Lumbodynia treatment method |
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IPC classes for russian patent Lumbodynia treatment method (RU 2356528):
 Surface acupuncture apparatus / 2355376
Apparatus comprises an interchangeable head with flower-shaped press-fit metal needles in number 5-11. It comprises a circular plastic cone with said interchangeable head inserted in its work side. The cone is ended with a solid partition distanced 3-6 mm inside from the work side edge.
Method of regulating therapy of juvenile uterine bleeding / 2354382
Invention relates to field of medicine, in particular to children and teenage gynecology and concerns regulating therapy of juvenile uterine bleeding (JUB). For this purpose EEG data are estimated during bleeding. If there are no EEG changes non-hormonal regulating therapy is carried out. If diffuse or dysfunctional changes are present, hormonal regulating therapy is carried out.
Method of regenerative treatment of hernia of intervertebral disk / 2352366
Invention concerns medicine, namely, physiotherapy, reflexotherapy. Prior to the beginning of backbone extension acupuncture by the rule "Mother-son" is performed. In 3-5 days the backbone is simultaneously influenced with a magnetic-laser radiation and extension is performed. The magnetic-laser radiation influence is spent in red 630-650 nm and infra-red 890-950 nm ranges with 50 mT intensity of a magnetic field. Backbone extension is spent in mass of a load by 15-30 kg. Total time of the procedure makes 15-20 minutes.
 Acupuncture needle with removable hinge / 2350310
Invention relates to medicine, be more specific to the acupuncture, namely to medical equipment for acupuncture. The acupuncture needle contains the handle in the form of a tubule with working and muffled extremities, and the hinge established in the handle of a needle by the non-working extremity inside to level of the muffled extremity of the handle. Internal diameter of the handle exceeds diameter of the hinge. The needle is executed in the form of demountable bond of the hinge and the handle. On the working extremity of the needle handle, cross-section to its axes, is executed the carving aperture with a screw in it. The screw is placed in such a manner that its working extremity leaves in a lumen of the handle and fixes a needle hinge.
Method of treatment of excess body weight by means of reflexotherapy (filleropuncture) / 2350309
Invention relates to medicine, in particular - to reflexotherapy. The way includes influence on acupuncture points GI 14, AT 17, AT 18, E 25, E 19. Influence is performed by introduction of the filler by means of a needle and a syringe. In each AT 17, AT 18 inject the filler subcutaneously or intradermally in amount of 0.1-0.2 ml. Inject the filler Into point G1 14(2) in number of 0.1-0.4 ml on depth of 10 mm. In acupuncture points E25(2), 19(2) the filler is injected in amount of 0.1-0.4 ml, and in the point E25 the filler is injected on depth of 15-20 mm, and into the point E 19 - on depth of 15 mm.
Method of treatment of dental nerve neuritis caused by filling material delivery into mandibular canal / 2348434
Treatment of inferior dental nerve neuritis caused by filling material delivery into mandibular canal is ensured with introduction of antibacterial agent before operation. Thereafter filling material is surgically removed from mandibular canal. Operation procedure is followed with introduction of antibacterial and immune correcting agents, antisensitisers, Reaferone, vitamins B1 and B12, adenosine triphosphate. Besides mandibular region is exposure to laser magnetotherapy with using dental apparatus Optodan, accompanied with intraoral HBO-therapy, hydromassage, hydrocortisone phonophoresis, 2% nicotinic acid solution amplipulse phoresis, Tambukan mud therapy, pine needle and pearl baths, acupuncture with using local and regional points.
 Method of muscular and articular periosteal pain syndromes / 2344806
Acupuncture needle is put into maximal painfulness. Then without needle extraction, multiple puncturation of pain substrate is performed at different angles. After needle extraction the point is cauterised 3-5 times by wormwood cone. Treatment course includes 1-3 sessions.
 Method of overweight reduction and figure correction "origithea" and related needle / 2336071
Headed needle is inserted into one auricular acupuncture point AT 17, AT 18 or into other auricular acupuncture point indicated for patient's adequate food motivation and/or neurosensory humoral control of hypothalamic-pituitary system and optimisation of lipolytic mechanisms. Needle is brought under the skin to lead its free end out from another specified auricular point. Needle is fixed in this position by means of clamp mounted on free end of the needle. In process of treatment dynamics of patient's overweight reduction is controlled. If it is required to make any changes, rate of overweight reduction is regulated by changing in stimulating effect intensity on auricular acupuncture points. Stimulating effect is regulated by parameters variation of needle head and/or clamp and/or core. Needle used in this method contains head, core and demountable clamp established on free end of core. The clamp is designed as attachment with blind hole for clamp fastening to free end of core. Clamp height is not less than 0.15 mm, length of core is not less than 5 mm, diameter of core is not less than 0.08 mm, and weight of needle is not less than 0.01 g.
Method of shortsightedness treatment / 2329029
Method includes dislocation elimination within atlantooccipital junction. In addition acupuncture is carried out for paraorbital points with duration of 10-15 minutes, general action points with duration of 20-30 minutes and auricular vision-competent points with duration of 10-20 minutes. Course includes 5-10 sessions. In addition, paraorbital biologically active points and scalp optical zone are introduced with 0.5-1 ml of biomaterial Alloplant dissolved in physiological saline in proportion 50 mg of a biomaterial to 5-10 ml of physiological saline. Course includes 1-3 sessions every 3-7 days.
 Method of diagnostics and method of correction of human psychophysiological condition / 2329028
Includes method of correction of human psychophysiological condition and diagnostics of this condition. Diagnostics is used to detect organism condition by coetaneous electroconductivity testing in 12 pair meridian points. Meridian condition is detected. Simultaneously patient physiological and psychological signs and patient conformity to one of psychological types are detected. Psychophysiological testing is based on meridian condition considering psychological type features. Then psychoemotional condition is corrected. Thus firstly complex conditional reflex is inhibited for words - symbols "mortido". For this purpose patient carries out physical warm-up of all muscle groups, starting from head to feet, and then - dynamic and static exercises to rhythmical music, continually pronouncing mortido identifying words. After that patient carries out ideomotor movements and pronounces chosen text. Then libido conditional reflexes are fixed with prepared sublimation of misdirected energy of a "dark" complex in libido. For this purpose paper sheets with libido indicating words and drawings, and with graphic images as concentric circles of "light target", framed and bordered with colour-diodes are shown to patient. Patient thus repeats libido indicating words. Then patient is exposed to deep relaxation through holistic (vibrating) massage and text listening of not directive auto-training accompanied by relaxing music. Thus patient continuously pronounces turned libido identifying words. Then initial mortido is to be corrected to libido. For this purpose patient carries out three 2-minute cycles of eyes and head moving from "dark complex" sheet to sheet containing mortido identifying words to rhythmical music and metronome strokes at frequency 0.5 Hz, repeating mortido identifying words. Within 3-minute intervals between cycles patient closes his eyes and visualises appropriate images. After that biologically active points of the most inhibited meridian as detected through elecropuncture diagnostics are exposed to needled electrodes at current force 10 mcA, changing its polarity at frequency 0.5 Hz. At this moment patient carries out three 1-minute cycles of eye and head moving from sheet containing mortido identifying words to sheet with libido identifying words to rhythmical and relaxing music, metronome strokes and colour diodes blinking at frequency 0.5 Hz. Within 30-second intervals between cycles patient closes his eyes, rests and relaxes. After electropuncture testing is repeated. Based on its results decision concerning continued correction through complete or partial stage conduction is made.
 Body massage vibrator and health improvement method / 2356526
Group of inventions refers to medicine, particularly to vibration facilities for ligaments, muscles, connective tissues of abdominal cavity, parenchymal organs and diaphragm. A body massage vibrator contains a working body, and a vibrator connected to power supply, and at least one auxiliary body detachably coupled with a base of the working body. The lateral surface of the working body represents a sphere part and is provided with a ledge shaped as a sphere part of smaller diametre coaxial to the working body which is supplied along its central axis with a cuboid cavity with mounted vibrator transferring vibrations to the body. Health improvement method involves massage of abdominal organs by vibration action with using said apparatus. Various set of working and auxiliary bodies is preselected for a specific user considering depot fat weight within stomach region. The user is laid on a solid surface whereat the apparatus is mounted so that the ledge of the working body contacts umbilical region. The vibrator is switched on and maintained therein within 15-45 minutes.
 Body massage apparatus / 2356525
Invention refers to medical equipment, namely to body massage apparatuses to be used for various body parts. A body massage apparatus contains massage heads with a spirally-profiled working surface shaped as ledges to the right and to the left from a spiral. Each head along the full length of the working spiral zone is supplied with a flange of spiral pitch differing from that of a wavelike ledge, including both matched with the screw ledge wave direction, and opposite thereto. Two massage heads are separated with a bush and provided with both-side handles.
Therapy of pain syndrome in cervical spine / 2356523
Invention refers to medicine, namely to exercise therapy and sports medicine. In a therapeutic pool, the patient body is fixed while lying with hands open at 90° and legs shoulder-width apart. Thus the patient is dressed with a support plastic belt covering axillary creases to sacrum joint. Shoulder reduin is covered with air cuffs. And cervical spine rests on a flat rubber ring with occipital region being immersed. Duration of stay in fixed position is increase 5 to 10 minutes by 7-10 procedure, while therapeutic course is 30 days.
 Therapy of patients suffering from vertebragenous cervical radiculomyeloishemia / 2356522
Invention refers to medicine, particularly to neurology. Method involves taking carbonic acid gas mineral baths combined with and vector traction of cervical spine followed by 40 - 50 minutes of rest and electrophoresis with 0.5% Neuromidine solution at the affected vertebromotor segments. Procedure duration is 12-15 minutes. Therapeutic course includes 10 - 12 procedures.
 Combination therapy of children suffering from celiac disease at health resort stage / 2356244
There is prescribed gluten-free diet with eliminating cereals and additional order of protein: meat 100.0 g, cottage cheese 100.0 g, or sour cream 100.0 g daily. Creon is dosed 10000 ME at mealtime within 2 weeks. It is combined with physiotherapy exercises (PTE) within 20-30 minutes. During afternoon, every second day circular douche is applied at pressure 1.5-2 atmospheres, water temperature 36-35°C for 3-4 minutes within therapeutic course 10-12 procedures. On another days, radon baths are taken at water temperature 36°C, dosed 0.75 kBq/l for 8-10 minutes within therapeutic course 8-10 procedures. Electrophoresis is applied daily with 50% Dimexide solution (±) for small intestine projection by transverse technique, current density 0.05 mA/cm2 within 12-15 minutes within therapeutic course 10-12. The BAPs VC-20, VC-22, E-36, Gi-4 are exposed to red and infrared light daily within 1.5-2 minutes per each point within therapeutic course 10-12 procedures.
 Therapeutic scooter / 2355374
Therapeutic scooter comprises rollers, half shafts and a seat. Rollers are variously shaped and apertured at the end faces with mounted extremities of half shafts bent-up one way at an angle 90°. Said half shafts are made of a steel tube and shaped as solid figures with a guard bar and flanges in the top used to support a hollow seat with rectangular slots for guard bars.
 Vertebral degeneration and deformity prevention and treatment effectiveness increase method and related aparatus / 2355372
Method involves a comprehensive two-staged approach. The first stage ensures training of the patients including massage techniques of biologically active points E36, GI4, V60 used in vertebral pathology with compulsory massage of these points preceding health-improving session and muscle warming up preceding the apparatus procedures. The second stage includes exercises with the apparatus according to cl. 2 with spinous processes aligned in the centreline combined with massage of paravertebral regions in exercising due to a slot found and flexibility of each separate board on this apparatus. It is followed with vertebral stretching procedure and muscles stretching treatment regarding the trigger pain points therein. Vertebral muscular training is combined with postisometric muscular relaxation. Application of the training apparatus starts in its horizontal position with gradually increasing the inclination in exercising. And muscle tension throughout is to be low-intensive and rather short-term. The apparatus comprises a upper- and lower-supported shelf with two pairs of fixed handles to be inclined with adjusting the inclination and deflection over 1-3% of its longitudinal length. The shelf rests on two upwardly and underneath rigid pine or combined wooden or plastic boards, each being 2100-2500 mm high, 110-150 mm wide and 24-25 mm thick and gapped 20-40 mm to be adjusted by weight and dimensions of the patient. The apparatus is supplied with the third pair of handles comprising a gymnastic stick fixed on each half of board with belts inserted into the holes formed on the boards 700 mm below the upper edge of the apparatus, and a foot rest.
 Method of artificial organism oxygenisation / 2355371
Patient makes respiratory exercises. Herewith inspiration and expiration are continuous at rate 32-80 respiratory cycles per minute within at least 4-5 minutes. The cycle consists of three to five following parts of single inspiration and expiration.
Rehabilitation method for coronary heart disease (chd) patients / 2355295
To patients, 3 to 10 days after intracoronary surgery operation, physical exercise is prescribed. Series of exercises lasts 12 month in 4 stages, 3 months each. Duc's index is determined, and based on it, admission, continuation, and termination of exercises is appointed. If Duc's index is below -11 points, high risk is stated, and exercise not prescribed. If Duc's index is between -10 and +4 points, medium risk is stated, and if +5 or more points, low risk is stated. Thereupon exercise intensity regimen is appointed, three times a week or more, based on patients gradation, as follows: 1st group, with 2 or more intracoronary stenoses eliminated, and medium risk, according to Duc's index, exercises 50% of maximal load, achieved during stress-test conduction; 2nd group, with one intracoronary stenose eliminated, and medium risk, as well as with 2 or more intracoronary stenoses eliminated, and low risk, according to Duc's index, exercises 60% of maximal load, achieved during stress-test conduction; 3rd group, with one intracoronary stenose eliminated, and low risk, according to Duc's index, exercises 70% of maximal load, achieved during stress-test conduction.
 Method for muscle strength determination / 2355290
Strength of patient's anterior serratus muscle (ASM) is measured using balance, on which patient of known weight m1 stands. His right arm is raised forward, elbow bent, and palm touches his left shoulder. Angle between right arm and body is 90°; right elbow bears against examiner's hand; isometric tension of ASM is exercised upward. In such patient position, right ASM maximum strength mmax of three attempts is registered on the scale. In a similar manner, left ASM maximum strength is registered. ASM strength per 1 kg patient's weight is calculated by expression:
Method for preventing narcomania and/or alcoholism or treating and/or rehabilitation in narcomania and/or alcoholism-suffering patients / 2243757
One should detect satisfaction insufficiency syndrome due to performing genetic analysis by the presence of, at least, one of the genes coding the exchange of neuromediators being the constituents of human satisfaction system. One should compensate satisfaction insufficiency due to performing, at least, one complex of physical exercises. Moreover, in case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture in patient one should apply the complex of physical exercises including those to provide sedative effect, and in case of availability of pathological gene allele of dopamine-beta-hydroxylase protein one should apply the complex of physical exercises including those that induce an activating effect. In case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture one should apply additional food biologically active additives based upon amino acids being the precursors of neuromediators, such as taurine, D-, L-phenylalanine in combination with 5-hydroxytryptophan, hypericin and vitamin B6, and in case of pathological gene allele of dopamine-beta-hydroxylase protein one should additionally apply food biologically active additives based upon amino acids being the precursors of neuromediators, such as: taurine, tyrosine and/or dimethylaminoethanol, lecithin and group B-vitamins. The present innovation enables to take into account pathological disease mechanism.
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FIELD: medicine. SUBSTANCE: invention refers to medicine, namely to neurology. The method implies acupuncture by inserting the needles and physical exercises including flexion, extension, left and right rotation, left and right lateroflexion. Herewith at first the patient while making physical exercises series informs on pain zones that the doctor palpates finds points of maximum tenderness, marks them and inserts the needles while the patient is in the standing position. Then the patient makes painful movements again 10-12 times. In movement gap, the doctor rotates the inserted needles counterclockwise. In case there is no new pain zones observed, the patient makes exercises again 3-4 times. If new pain zones are found, they are examined for points of maximum tenderness with inserting the additional needles therein, while patient continues with making exercises. If pain zones are detected in making various exercises, the patient makes pelvic rotations as a combination of all the movements in lumbar spine. After the exercises, the needles are removed. EFFECT: method provides reduction of lumbodynia and restoration of complete mobility in lumbar spine within five days. 1 ex, 2 cl
The invention relates to medicine, namely to regenerative medicine, and can be used in complex treatment of lumbodynia. Muscle pain syndromes are among the common and frequently recurring diseases and constitute 25% or more of the total incidence of nervous system (Zaslavsky Y.S. muscle Pain syndromes in the area of the shoulder girdle, arms and chest. Novokuznetsk, 1982, p.5). Often the Genesis of muscle pain syndrome is considered from the position vertebrectomy relations (Barvinok A.A. proceedings of the II International Congress of vertebronevrologii. Kazan, 1991, p.17), but we also know that impeller meridional imbalance can also cause neurological disorganization in the form of Hypo - and hypertonicity of certain skeletal muscles with the formation of non-specific muscle pain syndromes (Walter N. Schmitt, Jr. The Liver, Adrenals Joints and Sulfate. - The American Chiropractor. - March/April, 1995.). Known methods of application of acupuncture in patients with painful muscle syndromes of the lumbar spine. While some authors have performed acupuncture in the localization of pain (Amberstar K.B. Reflexology in balneology. Health. - Kiev, 1991, s.), and it was directed to either the acupuncture pressure points, or after determining redundancy or deficiency in sohailsoltani meridians certain channels was performed acupuncture and warming of needles. The disadvantage of this method is that not considered violations of the static and dynamic component of the motor stereotype when muscle pain syndromes. There is a method of staging restorative treatment of vertebrogenic diseases of the nervous system (Gavaleshka, Avigliana, Tonkacheva. Acupuncture in treatment of patients with neurologicheskimi manifestations of lumbar osteochondrosis, advanced Materials of the Plenum of the Union of the problem Commission "disease of the peripheral nervous system. Stavropol, 1987). Studied 184 patients with different manifestations of lumbar osteochondrosis (irritative 41, irritative-deficit 31, radicular 112. Step method of treatment consists of three courses of acupuncture: first - 15-18 sessions the second (after a two week break) 10-13 sessions the third (after two to three-week break) 8-10 sessions. Sessions of acupuncture combined through the day with galvanic hydrogen sulfide, radon, RPMA baths. In addition, patients received massage, manual therapy, exercise therapy. We used a method of simultaneous ukalyvaniya 5-7 points of the first and second embodiment of the brake method. The treatment was 30-40, and when expressed pain syndrome 120 minutes in the first year and declined in subsequent courses up to 15-20 minutes. Weekend without the op perate was supplemented by microneedles and balls. In the first 2-3 sessions were conducted restorative treatment to relieve General functional background. Was pricked point zu-San-Li, qu Chi, Hae-GU, Wai Guan, San-Yin-Jiao, zu-Lin-Chi. 4 and 5, the session was used segmental and local points. The impact was mainly on the points of the urinary bladder, gall bladder, sadashivnagar Meridian (Yes-Chan-Shu, Wei-Shu, Yao-Shu, Guan-yuan-Shu, Huang-TNW, Wei-Zhong, kun-LUN, Shen Mai, Zhao Hai, Yong-Quan, Zhi-bian). Starting from 7-9 session was joined by the impact point of the ear (sympathetic, Shen-men, pain points in the lower back and lumbar spine, sciatic nerve, cortex). Pharmaceuticals used only when there is significant pain syndrome. Improvement in 72.2% of the patients, a slight improvement from 19,6%, no improvement in 8.2% of patients. In patients with reflex syndromes improvement occurred on 6-7 session and was more pronounced when using auriculotherapy. The disadvantage of this method is the duration of treatment and the difficulty of determining the time of transition from stage to stage of rehabilitation, and was not considered a violation of the static and dynamic components of the movement patterns of patients with pain syndromes in the back. Although in the literature there are reports that pathomorphological substrate sure when is going to the formation of regional postural imbalance of the muscles forming pathobiochemical changes (Kogan OG, Schmidt I.R. Vassiliev L. F. Visual palpation diagnosis pathobiochemical changes of the spine. Regional conference on "Manual therapy in arthrovertebral". Novokuznetsk, 1990, - P.69-74). These contradictions lead to the fact that methods of treatment in acupuncture is becoming more and problems associated with painful muscle syndromes, not less. Thus, some authors (Vasiliev L. F. the dissertation of the doctor of medical Sciences. - M., 1998, s-26) consider muscle pain syndromes such as functional disorders of the biomechanics of musculoskeletal system. In contrast to structural violations, where the localization of the pain syndrome determines the localization of the lesion by analogy with the compression of roots, the functional changes of the pain syndrome often the only indicator of biomechanical insolvency static and dynamic component of the movement pattern. From these positions the treatment of reflex syndromes in place of the pain without taking into account pathobiochemical changes - the way of transformation of muscle pain syndromes in chronic disease. During treatment it is necessary to influence muscle pain syndrome with regard to dynamic disturbances of biomechanics (Vasiliev L. F. Visual diagnostics of violations of the statics and dynamics of the musculoskeletal apt the rata person. Ivanovo, MICK, 1996, p.7). There is a method of treatment of painful muscle syndromes, based on the application of the method of ukalyvaniya points V23, V31, V32, V33, V34, V36, V37, V40, V57, V60, VB30 brake method, leaving the needle in the tissues for 30-40 minutes. Points are selected by the presence of pain and their number can vary from 1-2 to 5-6 depending on the form and severity of the disease. Positive results were observed in 98% of cases: significant improvement in 47,4% of patients, improvement of 50,6%, a slight improvement of 1.35% of patients (Kebrabasa. Reflexology in balneology. Kyiv. Health, 1991). When the syndromes lumbago and lumbodynia spend acupuncture and pain points of the following points: VG3, VG4, V25, V26, V27, V31, V32, V33, V34 V23, V27, V28, V29. The number of acupuncture points on every procedure, their combination and alternation is selected individually for each patient and to modify accordingly the dynamics of the disease and severity of pain points. Used brake method of treatment, providing rapid and pronounced analgesic effect. Treatment is usually 10-12 procedures. The effectiveness of the treatment according to different authors ranges from 40-77% (P.C.Leung, H.M.Blacker. Reflexology in balneology, 1991). The well-known technique, conducted with lumbalgia, by ukalyvaniya point PN67 Nude-Shang-Xue, located on the line connecting GI11 and TR4 at a quarter distance is I GI11 down. Point punctures 0.5-0.8 CUN. It is recommended to rotate the needle at the time when the patient produces motion in the lumbar spine (Oghan, Eggerman, Avicularia, van Wai Chan. Jing-Luo clinical and energy characteristics of the canal system. Novosibirsk. IN "Science". 1993). The number of sessions 10-12. The disadvantage of this method is the complexity of needling during movement of the patient and lack of time for relaxation of the muscle-tendon structures, which leads to increased pain response in the lumbar region. There is a method for the treatment of painful muscle syndromes, caused by pathological substrate of osteochondrosis. The method is based on the use of acupuncture and applied to the active points. After determining the state of the redundancy and failure at the tendon-muscle meridians (SMM) channels bladder V and gallbladder VB treatment is carried out by heating the first and second day points V60, V63. When failure hmm bladder V and gallbladder VB (Schmidt I.R. and van Wai Chan, kogai S.M. van L.V. Patent RU 2159606 C2, AN 39/06, 39/08, TPMF 33, 27.11.2000, treatment is carried out by heating the first and second day points V67, V66, in the third VB30, V25, V26, on the affected side, the fourth V67, V66, fifth, sixth, seventh days of treatment is to warm up the point VB30, V25, V26, eighth - V67, V6, in addition carried out as in redundancy and failure SMM advanced acupuncture without warming up points V40, VB32, VB38, V57, V27, V28. The disadvantage of this method is that it does not take account multidisciplinarity problems and the possibility of the formation of painful muscle syndromes regional postural imbalance of muscles. Known methods of treatment of painful muscle syndromes in the lumbar spine when performed acupuncture by inserting needles into points V25, V26, V27, VG3, VG4. Conduct additional pricking points R3, V23, V24, V28, RS, VG2, V40. While the first three sessions produce a pricking points R3, V23, V24, V28, RS, VG2, V40 with the patient lying on his stomach, needles leave for 15 minutes. In this position produce warming sagebrush cigarette during sadashivnagar Meridian point VG2 to VG14 contactless wtogami method for 3-5 minutes, then remove the needle from the points R3, V40. Patient lift in a vertical position, and he performs a physical activity as walking in a straight 5-6 steps forward, reverse and back at a leisurely pace for 2 minutes. It then performs a forward bends to the right angle with the rest of the hands on support and straighten back 3 times. The needle is removed. The fourth and fifth sessions, the patient performs movements of the body in flexion and extensii. When determining the mod is cnyh pain reactions in the include acupuncture point, in the zone of pain, which set the needle into the patient lying on his stomach, and left for 20-30 minutes Semenov A.G. Mikhailov, A.M. Polukarov E.A. chechenin A.G. Patent No. 2277898, IPC AN 39/08, AN 1/00, TPMF No. 17, 20.06.06. A method for the treatment of muscle pain syndromes in the lumbar spine. The disadvantage of this method is its complexity, as the doctor will need to know impeller meridional system and the topography of biologically active points. The patient does not complete a set of exercises in order to identify pain areas and at the final stage of treatment, the patient is in the supine position, which reduces the effect of the treatment, so as not tracked until the end of the dynamics of pain syndrome during treatment. The objective of the invention is to increase the efficiency of treatment of patients with lumbodynia due to a more precise definition of pain reactions and their location for further therapeutic effects and combining acupuncture with physical exercise. This object is achieved by a method for the treatment of lumbalgia, including acupuncture by introducing a needle and complete patient series of physical exercises. The patient performs flexion, extension, rotation left and right, lateroflexion left and right. The patient performs the diagnosis is practical a series of physical exercises and reports on areas of pain. In these zones, the doctor finds palpable point of maximum tenderness, said identified point and with the patient standing makes a statement in their needles. The patient then repeats the movement, causing pain doing them 10-12 times. In the interval between the execution of movements, the physician rotates the mounted needle counterclockwise. If new areas of pain does not appear, then a series of exercises, repeat 3-4 times. When new areas of pain in them as find the point of maximum tenderness, which impose additional needle, and the patient continues to exercise. When identifying pain areas when performing multiple exercises, the patient performs a rotation of the pelvis as a combination of all movements in the lumbar spine. After exercise, the needle is removed. The set of pain points to determine the area of pain during each session. Exercises after setting the needles, the patient performs to the level at which the level of pain the patient is regarded as tolerable. The novelty of the invention. - The patient performs a series of diagnostic exercises and reports on areas of pain. In these zones, the doctor finds palpable point of maximum tenderness, said identified point and with the patient standing makes a statement in their needles. Then PAC is UNT repeats the motion, causing pain doing them 10-12 times. In the interval between the execution of movements, the physician rotates the mounted needle counterclockwise. If new areas of pain does not appear, then a series of exercises, repeat 3-4 times. When new areas of pain in them as find the point of maximum tenderness, which impose additional needle, and the patient continues to exercise. Acupuncture combined with active movements during the session that allows you to monitor the dynamics of pain syndrome during treatment, this approach avoids the so-called manifestations of the memory of the trauma, when in a relaxed, stationary muscle tone different sections of the spine, symmetric, and if the load is redistribution of muscle tone so that the damaged parts of the musculoskeletal system were turned off from the engine cycle in order to avoid pain (Popeljanskij YA Orthopedic neurology. The vertebral neurology. Volume 1. Syndromology. - Kazan, 1997. s-135). On the contrary, this technique contributes to the adaptation of the muscles to the conditions of physical exertion, while the needles help to normalize their tone and reduce spasms and pain. Performed by patient movement increases the amount of energy in the acupuncture points that Wuxi is supports therapeutic effect. - When identifying pain areas when performing multiple exercises, the patient performs a rotation of the pelvis as a combination of all movements in the lumbar spine. After exercise, the needle is removed. The set of pain points to determine the area of pain during each session. Exercises after setting the needles, the patient performs to the level at which the level of pain the patient is regarded as tolerable. Thus, the technical result achieved by improving the efficiency of treatment is: in the activation energy of muscle and fascial tissue in the lumbar region when moving, which improves the redistribution of muscle tone musculoskeletal system; - to prevent the formation of asymmetrical loading of the muscles (the phenomena of contraction or relaxation of muscles) due to the stimulation of the last needles; - to stimulate the muscle directly exercise, resulting in more blood flow and nerve impulses in the process; - the reduction of pain reactions defined in the movements of patients and acupuncture points, located in the area of pain in a state of excess energy. From the point of view of Chinese medicine, places of localization of pain in diseases of the musculoskeletal system are the sections of the covering tissues, to the x concentrated excess energy, formed as a result of blocking the flow of energy is often penetrate tissue pathogenic "cold". Dissipating the energy of its maximum concentration, contribute to the exile pathogenic "cold" and restore the flow of energy through the channels and collaterals, which results in pain reduction (Belousov PV Theoretical foundations of Chinese medicine. Almaty, 2003, p.62). It is in driving conditions during activation of muscles is amplified currents of energy in the channels, which in turn is distributed symmetrically with the help of local points. In accordance with the General provisions of the Qi energy is associated with the function (Ecogold, Grainfield. "Between heaven and earth", Moscow, 1997), in other words, the higher the function body, the higher its energy. In the case of motion in the moment of acupuncture have an additional source of energy that is missing when making ukalyvaniya alone. From the perspective of bioelectricity (Molostov EAST Acupuncture. Practical guide to energy healing. Publishing house "Phoenix" - Rostov-on-don, 2004, p.7-32) the muscle is initiated by the electric currents originating from the cerebral cortex (precentral gyrus), moving in efferent pathways to the periphery, including the neuromuscular synapses, to the muscles and to the surface and skin. These currents (negatively-charged electrons), according to the researchers, are the Qi circulating in the meridians. Thus, perpetrated by patient movement will increase the amount of energy in the acupuncture points, which enhances therapeutic effect. The method is as follows: The preliminary examination consists of several parts: 1. Is monitoring and comparing participation paravertebral and other muscles involved in maintaining a standing position, take into account the degree of tension or relaxation, the symmetry of the two sides. Investigated pain sensitivity, the strength of the muscles involved in the lumbar and pelvic regions of the flexors and extensors of the foot and toes, knee, Achilles and ankle reflexes to avoid involvement in the process of spinal nerves. 2. Explores the movement of the patient in the lumbar spine - flexion, extension, rotation in both directions, lateroflexion left and right, in order to identify the limitation of mobility, as well as to identify those movements that are limited and (or) cause the patient pain or discomfort. Identify areas of pain. The patient is asked to make active: - flexion (bending forward, hands to the floor); - extension (extension, tilt ago); - rotation owner is in (turn body in the position of the feet at shoulder width, rotates the upper half of the body); - rotation to the right; - lateroflexion left (lateral tilt of the same hand in the direction of the floor); - lateroflexion right. In the case of pain during movement is set to the location of pain (localization). Localized pain may be the lumbar region, sacroiliac joint, gluteal region, posterior or outer surface of the femur and tibia, foot, etc. 3. Palpation examine the degree of tension and muscle soreness, determine changed the most painful point in the area of pain which are used for acupuncture. Are needles in the points that the patient specifies how the point of maximum pain, which the doctor finds by palpation. Points can be the same BAT channel or be unequality points. The number of points can be from 1 to 4-5, rarely more. Achieved "under the sensations in pixels, after which the patient is asked to perform the active movement that caused pain. 4. If necessary, conduct additional research methods: x-ray examination of the lumbar spine, simple or functional spondylogenic, MRI, CT; myographic study of muscles; a topographic survey. 5. Anamnestically exclude traumati the definition of damage to the musculoskeletal system, infectious diseases, volume processes, etc., nevirapine causes pain. If there is evidence to carry out remedial measures. The pricking points found during examination of the patient as the most painful, produce after cleaning the skin with alcohol with the patient standing. Perform skin puncture acupuncture needle, then the needle is injected to the level of the subcutaneous tissue and by rotating the needle left and right up to 180° are achieved specified sensations (numbness, tingling, heaviness, feeling of passing electric current, the pain and aches, less frequently, the sensation of heat or cold) and leave the needle. The patient is standing upright, begin exercise with movements that cause pain. For example, if limited flexion, the patient is doing forward bends fingers to the floor. The exercise, do 10-12 reps at a pace comfortable for the patient. After performing the exercise, the doctor conducting the manipulation of the needle brake method, rotating the needle intensively counterclockwise 180 degrees and slowly returning to its original position before receiving intense feelings on the part of the patient, but to a certain amount of stress at which the level of pain the patient is regarded as tolerable. Then asks the patient to re-perform active movements in the lumbar spine in all the directions, if pain points do not change, the patient repeatedly performs a series of exercises and so 3-4 times. In the case of new pain points of the needles are in them, and the exercise continues. Active movement can be not only painful, but the acute pain, limiting movement of the patient, in this case, the active movement performed by the patient in the form of exercises after setting the needle may not run completely, but to a certain extent that the level of pain the patient is regarded as tolerable. There are 3-4 cycle exercises. Their number can vary depending on the degree of physical preparation of the patient. When pain is identified in several types of movement, it is proposed to make the rotation of the pelvis as a combination of all movements in the lumbar spine. The amount of rotation is also determined by the pain. Throughout the course of treatment is usually sufficient 5-6 sessions, which are held daily. Example. Patient C. Sent to the neurology ward mgcb No. 2 complaining of intense pain in the lumbar region. The patient at admission is in an untenable situation - maximum flexion in the lumbar spine, hip and knee joints (cortech the Ah). Independent movement is difficult because of the pain, which is minimal in the knee-elbow position. The pain appeared 2 days ago. The patient is unable to move, lying on back, flanks, abdomen, sleeps 1-2 hours per night in an untenable situation. When you try to get - is asymmetrically on the right foot, left hip abduction and in flexion, lumbar flexion 20-25 degrees, further extension causes pain. Standing after 2-3 minutes, the pain increases, forcing to take the knee-elbow position. Localization of pain - paravertebral region to the left of L2-3. The radiation of pain along the outer side surface of the pelvis to the left (in the area of projection of the muscles and tensor fasciae latae hip), hip prednamerennoe surface occurs only when movement is attempted extension of the left thigh or extension in the lumbar spine. Such pain was about 5 years ago, but of lesser intensity and slight limitation of movement, allowing the patient to perform occupational and household physical activity. For health care is not addressed. At the moment the pain for two days. The use of nonsteroidal anti-inflammatory drugs, heat the lumbar area, massage, medical-medical blockade with anesthetic in the area of pain positive effect not given. If the inspection reveals the tension and asymmetry of the paravertebral muscles, pain and limitation of motion in extensii in the lumbar spine, left hip extension. Unilateral shortening Flexural hips to the left, the device of the spine to the left at the level of L2-L5. In the neurological status of the signs of root compression - hypoesthesia, reduce strength, reflexes were not determined. Localization of pain - left paravertebral from L2-3. Pain when extensii in the lumbar spine occurred on the outer lateral surface of the pelvis to the left (in the area of projection muscle tensor fasciae latae hip), hip prednamerennoe surface, middle third of the leg on prednamerennoe surface, the attempted extension of the left thigh or extension in the lumbar spine. Pain that can only be detected when flexion in the lumbar spine, was localized in the popliteal fossa, the calf muscle, the anterior surface of the middle third of the leg, where the points of maximum tenderness were put needles in standing position (before treatment the patient was standing with flexion in the lumbar spine, leaning on the couch), and then the patient has completed active movement (extension in the lower back) 10 times. Already in the process of exercise the amount of extensii limited because of pain increased, the patient was able to stand up to the vertical position. There was an additional area of pain down from latera who enoy left ankle, where was placed the needle. Then the patient has completed active movement (extension in the lower back) 10 times 3 approach in the intervals between which the doctor worked to the point of pain, which were introduced needle scattering method. After the first session there was a sharp decrease stress and muscle soreness, increase range of motion in the lumbar spine. The patient was able to sleep at night when lying on the right side, the dream was about 5 hours. The sessions are held daily in combination with the use of nonsteroidal anti-inflammatory drugs, after the third session range of motion was restored completely, but remained mild pain during extension in the lower back. The patient was able to sit indefinitely and lie down on the sides and back, to move independently, limping. Sleep was 7-8 hours. Before the fourth session, the patient is asked to perform flexion and extension of the body that have been made, it remained only a slight soreness in the lumbar region, with a maximum extensii. And zone of pain remained only on the outer surface of the pelvis and femur, a new sore spot appeared on the rear foot in the region of the Tarsus, which were introduced needle, after which the patient performed a standard exercise. On the fifth day of treatment level is up slightly painful when extensii only point on marinopoulos surface of the pelvis on the left. On the sixth day showed complete relief of pain, restoration of full body movement of the patient in the direction of flexion and extensii body. Normalization of tone extensor back. The patient was transferred to the next stage of rehabilitation, including restorative diet, exercise therapy, massage, vitamins, over the next five days of the recurrence of pain syndrome was not observed and the patient returned to work. Technical result achieved by improving the efficiency of treatment is: in additional supply of energy during the motion in the lumbar region, which increases the intensity of work; - to prevent the formation of asymmetrical loading of the muscles (the phenomena of contraction or relaxation of muscles) due to the stimulation of the last needle and consequently preventing the formation mechanism of the "memory of the trauma"; - to stimulate the muscle directly exercise, resulting in more blood flow and nerve impulses in the process; in the detection of residual pain reactions defined in the movements of patients and acupuncture turning points in the zone of pain, then set the needle. Thus, the method provides rapid relief of lumbodynia and allows you to help the people of acupuncture combined with exercise for five days to arrest the pain and restore full mobility in the lumbar spine, avoiding long-term drug treatment, the reduction of the period of temporary disability, the decrease in the number of couldna. 1. The method of treatment lumbodynia, including acupuncture by introducing a needle and complete patient series of physical exercises, including: flexion, extension, rotation left and right, lateroflexion left and right, wherein the patient performs a series of diagnostic exercises and reports on areas of pain, in these zones, the doctor finds palpable point of maximum tenderness, said identified point and with the patient standing makes a statement in their needles, the patient then repeats the movement, causing pain, repeat 10-12 times, in the interval between the execution of movements, the physician rotates the mounted needle counterclockwise, if new areas of pain does not appear, then the exercise is repeated 3-4 times, when new areas of pain in them as find the point of maximum tenderness, establish additional needle and the patient continues to exercise, in identifying pain areas when performing multiple exercises, the patient performs a rotation of the pelvis, as the combination of all movements in the lumbar spine, after exercise of the needle is removed, the set of pain points in the zone of the Oli determine during each session. 2. The method according to claim 1, characterized in that exercise after setting the needles, the patient performs to the level at which the level of pain the patient is regarded as tolerable.
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