive to the right and to the left. According to EMG has increased background activity, which was accordingly left 196 µv, right 78 µv, maximum static tension of the back muscles: left 492 µv, right, 452 MACs ministrations changes were observed in muscles from left to 76%, right at 69%, the deterioration of the function of the spinal roots left by 44%, right on 42%.

After cleaning the skin with alcohol, since L1 vertebra was imposed on the needle applicator and the patient laid on the couch on his back for 30 minutes. After removing the applicator to the skin, appropriate to its size, was observed reddening. The temperature of the skin in this area increased by 1.8°C. Then was affected by an infrared laser, modulated low frequency from 0.2 to 3 Hz, with an energy of 10-50 j and a wavelength of 960 nm for a minute on each side of the spine, paravertebral, starting with the first lumbar and finishing fifth vertebrae. Then worked for two minutes on the intervertebral discs and exits the spinal roots, starting with the first lumbar vertebra to the fifth, low-intensity modulated low frequency of 0.2-3 Hz ultrasonic power up to 0.1 W/cm2pre-lubricated skin fir oil. Then about the N. After physiotherapy conducted injection PHIBBS subcutaneously 1 ml, vitamins B1 and B6 intramuscular injection of 1 ml On the next day physiotherapy was repeated, and the injection was performed PHIBBS 1 ml and vitamin B12 (500 mcg). Conducted 15 sessions. As a result of treatment in a patient with increased range of motion in the spine, no pain in the lower back and buttocks, recovered pain and tactile sensitivity, disappeared painful muscle rollers, percussion spinous processes painless, symptom Lasera negative. According to EMG disappeared background electrical activity, the maximum electrical activity: left 735 mV, right 558 µv, myodystrophy muscle was left 51%, right 39%, the function of the spinal roots reduced left 21%, right 13%.

Thus, the pain disappeared, muscle rigidity, gipostesia, muscle strength increased from left to 43%, right by 19%, ministrations changes decreased left 25% to the right by 30%, improved the function of the spinal roots left by 23%, right at 29%.

Thus, the Method of treatment of osteochondrosis in comparison with other known technologies improves the efficiency of treatment asteroidfinder membranes in environments roots, accelerate the resorption of salt deposits, removing the pain, inflammatory processes, improve muscle tone and muscle contractures.

Sources of information taken into account

1. Bulanov L. A. method for the treatment of degenerative-dystrophic diseases of the spine. // Patent 2075968. - Bull. - 1997. - P. - S. 144.

2. Danilov, I. N., Slepushkin, So, Patasheva S. M. treatment of cervical osteochondrosis with radicular symptoms. // A. S. 668690. - Bull. - 1979. - 23. - S. 244.

3. Vakhtangov L. R. treatment of osteochondrosis of the cervical-thoracic spine. // Patent 2136256. - Bull. - 1999. - 25. - S. 156.

4. Crustaceans B. M. Threatening diseases of the spine. / / - P. - 2002. - S. 28-30. H. Illarionov C. E. equipment and Technique of laser therapy. // Directory. - M.: Laser market - 1994. - 178 C.

6. Korepanov C. M. Theory and practice of laser therapy // M: LASERMED. - 1992. - 195 C.

7. Vyhovsky Y. N., Lysakov I. C., Malov, A. N., Malov, S. N., Fesenko B. C. Conceptual questions bioptic and laser therapy. // Irkutsk: ILF. - 1997. - 74 S.

8. Chernov, C., Angeber O. P., Kaplan M. A.. the Influence of low-intensity pulsed laser radiation in the infrared spectrum at some of the signs of Drosophila. // Physical medicine. th manual for doctors. - BPGI 2.087.001. FROM/M: PKP GIT. - 4996. - 120 S.

10. Applied problems of laser medicine. // M: MACDEL. - 1993. - 188 S.

11. Butuanon Century. Century. Second movement as the basis of the activity of the organs and tissues // bull.WSNS SB RAMS. - 2001. - №5(19). - C. 189485.

12. Hippius Marion, Snioienski U. In vitro - Untersuchiiingein zur Salirylsaure-Penetration bei Applikation von ultraschall // z Physiotherap. - 1989. - T. 41. - N 5. - S. 278-285.

13. Summer W., Patrick M. K. Ultrasonic therapy-a textbook for physioterapists. // London - 1964. - 210 s.

14. anth J., R. Callies, Smolenski U. Der Einflus des Koppeimedium bei einer semistatischen Beschalung. // Z Physiotherap. - 1990. - T. 42. - N3. - S. 149-151.

Treatment of osteochondrosis, including massage the spine, introduction biogenic stimulants and vitamin, characterized in that it further impact modulated low frequency not more than 3 Hz low-intensity infrared laser pulsed radiation with an energy of not more than 50 j, the wavelength of 960 nm paravertebral right and left along the entire length of the spine for 1 min, then after lubricating the affected area of the spine fir oil effect of low-intensity ultrasound modulated low frequency up to 3 Hz, with a capacity of not more than 0.1 W/cm2on the intervertebral discs in the exit area of the spinal not the

 

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