Method of integrated non-invasive treatment of spinal diseases

FIELD: medicine.

SUBSTANCE: invention refers to medicine and may be used in neurology, traumatology, physiotherapy, orthopaedics, in stepped therapy of protrusions, herniated disks, scoliosis, kyphosis, kyphoscoliosis, spondylolisthesis, osteochondrosis, myofascial syndrome, myositis, vertebrogenic (discogenic) torticollis, intercostal neuralgia, lumbago, lumbar ischialgia. The I stage consists in intravenous blood exposure to UV and red low-intensity laser emission, graduated uniform extension of all spinal segments in a traction apparatus with no fixation devices with considering patient's anthropometric data in complete muscular relaxation. The stage II consists of two alternating series of procedures. The series I implies paravertebral vacuum cup massage from both side upwards from a lumbar to cervical spine along massage lines of the back with a cup tightly pressed to skin. It is followed with vacuum gradient therapy with using a number of cups of different volumes and sections simultaneously along a venous outflow. Further, a leech therapy (LT) covering an umbilicus, a swing therapy (ST) in the SWING MACHINE training facility. The series II includes a one-day acupress therapy of the spinal muscular frame with using ebonite rollers along massage lines of the back, then - manual exposure on its musculo-ligamentous apparatus and joints in the form of various massage types, a yumeiho therapy, a postisometric relaxation, further the LT and the ST on the back area. The days free from the manual exposure and the LT on the back area; the ST is followed by physical exercises based on the system of traditional Cigun, Nishi, yoga techniques The stage III provides diagnosis and orthopaedic feet correction.

EFFECT: therapeutic effect is ensured by exposure on all the pathogenesis patterns of the spinal diseases: cell, immune, humoral, neuromuscular, mechanical, reflex, at the level of the integrated system, including principal drug-free recovery of the spinal health.

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The invention relates to medicine and can be used in neurology, traumatology, physiotherapy and orthopedics. The method of complex non-surgical treatment of diseases of the spine according to the invention is used in the treatment of protrusions, hernia of the intervertebral discs of the cervical, thoracic and lumbosacral spine, scoliosis, kyphosis, kyphoscoliosis, spondylolisthesis, degenerative disc disease, myofascial syndrome, myositis, Krivoshei vertebrogenic (discogenic) Genesis, intercostal neuralgia, lumbago, lumbar ischialgia and spend butaperazine, comprehensively, consistently, physiologically dosed, after an individual examination of each patient.

The closest analogue of the present invention is the method of complex non-surgical treatment of diseases of the spine, described in patent RU 2369374 C2, including sessions, with each session of treatment stages sequentially without interruption, at the first stage is conducted myorelaxation traction spine stretching by a uniform physiological stretching of the spine in the horizontal position of the patient on autogravitatsionnoe fitness device due initialnode selection of the angle of inclination of the cervical and lumbar spine and stretching through the tavern is ZMA metered manual stretching; the second phase will swing therapy by vibratory dosed traction with the use of "Swing machine"; in the next step, provide acupress therapy muscular frame spine ebonite rollers for massaging the back; at the fourth stage conduct alternating and myofascial vacuum cupping massage muscular spine.

The disadvantage of this method is its lack of effectiveness due to the narrow (limited) impact on the pathogenesis of diseases of the spine of the patient.

The technical result achieved stated by way of a comprehensive non-surgical treatment of diseases of the spine is to increase the efficiency of treatment of diseases of the spine by increasing exposure to all stages of the development of the pathogenesis of diseases of the spine of the patient. A method of treating degenerative-dystrophic diseases of the spine may affect all stages of pathogenesis: cell, immune, humoral, neuromuscular, mechanical, reflex. In addition, the impact of this method invokes not only the local mechanisms, adjusting pathology at the organ level, and allows to solve the problem more globally, touching it at the level of the whole system. This approach allows the determination is ü the problem of degenerative-dystrophic diseases radical, by restoring lost health, without resorting to medication.

This technical result is achieved by way of a comprehensive non-surgical treatment of diseases of the spine involves performing procedures: myorelaxation traction hoods spine, swing-therapy, acupress therapy, hirudotherapy. The method is carried out in stages. At the first stage carry out intravenous laser blood irradiation in the ultraviolet and red spectra of low-intensity laser radiation is injected into the superficial cubital vein disposable led by 5-20 minutes. Then hold the spine in traction installation by providing a safe, painless, measured, consistent and uniform traction of all spine traction on the setting made without the use of fixing devices with regard to anthropometric data of the patient and in conditions of complete muscle relaxation. The second stage consists of two alternating between the consistently pursued a series of procedures. In the first series of treatments, patients receive vacuum cupping massage by exposure medical jar on paravertebral muscular frame and on both sides of a patient's back upwards from the lumbar to the cervical spine massage on whether the s spins, not taking your health to the Bank from the skin. Then hold the vacuum gradient therapy by overlaying on areas of the body simultaneously several vacuum jars of different volumes and cross sections along the venous outflow. Then hold leeching by applying leeches/leeches in the region of the navel of the patient. Then hold the swing-therapy, electro-mechanical simulator - "SWING MACHINE". In the second series of patients spend in one day, acupress therapy muscular frame spine ebonite rollers for massaging the back. Then conduct a manual effect on ligamentous and muscular apparatus of the spine and joints within 30 minutes - reflex massage and/or diagnostic massage, palpation and/or segmental massage and/or acupressure and/or myofascial massage and/or umihotaru and/or postisometric relaxation. Then hold the swing-therapy, electro-mechanical simulator - "SWING MACHINE". Then spend occupational therapy by applying leeches/leeches back into the region of the patient. On other days, free from manual intervention and treatment in the region of the back, after the swing-treatment gymnastic exercises, which are based on the system integration of traditional methods of Qigong, the Japanese system Niches, Indian and Tibetan yoga, the relevant doctrine of regenerative medicines is. In the third stage, patients receive diagnostic pathology stop using the podoscope and orthopedic correction using individually selected instep.

It should be noted that after the initial neurologist, the patient is awarded to one or another category of difficulty (from 1 to 9), therefore the number of sessions can vary in a rather wide interval. This session is typically three.

In accordance with particular cases perform perform the following steps :

Patients additionally spend 10-15 procedures external laser therapy using low-energy lasers.

Patients additionally carry out procedures of dynamic electroneurostimulation through device DENAS.

Patients additionally carry out procedures of SCENAR-therapy through SCENAR.

Patients additionally spend 20-30 procedures on which they enter caritatem by electrophoresis, a break between procedures Pets 1-2 days, repeated courses are assigned in 1-2 months.

Patients additionally carry out procedures acupressure stop by the apparatus of Marutaka.

The proposed method is illustrated by the following illustrations:

Figure 1 - scheme of the method;

Figure 2 is a graph of the growth of the patient;

Figure 3 is a graph of growth PA the rate;

4 is a diagram showing changes in the growth of the patient;

5 is a diagram showing changes in the growth of the patient.

In recent years shows that the transmission of pain impulses from the affected degenerative process of the vertebral motor segment (PDS), the synthesis of proinflammatory cytokines (Il, IL, FPO and with the formation of neurogenic inflammation at the ultrastructural level. Without denying the role of autoantigen in spinal osteochondrosis, which is abnormal tissue of an intervertebral disc. In the process of degeneration of the intervertebral disc and activation of nociceptors arise biochemical and immune reactions that culminate in the formation of aseptic neurogenic inflammation in the cytokine cascade at different levels (increased vascular permeability, disrupt blood flow impair the function of the immune system), which leads to an imbalance between Pro-inflammatory (IL, IL, FPO-a) and anti-inflammatory cytokines (IL, IL, OR IL and others) in favour of the former. Molecular receptors, through which co-regulation systems control pain and immune responses are nervous and immunocompetent cells overall. Violation of neuroendocrine-immune relationships is the common mechanism of pathogenesis of any pain syndromes. Long-term current is pain syndromes osteochondrosis lead to secondary immunodeficiency States, when suffering and cellular and humoral immune system, as evidenced by the increase in immune indices IL, IL, FPO-and - anti-inflammatory structures [Likhachev E.B., Sholomov I.I. Dynamics of clinical and immunological parameters in assessing the effectiveness of Mexidol in lumbosacral radiculopathy. // J. of Neurology and psychiatry. RSV, No. 10, 2006]. Thus, we are not talking about local and systemic process involving vascular, bone and joint (the spine of the body.

Of non-pharmacological remedies that can protect nerve cells and their processes from autoantibodies and the resulting immune complexes, enhance the nonspecific response of the body due to secondary immunodeficiency state, to ensure the correction of disturbed with osteochondrosis of cellular and humoral immunity, enhance the phagocytic activity of macrophages, to provide anti-inflammatory and analgesic action will help you to use methods BLOCK and UFOC that are able to connect their own resources of the body to restore homeostasis. Vlok and UFOC create a springboard for future therapeutic interventions, as their application triggered the mechanism of the improvement of the organism. Increases oxygen transport function of blood, normal tissue metab the ISM, stimulates regenerative processes in degenerative modified cell structures of an object, including the musculoskeletal system.

The next object therapeutic effects are vertebrates patterns, namely, spinal roots, intervertebral discs and other neural structures, interacting with dorsopathy. The strategy here is the impact on the metabolism MTD, restore the biomechanics of the spine, reducing pressure on the nerve endings and pain that occurs in response to irritation and compression of spinal structures, with the formation of pathologically modified stereotype, the aim of which is functioning without signs of discomfort, and this is possible only when blocking amazed PDS. On this stage traction installation in the treatment of diseases of the spine is based not only on the positions purely mechanical, and given the vasomotor and reactive and inflammatory changes. When assigning traction therapy is taken into account the pathogenic interaction between the spine, disc herniation and other vertebrate structures. In structurally modified disk nociceptors penetrate into the anterior part of the annulus and the nucleus pulposus, increasing the density of nociceptive field, supporting not only what to mechanical impact, but inflammation as degenerative modified disk produces proinflammatory cytokines IL, IL, IL-8, FPO. The contact elements of the nucleus pulposus with nociceptors in the periphery of the annulus contributes to lowering the threshold of excitability of nerve endings and increase their susceptibility to pain. Change in pain threshold plays an important role in the development of chronic pain. At this stage traction therapy increases the intervertebral spaces, which improves the circulation of fluid and nutrients into tissues MTD. It should be noted that cells MTD is very sensitive to lack of oxygen, glucose and PH environment, and hence to the quality of their blood supply. Here it should be borne in mind arterial and venous dyscirculatory disorder caused by compression of blood vessels sequestered hernia of intervertebral disk, first of all venous vessels due to poorly developed their network of anastomoses. Associated with mechanical compression of hemodynamic disorders of the Central, regional and capillary blood flow can lead to ischemia of neural structures and to the disruption of tissue metabolism of the vertebral bodies. Impaired venous outflow is accompanied by the accumulation of metabolic products, and the violation of arterial inflow - deficit trophism. The consequence of this is disrupting the Noah nutrition of the intervertebral discs. The function MPI type "pump" mechanism in the absence of an independent blood stream is completely dependent on hemodynamics, violation of which leads to degenerative changes in MTD, why suffer the biomechanics of the spine, which in turn exacerbates already existing hemodynamic problems and thus created a "vicious circle", which allows you to break traction therapy. Element degeneration MTD, as you know, is the reduction in it proteoglycans and loss of glycosaminoglycans and collagen, which are part of the proteoglycans. Proteoglycans much gidratirovana that it is important to ensure the mechanical strength of the tissue [Ermakova I.I. Proteoglycans culture of cultured myoblasts, characterization, and effect on adhesion, proliferation and differentiation of cultured myoblasts. // The Diss. on competition of a scientific degree of candidate of Sciences, Saint-Petersburg, 200 8]. The loss of proteoglycans leads to the reduction of osmotic pressure and dehydration of the disc. However, disk cellular elements retain the ability to synthesis of healthy collagen, even in degenerate MTD. Restoration of bone and cartilage structures is due to the metabolism of MTD, mineral metabolism, restoration of bone density, which is clearly seen after the treatment the shots magnetic is esonance imaging (MRI). Violation of hemodynamics in diseases of the ODE can be worn not only mechanical in nature, and vasomotor. Thus, in particular, this occurs with involvement in the pathological process vasomotor fibers, and when the reflex spasm of the vessels caused by pain in the cervical osteochondrosis. Up to 25-30% of all cerebral circulatory disorders associated with vertebral degenerations [arinna E.E. Clinical-instrumental performance with pain in the cervical spine in combination with myofascial syndrome and their dynamics in the process of physical rehabilitation. // Abstract of dessert. for the degree KMN, 2004]. Vertebral artery syndrome (SPA) is almost always a consequence of cervical degenerative disc disease [A.G. white, Nasonov EL Dorsalgia in inflammatory diseases of the spine. // BC, T, No. 7 (179), 2003.; Bosh Hans-Cristoph, Sigmund R., M. Hettich - Current medical Research and Opinion, 1997, V.14; 1: 29-38]. Described can be considered a complex effect on the spine, in particular complex mechanotherapy [Ken-Chul Liu "Scientific fundamentals and principle of construction mechanotherapists apparatus for correcting spinal deformities". The dissertation on competition of a scientific degree of the doctor of technical Sciences. - M.: Moscow state technical University n.a. Bauman, 1996; Kryzhanovsky GN. Central pathophysiological mechanisms of pain. // Pain and its treatment, 20, 12, pp.2-4.] an effective way to break the "pathologically vicious circle" and to ensure recovery of the Central and regional hemodynamics of the vertebral motor segments. The metabolic component of the traction therapy in this case is greatly increased on the background of improvement of rheological properties of blood, due to the initial impact of vlok and UFOC.

Thus, the traction influence leveled aggressive-mechanical effects on neural structure, restores the anatomical structure at offset vertebrae and loss of MTD, restore the biomechanics of the spine and increases the mobility of the affected segments, which creates prerequisites for the restoration of the damaged degenerative processes of the structures of the spine. The effectiveness of rehabilitation treatment with traction installation according to Ken-Chul Liu is 74-82% [Ken-Chul Liu "Scientific fundamentals and principle of construction mechanotherapists apparatus for correcting spinal deformities". The dissertation on competition of a scientific degree of the doctor of technical Sciences, Moscow, MGTU im. Bauman, 1996]. As a result of these effects creates a kind of "no pharmacological umbrella"to stop degenerative processes in the spine.

Osteochondrosis is the process, who is deployed primarily in the vertebral motor segment (PDS). However, this pathological process is supported by the muscular system. Affected MPD involves pathological orbit deep and superficial muscles of the spine, which provide a kind of "orthopedic corset", lead him to immobilization, already forming unit MPD. Spastic muscles further reinforce the knot for security of RSA during the static-kinetic loads. Therefore there hemodynamic abnormalities in the muscles, enhancing in turn these disorders and PDS, and thereby creates the prerequisites for deepening it degenerative changes. Prolonged muscle spasm forms of pathological motor stereotype, which increases in PDS existing violations, and at the same time promotes the formation of blocks in adjacent PDS. Spasm, of course, undermines the blood supply to the affected area. All this leads to biomechanical abnormalities of the spine in General: disturbed biomechanics of musculoskeletal act, impaired posture and balance muscle-fascial ligamentous apparatus, there is an imbalance between the front and rear muscle belt, you receive an imbalance in the sacral-iliac joints and other structures of the pelvis. Naturally, than Bo is its pronounced block ELVs the more pronounced muscle spasm and the expressed pain syndrome. In spastic muscles impaired trophic and in the deep and superficial muscles, along with this, there are violations of the reflex nature (contractures, paresis). In this regard, the task of the third stage in the treatment algorithm is to eliminate spasm of superficial and deep muscles and restore them in circulation. These tasks successfully solve massage: vacuum cupping massage (restores trophic outer back muscles) and vacuum-gradient therapy - deep vacuum therapy, improves the nutrition of deep back muscles. Both procedures, following one after another, sequentially work through all muscle layers. These massage techniques are appointed only after traction therapy, that is, when the fixed factors of mechanical compression of neurovascular structures, as well as improved Central and regional circulation, significantly decreased the area of inflammatory edema, achieved complete muscle relaxation. The specified sequence of treatment is dictated by the fact that without traction therapy massage treatments will lead to increased inflammatory edema and associated expressed pain syndrome, as well as increased pain due to spasm of the muscles. The specified sequence is assignig procedures played on the "liberated" neuro-vascular structures of PDS during traction dictated pathogenetically due to causal relationships development of degenerative-dystrophic diseases of musculoskeletal system (ODE). The combination of vacuum-cupping massage (reduces spasm superficial muscles) with vacuum-gradient therapy in sequence allows you to maximize the relaxing effect of deep back muscles.

Thus, the vacuum-cupping massage and vacuum-gradient therapy can restore trophic stimulate intracellular metabolic processes in muscle tissue and implement the functions of the muscles involved in the degenerative process of the spine.

Elimination reflex-muscle syndromes, as well as blocks in MPD achieved by manual massage technique, you can stop the pathological mechanism of muscle memory and "teach" your back muscles, muscles of the limbs and muscles of the pelvis to fix correctly the spinal column thereby interrupting pathological motor stereotype that exacerbate the processes in the structures of the spine. Before the procedure manual massage as a pre-heating tissue to influence on the reflex zones of the spine is acupress therapy. Procedure acupress therapy causes section shall agenie large receptor zones of the skin and is associated with the activation of neurotransmitter systems, regulating the intracellular interaction of the propulsion units of actin and myosin, calcium ions, which contribute to the state of the contractile apparatus in muscle cells [Imaginisce news 2297, No. 5, 9-16].

Listed massage techniques performed in the named order, capable of doing the most important things to resolve formed pathological motor stereotype to break the mechanism of "muscle memory", which otherwise will capture the PDS, and to "impose" its original state. Consistently pursued massage treatments achieve a relaxing effect on the level surface, then the deep back muscles, restore circulation, metabolic coordination and muscle trophism.

The result is consistently pursued remedial measures based on pathogenetic side of the development of degenerative changes in the vertebral structures, significantly improved blood flow in the Central and regional vessels, improved microcirculation in the tissues of the disc, in the superficial and deep muscles of the back, i.e. the preconditions for connection of peripheral blood using hirudotherapy. When the exposure of leeches in the area of the navel leech enzyme through the splanchnic vein enters the portal vein and then to the system of the inferior Vena cava. Rez is litecom in this case is to improve hemodynamics in the lower limbs, in the lumbar spine, where the leech enzymes fall directly on the veins, and anastomoses. Provided transcapillary exchange in all organs and tissues at the level of the microvasculature. In addition, the area around the navel along the small intestine has cells of the peripheral immune system. The combination of this plan occupational therapy with vlok and UFOC-techniques enhance and prolong the immunological effect given by them. The human body, as we have pointed out previously, positively respond to low-intensity rays as a whole, including all parts of the regulation of physiological processes. The human body, especially in middle and old age, is faced with the aging of the immune system. Age-related changes in the immune system - the process leading to a state of dysregulation: decreases the diversity of the spectrum of T-lymphocytes, changing the balance in subtypes of T cells, decreasing function of T-lymphocytes. Immunomodulatory effect, which is expressed in the setting of immune system, is also achieved by the occupational therapy [Savinov, VA Clinical occupational therapy. // isdns, 2002].

Peripheral microcirculation in the cervical-thoracic spine and upper extremities is achieved by exposure of leeches on the projection of the temporomandibular joint. Using occupational therapy, we are opening the system "gateways" arterio-veno is different anastomoses at the system level. It is this sequence of procedures enables you to reach and trigger the hemodynamics in General, and used our method the method proves the degree of improvement of peripheral blood flow dynamics. The logical conclusion of treatment days is the procedure swing therapy. It improves the blood circulation in the background already "running" hemodynamic system. Diffusive migration of substances from the blood into the tissue while increasing volumetric blood flow velocity can be increased up to 8 times [Sofletea A., Marcovici H., I. Motoc, Radu H.Sindromul "piciarelor nelenistite". // Neurol. Psihiat. Neurochir. - 1961. - 5, 517-522; Herman became popular Ischemic disorder of spinal blood circulation with traumatic arachnoiditis. // In the book: The matters. Souder. and Sposa. - Chisinau, 1971. - Q. 8, 161 to 165]. This step, of course, increases the nutrition of the intervertebral disc and prevents the development of degenerative processes of the spine, and also contributes to the rehabilitation of the affected MTD and MPD. Swing-therapy, in addition, provides passive exercise of the muscles, as if prolonging obtained during complex procedures effect. Holding the swing terpii directly after hand massage gives the effect of passive exercise for strengthening the muscles and ligaments of the back, muscles of the limbs, the ilio-sacral joint, joints. In addition, it activates simpat the ical nervous system, inducing peripheral and Central blood-forming organs to strengthen its function in the development of immunoglobulins and thus summarizes the impact of vlok and UFOC on these functions. And as you know, the interaction of Central and peripheral organs of the immune system in a shorter time which lead to the production of nonspecific factors of protection. It is also known that from this General state dependent nature of the flow of local inflammatory and autoimmune processes in the body [Likhachev E.B., abstract of the dissertation on competition of a scientific degree of candidate of Sciences "Dynamics of clinical and instrumental and immunological parameters in assessing the efficacy of neuroprotective agents in the adjuvant treatment pojasnichno-sacral radiculopathy", Saratov, 2006].

In therapeutic day when the complex procedures assigned to manual exposure, occupational therapy applied only after the swing-therapy. In these cases, the application of leeches is projected back (dorsally much farther), and in the area of trigger zones. The mechanism of hirudotherapy in this reinforces and enhances the effect obtained by the patient from massage treatments. This approach allows logical to complete treatment day, when after the procedure manual treatment that eliminates muscle blocks and spasms, blocks MPD, the effect obtained is fixed on the light of the g-trainer, and "the remains of the triggers are removed by setting leeches on pain points and reflex zones. Procedure hirudotherapy not just improves local capillary blood flow, but at the same time reduces inflammation, anelgeziruet. In those days, when occupational therapy is not conducted after the swing-treatment exercise therapy developed by educational control program (DPA - complex). System rehabilitation of patients within the DPA complex (LFC+DPA) complies with the who recommendations for the development and use of training programs for working with patients. The use of DPA complex designed for prolonged independent implementation of the patient in his everyday life, the patient learns a number of recommendations on behavior in everyday life (how to sit, how to stand, how to bend, how to be driving and so on), which allows him to continue his lifestyle to coordinate with the existing his problem. The patient performs daily physiotherapy exercises for hours at home. In the clinic, the algorithm is aimed. In the complexes of physical therapy includes exercise is identical to the algorithm procedures (exercises on stretching the tissues surrounding the spine, improving blood flow, to increase mobility of the spine and joints, strengthening the strength and endurance of the trunk muscles, breathing exercise is to be placed). The patient receives the information that the natural loss of bone tissue after 40 years of approximately 1% per year in women and 0.5% for males. The decrease in mineral bone density in physically active people has been slow. However, physical inactivity, prikovannosti to bed reduces 1% of bone mass per week, because gravity load with physical inactivity contributes to the leaching of calcium and decrease in bone mass, reducing their density. Movements promote the absorption of calcium in the bone tissue, especially exercise resistance. Patients according to our observations, there is a restoration of bone and cartilage structures by improving mineral metabolism (recovery of bone density), which can be seen on MRI and densitometric studies. The correct execution of the movements during exercise increases intradiscal contents proteoglycans, and disk cellular elements retain the ability to synthesis of healthy collagen even in degenerative MTD. Collagen fibers, as is known, provide the strength of the disk and fix it to the vertebral bodies. Between the degree of mobility of the PDS and the amount of nutrients to the spinal disc, there is a direct relation. With a rigid spine disappearance of MTD liquid is 5 to 10 times slower than the implementation of the AI active movements especially when performing exercises for the deep back muscles. This shows that regular use of special exercises for the spine (it is part of the DPA complex), leads to the intensification of metabolic processes and enhance the power of MTD, which contributes to its restoration, as the pulpous nucleus MTD has the property to absorb liquid, which contributes to the locomotor activity of the person. In the adult cartilage is nourished by diffusion of nutrients and oxygen from blood vessels of the vertebral bodies, so most of the drug does not reach the cartilage disk.

This method of patient education and monitoring of the correctness of their implementation exercise therapy can sustain the effect, and not to lose it after completion of the treatment in the hospital.

It is known that links the segments of the paravertebral muscles interact with links in the segments of the lower extremities as when standing and walking. In a recent study, Noobenstein revealed that the effects of fatigue or organic lesions that occur in the nervous system, cause innervation effect on the lumbar muscles [Bernstein N.A. Experimental studies of normal loaded walk. - M. - L., 1935. - T.1, c.120].

All these phenomena are inevitably complicated in the presence of "orthopedic" pathology of the lower limbs - the essential link will cast the political chain [Skvortsov A.I. Clinical movement analysis. Gait analysis. - M, 1996]. Mutual relations of the muscles of the lower extremities and back muscles are violated, in particular, in connection with flat feet or functional deficiency stop without flat feet. Fatigue of the back muscles and Shin under normal static load in patients with osteochondrosis occurs rapidly. In the presence of functional brake failure, it occurs earlier (5-8 minute) and that is quite bright react muscles of the lumbar - discomfort, pain [Ivanchev GA Functional state of the muscle in patients with lumbar osteochondrosis. // Orthopedist., traumatol. - 1978. No. 6, 52-55]. When external rotation of the foot, as with internal rotation, change the normal fluctuations of the pelvis in the horizontal plane - they become asymmetric, which leads to overloading of the muscles. At the same time is inevitable rotation in negapatnam spine, which may affect the formation of dystrophic lesions of the corresponding disks [Popeljanskij AU Orthopedic neurology (vertebral neurology). // - M.: "Medpress-inform", 2003. - 3rd edition - 436].

Therefore, in the complex treatment of the spine, we pay attention to our feet. Feet, their position, the presence or absence of flatfoot, the presence of functional failure, all of this is directly reflected on the state the AI muscles of the spine and biomechanics of musculoskeletal system. Stop serves as an additional shock absorber to relieve the joints of the feet and spine. Large leg joints (knee, hip) are not adapted to absorb, therefore, in violation of depreciation functions stop load directly falls on the joints, causing them of the violation. The shape of the foot enables you to evenly distribute your body's weight and movement of the hands while walking helps to "put out" excessive vertical oscillation, all of this effectively relieves musculoskeletal system. The presence of pathology stop directly proportional to increases the load on the spine, which contributes to the development of degenerative processes in it. In addition, pathology stop supports pathological motor stereotype, and at various deformities of the spine does not contribute to its correction. The identified block sacroiliac joint (CPS) - the difference in leg length, muscular-tonic syndromes, etc. that are removed during treatment, without proper correction stop, to achieve meaningful recourse in the future is difficult, because it triggers a feedback system: the misalignment of the pelvis increases, the difference in leg length is increased, increasing the asymmetry of the pelvis and amplifying unit CPS, which leads to greater muscle spasm of the paravertebral muscles, with the further development of deeper geodynam the economic and degenerative disorders in MPD and MTD. Therefore, individual correction stop treatment required, it is the final chord of a comprehensive treatment of the spine. When restored biomechanics ODE, spine, fixed hemodynamic disturbances in MPD, MPD and the system as a whole, as a consequence, reduced the difference in leg length, increased mobility of the sacroiliac joints and the spine is individual insole that allows to keep the ligaments of the feet, supporting or forming the necessary cushioning system, which is important for the spine and the entire ODE. This eliminates the regression obtained for treatment results.

The figure 1 presents an illustrative scheme of the method of complex non-surgical treatment of diseases of the spine.

Then follows a detailed disclosure of all procedures used in the claimed method is a comprehensive non-surgical treatment of diseases of the spine:

PROCEDURE vlok and/or UFOC - a combination of intravenous methods, is assigned to treatment, the duration of which is 3 to 15 procedures. The procedure itself is characterized by its simplicity and accessibility. In the superficial ulnar vein type disposable fiber (needle, which is located inside the light emitting end) and leave on time from 5 to 20 the minutes. Procedures are carried out daily or every other day.

In complex treatment of patients with vertebrogenic pain is appointed vlok+UFOC, which speeds up the recovery period due to connection of own resources of the organism. Anti-inflammatory and analgesic action, which allows patients to do without non-steroidal anti-inflammatory drugs (NSAIDs).

Vlok and/or UFOC is to ALT (laser therapeutic apparatus) matrix-ILIB". Laser therapeutic apparatus "matrix-ILIB provides exposure to radiation of multiple wavelengths (from 0.365 to 0.9 μm) and a thickness of 1 to 35 mW, which provides the most effective modes of treatment. ALT "matrix-ILIB" is the only device that allows intravenous laser blood irradiation in the ultraviolet and red spectra LLLT (low level laser radiation), and apply the latest technology - ILIB - 450. (Geinitz AV, Moskvin S.V. study of the effectiveness of new technologies intravenous laser irradiation of blood (ILIB+UFOC and vlok 450, 2001, p.6).

It is shown that after vlok is a response to three main levels (Baibekov I.M. and others, 2008; Geinitz AV and other Intravenous laser irradiation of blood, 2008, s): activation of blood cells (red blood cells and immune cells);

modify the properties of the blood (plasma composition, rheological properties and others);

the system response at the level of different organs and tissues.

Draws attention to the fact that all the effects of LLLT can be divided into two main areas: the immune system and trophic tissues.

Improvement of microcirculation and oxygen supply to various tissues using vlok is also closely connected with the positive effect of LLLT on metabolism: increases the oxidation of energetic materials - glucose, pyruvate, lactate (Kupchenko CENTURIES Fattony the brain.

- Khabarovsk: DVO an SSSR, 1991. - s.138).

Intravenous laser blood irradiation in the most active way affects all components of the immune system (Vorontsov IM the Structural-functional changes of immune cells human blood at various methods of photomodification uses: author. disbandment - St. Petersburg, 1992. - p.23); (Kuzmicheva L.V. Cytochemical study of peripheral blood lymphocytes in normal and irradiated low-energy helium-neon and UV light: Autoredial. biolay - Saransk, 1995. - p.21).

If we analyze the data of numerous studies (Geinitz AV and other Intravenous laser irradiation of blood. - Tver: Triad, 2008. - s), the changes listed above can be grouped into the following main mechanisms l the educational actions vlok:

- correction of cellular and humoral immunity;

- increased phagocytic activity of macrophages;

- increased the bactericidal activity of blood serum and complement system;

- reduction of C-reactive protein level, medium level of molecules and toxicity plasma;

the increase in the serum content of immunoglobulins IgA, IgM, IgG, as well as changes in the level of circulating immune complexes;

- increase in the number of lymphocytes and change their functional activity;

- increase the ability of T lymphocytes to rosethorne and the DNA-synthetic activity of lymphocytes, the stabilization of the ratio of subpopulations of T-helper/T-suppressor;

- enhancement of nonspecific resistance of the body;

- improvement of blood rheology and microcirculation;

- regulation of the hemostatic capacity of blood;

- the effect of salts;

- anti-inflammatory;

- analgesic effect;

- normalization of the ionic composition of blood;

- increase the oxygen-transport function of blood and reduction of partial carbon dioxide tension;

the increase in the arteriovenous difference in oxygen, which is a sign of normalization of tissue metabolism;

- normalization of the proteolytic activity of blood;

- increase the antioxidant and the activity of blood;

- normalization of peroxidation processes (oxidation of lipids in cell membranes;

stimulation of erythropoiesis;

- stimulation of intracellular DNA repair systems in radiation lesions;

- normalization of metabolic processes (protein, lipid, carbohydrate, intracellular energy balance);

- normalization and stimulation of regenerative processes.

Gameposted (Intravenous laser irradiation of blood (ILIB). // Use low-energy lasers in clinical practice. Ed. Occcupancy. - M., 1997. - p.35-56) in their work showed that factors such as body weight, blood volume, age and gender of the patient (in the range from 18 to 60 years), to determine the procedure time is unimportant, because the effect of the generalization patterns of blood plasma (one of the factors of influence of LLLT on blood) does not depend on the volume of irradiated blood. The optimal exposure time for the wavelength of the laser radiation 0.63 µm 20 min at a power of 1 mW or 10 min at a power of 2 mW.

The direct dependence of the degree of absorption of venous and arterial blood, and erythrocytes from the wavelength of the laser radiation (Jacques S.L. Skin Optics // Oregon Medikal Laser Center News. - 1998. - p.20); (S. Wray, M. Cope, Delpi D.T. et al. Characterization of the infrared absorption spectra of cytochrome aa3 and haemoglobin for the non-invasive monitoring of cerebral oxygenation. // Biochemical et Biophysical Acta. - 1988. - 933(!). - p.184-192)./p>

For each wavelength has its own, purely biophysical and physiological peculiarities of interaction NEELY with blood. Ultraviolet (UV) radiation in the wavelength range of 310-400 nm is absorbed better by leukocytes, the spectrum observed maximum stimulation of synthesis and cell division (Zailiyskiy G.B. Photochemistry of nucleic acids. // Molecular mechanisms of biological effects of optical radiation. Ed. Aborina. - M.: Nauka, 1988. - p.5-22), increased oxidative activity of the pyridine nucleotide involved in mitochondrial chain electron transport (D. Metzler Biochemistry. Vol.2 - M.: Mir, 1980. - s), observed higher sensitivity of the early stages of the inductive phase of the antibody productions to laser radiation in the UV range (Vasilyev N.V., Tarasenko TI, Black T.A. Influence of UV-coherent radiation on the immune system. // Testacean. on skin. lasers in medicine. - Krasnoyarsk, 1983, - p.93).

Methodology vlok+UFOC should be used in complex treatment of patients with vertebral lumbar pain. The two treatments are approximately equally contribute to the rapid achievement of the antalgic effect, but if there tradecopier pain syndrome most effective was the alternate, every other day, the impact of vlok and UFOC (Rum is Nenko VY Ultraviolet and laser blood irradiation in the treatment of lumbar pain: Autoreplication, Saratov, 2000. - p.12). Patients significant pain reduction was observed already by the end of the session vlok when saving effect in the next few hours and securing it with the following procedures (Livshits L.Y. et al. Quantum therapy as a method of treatment of lumbar vertebral pain. // Abstracts of the reports. Russian scientific.-[. with midhurst."Clinical and theoretical aspects of pain. 4.2 - M., 2001. - p.75).

In a large experimental data proved immunogenic and immunocorrective effect of intravenous laser therapy in patients with spine-spinal cord injury a combination of two wavelengths - 0.63 and 0.83 μm (Stupak CENTURIES of low-intensity laser radiation in the treatment of patients with spine-spinal cord injury. // Mater. II mider. "Laser and health. - M., 1999. - C.113-114).

In pregnant women has a positive impact UFOC on clinical manifestations of opportunistic diseases {Kuznetsova, L.G. Effectiveness of UV irradiation in the treatment of pregnant patients with pyelonephritis. // Testoyedov nauch.-[. "Methods of efferent and quantum therapy in clinical practice". - Izhevsk, 1995. - s).

The experience of effective combination of plasmapheresis with extracorporeal ultraviolet irradiation of blood and INVESTMENT is in the treatment of diffuse connective tissue diseases in children (scleroderma, juvenile rheumatoid arthritis, Wegener Wagener, nodular periarthritis) (Davidic R.P. et al. Plasmapheresis in combination with extracorporeal ultraviolet blood irradiation in the treatment of diffuse connective tissue diseases in children. // Pediatrics. - 1999. No. 4. - p.24-26). In the complex treatment of acute respiratory failure in infants is recommended to enable UBI on the area of the jugular vein (Buzulukova SK Diagnosis and treatment of acute respiratory failure in infants: Autoreplication - Dushanbe, 2006. - p.27).

Based on the above, it is possible to allocate the prospects of application of this technique in the prevention, rehabilitation and treatment of diseases of the spine, highlighting two main effects: local and systemic (General).

Local effects:

1) analgesic effect;

2) anti-inflammatory effect;

3) regeneration and repair of tissue. These properties allow to reduce significantly or to refuse medication at all.

Overall effect:

1) correction of cellular and humoral immunity;

2) normalization of metabolic processes;

3) trophic tissues and normalization of tissue metabolism;

4) improve blood rheology and microcirculation;

5) protivovesa is sustained fashion effect. These properties allow you to achieve the results of treatment of the underlying disease in a shorter time and get the improved condition of the whole body, allowing you to achieve positive results from concomitant diseases, using a systematic approach.

Accordingly, this technique has virtually no age limit, also effectively used in pregnant women (there is a high percentage of women with back pain on a background of pregnancy, however, this condition imposes a veto on many methods and medicines, because they are contraindicated in pregnant women), children of early age. This method productively combined in treatment. The method ILIB/UFOC with other methods allows to obtain an effective combination.

Procedure (ILIB/UFOC)

By venipuncture in the elbow or subclavian vein needle with fiber. Use disposable fiber optic cables, CIVL-01, manufactured in a sterile package.

for wavelength 0.63 μm, the radiation power at the end of the light guide 1.5-2 mW exposure time in most cases is 10-20 minutes per session for adults and 5-7 minutes for children.

for the ultraviolet range (UBI wavelength 365 nm) radiation power at the end of the light guide 1.0 mW, exposure time 1-10 min (which, depending on the type and stage of disease).

- for a wavelength of 405 nm (method vlok-405) the optimal radiation power at the level of 1-1 .5 mW, exposure time from 2 to 5 minutes

- ILIB daily basis or every other day, at the rate of 3-10 sessions. In some cases it is necessary to conduct up to 15 sessions.

- parameters vlok may vary significantly in accordance with medical indications and specific method in each case.

Contraindications:

- all forms of Porphyria and pellagra;

- photo and increased sensitivity to sunlight;

- hypoglycemia and inclination to it;

acquired hemolytic anemia;

- hemorrhagic stroke;

- subacute myocardial infarction period;

renal failure;

- hematological malignancies in the terminal phase;

- cardiogenic shock;

- extremely severe septic conditions;

- expressed aterially hypotension;

- hypocoagulation syndrome;

- congestive cardiomyopathy;

- fevers of unknown etiology;

- increased bleeding.

When obtaining a patient with heparin and other anticoagulants need to reduce the dosage of reception or to temporarily cancel, under the control of the coagulation of the blood picture.

The procedure of stretching the spine in traction installation is the most important pathogenetic link in the treatment of diseases possano the nick.

Can be used any traction installation, the principle of which is based on safe, painless, measured, consistent and uniform traction of all spine without the use of fixing devices (complex electrical system - loop Glisson, keystone, a device for stretching the back, cross-boards, tables with loops etc. and so on), taking into account the anthropometric data of the patient and in conditions of complete muscle relaxation. Procedures are performed daily. The procedure duration is 30-45 minutes. It is recommended to seek the patient's maximum relaxation during the procedure. The patient is advised to read during the procedure, talk on a cell phone, etc. During the procedure after 10 and 20, and in some cases after 10, 20 and 30 minutes is recommended to approach the patient and to adjust the head and foot ends.

The number of treatments depends on the category of the patient, the regression of clinical symptoms and growth initial growth of 10-15 mm not less than 5-7 procedures. The separation of patients into categories is relative, based on data from magnetic resonance imaging (MRI) and clinical picture of the disease, but allows you to focus the patient on the number of procedures required for treatment.

1 category, it is recommended to take at least 15-20 is rocedur:

- Patients requiring prophylaxis of diseases of the spine

- No complicated osteochondrosis

- Scoliosis of 1 degree without pain syndrome

category 2, it is recommended to take at least 20-25 procedures:

- Uncomplicated osteochondrosis with comorbidity

- Scoliosis 1-2 degree with minimum pain manifestations

3 category, it is recommended to take at least 25-30 procedures:

- Protrusion of intervertebral discs in the lumbar and thoracic to 3 mm

- Scoliosis of 2 degrees with moderate pain

- Posture with moderate pain

4 category, it is recommended to take at least 30-35 procedures:

- Protrusion of the intervertebral discs of the lumbar and thoracic to 5 mm

- Multiple protrusion of intervertebral discs up to 3 mm in the lumbar and thoracic spine

- Scoliosis 2-3 degrees with persistent pain syndrome

- Posture with persistent pain syndrome

5 category, it is recommended to take at least 35-40 procedures:

- Intervertebral hernia lumbar and thoracic from 5 to 7 mm

- Protrusion melsonby discs of the cervical spine to 2 mm

- Scoliosis and kyphoscoliosis 2-3 degrees with persistent pain syndrome

- Poor posture combined with the protrusions of intervertebral discs of the thoracic and lumbar regions of up to 3 mm

6 to Tagore, it is recommended to take at least 40-45 procedures:

- Intervertebral hernia lumbar and thoracic from 8 to 10 mm

- Intervertebral herniation of the cervical spine to 3 mm

- Spondylolisthesis (Antelias, retraites)

- Spondylarthrosis

- State after a compression fracture of the spine (after full consolidation)

Having pathological vertebral fractures due to metastases (in the case of complete rehabilitation of the patient observing his oncologist!)

- Distal lower monopoles (muscular strength not less than 4 points)

The vertebro - basilar insufficiency (VBN), vertebral artery syndrome (PAS) 7 category, it is recommended to take no less than 45-50 procedures:

- Intervertebral hernia lumbar spine from 11 to 14 mm

- Intervertebral herniation of the cervical spine to 5 mm

- Multiple protrusion of the intervertebral discs of the cervical, thoracic and lumbar spine

- Protrusion/herniation of intervertebral disks, complicated relative primary or secondary spinal canal stenosis (less than 10%)

- The shoulder-blade periastron (arthritis)

- Distal upper monopoles (muscular strength not less than 4 points)

- Distal lower monopoles (muscular strength 3 points)

- Distal lower prepares (muscular strength not less than 3 points)

- Scoliosis and kyphoscoliosis 3-4 degree, with regard the sustained fashion blockade sacroiliac joint (KPS)

- Ankylosing spondylitis (as adjunctive therapy in remission) 8 category, it is recommended to take not less than 50-55 procedures:

- Intervertebral hernia lumbar spine from 15 to 16 mm

- Intervertebral herniation of the cervical spine greater than 5 mm

- Multiple protrusion and herniation (clinically significant) intervertebral discs of the cervical, thoracic and lumbar spine

- Protrusion/herniation of intervertebral disks, complicated relative primary or secondary spinal canal stenosis (>10%)

- Distal upper monopoles (muscular strength not less than 3 points)

- Distal lower monopoles (muscular strength 2 points)

- Distal lower prepares (muscular strength less than 3 points)

- Rehabilitation after surgical interventions for surgical removal of an intervertebral hernia

- Scoliosis and kyphoscoliosis 3-4 degrees, with the blockade of the sacroiliac joint (KPS)

- Ankylosing spondylitis (as adjunctive therapy in remission), blockade of 9 CPS And the category should be not less than 55-60 procedures:

- Intervertebral hernia lumbar spine more than 18 mm with a tendency to sequestration

- Sequestered intervertebral hernia lumbar spine more than 12 mm

- Intervertebral hernia cervical and thoracal departments of more than 5 mm, with a tendency to seque the ation

- Clinically significant relative stenosis PC (primary or secondary), at the level of intervertebral disc herniation (even medium size!) thoracic and lumbar

- Chronic pain (from 3 to 12 months) 9 B category, it is recommended to take not less than 65-85 procedures:

- Myelopathy-genic nature

Compression structures "cauda equina"

- Transient disorders of pelvic organs

- Chronic pain (over a year)

- Recurrent postoperative hernia of intervertebral disks.

Using traction installation can provide uniform, physiological stretching the spine and microvibration and thermal effects effect gentle massage. After the procedure, increase the distance between the vertebrae allows you to quickly remove load from disadvantaged roots, to reduce the area of edema. Options traction set for each patient in accordance with his individual data. This important feature prevents the strain of ligaments and muscles, and hence the likelihood of possible injury.

The most important effects of traction units are:

- Increase in intervertebral spacing

- Expansion of the intervertebral spaces causes improvement of local blood circulation

- Reducing atragene muscles and ligaments with the overall total relaxation paravertebral muscles and the disappearance of the asymmetry of muscle tone

- Reducing the pressure on the nerve endings and pain due to increase intervertebral spaces under the action of traction, spreading evenly over the entire length of the spine

- Normalization of the anatomical structure at offset vertebrae and pelvic prolapse (prolapse) of intervertebral discs

- Increase in intervertebral spacing leads to improved circulation and nutrients in the tissues of the intervertebral discs, which leads to the recovery of their structure.

- The use of traction installation does not cause additional stress on the blood vessels (as in the traction upside down), which is particularly dangerous in patients in the elderly and in patients with cardiovascular diseases.

- Increase of diastasis between the articular surfaces of the intervertebral joints.

- Restore the biomechanics of the spine and, as a consequence, the increase of mobility of the affected segments, as well as the entire spinal column as a whole.

- The use of traction installation for the correction of spinal curvature 1-3 degrees and prevention of complications of osteoarthritis, causing pain in this group of patients.

The most objective measure to assess the effectiveness of traction of the spine is the growth of the patient and the monitoring of its dynamics. Oba is but the standing height is measured before and after the procedure, and when expressed antalgic posture the patient's height is measured in the sitting position. Before treatment is measured initial height of the patient, which is 0. The change from the original growth before and after the procedure are recorded in the graph in millimeters (figure 2).

The growth of the patient, for clarity, are recorded in graphical form.

Effective is the treatment in which, along with the clinical improvement observed a steady increase in the initial growth (the growth of the patient prior to the 1st procedure) patient 5 mm or more, over the next 5-7 procedures.

The figure 3 shows the growth chart patient C. 39 years (9A category).

DIAGNOSIS: Herniated disc. Dorsopathy. Lumboischialgia left with severe pain, muscular-tonic syndromes.

According to MRI: rear Central left intervertebral disc herniation L5-S110×18×10 mm, with evidence of sequestration.

In the first procedure, the sharp constant pain (10 points in YOUR) in the lumbar spine, more to the left, with irradiation to the left buttock, along the back of the thigh, the Shin to the foot of the left leg, with hypesthesia of the fingers of the left leg (3-5). On the 4th the procedure, the pain was less intense (6 points on YOUR), 12 procedure minor pain (a score of 4 on YOURS) in the back with irradiation up to mid calf. 24 procedure pain in the leg decreased (2 points on YOUR), wipe the tezia remained. 35 the procedure remains mild discomfort in the form of a drawing sensation in the leg region, hypesthesia, decreased. 45 procedure - easy hypoesthesia on the outer surface of the left foot. 52 procedure - pain is absent, the mobility of the spine and extremities in full, disturbances in sensitive area. With 52 60 procedure - no complaints, on the 60th procedure treatment discontinued. As a result of treatment received lasting clinical effect, with confirmation of the results by the method of neuroimaging (MRI).

The figure 4 shows the graph of the growth of the patient H. 31

DIAGNOSIS: idiopathic right thoracolumbar (type IV) scoliosis of 2 degrees, with moderate pain and muscular-tonic syndromes affecting character (category 4).

The clinical picture of constant drawing pain (6 points on YOUR in the thoracic and lumbar spine. Notes clinical improvement (2 points on YOUR) with 5 treatments. The complete disappearance of complaints with 10 treatments. During treatment, each of the 5th to the procedure, during the inspection was conducted to measure the length of the lower limbs when standing and lying down, to assess the condition of the sacroiliac joint. Treatment discontinued at 35 procedure. At the beginning of the treatment difference in leg length was 1.2 see At the time of discharge length of the lower extremities are equal, a significant decrease is giving asymmetry level of the shoulder blades and hips.

The figure 5 shows the graph of the growth of the patient M 32 years old

DIAGNOSIS: idiopathic ankylosing spondylitis (Bechterew's disease), in remission.

The clinical picture of pronounced pain syndrome (9 points on the VAS) in the thoracic, lumbar spine and severe stiffness of the thoracolumbar division, against the background of severe kyphotic deformity of the thoracic spine (category 7). Notes clinical improvement (5 points on YOUR) with 8 treatments. 18 procedure notes a significant improvement: the absence of pain, increase mobility of the spine. 35 the procedure is the absence of complaints, the opportunity to sleep on your back and lie on your back, not tucked under the neck cushion.

3. The known device for the correction and treatment of the spine: RF patent №1799266, NCI: AN 7/00, publ. 28.02.93; RF patent №1790405, NCI: AN 7/00, publ. 23.01.93; RF patent №2005445, NCI: 61F 5/00, publ. 15.01.94; RF patent № 2147426, NCI: AN 1/02, publ. 2000 RF patent No. 2177294, NCI: AN 1/02, priority 22.03.2000 containing a frame, a flexible tape attached between the end frame crossbars, and hard opposability on flexible tapes inclined transverse ribs forming a bearing surface and affecting the patient's spine.

Procedure Vacuum cupping massage.

This effect on the body by means of vacuum, used the eat rarefied air in medical banks. It is performed using only one of the banks, the movement of which is directed toward the venous current and can be centrifugal, radial, circular [Goidenko B.C., Kotenev V.M. Practical guide to reflexology. - M., 1982]. Effect of vacuum cups causes temporary redness, followed by the formation of formed extravasation and petechiae, which resolve within 3-5 days, mechanism of action of cans such action autohemotherapy [Walkover Y.S., Exteroreceptors skin. - Chisinau, 1991; B.C., Radysh B.B. Application of vacuum massage in the clinic of nervous diseases. - M., 1983].

The impact of medical jar on a muscular frame is the paravertebral and on both sides of a patient's back upwards from the lumbar to the cervical spine along the massage lines back, not taking his medical Bank from the skin [Mikhailichenko P.P. Vacuum therapy. Cupping massage. A unique method of treatment and prophylaxis of 100 diseases. 2000 GS; Mickle P.P. fundamentals of vacuum therapy. Theory and practice. - Ed. ACT, 2005, s].

Procedure the vacuum gradient of therapy.

Effective treatment of pathology of the spine and soft tissues promotes deep vacuum therapy with the use of multiple vacuum cups, different diameter and creating a different degree of rarefaction of the air. At the same time, the Ohm using multiple vacuum cups, with different diameter of the neck, and with different degree of rarefaction of the air, there is a difference (gradient) of pressure. On the soft tissue of neck presses banks and at the same time the tissue drawn into the banks. This is the vertical gradient force. And between areas of the soft tissues, which affect different diameters of banks, and when the movement of the cans along the surface of the body is set to the horizontal pressure gradient. Thus, the body is double, vertical-horizontal pressure gradient. This method is called - vacuum-gradient therapy. This allows me to focus on the fabric on the bottom, which is inaccessible to other types of massage. The use of vacuum therapy leads to acceleration of the circulation of blood, lymph and interstitial fluid in the skin, the underlying muscle and fascial structures, ligaments, tendons and reflex related internal organs. In a special way stimulates nerve endings and capillaries and larger vessels, and after such intensive incorporated in the work of non-functioning capillaries. This is one of the mechanisms of the vacuum gradient therapy, tangible therapeutic effect (eliminated congestion, derived toxic products of metabolism, normalize regulatory-metabolic processes and are activated function the organs) [Mikhailichenko P.P. Vacuum therapy, cupping massage, 1999].

Procedure the vacuum gradient therapy is carried out directly after the procedure, vacuum cupping massage. On areas of the body simultaneously impose 5-9 vacuum jars of different volumes and cross sections along the venous outflow and the influence of the vacuum remains static, i.e. at this time creates a horizontal-vertical drop of pressure in a limited area of the body surface. The exposure time is set for the first few sessions 1-2 minutes, with a gradual increase up to 3-10 min or more. After the occurrence of persistent redness and spots banks slightly giving the fingers, thereby weakening the force of their impact on 30-50%, and move on the surface of the body. This stage vacuum-therapy - kinetic.

The duration of the entire procedure is 20-30 minutes, depending on the area of effect. Treatment averages 7-11 procedures with an interval of 1-3 days, however, the scheme of the course of treatments is made individually.

Acupress therapy ebonite rollers.

This method electrotherapeutic impact hard rubber, having a high electrical insulating properties, which is when you slide on the surface of the body creates a natural negative charges of static electricity in fabrics. Electrified with positive charges. the ri this stimulated the trophic function of muscle cells and eliminated the defense of the paravertebral muscles in pain syndrome in the back.

Acupress therapy allows you to have a good pre-warming of tissues and is performed immediately before the procedure myofascial massage. The procedure is carried out within 10-15 minutes, depending on the individual characteristics of the skin of the patient. During the procedure, the efforts of the massager is governed by the angle of the slope, the steeper is the massager on the patient's body, the stress is more.

Complex methods manual force on the ligament-muscular apparatus of the spine and joints

Hand massage

The application of manual massages in combination with each other (reflex, myofascial and other) creates numerous options of combined massage effect, with prevalence varying massage techniques with emphasis on the areas of affected spine [Dubrovsky, V., Dubrovskaya AV Therapeutic massage. - M, GEA-TAR-HONEY, 2004. - 512 S.].

The mechanism of action of manual massage on the body is a difficult process due to the neuro-reflex, humoral and mechanical impact. The essence of neuro-reflex mechanism is that when the massage is exposed primarily to the numerous and various nerve endings in the skin (exteroreceptors), tendons, ligaments, muscles (proprioreceptors), the courts (anoreceptive), and internal organs (interoreceptors). The stream of pulses that occur during stimulation of these receptors, reaches the cerebral cortex, where all the afferent signals are synthesized, causing the overall complex reaction of the body, which manifests itself in the form of various functional changes in organs and systems. The mechanism of action of massage plays an important role and humoral factor. Under the influence of massage in tissues active highly active ingredients: histamine, acetylcholine, etc. While in the leather-bound, inactive state, they are under the influence of massage turn into free state, are absorbed into the bloodstream and spread throughout the body. Histamine, expanding the lumen and increasing the permeability of capillaries, improves circulation and metabolic processes in tissues. Acetylcholine increases the speed of transmission of excitation in the synapses, the ganglia of the nervous system and motor nerves to skeletal muscle. Massage has a direct mechanical effect on the tissue, in particular on the movement of all liquid media of the organism (blood, lymph, interstitial fluid), stretching and displacement of tissues and other Mechanical factor enhances metabolism and skin breath, decongest and temperature rise in the massaged area of the body [Anikin M.M., Varshaver G.S. Basis physio is therapy. - M.: Medicine, 1974. - 328 S.; White, N.A. Guide to therapeutic massage. - M.: Medicine, 1974. - 328 S.; Tyurin A.M., Vasechkin VI, massage Technique, 1986; Moskvin, S. C., Gorbani N.A. Laser-vacuum massage. - M, 2010. - 26 S.].

Reflex massage is designed to address local pathological lesion causing reflex changes in functionally related organs and tissues (skin, connective tissue, muscle, periosteum, and others), mainly innervated by the same segments of the spinal cord (zone Zakharyin-Ged). Depending on the nature and location of the pathological process, and reflex changes in various tissues have been many subspecies massage (diagnostic, segmental, point).

Diagnostic massage reveals increased skin sensitivity in the region corresponding segment, indicating increased reflex excitability. Palpation may be pain and increase tension in the connective tissue and muscles, and when you try to stretch the connective tissue pain. Elimination by means of diagnostic massage changes in the skin, connective tissue, muscle and periosteum helps to eliminate the primary pathological focus.

Segmental massage involves the impact zone Zakharyin-Ged is. Special attention is given to stretching the painful areas of the skin and tissues. Fingers try to sneak in a busy area of connective tissue and produce long and slow stretching it in the longitudinal, transverse and zigzag directions. It is advisable to start the massage with segmental roots from where they exit the spine, then massage techniques are performed towards the spine. The main task of the segmental massage is to relieve tension in the tissues detected impact zones [Glezer O., Dalio VA Segmental massage. - M., 1965. - 125 S.].

Acupressure is a method of reflexology, the scope of which is acupuncture point; the same way the effects of massage [Tareeva D.M. Guide to acupuncture. - M.: Medicine, 1982 - 560 C.]. Myofascial massage is designed to restore and normalize physiological processes in the surface tissues surrounding the spine, restore balance, muscle tone and ligamentous apparatus, the functions of the motor segment. Improving the blood supply to the deep back muscles, relaxing tense muscles and their shells, eliminates painful muscle seals (triggers) [White N.A. Guide to therapeutic massage. - M.: Medicine, 1983. - 288 S.].

Yumeiho therapy

This massage technique created in Between narodnom Institute of preventive medical practice in Tokyo. The basis of Yumeiho therapy is the notion of the influence of the position of the pelvic bone on the state of the musculoskeletal system and body. The body is a unified system of levers and cords, this one-piece single biomechanical design. At offset any of the lever - joint, will definitely appear offset in all other joints in varying degrees. The center of the body is the line of intersection of the spine and the line of the Ilium.

YUMEIHO technique consists of 100 fundamental movements performed on the whole body and correcting musculoskeletal system, with special emphasis on the bones of the pelvis and correction of vertebral deformities, including a special package contact davashe-kneading massage. This method allows deep enough to work effective deep tissue, deep muscles, which in classical massage because of the rapid engorgement of the upper layers of the muscles and their strength can not be worked out. It allows you to relieve stress, take a deep muscles more elastic, improve blood circulation, to ensure impact through biologically active points on the reflex level. This method adjusts the balance of the pelvis, spine, and extremities. It improves tissue nutrition, broadens the scope of movement of all joints, increases the t of their flexibility and mobility. Creates a normal anatomical conditions for the functioning of the whole organism.

Postisometric relaxation (PIR). At the stage of exacerbation vertebroneurological diseases is a functional block joint, muscle shortening, the risk of compression of the spinal cord. Named determines the need for relaxation, relieve muscle contracture in adjacent segments, i.e. to make common myopically in local [Popeljanskij YA Manual and local anesthetic therapy in relieving common myopically. // In the book. Act. Problems in neurology. - Kazan, 1981, 28-29 C.]. This relaxation is necessary in cases membelinya syndromes, with accompanying joint blockages. Perfect dannam case is post isometric relaxation technique [Janda V., Lewit K. Krankheitgymnastik und die muskulare Fehlsteurung der Wirbelsaule. // In: K.Lewit Manuelle therapie. - Leipzig, 1973, 289-359; Ivancev GA, Popeljanskij YA Chiropractic spondylogenic lesions. // G. neuropath, and psychiatry. - 1983. - 83. - 4, 523-526]. The advantage of the feast is its complete safety and ability to perform the procedure by the patient. The patient is asked to perform moderate conation in passively stretched damaged muscles against the resistance of a specialist within 7-8 C. Relaxed so the muscle is then passively stretch further is painless. Such procedures are repeated several times, with intervals of 1-2 minutes, increasingly extending the muscle. After completion of the procedures performed active movement in the muscles-antagonists for arbitrary strain. The procedure leads to the restoration of disturbed motor stereotype [Popeljanskij AU Orthopedic neurology (vertebral neurology). // M - Medpress-inform, 2003], the Treatment of this technique helps to increase the strength of the individual reduction and speed parameters [Shakurov, A.R., 2000], and slowing down the degenerative processes of bone tissue in the area of the locked joint [gongalsky CENTURIES, frost NF, 1998], prevents disorders of heme and liquidynamics indicators [gongalsky CENTURIES, Curico BO, 2000].

The choice of method of manual treatment and the combination of the described methods are applied depending on the pathology of the spine, the process stages (acute, subacute, chronic), the degree of blockade of sacral iliac joints, the degree of involvement in the overall process of large and small joints of the musculoskeletal system. During the course of the treatment program manual treatment vary, taking into account individual patient characteristics and clinical dynamics.

Procedure manual exposure (hand massage, PIR), alternates with cupping massage is carried out after acupress-those who FIPA within 30 minutes.

The operation of the Swing-therapy".

Swing-treatment is carried out at the Electromechanical simulator type "SWING MACHINE" (made in Germany), which removed the functional blocks in the vertebral motor segments (MPD) and normalized their morpho-functional state due to the complex muscles, improve capillary blood flow, reduce swelling and improve tissue nutrition. Used in the treatment of diseases of the spine and joints. This simulator allows to coordinate the work of external (parasympathetic) and internal (sympathetic) nervous system, contributing to the strengthening of the hematopoietic function of the spine [Kinley K. multipurpose system "Detensor", Germany, 2001, 2-48 S.; Dubrov YA.T., Manual traumatology. - M.: Medicine, 1985, 117-207 C.]. Hardware method passive activation of the muscles acting on the transverse and oblique muscles, ligaments. Soft lateral movement of the device creating a rhythmic motion in all the joints of the spine, providing, thus, his gentle external massage. The impact simulator on the body based on the use of physical therapy principles, when the generated oscillations with a constant rhythm provide intensive movement of the patient's legs due to vibration. In complex therapy using swing-therapy thus the m is achieved:

- restore the mobility of the spine;

the removal of the transverse muscle blocks back without manual correction;

- correct posture;

- balancing the activity of the autonomic nervous system;

- improved blood flow;

- enhancing hematopoietic function of the spine.

The machine is used with the patient lying down. The duration of the procedure is 5-15 minutes, but time hardware and speed fluctuations are determined by the specialist individually. The procedure is performed daily and is a logical completion of complex major procedures affecting stages on the pathogenetic links of the chain in the development of degenerative-dystrophic diseases of the spine, diseases of the posttraumatic nature (spinal compression fractures, spondylolisthesis), etc.

Operation hirudotherapy.

In the pathogenesis of vertebral pathology the main role belongs reflex, compression, myfascial syndromes, the treatment is valid for all these links, providing anti-inflammatory, anti-ischemic, muscle relaxant and analgesic action. The mechanism of analgesic effect of hirudotherapy is that kinase secret leeches reduce the activity of bradykinin, stimuliruemoe pain in the body. In addition, biologically the active elements of leech saliva stimulates the antinociceptive system and restrict the passage of the pain signal through the gate of pain. In addition destabilise salivary glands of the medicinal leech shows another neurotrophic and neurostimulatory effect, and vozdejstvuet on the level of neurohormones (Dulnev GN, Krashenuk A.I. "From synergetics information medicine". - SPb, 2010, 125 S.). It is also important that the ability of the secret leeches to increase the seizure of glucose by neurons leads to activation of metabolic pathways associated with the accumulation of creatine phosphate in muscle [Krasyuk A.I., Kamynin Û.F. "Neuroendocrine nature of gurudatta Kruchenykh"in kN. "Science. Information. Consciousness." - SPb, 2006, 119-121 C.], and disrupted the transport of substances from the vascular bed and back, which underlies the mechanism of degenerative changes of the cartilage tissue. The basis of degenerative disc disease and its complications are marked degenerative changes that violate the processes of transport of substances and cells of the vascular bed and back. To cope with this violation of hyaluronidase, which is included in the salivary glands of leeches by depolymerization of hyaluronic acid intercellular substance that facilitates the movement of water through an osmotic gradient. In other words, occupational therapy is multifactorial mechanism with complex prolonged, prolonged action, provides comprehensive natural impact on the patient's body without the negative side e of the reaction. In modern clinical medicine there is no other such multifactorial, systematic and safe method, as leeching. Thus, therapeutic effects of leeches following:

- unloading and restore vascular blood flow

- introduction of biologically active substances

- pronounced analgesic effect

- reflex effect on acupuncture points

- elimination of edema

- anti-inflammatory

- analgesic effect

- restoration of damaged tissue.

Studies [Sukhov C.V. Treatment of medical leeches, a practical guide. - M. 2009, part 1, 84 S.; Glinianaia A.G., materials of the 1st international Symposium "Treatment of medical leeches". - M., 2010, 74-76 C.] showed that the inclusion of hirudotherapy in complex treatment of patients with degenerative disc disease and its complications (protrusion, herniation of intervertebral disk, etc.) contributed to a more rapid reduction of pain syndrome and provide more long-term remission. This allows you to enable occupational therapy in mandatory comprehensive treatment and rehabilitation of patients.

Procedure treatment is carried out immediately after vacuum-kreditnoy therapy. While leeches are placed on the region of the navel, allowing the leech enzymes to get directly into the blood stream (the portal is Vienna, the lower Vena cava) and provide a Central impact on the restoration of the venous and lymphatic drainage, contributing to the restoration of peripheral capillary blood flow and normalization of tissue metabolism. On back area occupational therapy is administered in the days when exercise manual exposure.

DPA-system for the daily run.

We have developed therapeutic complex daily activities - DPA complex (Daily plan of action - daily action plan) includes two aspects: daily special exercises and recommendations for the patient's daily life. These recommendations are developed by the specialists of the clinic and contain a list of behavioral skills (to sit correctly, the right to stand properly carry weight, properly run, to drive, to work, to eat, and so on). The implementation of all recommendations allows you to prolong therapeutic effect and to prevent the patient's vertebral and extravertebral complications. Complexes developed for each disease of the spine, taking into account the complexity and severity. Only the combination of a comprehensive treatment of the spine and perform patient-DPA complex in house conditions it is possible the patient's full recovery even when a large amount of intervertebral hernias.

The patient is trained in gymnastics and executes it at home for 60-90 minutes. Throughout the course of treatment the medical staff monitors the pace, technique, sequence of exercises. Based gymnastics is a system of integration of traditional methods of Qigong, the Japanese system Niches, Indian and Tibetan yoga, the relevant doctrine of rehabilitation medicine [Razumov A.N., Hamsaraev G.T., Frolov VK // Questions of balneology. - 2008- №4 - 55-59 C.]. All this allows for a new level of scientific methodology to obtain the maximum therapeutic effect in the treatment and rehabilitation technology [Angrisano et al. Wellness exercise in rehabilitation medicine: Monographic textbook. - M., 2007]. In the basis of its use in therapeutic purposes of feedback mechanisms and dual feedback, complex neuroelectronic reactions aimed at improving the function of the muscles of the spine, and the formation of cortical and subcortical mechanisms for the implementation of motor functions of the locomotor apparatus. This method proprioceptive neuromuscular repetition (PNF - proprioceptive neuron - muscular facilitation), which used a diagonal exercise in concentric, eccentric and isometric modes of muscle contraction alternating with physical exercises Rast is givana, postisometric relaxation of muscles. The main purpose of PNF - to form and consolidate rational static-and-dynamic stereotype. Correction paravertebral and extravertebral muscle disorders in the delay of the evolution of a new movement pattern is an integral component of comprehensive treatment and rehabilitation of patients with osteochondrosis of osvoenie. To strengthen the muscles that stabilize the affected spine and neurological complications are preferred isotonic exercises at a very slow pace run, i.e. with some isometric component. In addition, the exercises used and the eccentric mode loads, based on resistance to the force acting from the outside: this mode allows the patient to independently control the amplitude of the movement. The combination of isometric and isotonic exercises with breathing exercises are obligatory exercise [Balkarova EO et al. The problem of asymmetries of the pelvic girdle in spinal osteochondrosis and therapeutic exercise. - M.: J. Issues balneology, physiotherapy and physical education, 2010,№2, 47-49 C.]. Respiratory plastic gymnastics on the basis of Oriental exercises includes static and static-and-dynamic exercises. Including exercises on coordination is, symmetric and asymmetric static-and-dynamic corrective exercises, complex dynamic exercises - they are all aimed at correcting posture in motion and statics on the formation of static-and-dynamic stereotype, to coordinate phases of muscle tension and relaxation with breathing phases, to neutralize stagnant pockets of excitation in the cerebral cortex, to consolidate the newly formed motor stereotype [Shulyakovsky CENTURIES, Razumov A.N. Rehabilitation of osteochondropathy of the spine in children and adolescents. - M.: J. Issues balneology, physiotherapy and physical culture. 2009, №3, 32=34 S.; Epifanov V.A. medical Rehabilitation of patients with injuries and diseases of the musculoskeletal system. - M., 1984; Kogan OG OF vertebral component of the movement pattern. - Novokuznetsk, 1990]. Thus, at the stage of rehabilitation treatment of degenerative-dystrophic diseases of the spine with the use of exercise therapy, comprehensive means of neuro-and orthopedic correction it is possible to reduce the intensity of pain syndrome, to increase the functional capacity of muscles and ligament-capsular apparatus in carrying out the main functions of the spine, to ensure the correction of distance intervertebral and regional muscle biokinematic chain possano the nick - legs, get rid of the asymmetry of the pelvic girdle due to the disappearance of the difference in the length of the limbs, to eliminate myopically MPD.

After completion of the treatment the patient within samoregulyacii continues to follow the doctor's instructions and to perform exercises in the same volume, combining it with a visit to the pool. This regulation provides treatment of the spine in the continuous mode, supporting and securing the patient's condition after his stay in the clinic. The effectiveness of this approach to treatment is assessed using clinical and radiographic data, neuroimaging and neurological criteria in the dynamics. A patient receiving prolonged therapeutic effect, copes with professional and consumer loads not reduced the quality of his life.

On the outpatient phase of rehabilitation treatment of degenerative-dystrophic (osteochondropathy) diseases of the spine, we use a comprehensive tool neuro-rehabilitation, physiotherapy and orthopedic correction that allows you to potentiate and prolong their therapeutic effects.

Diagnostic pathology stop and orthopedic correction

It is well known that between the pressure distribution under the foot during walking and the occurrence of chronic pain in the joints and spine, there is the duty to regulate direct relationship [vitenson A.S. and coasteering biomechanical and innervation patterns of walking in patients with scoliosis 2-3 degrees. - M.: Jour. Journal of Traumatology and orthopedics named Nov, 2007, No. 1, 66-74 C.]. Therefore, great attention is given to the condition of the foot in the overall treatment of diseases of the musculoskeletal system [Skvortsov A.I Clinical movement analysis. Gait analysis. Ivanovo, 1996].

Diagnostic pathology stop is performed using the podoscope is a special device that allows to see the position, the configuration of the foot, to determine the load distribution on the foot.

The complex of therapeutic measures include conservative treatment of flatfoot in adults and conservative treatment ploskovice of the foot in children, as well as created insoles-arch supports for any footwear, individual size.

This approach allows you to adjust the foot, which in turn eliminates the pain in the feet, relieves the spine and joints [Laptev Y.A. et al. Deformities of the lower limbs in children with systemic diseases of musculoskeletal system: tactics of treatment.

// New implants and technologies in traumatology and orthopedics: proceedings of the Congress of traumatologists-orthopedists Russia with international participation. - Yaroslavl, 1999, 569-570 C.].

How does the instep

Properly selected individual instep support the characteristic transverse and longitudinal arches of the foot, improves stability when standing and walking, reduces the load on the spine, hip, knee and ankle joints, prevents the development of pathological conditions of the musculoskeletal system. It also improves circulation and prevents fatigue of the feet, improves overall health.

The technique developed at the Department of traumatology, orthopedics and arthrology of the faculty of advanced training of medical workers of the Russian University of Friendship of Peoples together with specialists orthopedic company OrthoLite (USA) and the German orthopaedists.

The advantages of the method are:

1. the individual modeling of the shape of the arches of the foot in the position of full orthopedic correction;

2. the possibility of staging correction, which is especially important in children, also adults with severe deformities of the foot;

3. the possibility of making individual insoles for dress shoes with a heel height of 12 cm;

4. the speed of fabrication - 30-40 min and reasonable price.

In the complex treatment of spinal diagnostics and correction of the ligaments of the feet is mandatory. Throughout the course routinely inspected regularly stops on the podoscope and is measuring the length of the lower limbs in positions lying and standing. During the course of treatment in achiev is Tate of feedback, an increasing mobility of the sacroiliac joints, improving the statics of the spine and biomechanical parameters of the musculoskeletal system. The last procedure is the final measurement of the length of the lower extremities and inspection stop on the podoscope, the observed discrepancy is corrected by making individual insoles to compensate, unloading of the spine and joints and prevent the formation of abnormal movement pattern.

Auxiliary procedures. Outdoor laser therapy

The main physical factor in therapeutic lasers - this is a natural physiological stimulus is light. In a specially created devices use lasers producing a light of the appropriate range. Application discontenting (undamaged) lasers for therapeutic purposes based on the interaction of light with biological tissues. Such photobiological effects directly depend on the parameters of laser radiation (wavelength, power, pulse frequency, duration of exposure on the fabric, which configures and controls the doctor. Laser therapy using therapeutic properties of low-intensity laser radiation (NEELY), due to its unique effectiveness, no side effects and specific contraindications, became a kind of universal method of modern medicine. Light, Ref is handled from a laser therapeutic units, is absorbed by the tissues, what determines the severity of therapeutic effect. In General, the use of laser therapy allows you to activate metabolic processes in cells, to enhance regenerative processes in tissues, to provide anti-inflammatory, improve blood circulation and consequently, to improve the nutritional security of body tissues, start, immune and harmonizing the endocrine processes. Known close relationship between the nature of the violation glucocorticoides function of the adrenal cortex and the intensity of the current destructive process in the collagen structure of the connective tissue, on the one hand, and the state of the immune system on the other [Tsarfis p. g Nature and human health (Treatment-and-prophylactic basis of balneology). - M.: Higher. school, 1987.- 480 C.]. When discogenic myelopathy and spinal stenosis in complex treatment include laser therapy. When the effects of laser radiation on the peripheral nerve, there are two main effects:

analgesic effect, as a consequence of the anti-inflammatory effect NEELY, and stimulation of post-traumatic nerve regeneration. Stimulation of post-traumatic regeneration occurs by improving microcirculation and intensity of local blood flow, stimulating the proliferation and d is ferentiate different cell types. Macrophages have an effect on Schwann cells, keeping them in the state, the most appropriate state of active growth of nerve fibers [Chelyshev Y.A. et al. Efficiency regenerationand fibers when exposed to low-intensity laser radiation on the nerve. // Abstracts Of The Int. proc. "Clinical and experimental use of new laser technology". - M - Moscow, 1995. - S. 356-357]. Found that when exposed to pulsed IR NEELY a high functional activity as neurons and myocytes of skeletal muscles, and also revealed a pronounced antigipoksicheskoe action [Zubkov S.M. et al. Optimization of the frequency characteristics of the infrared laser effects. // Physical medicine. - 1994. - V.4. - №1-2. - 84 S.; Vlasov WAS the Influence of laser irradiation on nerve cells in the condition of increasing hypoxia. // Laser medicine. - 2000. - 4 (3). - S. 24-29].

Thus, as a result of exposure NEELY is achieved:

activate cell metabolism and increasing their functional activity;

to activate microcirculation and increasing trophic level security tissues;

stimulation of reparative processes;

- anti-inflammatory and analgesic effect;

- reflexogenic effect on the functional activity of various organs and systems.

- immunostimulant the abuser;

[Kozlov V.I., Bolin VA Laser therapy with the use of the "Mustang". ): The Firm "Technology", 1998. - 148 C.].

Taking into account the characteristics of the effects of LLLT we used external laser therapy in your own practice to obtain neurotrophic and amiotroficheskogo effects. The procedure is carried out according to the indications by the influence on the reflex zones on the projection of the internal organs, on the projection of the vascular bundles. The wavelength, pulse repetition frequency radiation, the session and the radiation power is set by the specialist before a session of laser therapy. The course of treatment is 10-15 procedures. Used apparatus ALT "matrix", with radiating heads of various types. This method has several advantages in practical application:

- having a wide range of therapeutic effects has fewer contraindications, well tolerated by patients and is practically devoid of side effects;

in therapeutic doses eliminates the risk of allergic reactions, no negative, toxic or inhibitory effects on the body of the patient;

- has no age restrictions and can be applied in patients of different age groups (from children to elderly);

- perfectly combined with other treatments (medications, physical therapy, mud therapy, occupational therapy etc).

DENS-therapy

Dynamic electroneurostimulation (DENS) is a method of non-drug therapies based on cutaneous exposure to pulses of electric current, the shape of which depends on the electrical resistance of the skin surface of the subelectrode area. The basis of therapeutic action DENS lie reflex mechanisms, starting irritation receptors in reflexogenic zones and acupuncture points. In the exposure apparatus occurs cascade reactions of the organism. The mechanism of action is explained by the increase in afferent activity, activation of antinociceptive system [Mazerov E.E., Adasinsky GA, Blackie IM, Reshetnyak VK "Dynamic electroneurostimulation in the treatment of neurological pain syndromes". J. Clinical journal, 2003, No. 3, 59-61 C.; Mazerov E.E., Kukushkin BTW, Graph NR. Dynamic electroneurostimulation when somatogennye and neurogenic pain. - Russian journal "Pain", 2004, №1] and the restriction of the passage of the pain signal through the "gate control" pain [Kukushkin M. et al."Peculiarities of the development of analgesic effect of transcutaneous dynamic electroneurostimulation". J. "Byulluteni experimental biology and medicine": Publishing house of the Russian Academy of medical Sciences, 2003, No. 3, 265-267 C.]. Stimulation promotes the release of neuropeptides, endogen the x factors of pain (endorphins, enkephalins). That is why the method is widespread as an analgesic and a muscle relaxant in the treatment of diseases with spinal deformity (scoliosis, kyphoscoliosis, kyphosis) [Baindurashvili A.G. et al, "the Use of DANCE in the pathology of the spine in children", proceedings of the International Symposium dedicated. 9 anniversary of the Corporation DENAS MS, Ekaterinburg, 2007 g-98 C.]. The use of DANCE in conjunction with other types of treatment contributes to a pronounced positive dynamics in chronic vertebrogenic pain and muscular-tonic syndromes [Makarova L.D. et al., "Electrodynamic reflexology in the treatment of reflex pain syndromes of the low back pain", proceedings of the International Symposium dedicated. 9 anniversary of the Corporation DENAS MS, Ekaterinburg, 2007, 81-84 C.]. There is evidence of effective application of DENS-therapy in diseases of the locomotor system, in particular with knee osteoarthritis [Koryshev VI "Application of dynamic electroneurostimulation with osteoarthritis of the knee", - M, abstract. Disna the degree of Kida. Sciences, 2010]. DENS-therapy has proven effective in the treatment of dorsopathy [Kuzmina ZINAIDA "Lymphotropic therapy doropie of the lumbar spine caused by herniation of the MTD in patients srednego elderly". - M, disserta SOIC. academic strandgata of Sciences, Moscow, 2008, 122 S.; Mizova O.V., Closina OD "Peculiarities of changes in the power of EEG rhythms in DANCE therapy in patients with cervical osteochondrosis" proceedings of the international Symposium. - Ekaterinburg, 2004, S. 61-64]. Analgesic effect occurs already after the first procedure (Akhmadeev LR,2010), the final analgesic effect was observed in a period of 7 days and the results showed that 80-85% of the patients were evaluated DANCE anesthesia as good (Chou R.,2007, C. Ulbricht,2009). The result of dynamic electroneurostimulation shows not only the rapid analgesic effect, but also improve overall well-being, improved sleep, improved health. DANCE is able to normalize metabolic processes in the body, to restore the indices of protein, fat, carbohydrate metabolism and mineral metabolism, which is especially important in diseases of the spine and musculoskeletal system [Lesnyak O., Kadochnikova E., Vlasov A. Randomized placebo - controlled trial on the efficacy of olinamic electroneurostimulation in knee osteoarthritis. Proceedings of the 16th European Congress of Phisical and Rehabilitation Medicine, 2008, lune 3-6; Brugge, Belgium, 2008, p 92-94.]. This method of treatment is safe in the treatment of pain in the lower back. Method of dynamic electroneurostimulation officially registered with the Russian Ministry of health as a new method of electroreflectance (registration certification is the Federal service on surveillance in healthcare and social development of the Russian Federation №FS - 2005/004 from 04 March 2005).

Dynamic electroneurostimulation is carried out in three ways:

stable, labile and labile-stable. Stable leverage (fixed electrodes) is used when exposed to small areas. In labile way impact the built-in electrodes stimulator move on the affected area gently, without separation from the body surface with a speed of from 0.5 to 2-3 cm/s Movement exercise straight, spiral, circular and other movements, depending on the size and shape (topography) of the treated area. When labile method of exposure allowed delay (stabilization) built-in electrodes, for example, on areas of pain. Thus, implemented labile-stable method of exposure. The degree of pressure placed on the skin is determined by subjective sensations of the patient. There are a number of modes, therapeutic effects used in accordance with the indications. The mode of therapeutic effects uses frequency 10, 20, 60, 77, 140, 200 Hz, the time of exposure to 40 minutes

Absolute contraindications to the DENS-therapy are:

- individual intolerance of the electric current;

- the presence of an implanted pacemaker. Relative contraindications are:

- epilepti the definition status;

- tumors of any etiology and localization;

fever of unknown origin;

- vein thrombosis;

- a state of acute mental, alcohol or drug intoxication.

SCENAR-therapy (self controlled Energo-neuroadaptive controller).

SCENAR-therapy - drug-free method of non-invasive therapeutic effects on the human body, specifically targets the activation of the internal forces of the body, regulating metabolism, circulation and the nervous system [Lopatin WAS "evaluating the effectiveness of SCENAR in the training process". - M. thesis, Diss. for obtaining the academic degree of a candidate, 2004].

SCENAR is a physiotherapy device self controlled electrodeionization regulation, the impact of short-pulse low-frequency signals when the electrodes contact the skin. The skin of the human body - it is an informational field where we receive data about the state of the organs and tissues. On the skin the main peripheral information element is biologically active points with a heightened sensitivity to any external influence. Because between the skin of the body and systems are interconnected, the violation of their duties finds its reflection on the skin. Impacts which, acting on the skin, we get the opportunity to influence from the outside to the diseased organ and functional systems. The device is based on local, segmental and neuro-reflex mechanisms of self-regulation. Therapy this unit activates the nerve fibers, which are neurotransmitters in the brain, and which together with other factors, provide all biological functions of the body. Controls the organs and tissues of the brain and, of course, affect the body, internal organs and nervous system can act through the skin using a related body elektroimpulsa. These electrical pulses capable of generating SCANNER. They are physiologically similar to the impulses in the spinal cord. Recovery is achieved through harmonize and restore our body's own reserves. SCENAR - therapy speeds recovery in many diseases [Comprova IA "Complex treatment of patients abdc using SCENAR-therapy", autoreplies Sobranie ucstring. of Sciences, Perm, 2005; Kutovoi E.V., "Application of zopiclone and SCENAR-therapy for chronic insomnia doctors ambulance", autorin SOIC. ucstring. Sciences. - M., 2007]. In complex non-drug therapy and SCENAR - therapy shows high efficiency for pain syndromes is back [Zagrapan YEAR, Harutyunyan P.P., Ispiryan KG "application of the instrumental treatment of osteochondrosis and its complications. - Zhur. Rehabilitation and physiotherapy, 2007]. In addition, SCENAR-therapy is effective in various spinal deformities (scoliosis, kyphosis, kyphoscoliosis). The effect of SCENAR is to normalize the conductivity of the nerve fibers and autonomic functions, hormones, metabolism and regional blood circulation. With it, an anti-inflammatory, anti-edema and analgesic actions [Voronkov, A.A. "Homeopathy, herbal medicine and SCENAR therapy in rehabilitation of persons with post-traumatic stress", autoreplies. on Soskin, M, 2009].

The effectiveness of SCENAR-therapy-tested scientific research Institute of Pediatrics, Institute of traumatology. Rostov cancer Institute, departments of medical universities of Moscow, St.-Petersburg, Ekaterinburg, Odessa.

Procedure SCENAR therapy are held every day, the rate of which is 10 sessions. The duration of a single session individual, on average 25-40 minutes. Depending on the severity of the disease and its duration conducting a course or several courses. Overdose when exposed SCENAR impossible. Contraindications to the appointment of SCENAR-therapy are: the presence of an artificial pacemaker, the Stryi infectious diseases, acute psychosis, alcohol intoxication.

Use the following methods and zones for treatment with SCENAR:

- "three tracks" - processed spine by operating the device on the spinous processes of the vertebrae from top to bottom, starting from the second cervical vertebra and to the coccyx inclusive. Then processed in the paravertebral area on the right and left parallel to the spine from top to bottom;

- "six points" on the face where the branches of the trigeminal nerve.

Both methods enable to activate the trophic influence of the autonomic nervous system, to restore the broken system of spinal inhibition, to stimulate the production of endorphins, to activate metabolic processes in tissues, to improve the excitability and conductivity of the nerve fibers [Chinko M.A., "the Experience of using SCENAR in the treatment of diseases of the peripheral nervous system. Ural medical review, 2001, No. 2 (33), 63 S.].

- front projection - on manifestations of pain or signs of discomfort. Process zone should, by raising the device or move it to massage movements. Time to get the effect - 15-40 minutes

This technique improves local blood circulation, provides anti-inflammatory, anti-edema and analgesic properties.

Electrophoresis with the use of CT is Patima and the drugs of choice.

This method, affecting one of the links pathogenetic treatment caripazym - herbal drug is highly effective in patients with chronic diseases of the spine and musculoskeletal system [Ivanov S.A. Electrophoresis of papain in patients with osteochondrosis of the spine. Physiotherapy. Yaroslavl; Assessment of pain, functional and economic status in chronic back patients. R.G.Watkins et. All, 1986; Karjalainen K, Malmivaara A, Van Tulder M. // Spine. - 2001. - Vol.26 3. - P.221-233]. The drug is characterized by selective proteolytic activity, i.e. gidrolizu necrotic tissue proteins to polypeptides. At the same time does not show activity against healthy tissue, containing protease inhibitors. Properties caripazym caused by the activity of three proteolytic enzymes: papain, chymopapain and proteases and mucolytic enzyme lysozyme. Enzymes penetrate the tissue and creating in the area of the affected intervertebral disc (IVD) depot, has a local effect on the connective tissue of the disc, and hernial protrusion. Caritatem leads to increased secretion of the protein collagen, which leads to moderate scarring reticulate-fibrous membrane disk. Enzymes caripazym, along with this, have a marked anti-inflammatory and antiedematous effect. It improves circulation, stimulates phagocytosis, inhibit AK is Yunosti hyaluronidase and enhances the regenerative function of the tissue. Caritatem effective when coping with a large hernia MTD non-surgical procedure becomes problematic. Use it as a secondary procedures to reduce the volume of hernial protrusion, in accordance with the size of the spinal canal. The drug acts only on soft tissue and selectively accumulated in the lesion MTD. The efficiency of the method increases significantly when using it with other methods of treatment involving causal mechanism, in particular by extending the use of special exercises that strengthens the muscles, etc. caritatem administered by electrophoresis only with the (+) pole. The treatment is 20-30 procedures, the interval between treatments Pets 1-2 days, repeated courses are assigned in 30-60 days. Electrophoresis is performed on the device as follows: use two fabric strips moistened with warm 0.9% of sodium chloride, one strip is connected to + and the same is applied caritatem, the second strip is applied to the electrode (-) sign of the charge. Current of 10-15 mA (more gradually), the exposure time is 10-20 minutes (more gradually). During the procedure, under the influence of the current of ions medicines penetrate into tissue and therapeutic. The effectiveness of the treatment prowl who is in the intervals from 2 weeks to 2 months and depends on the characteristics of the disease and the individual characteristics of the patient. Specialists are successfully applied caritatem in the treatment of herniated intervertebral disk the last decade.

In order to reduce phenomena postinflammatory and postoperative adhesions, used drugs of choice, for example, calpain, lydasum, ointment-based extract of leeches, etc. [pokotylo LI methods of application of drugs "Calpain" for physiotherapists. - M.: J. Clinic, No. 3, 2007, 20-21 C.; Sails SR Features the use of drugs series calpain for the treatment of diseases of the spine and joints. - M.: J. Clinic, No. 5, 2007, 45 S.; Musayev, A.V., Balakishieva F.K. Electrophoresis vasoactive drugs in the treatment and rehabilitation of patients with ischemic brain disease. J. Neurology and psychiatry. CSV, 2010, vol. 110, No. 2, 79-82 C.].

Hardware acupressure stop (Marutaka).

This ancient technique, as well as other practices of massage, known in Oriental medicine from about the 1st century BC, and in the 8th century CE, it has been widely adopted and was officially recognized. Massage the feet with the help of the apparatus of Marutaka (Marutaka) is a treatment method Shiatsu, without needle based on the effect on the acupuncture points of the foot. The procedure is prescribed to patients suffering from flat feet, a disease which, as a rule, are accompanied by peripheral edema and fatigue is Yu feet. Massage also improves circulation and lymph drainage, relieve swelling and tension in the limbs. Acupressure (finger type pressure) is provided in a bottom part, on internal and external surfaces of the foot, in the area of the lifting legs. Massager massages the foot with the aid of rollers in 4 mixed directions. The rollers at the same time working the entire length of the foot, cushion grip feet to the rollers and massage rise. Massage is based on the size of the foot. Operates the apparatus in the "relax" (relaxing) and "intensive" (tonic), which allows to obtain the effect of kneading and acupressure. The duration is 10 minutes Massager also contributes to the recovery of the internal organs, improving overall health, providing simultaneously a sedative and antidepressant effects as a consequence of effective action on the acupuncture points of the foot.

Example 1

Maksimova TI born in 1972, has filed complaints: a backache for the first time 10 years ago after giving birth a month ago from the date of acceptance had severe pain in the lumbar-sacral region, against the background of medical treatment the pain had dulled, but gradually began to appear more frequently and consistently. At the time of treatment, the patient constant aching pain in the lumbar-sacral spine to the left and the IRR is the implemented in the gluteal region and posterior surface of the left femur to the tibia. It is also noted persistent numbness in the left leg and increasing weakness in the left foot.

In the neurological examination revealed: symptom Lasaga left 50 gr., absent ankle reflex on the left side, paralysis of the flexor muscles of the left foot to 2 points, pronounced pain syndrome.

MRI of the lumbosacral spine

Department of radiodiagnostics Magnetic resonance imaging Protocol Mr - tomographic studies of the lumbosacral spine

NAME, age of patient: Maksimova TI, born in 1972 Contrast enhancement: b/Images T1, T2 - weighted shear Plane: sagittal, axial.

The series of MRI tomograms of the lumbosacral spine at the level of Thl2-S4 has a change of statics in the form of a flattening of the lumbar lordosis, scoliosis arc to the left. There is a decrease in signal intensity on T2-weighted images from disks L4-5, 15-31 (corresponds to reduced hydration).

There is a rear semicircular protrusion of disk L4-5 (3 mm) without narrowing of radicular holes, without deformation of the dural SAC; Central, on a broad basis hernia of disk L5-S1 with local infiltration with a total size of up to 14×18 mm, with narrowing of radicular more holes to the left, with the deformation of the dural SAC, with exposure to the elements ponytail.

The height of the phone call is nkow not changed. In the bodies of the vertebrae L2, L3 are defined rounded education in sizes up to 8 mm, hyperintense on T2-weighted images - hemangioma. From the side of the terminal divisions of the spinal cord focal changes are not detected.

Conclusion: Mr-picture spondylosis and degenerative disc disease of the lumbar-sacral spine, disc protrusion L4-5 herniated disc L5-S1. Hemangioma tel L2, L3. ~ Doctor: CMN averkieva E.V. Doctor: CMN Vladimirov VP

The first course of treatment was 30 procedures. After treatment showed positive dynamics. Decreased weakness in the foot to 4 points, the symptom of Lasaga - 80 gr, ankle reflex on the left is missing, minor hypoesthesia of the left foot of the spine have become more fluid, completely was pain in the lumbar spine, remained phenomena slight heaviness in the left thigh, and a feeling of slight numbness in my left foot.

The patient was discharged on the condition daily perform special exercises.

Then a second course of treatment. Upon receipt of a complaint on fatigue in the back to the end of the day, lightweight stiffness and tension in the lumbar spine without irradiation. In the morning there are no complaints, and appear towards the end of the day in the form of slight tension in the lumbar-sacral area. Numbness and weakness of the no - complete the physical ability to stand on their toes and five the framework.

Symptom Lasaga 80 gr, a slight inhibition of the left Achilles reflex. The strength of the flexors and extensors of the foot 5 points. Sensitivity is not compromised. The patient performed daily special exercises. The course of treatment was 25 days. The condition of the patient after treatment is fully stabilized. No complaints. After exhaustion occasionally there is mild discomfort in the lumbar spine.

Then held the third course of treatment. At admission to treatment complaints mild discomfort in the lumbar spine. Conducted preventive course of 15 treatments. Neurological status corresponds to the norm. After treatment, the patient no complaints. In conclusion, the course underwent a second MRI of the lumbar spine

Department of radiodiagnostics Magnetic resonance imaging

The Protocol Mr-tomographic studies of the lumbosacral spine NAME, age of the patient Maksimova TI, born in 1972 Contrast enhancement: b/Images T1, T2 - weighted shear Plane: sagittal, axial. A series of tomograms of the lumbosacral spine at the level Tl2-S4 has a change of statics as straightening of the lumbar lordosis, mild scoliosis arc to the left. There is a decrease in signal intensity on T2-weighted images from the claims L4-5, L5-S1 (corresponding to reduced hydration). There are rear semicircular protrusion of disks L4-5 4 mm, L5-S1 5.5 mm without compromising radicular holes, without significant deformation of the dural SAC. The height of the vertebral bodies is not changed. The structure of the vertebral bodies changed by degenerative type. Dural bag with clear contours, without stenosis. From terminaling departments spinal cord focal changes are not detected.

Conclusion: Mr-painting violations statics, osteochondrosis of the lumbosacral spine, protrusion of disks L4-5, L5-S1.

Doctor: CMN averkieva E.V.

Doctor: Novosadska J.V.

Conclusion:

During the year we managed to reduce the size of the intervertebral herniated L5-S1 from 14 to 18 mm up to 5.5 mm, Such results are only possible joint actions of doctors and patients. The patient did not pass is assigned to courses of treatment and daily did special exercises. At the moment the patient is healthy, preventive courses will continue for 2 years to reduce the protrusion, the next, you will need only perform special exercises.

Example # 2

Laterally SV born in 1976 for the first time arrived for treatment complaining of constant pain in the lumbosacral spine more right from extending to the gluteal region and further back is the surface of the legs to the Achilles tendon mild persistent numbness in the fingers of her right foot. Morning stiffness within 30-60 minutes, constant pain in the interscapular and subscapularis area. History repeated falling on his back. Objective: antalgic posture, percussion powerleveling zones painful level nizhnegrudnogo and lumbar vertebral column, palpation of the spinous processes from painful Th9 to L4. Painful exit point and the entrance of the sciatic nerve, the symptom Lasaga left 85 Gy, 30 Gy to the right, right ankle decreased, hypesthesia finger of the lower limb on the right, marked muscular defense Chuck, trapezoidal and paravertebral muscles, flexion of the lumbar-sacral spine. The patient is directed to MRI of the lumbar-sacral spine.

The Protocol Mr-tomographic studies of the lumbosacral spine.

Lumbar lordosis is saved, rendered the terminal areas of the spinal cord(the end at the level of LI). The spinal cord at the study level has a clear smooth contours, normal diameter, areas with pathologically modified by the intensity of the Mr signal in its structure is not revealed, there kyphotic deformity at the level of Th12-L2, draws attention to the tapered shape of the vertebral bodies Th11 Th 12, L1 decreasing the height of their anterior to 20 mm, 20 mm and 24 mm, respectively, the intensity of the Mr is ignal from them increased in frontal sections, the height of the other bodies of the vertebrae are not reduced, focal changes in their structures not identified. The contours of the vertebral bodies deformed marginal osteophytes. The intensity of the Mr signal on T2-weighted images is reduced from all intervertebral discs in the investigated level (signs of dehydration). Defines the rear of the Central disk herniations, deforming dural bag, pushing back posterior longitudinal ligament: L3-4 to BMM, lateralization to the left, narrowing to the left radicular hole L5-S1 posterior to 15 mm, on the basis of 28 mm, the vertical dimension of 18 mm, constricting both radicular holes, more pronounced right. At this level, there is rupture of the fibrous ring and partial extrusion of the fragments of the disk under the posterior longitudinal ligament.

In addition, visualized posterior Central protrusion of the intervertebral discs Th12-L1, L4-5 to 5.5 mm, also deforming dural bag, convergent radicular holes.

All drives on the level prolabium in the body above and underlying vertebrae (multiple schmorl's nodule).

Conclusion: the Picture of osteochondrosis, spondylarthrosis p-cu spine. Herniated disc L3-4, L5-S1 (extrusion).

Protrusion of disks Th12-Ll, L4-5.

Doctor - Andrianova E.N.

Due to the large size and extrusion of disk L5-S1 was proposed surgical treatment of a patient denial is the very. Given the absence of pelvic disorders and signs of paresis of the foot, the patient admitted to outpatient treatment. The appointed course of the comprehensive treatment of the spine 30 treatment days. In the dynamics of 15 procedure condition has improved significantly, completely regressed pain in the subscapularis and interscapular area to the right, sharply decreased lower back pain, radiating into the buttock to the right is of a temporary nature. 25 procedure condition has improved significantly. In the form of residual phenomena are periodic mild pain in the lumbar spine right after prolonged static loads. Objective: neurological status in normal, mild defense of the paravertebral muscles in the lumbar-sacral spine, the mobility of the spine is fully restored.

The repeated course was taken within 30 treatment days. When a complaint is received on a periodic aching pain in the thoracic spine, slight tension in the lumbar-sacral. Easy drawing pain in the lower back. In the neurological status of the norm.

Repeated MRI of the lumbosacral spine.

The Protocol Mr - tomographic studies of the lumbosacral spine.

Hiperlans the lumbar spine, the spinal cord with a clear, smooth contours, homogeneous structure, can be traced to the level L1, and eat normal Mr signal. Meningeal space well rendered.

Additional formations in the spinal canal no. The contents of the dural SAC uniformly.

The height and structure of the vertebrae is not changed, ventral and dorsal "corners" of the vertebrae, sharp, longitudinal ligaments are thickened. On related sites - small nodules of Smile.

The intervertebral discs degenerate changed: reduced height, low signal in T2.

Defines the protrusion into the spinal canal drive: Th12-L1 - median to 4 mm, L3-4 median to 5 mm, L4-5 median to 3.5 mm, L5-S1 circular up to 2 mm with the deformation and thickening of the posterior longitudinal ligament. Paravertebral soft tissues are not changed.

Conclusion: MRI picture of osteochondrosis, spondyloarthrosis, plural protrusion of the intervertebral discs of the above-described localization.

Doctor - Odintsova S.A.

The third course of the patient was within 25 days. Neurological status normal, no Complaints.

Conclusion:

The patient within 1 year, there was complete regression of symptoms and decrease the size of the intervertebral herniation of the L5-S1 from 15 mm to 2 mm, L 3-4 with 6 mm to 5 mm, L4-5 with 5.5 mm to 3.5 mm, Thus, not only managed to avoid surgical treatment, but also to normalize the patient. Despite the significant decrease in size mejpozvonkovi hernia, reduce inflammatory which x changes spondylarthrosis recommended to continue a course of treatment at least 2 times per year for 15-20 procedures to reduce the size of the intervertebral hernias to 1-3 mm, the implementation of DPA complex at home daily for a long time. Case history this patient shows the possibility of full recovery of patients with severe concomitant pathology of the spine without the use of surgical treatment with a significant reduction of the sizes of several of intervertebral hernias.

Example # 3

The patient A.N. Moskalev. 1964 born arrived for treatment in the Clinic healthy spine with complaints of pain in the cervical spine, severe pain in the lumbar-sacral region to the right with irradiation in the right buttock and the back of the thigh to the knee with the transition to the side of the right ankle to the ball of periodic numbness in the lower third of the thigh along the Shin to the foot, recently numbness in the legs increased. Considers himself ill for 15 years, a history of falling on his feet and on his back.

Objective: sharp flexion of the lumbosacral spine, the symptom of Lasaga right 70 gr., on the left, 80 gr., positive symptoms Bonn and Matskevich, hyperesthesia the outer surface of the right thigh to the knee. The patient is directed to MRI of the lumbosacral spine.

The Protocol of MRI demographicsceleberty lumbosacral spine

NAME, age of patient: Moskalev, A. N., 1964 g.r. Contrast enhancement: b/K. Image T1, T2 - weighted. Shear plane: sagittal, axial. The series of MRI tomograms of the lumbosacral spine at the level of Th12-S4 has a change of statics in the form of a flattening of the lumbar lordosis. There is a decrease in signal intensity on T2-weighted images from disks whole study level, the most pronounced at the level of L4-5 (corresponds to reduced hydration). There are teardrop-shaped rear disc herniation L4-5 18 mm to 8 mm with narrowing of radicular holes, deformation of the dural SAC, with exposure to the elements of the cauda equina. The height of the vertebral bodies is not changed. In the structure of the vertebral bodies L4-5 - woven degenerative and inflammatory changes. From the side of the terminal divisions of the spinal cord focal changes are not detected.

Conclusion: Mr-picture of osteochondrosis of the lumbosacral spine, herniated disc L4-5. Doctor: CMN averkieva E.V. Doctor: Dr. M.N. Vladimirov VP

Assigned course within 40 health days. 9 procedures noted increase in pain and pain in the groin area on the right. 13 procedure, the patient noted a decrease in pain, regressed neurological symptoms. In neurological symptoms disappeared Bonn and Matskevich, Lassig the right 80 gr left normal, hyperesthesia protected. 24 procedure pain disappeared, occasionally appears after a long walk. In neurological status light defense and flexion of the lumbosacral spine, fully recovered surface sensitivity, 30 procedure, the patient has no complaints.

Repeated MRI and the patient was discharged after 40 treatments with stable positive dynamics.

The Protocol Mr - tomographic studies of the lumbosacral spine NAME, age of the patient: A. N. Moskalev.., born in 1964 Contrast enhancement: b/C Image 11, T2 - weighted. Shear plane: sagittal, axial. The series of MRI tomograms of the lumbosacral spine at the level of hl2-84 has a change of statics in the form of a flattening of the lumbar lordosis. There is a decrease in signal intensity on T2-weighted images from disks whole study level, the most pronounced at the level of L4-5 (corresponds to reduced hydration). There are rear on the broad based disc herniation L4-5 (8 mm). Marked inflammatory changes in the adjacent epidural tissue. The height of the vertebral bodies is not changed. In the structure of the vertebral bodies L4-5 - woven degenerative and inflammatory changes. From the side of the terminal divisions of the spinal cord focal changes the e identified.

Conclusion: Mr-picture of osteochondrosis of the lumbosacral spine, herniated disc L4-5. Compared with the study from 27.12.06, noted a positive trend. Doctor: CMN averkieva E.V. Doctor: CMN Vladimirov VP

Conclusion:

The patient is improved and a reduction of hernial SAC through 1.5 months after the start of treatment. Recommended daily performance of DPA complex, a second course of treatment after 2 months 20-25 procedures. Repeat MRI after 1 year from the start of treatment.

Example No. 4

Drones Michael E., born in 1979, was treated at the Clinic healthy spine for 3 courses, with a diagnosis of:

Dorsopathy. Hernia (protrusion) disk L5-S1, L4-5/ Right lumboischialgia. Cervicalgia. WFP C4-5-6(1.5 mm).

Asked for the first time since complaining of constant nagging pains in a lumbar Department., within 2 months, pain sometimes localized in the center, sometimes with radiating into the buttock to the right, to the upper third of the lateral surface of the thigh. Periodically there was a pain in the cervical div., after a long stay at the computer, radiating to the region m/blades; during static loads the ache m/blades, gradually turns into a burning sensation.

From history: for the first time back was bothering 5 years ago, after an awkward movement. Work in VI is m at the computer.

In the neurological status of motion in the cervical Sep. moderately restricted, turning heads in a lumbar Department. in full extension and bending of the spine ago is difficult, expressed the voltage of the paravertebral muscles, tendon reflexes D=S, moderate quickness of the hands, feet, knee equal right ankle reduced. Sensitivity is not compromised.

The MRI.

The Protocol Mr - tomographic studies of the cervical and lumbosacral spine.

NAME, drones M.E. Ter-Minassian, born in 1979.

Statics of the cervical spine is not broken. The spinal canal is not narrowed.

The structure and the height of the vertebral bodies are not changed. The contours of the vertebral bodies deformed due to marginal osteophytes. The intensity of the Mr signal from the intervertebral discs moderately reduced - manifestation of dehydration.

At the level of C4-5, C5-6 segments marked rear bilateral protrusion of the intervertebral disks with dimensions of 1.5 mm

The spinal cord, including the craniovertebral junction, has the correct location, homogeneous, smooth contours, normal diameter. The spinal nerve roots are typical in the course of normal size and shape.

Conclusion: Mr - picture moderate manifestations of osteochondrosis, deforming spondylosis of the cervical spine. Protrusion of the intervertebral discs in the criminal code of the related levels.

The physiological lordosis of the lumbar-sacral spine smooth. The spinal canal is not narrowed.

The structure and the height of the vertebral bodies are not changed. The contours of the vertebral bodies moderately deformed due to the small marginal osteophytes front-side corners and hernias, Smile at the level of L5-S1.

The intensity of the Mr signal from the intervertebral disk L5-S1 reduced - manifestation of dehydration.

Posterior longitudinal ligament is displaced by prolabirovanie intervertebral discs in the levels:

L4-5 (rear bilateral protrusion, size 2.5 mm with moderate narrowing of radicular holes on both sides);

L5-S1 (rear centre hernia, size 7 mm, with moderate lateralization more right to 4 mm, with surround effects on the dural SAC, the deformation of the posterior longitudinal ligament, with narrowing of radicular holes on both sides, more on the right).

Visualized terminal areas of the spinal cord ends at the level of L1), and cauda equina. The spinal nerve roots are typical in the course of normal size and shape.

Conclusion: Mr - picture osteochondrosis, deforming spondylosis of the lumbar-sacral spine. Protrusion and herniation of intervertebral disk at the same levels. Violation of statics.

He was appointed a comprehensive course of treatment.

In the course of treatment was observed Polo is sustained fashion dynamics, pain gradually regressed, in the final phase of the received persistent clinical effect.

The first course of treatment was 35 procedures, after which the patient is daily gymnastics system NICHES, 2 times per week visited the pool.

A second course of treatment was preventive, amounted to 25 procedures. When re-treatment of pain in a lumbar Department didn't bother periodically noted the discomfort of the blades during static loading.

In neurological status: motion in the spine are not limited to, palpation and percussion paravertebral zone b/b, tendon reflexes are equal, moderate vitality, sensitivity disorders was not. Symptoms of hair loss and no tension. For the expired period: condition stable, with positive dynamics on the background of treatment in a stable condition.

Treatment No. 3 - preventive 25 procedures. Turning occasionally bothered by the discomfort of the shoulder blades.

In neurological status without negative dynamics, the MRI study of dynamics:

The Protocol Mr - tomographic studies of the cervical spine.

NAME, drones M.E. Ter-Minassian, born in 1979.

Statics of the cervical spine is not broken. Anterior-posterior size of the PC at the level of C5 to 13 mm

The structure and the height of the vertebral bodies are not changed. Con the URS of the vertebral bodies deformed due to marginal osteophytes. The intensity of the Mr signal from the intervertebral discs moderately reduced - manifestation of dehydration.

The height of the drive is not reduced. MRI signs of the rear protrusions of intervertebral disks not detected. The spinal canal is not deformed. Radicular holes passable.

The spinal cord, including the craniovertebral junction, has the correct location, homogeneous, smooth contours, normal diameter. The spinal nerve roots are typical in the course of normal size and shape.

Conclusion: Mr - picture initial degenerative changes of the cervical spine and spondylarthrosis C3-5-6.

MRI of the lumbosacral spine.

The physiological lordosis of the lumbar-sacral spine smooth. The spinal canal is not narrowed.

The structure and the height of the vertebral bodies are not changed. The contours of the vertebral bodies moderately deformed due to the small marginal osteophytes front-side corners and hernias, Smile at the level of L5-S1.

The intensity of the Mr signal from the intervertebral disk L5-S1 reduced - manifestation of dehydration.

Posterior longitudinal ligament is displaced by prolabirovanie intervertebral discs in the levels:

L4-5 (rear bilateral protrusion of the size of 2 mm, with a moderate narrowing of radicular holes on both sides);

L5-S1 (rear circular-dorsal prolapse diska mm, with foraminal component of up to 3 mm Posterior longitudinal ligament is displaced, dural bag deformed, radicular holes slightly narrowed).

Visualized terminal areas of the spinal cord ends at the level of L1), and cauda equina. The spinal nerve roots are typical in the course of normal size and shape.

Conclusion: Mr - picture osteochondrosis, deforming spondylosis of the lumbar-sacral spine. Protrusion and prolapse of intervertebral disks at the same levels. Violation of statics.

Conclusion: during the year managed to achieve stable clinical remission, with absence of pain, wellbeing, ease in the spine. And according to MRI studies complete regression of the protrusions of intervertebral disc at the level of the cervical spine, and reduce the hernia of intervertebral disk segment L5-S1 with 7 mm to 5 mm, at the level of the lumbar spine.

Example No. 5

Patient Malakhov N.N., 1982 R, was admitted to the hospital with complaints of acute pain in the lumbar spine, with radiating pain in the right buttock, then the posterior surface of the right thigh to the feet, weakness in the foot.

Objective: percussion p/vertebral zones painful, more to the right, flexion of the lumbosacral, lateroflexion, antalgic posture. ymptom Lasaga 20 gr. right, left - 60 gr. (+) symptoms Matskevich, Bonn. The paralysis of the flexor muscles of the right foot up to 2 points, ankle reflex on the right is missing. Hypesthesia of the femur, tibia, outer-side surface of the right foot.

On the basis of complaints of the patient and the clinical examination scheduled MRI examination.

The lumbosacral (planning center):

Back on broad based protrusion L2-3 disc 4 mm at the rear-Central division, up to 2 mm in the rear-lateral parts, with surround effects on dural bag, with deformation of the posterior longitudinal ligament, moderate narrowing of the lateral channels on both sides.

Back on a broad base disc in the rear-Central division of L4-5 disc size 5 mm, to 4 mm in the rear-lateral parts, with surround effects on dural bag, with deformation of the posterior longitudinal ligament, the narrowing of the lateral channels on both sides.

Back on broad based herniated L5-S1 disc, with lateralization of the maximum to the right to 14 mm, with surround effects on dural bag predominantly in the right departments and narrowing in this area up to 4-5 mm, with evidence of partial sekvestirovanija and spreading down to 5 mm, with the deformation and compaction of the posterior longitudinal ligament, with compression of dural funnel to the right, with neural compression.

He was appointed a course of combined treatment the Oia No. 40 procedures.

During the course observed regression of pain and muscular-tonic syndrome, recovered the mobility of the spine, the regression disorders of the sensory and motor areas. At the end of the course the strength in the muscles of the foot - 5 points, a slight decrease Achilles reflex.

The patient was discharged from mandatory compliance with its recommendations.

Second course was completed 5 months after the first, the duration of which was 35 treatment days. Upon completion of the course observed a strong positive dynamics in the status - without features. At the end of the course appointed MRI study in the dynamics.

The lumbosacral (planning center):

Th12-L1 - posterior Central protrusion, 2 mm in size, with moderate deformity of the posterior longitudinal ligament.

Back on broad based protrusion L2-3 disc size 3 mm at the rear-Central division, up to 3 mm at the rear-left the Department, up to 2 mm at the rear-right division, with moderate volume impact on dural bag, with deformation of the posterior longitudinal ligament.

Back on broad based herniated L4-5 disc sizes up to 4 mm in the rear-Central division, up to 4 mm at the rear-left the Department, up to 3 mm at the rear-right division, with surround effects on dural bag, with the deformation and compaction of the posterior longitudinal ligament, with moderate narrowing of the lateral channels from both the sides.

Back on broad based herniated L5-S1 disc size 7 mm at the rear-Central division, up to 7 mm at the rear-left the Department, up to 8 mm at the rear-right division, with bilateral foraminal component of up to 5 mm, with surround effects on dural bag, with the deformation and compaction of the posterior longitudinal ligament, with narrowing of the lateral channels on both sides, more on the right, with effects on the nerve root on the right.

Conclusion:

When comparing the results of the survey revealed:

1. Reduce the size of the protrusion of the disk L2-3 with 4 mm to 3 mm

2. Reducing the size of the herniation L4-5 with 5 mm to 4 mm

3. Reducing the size sequestered herniated L5-S1 with 14 mm to 7 mm (no sequestration).

4. The absence of compression of dural funnel and right S1 root.

The basis of the methods of treatment and rehabilitation of patients with degenerative-dystrophic diseases of the musculoskeletal (spine) was based on literature data of domestic and foreign scientific schools, materials practitioners of vertebrologists our own long-term observations of patients with low back pain, hernias, and the protrusions of intervertebral discs and other degenerative-dystrophic lesions of the spine. The result was an opinion that the treatment of this category of patients is considered one-sided, believing that CH is main - to solve the "pain problem"associated with biomechanical causes and prescribing NSAIDs. This approach certainly improves the quality of life for a certain time, but in subsequent treatment requires repetition. This is the case, when they say: "the patient must be very well treated, but not to complete the treatment". However, patients occurred deep decompensation in trophic systems, and has been a local overload of PDS. At the same time, research Likhacheva E.B. (2006) have shown that in patients with dorsopathies occur persistent processes of demyelination, which capture the lumbosacral plexus, which determines the need for extensive restorative treatment even in case of a complete regression of pain.

The goal set by us, is to cure the patient, to prevent disability, to save labour and social status. We have developed a methodology, tried and tested efficiency is confirmed objective dynamic high-tech data (MRI examination, capillaroscopy). The methodology was based on the pathogenetic mechanisms of the disease, came from modern ideas about the processes of local and overall, what is happening in the body of patients with diseases of the ODE. We, the forming method is the IR treatment and rehabilitation of patients with diseases of the ODE, considered thesis of domestic medicine is to treat the first patient, and then the disease. Degenerative-dystrophic diseases of the spine was no longer regarded as only a local process, and the process is systemic, affecting vascular and bone-joint system of the body [Antonov I.P., Issues of pathogenesis of lumbar osteochondrosis and its neurological manifestations. // 7 all-Union Congress of neurologists and psychiatrists, 1981, str-363]. That current and future worldwide remains the development of new methods of conservative treatment does not cause doubts among experts around the world. Therefore the problem of back pain made by the who experts in the priority areas. This problem is recommended for detailed study in the framework of the Decade of the bone and joints of The Bone and Joint Decade 2002-2010 WHO, 1999). Currently in practice widely used NSAIDs. However, their use improves the quality of life of patients, however, they are not able to influence the progression of destructive changes and increase of functional disorders. Modern NSAIDs do not increase the duration of life of patients and do not prevent early disability [Mccave et al. Anticytokine therapy of rheumatoid arthritis. // journal of Medical novos and, 2002, 23, 12]. Of course, the desire to improve the quality of life of patients with chronic diseases of the spine and joints, to some extent justifies the appointment of NSAIDs. However, the high risk of gastropathy limit their use. In patients taking NSAIDs, the risk of gastrointestinal pathology, resulting in a 2.5-5.5 times higher than in the General population [Jonnsen M. Et al.|| Brit. J. Rheum 1992, - V.31, R-752]. In the United States for only one year (1991) for treatment of gastropathy spent $ 4 billion. In the UK registered 1,700 deaths in the United States - 7600 deaths of people from bleeding and perforation among long-term treated with NSAIDs [Shostak N.A. et al. Therapeutic archive, 2000, T No. 5, 60-61; Nasonov EL NSAIDs in rheumatic diseases, the treatment standard. // BC, 2001, T9, No. 78, 26, 52-60]. At the same time, NSAID, used to treat dorsopathy weaken the reparative processes in the cartilage, which contributes to the progression of the disease. A significant ageing of the population of Russia, as well as much younger illness ODE to predetermine the growing number of patients with pathology of the ODE. In 2005 per 100 thousand of the population of Moscow disease ODE ranked third in the overall morbidity of the adult population [Shostak N.A., Dorsopathy - improving therapeutic options. // log a Difficult patient, 2006, 10].

Our proposed scheme Zelena ablanovo pathogenetically substantiated non-drug treatment algorithm will facilitate the deliverance of the patients from the disease, to prevent disability, to improve the quality of life and active longevity. One of the strategic directions for the treatment of diseases of the ODE is therapy aimed at slowing the degradation of cartilage and progression of OA.

From the spine depends on the blood, arteries and internal organs, the bone marrow of the spine is the hospital immunity [Anokhin, NV General and clinical immunology. // M 2008, 32 S.]. From the spine depart the nerves that transmit impulses (brain) in all cells of the body. Any breach in the spine leads to disorders in the transference of pulses. This causes poor circulation in the organs, blood stagnation. That is why laser therapy (vlok, UFOC) is considered to be of pathogenetic treatment method and prevention with prolonged aftereffect. In their application of biochemical changes in the blood, the reaction of humoral and cellular immunity contribute to the restoration of hemodynamics in diseases of the ODE, which has not only mechanical, but also vasomotor character, and there are no secondary immunodeficiency States characteristic of long-term recurrent pain syndromes.

One of the reasons for the degeneration of MTD is a violation of an adequate supply of its cellular elements. Cell MT is sensitive to oxygen deficiency, glucose and PH changes. Dysfunction of the cells leads to changes in the composition of the extracellular matrix that starts or accelerates degenerative processes in the disk. Cell nutrition MTD occurs indirectly because the blood vessels (the capillaries of the vertebral bodies and the outer lamellae of the annulus) are from them at a distance of 8 mm malnutrition disk may be associated with anemia, atherosclerosis. In addition, metabolic disturbances observed with overload and insufficient loads MTD. In these cases, there is a rearrangement of the capillaries of the vertebral bodies and/or seal the switching plates, which hinders the diffusion of nutrients. Assignment in these cases, successive treatments removes this problem. So, traction therapy is an effective way to ensure recovery of the Central and regional hemodynamics PDS. The metabolic component of the traction therapy significantly increases the original background of carrying out vlok and UFOC. Traction restore the biomechanics of the spine, reduces aggressive-mechanical effects on neural structures, creates prerequisites for the restoration of the damaged degenerative processes of the structures of the spine. The pathological process in the PDS supported the muscular system, where the superficial and deep muscles with the ins provide orthopaedic corset", thus worsen degenerative processes in MPD, contributing to the formation of blocks and interconnecting the ELV. Disturbed biomechanics of musculoskeletal act, disturbed posture. This explains the destination after the traction treatments, which restores the trophism of the superficial muscles of the back (vacuum cupping massage), trophic deep back muscles (vacuum gradient therapy). Both procedures are consistently working the muscle layers. The specified sequence of treatment: traction - vacuum massage - vacuum gradient therapy is dictated by the fact that without traction made massage treatments will lead to increased inflammatory swelling, pain syndrome and its enhancement due to spasm of the muscles. Massage treatments restore trophic stimulate intracellular metabolic processes in muscle tissue, restore muscle function that interrupts the mechanism of abnormal muscle memory and "teaches" the muscles of the back, extremities, pelvis correctly to fix the spinal column. Acupress therapy conducted prior to the treatment manual massage as a pre-heat the tissue, causing the activation of neurotransmitter systems due to irritation of the reflex zones of the spine. The restored blood flow in the Central and regional vessels (vlok, UFOC, traction, acupress-therapy, massage techniques, improved the AI microcirculation in the tissues MTD, in the superficial and deep muscles of the back creates the preconditions for the connection of peripheral blood using hirudotherapy. Leech enzyme provides the transcapillary exchange in all organs and tissues at the level of the microvasculature at the same time immunomodulatory effect. Hirudotherapy opens the system "gateways" arterio-venous anastomoses at the system level, allowing you to reach and trigger the hemodynamics in General, through the portal vein. The degree of improvement of peripheral blood circulation show objective data method capillaroscopy. Hirudotherapy not only improves capillary blood flow, but relieves pain, inflammation, swelling. Procedure swing therapy for the restoration of hemodynamics provides a diffuse transfer of substances from the blood into the tissue with an increased volume of blood flow velocity. This strengthens the power of MTD and prevent its degeneration. In addition, the activation of swing-therapy of the sympathetic nervous system, induces peripheral and Central blood-forming organs strengthen its function in the development of antibodies, thereby summarizing the impact of vlok and UFOC on these functions. It is known that the interaction of Central and peripheral organs of the immune system in a shorter time lead to the development of nonspecific factor the protection and depends on the nature of the flow of local inflammation and autoimmune process in the body. System recovery DPA complex includes physical therapy and training program everyday behavior of the patient during treatment in the clinic and in the period of rehabilitation at home. In the complex therapy given daily exercise is identical to the algorithm therapeutic procedures (to improve circulation, to increase mobility of the spine and joints, strengthening the strength and endurance of the muscles). The correct execution of the movements during exercise increases intradiscal contents proteoglycans, and disk cellular elements retain the ability to synthesis of healthy collagen. Procedure exercise therapy improve mineral metabolism, regenerate bone and cartilage structure that can be seen on MRI images. In the complex treatment of spinal attention to the footsteps, the presence of functional disability, flatfoot affects the muscles of the spine and biomechanics ODE. The presence of pathology stop is directly proportional to the increase in the load on the spine, which contributes to the development of degenerative processes in it. The identified block sacroiliac joint, muscle-tonic syndrome, the difference of the lengths of legs that are fixed during the period of treatment, without appropriate is erektsii stop to reach problematic. Therefore, the final procedure in treatment of the spine is the formation of individual insoles, which eliminates the regression obtained for treatment results.

We have developed a method for the treatment of degenerative-dystrophic diseases of the spine may affect all stages of pathogenesis: cell, immune, humoral, neuro-muscular, mechanical, reflex. In addition, the impact of this method invokes not only the local mechanisms, adjusting pathology at the organ level, and allows to solve the problem more globally, touching it at the level of the whole system. This approach allows to solve the problem of degenerative-dystrophic diseases dramatically, restoring lost health, without resorting to medication.

1. The method of complex non-surgical treatment of diseases of the spine, comprising the procedures of: myorelaxation traction hoods spine, swing-therapy, acupress therapy, hirudotherapy, wherein the method is carried out in stages, with the first phase will cover the intravenous laser blood irradiation in the ultraviolet and red spectra of low-intensity laser radiation is injected into the superficial cubital vein disposable led by 5-20 min, for the eat hold the spine in traction installation by providing a safe, painless, measured, consistent and uniform traction of all spine traction on the setting made without the use of fixing devices with regard to anthropometric data of the patient and in conditions of complete muscle relaxation, the second stage consists of two alternating between the consistently pursued a series of procedures, namely in the first series of treatments, patients receive vacuum cupping massage by exposure medical jar on paravertebral muscular frame and on both sides of a patient's back upwards from the lumbar to the cervical spine along the massage lines back, not taking his medical Bank from the skin, then hold the vacuum gradient therapy by overlaying on areas of the body simultaneously several vacuum jars of different volumes and cross sections along the venous outflow, then hold leeching by applying leeches/leeches in the region of the navel of the patient, and then spend the swing-therapy, electro-mechanical simulator "SWING MACHINE", in the second series of patients spend in one day, acupress therapy muscular frame spine ebonite rollers for massaging the back, then hold manual effect on ligamentous and muscular apparatus of the spine and joints within 30 min - reflex massage, and/or diagnostice the cue massage-palpation, and/or segmental massage and/or acupressure, and/or myofascial massage, and/or umihotaru, and/or postisometric relaxation, then hold the swing-therapy, electro-mechanical simulator "SWING MACHINE", then spend the leeching by applying leeches/leeches back into the region of the patient, and on other days, free from manual intervention and treatment, in the region of the back, after the swing-treatment gymnastic exercises, which are based on the system integration of traditional methods of Qigong, the Japanese system Niches, Indian and Tibetan yoga, the relevant doctrine of rehabilitation medicine, the third stage, patients receive diagnostic pathology stop using the podoscope and orthopedic correction using individually selected instep.

2. The method according to claim 1, characterized in that the patients additionally spend 10-15 procedures external laser therapy using low-energy lasers.

3. The method according to claim 1, characterized in that the patients additionally carry out procedures of dynamic electroneurostimulation through device DENAS.

4. The method according to claim 1, characterized in that the patients additionally carry out procedures of SCENAR-therapy through SCENAR.

5. The method according to claim 1, characterized in that the patients additionally spend 20-30 procedures, to which the s they enter caritatem by electrophoresis, break between procedures Pets 1-2 days, repeated courses are assigned in 1-2 months.

6. The method according to claim 1, characterized in that the patients additionally carry out procedures acupressure stop by the apparatus of Marutaka.



 

Same patents:

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely physiotherapy. The invention involves joint exposure to diadynamic currents generated by the Tonus-2 apparatus. The joints are exposed through electrodes applied on a technological fill piece impregnated with 1% placenta hydrolysate. The full-wave continuous electrical current is used for the exposure for 15 minutes. The current intensity is selected to ensure the evident vibration under the electrodes. If the hip joint is exposed, the first electrode is placed in an external area of buttock backwards to a greater trochanter, and the second one - on an anterior surface of hip in an upper mid-third. If a knee joint is exposed, the first electrode is placed from the side of pain wherein localised, in a lower and upper torsion, while the second electrode is placed below or above a knee cap respectively. It is followed by the exposure to the pulse low-frequency non-thermal intensity electromagnetic field generated by an emitter of the INFITA apparatus. The exposure is contactless, the distance of eyes and the emitter is 25 cm. Pulse repetition frequency is 30-40-57 Hz. Length of the exposure is 3-5-9 minutes, at each specified frequency respectively. The procedures are daily. The therapeutic course is 10 procedures.

EFFECT: method enlarges motion activity of the patient and maintains normal blood pressure.

2 ex, 2 tbl

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely traumatology and orthopaedics, and is applicable for the purpose of treating the patients suffering osteoarthrosis of knee. That is ensured by introducing platelet rich autoplasma prepared 1-2 hours before the procedure and containing 725 to 3029 thousand/mcl of platelets (normally - 162 to 358 thousand/mcl) in the affected joint and paraarticular tissues. The autoplasma is activated with 0.25% CaCl2 in the ratio 3:1, in the amount of 10-15 ml. The platelet rich autoplasma is introduced twice within the therapeutic course every 5-7 days.

EFFECT: method allows ensuring repair of knee tissues and paraarticular tissues due to stimulated metabolism and regeneration abilities of the affected joint by means of using the autologous growth factors and biologically active proteins contained in the prepared autoplasma.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine and pharmacology, and represents the use of a pharmaceutically acceptable salt of alpha-ketoglutaric acid for preparing a pharmaceutical composition for treatment or prevention of cartilage diseases in response to weight loss and/or nutritional disorder, poor nutrition, gastrectomy, partial gastrectomy or gastric ligation.

EFFECT: invention provides effective relief and management of articular pain and arthritis.

20 cl, 8 tbl, 3 dwg

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to pyridine-3-yl derivatives of formula (I)

wherein A represents *-CONH-CH2-, *-CO-CH=CH-, *-CO-CH2CH2-, or wherein asterisks specify a link which binds with a pyridine group of formula (I); R1 represents hydrogen, C1-4alkyl or chlorine; R2 represents C1-5alkyl or C1-4alkoxy group; R4 represents hydrogen or C1-4alkyl; R4 represents hydrogen, C1-4alkyl; C1-4alkoxy group or halogen; R5 represents -CH2-(CH2)n- CONR51R52, -CO-NHR51, 1-(3-carboxyazetidinyl)-2-acetyl, hydroxy group, hydroxyC2-5alkoxy group, di-(hydroxy C1-4alkyl) C1-4alkoxy group, 2,3-dihydroxypropoxy group, 2-[(azetidine-3-carboxylic acid)-1-yl]ethoxy group, -OCH2-CH(OH)-CH2-NR51R52 or -OCH2-CH(OH)-CH2-NHCOR54; R51 represents hydrogen, C1-3alkyl, 2-hydroxyetyl, 2-hydroxy-1-hydroxymethyletyl or 2,3-dihydropropyl; R52 represents hydrogen; R54 represents hydroxymethyl; n represents 0 or 1; and R6 represents hydrogen, C1-4alkyl or halogen; and a salt of said compound. Also the invention describes a pharmaceutical composition for prevention or treatment of diseases or conditions associated with activated immune system, on the basis of the compound of formula I and application of said compounds for preparing said pharmaceutical composition.

EFFECT: there are produced and described new compounds which are especially active as immunomodulatory agents.

18 cl, 92 ex, 2 tbl

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to new compounds of formula (I) and to their pharmaceutically acceptable salts showing cyclooxygenase-2 (COG-2) inhibitor activity. In formula (I) R means methyl or ethyl; R3 means halogen; R4 means C1-C6-alkyl; R5 means halogen; C1-C6-alkyl specified above as R4 is optionally substituted by one or more halide groups. The invention also concerns a pharmaceutical composition, a method of treating COG-2-related disorders, particularly rheumatoid arthritis, osteoarthritis, dysmenorrhea, pain, tumours or inflammation, to a method of selective inhibition of COG-2 activity and application of the compounds of formula (I) for preparing a drug for treating the diseases specified above.

EFFECT: preparing the pharmaceutically acceptable salts showing cyclooxygenase-2 (COG-2) inhibitor activity.

10 cl, 6 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: present invention refers to pharmaceutics and medicine, and concerns application of sophoricoside.

EFFECT: preparing the drug applicable for preventing and/or treating articular cartilage degeneration or osteoarthritis in postmenopausal females, exhibiting side-effect-free high efficacy.

6 cl, 11 dwg, 5 tbl, 7 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to preparing biologically active additives and is applicable in medicine when treating bone fractures in posttraumatic period. The composition contains L-amino acids: arginine, methionine, leucine, isoleucine in equal weight proportions.

EFFECT: invention provides a level recovery of energy substrates in skeletal muscles and forms an adequate bone mineral in the posttraumatic period following an orthopaedic trauma.

2 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to pharmacology, and represents a sterile injectable water-based composition in the form of gel for iintra-articular injection containing hyaluronic acid of molecular weight 0.1 to 10×106 Da in the amount of 1-100 mg/ml of water or one of its salts and optionally one or more other natural polysaccharides specified in a group consisting of chondroitin sulphate, keratan, keratan sulphate, heparin, heparan sulphate, cellulose and its derivatives, chitosan, xanthan, alginate and their salts, and also one or more polyalcohols in the amount of 0.0001-100 mg/ml of water, prepared by making a water-based formulation containing hyaluronic acid or one of its salts, optionally one or more other natural polysaccharides, and also one or more polyalcohols, sterilising it with wet steam; the prepared gel shows a coincidence frequency of the elasticity modulus G' and the viscosity modulus G" within the range 0 to 10 Hz preferentially 0.41 Hz ±0.41 Hz with G" exceeding G' if the coincidence frequency is found to be high.

EFFECT: invention provides higher degradation resistance of the gel, and also makes the gel visco-elastic.

11 cl, 8 ex, 11 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine and pharmaceutical industry, particularly to a method for making a drug for osteoarthrosis and to a method of treating osteoarthrosis. The method for making the herbal preparation for osteoarthrosis applied for the purpose of electrophoresis wherein grinded dry raw herbs, including wild rosemary shoots, elecampane inula rhizomes and roots, common St. John's wort herb, wild camomile blossom, cowberry rhizomes and roots, black poplar buds, hop cones taken in certain proportions, extracted in 70% ethanol under certain conditions; the extracts are combined, purified by double separation, boiled out in vacuum, dried up in a spray dryer; the dry powder is used to prepared 20% herbal preparation in 25% aqueous dimethylsulphoxide. The method of treating osteoarthrosis aiding electrophoresis wherein the herbal preparation described above is applied on a pad to perform an electrophoresis procedure with modulation diadynamic currents.

EFFECT: preparation made by the method described above, and a method for diadynamic-current electrophoresis are effective for osteoarthrosis.

2 cl, 1 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine. Substance of the method for rehabilitation of patients suffering osteoarthrosis involves pelotherapy and herbal medicine. The method applied a mixture of dry extracts of cowberry (5 portions), lucerne (5-10 portions), dimethylsulphoxide (10-15 portions) added to peat peloid (up to 100 portions). The composition and peat peloid is applied in layers in osteoarthrosis not associated with synovitis: by applying the composition on the injured joint in a layer 0.5-1 cm coated with peat peloid to the thickness of 2-3 cm, at temperature of the composition and peat peloid - 38-42°C, duration of procedure 20-30 minutes, every second day or two days running with a pause for one day, therapeutic course - 10-15 procedures. In osteoarthrosis associated with moderate synovitis: by applying the composition on the injured joint in a layer 0.5-1 cm coated with peat peloid to the thickness of 2-3 cm, at temperature of the composition and peat peloid - 20-24°C, duration of procedure 15-20 minutes, every day or two days running with a pause for one day, therapeutic course - 8-10 procedures.

EFFECT: presented method of the combined use of herbal and pelotherapy provides higher effectiveness of rehabilitation of the patients with osteoarthrosis and simplifies the method.

2 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, oncology and radiology and consists in carrying out complex treatment by installation of endobronchial reverse valve into bleeding bronchus. At this background performed is external beam radiotherapy (EBRT) TFD 40 Gy, with radiomodifier: 5 fluorouracil - 250 mg, course dose - 4-5 g, or cysplatin - 10 mg, course dose - 120 mg, which are introduced daily, intravenously 30 minutes before the beginning of EBRT session. 14 days after completion of the first stage of EBRT fibrobronchoscopy (FBS) is performed with removal of bronchoblocker, and the second stage of EBRT TFD 30 Gy is performed to total dose for two stages EBRT TFD 70 Gy, with application of the same radiomodifiers in the same mode. 30 days after finishing EBRT FBS is made and is tumour remains in bronchus lumen or there is a suspicion of it, photodynamic preparation is introduced intravenously, and after 4 hours FBS and laser irradiation of tumour are carried out. Control examination of tracheobroncial tree is carried out after 30 days and after 26 months.

EFFECT: method ensures increase of life expectancy and improvement of its quality for patients with non-operable lung cancer complicated by hemorrhage.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely gynaecology, venereology and immunology, and is applicable for local immunocorrection of female infectious-inflammatory urogenital diseases caused by sexually-transmitted microorganisms. For this purpose, with underlying drug-induced therapy, the immunomodulatory therapy is used from first day of therapy by magnetic laser exposure on a uterus neck. The uterus neck is exposed by a gynecologic speculum which is removed after the procedure is completed. The magnetic laser exposure immediately covers a cervical canal. That is ensured by using a low-intensity laser with variable pulse generation. The magnetic field intensity makes 1.25 T. Pulse train frequency per minute is 30. A pulse interval is 100 msec. Length of the exposure is 5 minutes. The therapeutic course is 10 procedures.

EFFECT: method provides higher complex clinical effectiveness ensured by normalising local immunity factors, namely functional activity recovery of neutrophilic granulocytes of the cervical canal, higher concentration of pro-inflammatory cytokines, immunoglobulins A, M, G in the cervical canal.

3 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine and veterinary science. A method involves sequential intravenous introduction of a binary catalytic system (BCS): an oxidation catalyst - a metal complex and an oxidation substratum - ascorbic acid (AA). The oxidation catalyst is introduced in a maximally tolerable or lower doses, and AA - in doses related to molar ratio of the metal complex: AK=1:10. The method also involves local hyperthermia of the tumour with using near infra-red laser emission. The tumour temperature is maintained within the range of 43-45°C by adjusting laser power density. The emission is terminated after achieving the minimum power density maintaining the tumour temperature within the preset temperature range. The declared device comprises a near infra-red laser with emissive power switch-on, switch-off and adjustment systems, and optical system of laser beam formation, a tumour temperature control system with its output connected both with an input of a laser negative feedback system, a laser power density control system. The device comprises an additionally adjustable power density discriminator. An input of the laser power density discriminator is connected with an output of the laser power density control system. The output of the discriminator is connected to an input of the laser switch-off system.

EFFECT: invention provides higher clinical effectiveness.

5 cl, 1 dwg, 1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely dermatovenerology and is applicable for treating chronic infectious urethritis complicated by prostatitis. That is ensured by taking azithromycin 1.0 g (sumamed) once a day in 1st-7th-14th days combined with the complex therapy. The complex therapy involves rectal suppositories Dalargex, 1 suppository daily at bedtime No.10, prostate massage, rectal laser therapy and daily application of fluoroquinolone - gemifloxacin (factive) 1 tab. (320 mg) a day for 14 days.

EFFECT: method enables prolonged remission of the disease, higher life quality of the patients, recovers the reproductive function due to improved eradication of the opportunistic flora in the prostate secretion contents.

4 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely urology, is applicable for treating chronic cystitis. That is ensured by drug instillations into a bladder. In addition, the instillation is preceded by endovesical mucosal exposure to laser light of wave length 0.62 mcm. The instillation is followed by pubic exposure to laser light of wave length 0.86 mcm within a projection of the bladder. The duration of each procedure is 7 minutes; the therapeutic course is 10-12 procedures.

EFFECT: method provides higher clinical effectiveness ensured by pain pulse interruption and improved microcirculation and consequently prolonged drug staying in the bladder cavity as a result of the exposure to laser light before the instillation, and also by deeper drug penetration in bladder tissue as a result the epicutaneous exposure to laser light after the instillation.

1 dwg, 2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely therapy, and is applicable for correction of cardiovascular disorders accompanying metabolic syndrome in the patients suffering osteoarthrosis. It involves the supravenous blood exposure at wave length 405 nm, light guide tip power 1.5 mWt, length of a procedure 5 minutes. It is followed by contact joints exposure at wave length 630 nm, pulse power 10 Wt, frequency 80 Hz. Knee joints are exposed for 2 minutes from 4 sides and with using a lability technique by beam scanning along an joint space for 2 minutes. Hip joints are exposed through a projection of inguinal ligament, greater trochanter, ischial tuberosity for 2 minutes and with using a lability technique by beam scanning along the joint space for 4 minutes. The therapeutic course includes 10 daily sessions.

EFFECT: method allows providing prolonged remission and lowered drug load ensured by eliminating inflammatory activity, lipid spectrum, coagulation hemostasis and carbohydrate metabolism disorders.

19 tbl

FIELD: medicine.

SUBSTANCE: invention refers to physiotherapeutic apparatuses and is applicable for vitality recovery after damaging exercises and mental overload, and for treating various diseases by laser reflex therapy. A presented apparatus comprises a handle body which integrates a laser diode coupled with a control unit with emission brought outside through an outlet on a pointed handle tip. A side surface of the handle comprises a general electrode also connected with the control unit. The control unit is connected to a power supply unit. In the presented apparatus, the power supply unit and the control unit are integrated in the handle, on an internal side surface of the outlet, there is an acupuncture point detector represented by a thin metal core of the diameter no more than 1 mm one end of which is bent so that it gets into a laser beam, and another one is connected to the control unit.

EFFECT: invention allows detecting the acupuncture points more precisely with using a laser beam.

1 dwg

FIELD: medicine.

SUBSTANCE: claimed invention relates to ophthalmology, namely to ophthalmic oncology and is intended for organ-preserving treatment of intraocular tumours. Transpupillary PDT is performed. After 3-20 days treansscleral PDT is carried out. After tumour devitalisation, total vitrectomy and endoresection of tumour is performed. Vitreous cavity is filled with substitute of vitreous body and laser coagulation of retina is carried out.

EFFECT: method ensures radical complete destruction of tumour with extension of indications to organ-preserving treatment with recovery of functional reserves of eye.

3 ex

FIELD: agriculture.

SUBSTANCE: invention relates to animal husbandry, in particular, to methods of prevention transport stress of pigs. The method consists in activation of physiological adaptation mechanisms by daily exposure of pulsed low-intensity infrared radiation on the skin surface in the zone of localisation of the biologically active centers (BAC) № 4, №23, №33, №37, №50, №59 with frequency of 600 Hz, with a capacity of 10 mW with exposure of 256 seconds to each center, ten days prior to transportation.

EFFECT: method enables to increase the level of BAC biopotential, reduce the loss of body weight during transportation and improve meat quality obtained after slaughter carcasses.

1 dwg, 2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to cardiology and laser therapy, and may be used in treating the patients with ischemic heart disease (IHD) or patients with IHD combined with diabetes. A method involves standard therapeutic treatment of the disease. Before the beginning of treatment, blood glucose and total blood cholesterol are evaluated. If blood glucose in the patients with IHD is less than 4.75 mmol/l and total blood cholesterol in the patients with IHD combined with diabetes is less than 5.5 mmol/l, laser therapy is additionally prescribed.

EFFECT: method provides proved prescription of an additional type of treatment in the form of laser therapy due to prediction of its efficacy on the basis of simple objective criteria without using expensive examination in the patients.

1 tbl

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely traumatology, orthopaedics and leech therapy, and is applicable for the purpose of restoration of the haemostatis disturbances accompanying extremity fractures. That is ensured by applying the Ilizarov technique of transosseous osteosynthesis which is combined with leech therapy covering a skin projection of the fracture in the following schedule: one leech three times a week.

EFFECT: invention provides faster restoration of the microcirculation disturbances and stimulates the postoperative regeneration processes accompanying treating the extremity fractures.

1 dwg, 1 tbl, 2 ex

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