Method of treating glossalgia

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to dentistry and physiotherapy. The method involves acupuncture of auricular points (AP). Every second day, the AP 4 are exposed to a portable electrode of DiaDENS apparatus and a red-light semiconductor laser of Svetozar apparatus. The exposure to DiaDENS apparatus is performed in a "Therapy" mode at frequency 77 Hz for 2 minutes. The exposure to Svetozar apparatus is characterised by wave length 665 nm for 1 minute. The therapeutic course is 7-8 sessions.

EFFECT: method reduces length of procedure and treatment, prolongs remission, improves patient's quality of life due to dysarthria elimination, considerable xerostomia reduction, neurologic semiology relief.

2 ex, 1 tbl

 

The invention relates to medicine, in particular to neurosonology, namely the treatment of glossalgia.

There is a METHOD of TREATMENT of GLOSSALGIA (U.S. Pat. RU # 2297233 from 20.04.2007). For implementing the method on a background of drug therapy in addition use a 20% solution mummy in the form of applications for the language. Then to painful areas of language carry out the exposure apparatus DENAS-therapy in persistent mode. Treatment is 6-8 days.

However, electrical nerve stimulation is carried out on pharmacotherapy (sedative medicine, which includes motherwort, Valerian, sodium chloride), which may cause the patient lethargy, apathy, loss of skin sensitivity and sexual function, unsteadiness of gait, impaired function of the gastrointestinal tract (Georgi Darnaude "Drug therapy", Sofia, 1978, str-406). The duration of the procedure (30 minutes) inconvenient for the patient in aesthetic terms, as the patient has to sit with his tongue hanging out and periodically wipe released saliva.

There is a METHOD of TREATMENT of GLOSSALGIA (U.S. Pat. RU # 2208444 from 20.07.2003). The method is carried out by consoles leeches into language. Until consoles leeches produce massage. Produce postisometric relaxation of muscles of the tongue followed by Pressley sublingual arteries, veins, lingual nerve, the lingual branches of the glossopharyngeal and b is ordaudio nerves. Outside of the oral cavity by way of presale followed postisometric relaxation of the masticatory muscles are Presario main stem lingual artery in the triangle Pirogov, as well as the parotid and submaxillary glands and their ducts. After the massage, put leeches on the tip of the tongue, on the layout area foliate papillae on the upper and lower surfaces of the body language in the layout area sublingual blood vessels.

There is a METHOD of TREATMENT of GLOSSALGIA (U.S. Pat. RU # 2165776 from 27.04.2001). How is the impact of currents supersonic frequency of the pathological focus, while the first electrode is disposed on the surface of the tongue, part of which is outside the mouth, then the electrode is located at a distance of no more than 1 cm from the surface, the net effect 20 minutes also put a leech on 0.5-1 h in the mastoid.

The disadvantages of the two above methods: invasive, not all patients agree on the location of foreign objects, especially blood-sucking animals in the oral cavity, the procedure is time-consuming.

There is a METHOD of TREATMENT of GLOSSALGIA (U.S. Pat. RU # 2202329 from 20.04.2003). The authors suggest to influence hypothermia in the area of language. Additionally, impact rollers-applicators filled with liquid nitrogen to biologically active points (BAP). For the impact of the use of BAT in the head, cervical-collar zone, upper and lower extremities and auricular zones. The impact of exercise daily for 6 days 2-3 with on every point.

The disadvantages of the method: requires the use of specially manufactured equipment, including rollers-applicators, the course of treatment long enough.

The technical result of the invention is to develop a non-invasive method for the treatment of glossalgia, reducing the time for a procedure to 1-2 minutes, allowing to achieve the disappearance of the phenomenon of dysarthria, a significant reduction in xerostomia, eliminate fear of cancer, elimination of concomitant neurological symptoms, such as sleep disorders, tearfulness, irritability, uncertainty about the success of the treatment, increase the length of remission, no toxic effects of drugs, improving the quality of life of patients.

The technical result is achieved by the fact that on acupuncture points on the ears AT 4 (Cheremin KU, Malakhov V.V. and other Auricular dynamic electroneurostimulation and the basis of its practical application. Ekaterinburg, 2007), appropriate language, affect external electrode apparatus "DiaDENS" in the "Therapy" with a frequency of 77 Hz within 2 minutes through the day. In addition, in those days, when there is no session electroneuromyographic is simulatie ("DiaDENS"), on the acupuncture points of the language on the ears affected by red light semiconductor laser apparatus "Svetozar" with a wavelength of 665 nm for 1 minute through the day. Thus, the full course of treatment glossalgia is 7-8 days. During the first session, the patients, a decrease of paresthesia and pain, ongoing 9-10 hours, the final regression of the symptoms of glossalgia occurs after 7-8 sessions. In addition, in patients with normal sleep, decreases irritability, tearfulness, eliminates dryness of the mouth, that is associated neurological symptoms. This conclusion is made by using the developed scheme of examination somatoneurological patient.

Under our supervision there were 138 patients with glossalgia. We compared the results of the evaluation of the treatment of glossalgia by the patients on a specially developed questionnaires-questionnaires.

30 patients with disease duration more than 15 years have passed in somatoneurological the center of the second course of treatment, as in 1.5 years after the previous treatment of glossalgia according to the method described in U.S. Pat. No. 2297233 from 27.04.2007, they appeared again the burning sensation of the tongue, but of much lower intensity. All patients noted a significant advantage of the new method cured the I: aesthetics, reducing the time of exposure, the absence of toxic effects of medications.

Example 1. Patient C-VA, 49 years old, came in somatoneurological center with complaints of burning sensation of tongue, disappearing during the meal, dry mouth, insomnia, constant anxiety, which in the language of a malignant tumor. These sensations appeared after the stress (death of a relative). It was treated at the neurologist - with no improvement. During examination - language normal color sensitivity is not compromised. Diagnosis - Glossalgia, mixed form. Appointed: 4 sessions DENAS and 3 sessions of laser therapy on acupuncture points of the language on the ears every other day (DiaDENS - in mode "Therapy" with a frequency of 77 Hz for 2 minutes, laser therapy within 1 minute by the "Svetozar", the wavelength of 665 nm).

After treatment, the patient had completely disappeared pains and burning in the language, normalized sleep, decreased irritability, disappeared dryness of the mouth. We observed the patient for 3 years. Recurrence no.

Example 2. Patient H-ICH, 56 years old, came in somatoneurological center with complaints of pain and burning of the front 2/3 of the tongue (the language sprinkled with pepper"). While eating these feelings disappeared. The patient was observed dryness of the mouth, and therefore violated the speech and sleep, because the night she was forced to moisten ro the water. Considers himself sick about three years. Had previously been treated by a dentist. Conducted appliques on language, physiotherapy (amplipulse) - no results. The patient was diagnosed Glossalgia, sympathicotonia form. Appointed: 4 session DENAS-therapy on acupuncture points of the language on the ears for 2 minutes every other day in the "Therapy" with a frequency of 77 Hz, 4 sessions of laser therapy on the same point within 1 minute by the "Svetozar", the wavelength of 665 nm.

After the treatment, the patient disappeared burning language, significantly reduced the dryness of the oral cavity, normalized sleep. We observed the patient for 2 years. Recurrence no.

The proposed method for the treatment of glossalgia reduces the time for a single session up to 5-6 minutes, not invasive, not traumatic for the patient, has no toxic side effects, aesthetic, available in the outpatient setting, does not require expensive, specially made equipment. Using this method of treatment glossalgia improves the quality of life of patients, improving the quality of treatment of this pathology, as significantly reduced or completely disappear not only the symptoms of glossalgia - burning, pain, xerostomia, dysarthria, cancerophobia, but the accompanying neurological symptoms, as reflected in the table.

Table
The dynamics associated neurological symptoms in patients with glossalgia in the treatment process (according to observations 138 patients)
The period of observation / treatment outcomeIrritabilityCryingInsomniaThe uncertainty in the success of the treatment
Before the treatment12073129138
After the treatment171580
The result of the treatment10358121138

Dealing with the diagnosis and treatment of glossalgia since 1986, we have studied the quality of life of patients with physical and mental components of health, depending on the different methods of treatment. Having interviewed by special questionnaires and statistical processing of the obtained results, found that offer us the manual treatment of glossalgia significantly improves the quality of life of patients.

Thus, indicators of role functioning increase by 40% (from 60%to 100%), viability by 20% (from 70 to 90%), social activity by 15% (from 75%to 90%), mental functioning by 23% (from 55%to 78%) in comparison with the group of patients treated according to our developed methodology previously - Pat. No. 2297233 from 27.04.2007.

The method of treatment glossalgia on the basis of impact on acupuncture points, characterized in that alternate every other day impact on the point AT 4 on the ears with the help of a remote electrode apparatus "DiaDENS" in the "Therapy" with a frequency of 77 Hz for 2 min and the red light semiconductor laser apparatus "Svetozar" with a wavelength of 665 nm for 1 min, the full course of treatment is 7-8 days.



 

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