SU1512605A1 - Method of treatment of patients with vertebrogenous pain syndrome - Google Patents

Abstract

This invention relates to medicine, in particular to neurology. The purpose of the invention is to reduce the duration of treatment and increase the remission period in the treatment of patients with vertebrogenic pain syndrome by vacuum stimulation of pain zones in a pulsed mode with a frequency of 60 impulses per minute, with air dilution from 0.2 to 0.8 kgf / cm ² (19.6-78.4 Pa), for 5-8 min, after 2-3 days, 3-6 procedures per course, and the effect is carried out using a cannula and in turn stimulate all the anatomical layers that are in zone of pain, starting with the deepest (for example, the periosteum), and simultaneously with the movement of the needle in more overhnostny layer increases the frequency vacuum - stimulation of 20 pulses per minute. The treatment by the proposed method allows to achieve the prolongation of the analgesic effect after a single procedure up to 10-10.5 hours, reducing the time of inpatient treatment to 13-18 days.

Description

This invention relates to medicine, in particular to neurology.

The purpose of the invention is to reduce the duration of treatment and increase the remission period by vacuum stimulation of painful areas in a pulsed mode, in particular from 60 cps / min with an air rarefaction of 0.2 to 0.8 kgf / cm for 5-8 minutes after 2-3 days for 3-6 procedures per course, and the effect is carried out using a hollow needle and in turn stimulate all the anatomical layers that are in the pain zone, starting with the deepest (for example, the periosteum) and simultaneously moving the needle to a more superficial layer increase the frequency of vacuum stimulation by 20 counts / min .

The method is carried out as follows.

After a thorough clinical, radiological and electrophysiological study, the affected spine segment is determined. The palpation of the spine and its ligamentous apparatus determines the points of maximum painfulness between the intestinal spaces, the paravertebral points, as well as the areas of painful bones, muscles and ligaments. For vacuum stimulation, pain points located along the affected leg, sclerotome or dermatome are chosen along the median and paravertebral lines of the spine. Then process the surgical field tincture of iodine and alcohol. The cannula with mandrel is inserted paratebral 3-4 cm to the outside of the spinous process line until it touches the periosteum of the transverse process.

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4-5 needles are simultaneously introduced into different painful areas. Then polyester tubes are connected to the needles, for example, from a single blood transfusion system, which are connected to a vacuum apparatus through a multi-arm distributor. The vacuum source is a PSHP aspirator, ALP-02 or another apparatus equipped with a vacuum gauge and an attachment for obtaining an intermittent vacuum. The frequency of the pulses is set by the step of the curvature on the side of pain. On an X-ray switch in the mode of 60-80-grams in the lumbar spine - 100- 120 pulses / min. Vacuum stimulation is carried out in layers by pushing the needle with alternating effects on the periosteum, the myofascial and dermal layers of the skin with a variable rhythm frequency of 60 pulses / min, a rarefaction intensity from 0.2 to 0.8 kgf / cm- (19, 6-78.4 Pa), exposure time 5-8 min, the number of procedures 3-6 with an interval of 2-3 days. The time the needles stay in each layer of op 20 alcohol 4 injection needles are inserted into the individual pain sensations, depending on the sensations, the following pain zones: between the spinous; the absence of pain, the appearance of the sensory processes of the L4 - L5 vertebrae to a depth of 1.5 cm and paravertebral on both sides, a distance of 4 cm from the spinous vertebra, to the junction of the triceps muscle in the Achilles tendon (depth 2-3 cm). Then a vacuum was connected to the needles, the pulse repetition rate was set in the mode of 60-80 pulses / min. The intensity of the dilution was from 0.2 to 0.6 kgf / cm, the exposure time was 6 minutes, when the patient appeared to have the sensations in the form of numbness over the border, the disappearance of pain, then push the needle up and affect the myofascial and dermal layers of the skin. Indicators in the lumbar region are limited, the muscles of the back are strained, the soreness of the interosseous spaces and paravertebral points at this level, the symptom of Lasega is positive to the right at an angle of 30 °, the knee-5 reflexes are alive, the Achilles reflex to the right is reduced, hypoesthesia on the outer surface of the right lower leg and foot , thermoasymmetry, delayed resorption of skin blister, vasospastic form

constriction of the interarticular fissure and osteochondrosis, predominantly in 4 and 5 in lumbar vertebrae.

5 Diagnosis; lung osteochondrosis, discogenic lesion of L5-S1 of the right posterior dorsum, pronounced pain syndrome. On the day of admission to the patient after treatment of the operative floor with tincture of iodine and

n; i "numbness of the skin is an indicator for the effect on subsequent layers of tissue.

Treatment of patients begins with an impact on the periosteum with a frequency of 60 imp / min, then after 1-2 min - 80 imp / min. With the appearance of the sensations envisioned, the needle is pulled up into the myofascial layer, stimulation is 80-100 imp / min, when the pain disappears, the needle is pulled up into the dermal layer, stimulation with a frequency of 100-120 pulses / min until the appearance of heat, “Numbness or disappearance of pain. The time spent by the needle in each layer was individually ES depending on the severity. The procedure was performed 3 times in 3 days for lumbosacral pain syndrome. within 18 days. The state after the perception of the procedures is determined by the new procedure: it notes a significant amount of pain, on average it reduces pain, disappeared - 2-6. This procedure was carried out in the cuticle, the right leg, and, if necessary, was completely diverted to the interstitial cells from taking analgesics, the spacing of the affected vertebral segment increased, with the amount of physical activity in the body (injection depth 1-2 cm), and time of day. Objectively for 18 days with the same course of peripheral sclerotome discharge: no complaints, movement in the vertebral and myotomic pains in the patient, free palpation of interspinal pro.Example 1. Patient S., 47 years old. Complaints between the interchrocenia and the paravertebral points allowed severe pains in the ribs, the right-hand side of the night-lamp is painless, the symptoms of the exercise area, along the posterior surface of the right- ° l. ,,,.,.

thigh and shin, outer edge of the right foot. Sick for 7 years. Periodically observed an exacerbation of the c-boundary-sacral pain repeatedly lechils ambulatory stationary: Amplipuls 50 phonophoresis electrophoresis and various medicinal compounds, vitamin therapy, in anal Gezira mixture biostimul tori proze- rin, paravertebral blockade hydrocortisone, two courses of acupuncture. After treatment, remission was observed in 55 stationary: analgesics, vitamin therapy, for 1-2 months, and then resuscitating stimulators, electrophoresis of various pains.

Objectively: the lumbar lordosis is smoothed, there is right-sided scoliosis, movements

no, the knee reflexes are alive, the Achilles reflex to the right is slightly reduced. The duration of inpatient treatment was 18 days. When re-examined after 3 months - no complaints. Example 2. Patient G., 44 years old. Complaints of severe pain in the lumbar spine, right leg, numbness of the right leg. Lumbosacral pain suffers for about 8 years. Exacerbation of pain occurs almost annually. Treatments are outpatient and

carnal mixtures, amplipulse. After treatment, there was a slight improvement, and then resumed with the same intensity on the pain side. On roentgenograms of the lumbar spine, 4 injection needles were inserted into the following painful zones: between the spinous processes of the L4 - L5 vertebrae at the depth of the lumbar region, the muscles of the back are strained, the soreness of the interspinal gaps and paravertebral points at this level, the symptom of Lasega is positive to the right at an angle of 30 °, the knee reflexes are alive, the Achilles reflex to the right is reduced, hypoesthesia on the outer surface of the right lower leg and foot, thermo-asymmetry, slow resorption of the skin blister, vasospasticity Single form

reokrivoy on the side of pain. On roentgenograms of the lumbar spine, 4 injection needles were inserted into the following painful zones: between the spinous processes of the L4 - L5 vertebrae to the depths - a narrowing of the articular cleft and osteochondrosis, mostly in the 4th and 5th lumbar vertebrae.

Diagnosis; lung osteochondrosis, discogenic lesion of L5-S1 of the right posterior dorsum, pronounced pain syndrome. On the day of admission to the patient after treatment of the operative floor with tincture of iodine and

Intercostal spaces and paravertebral points of the spine painless, symptoms of the same ° l. ,,,.,. „„, „

 permanently: analgesics, vitamin therapy, biostimulants, electrophoresis of various laziness, no, knee reflexes are alive, the Achilles reflex on the right is slightly reduced. The duration of inpatient treatment was 18 days. When re-examined after 3 months - no complaints. Example 2. Patient G., 44 years old. Complaints of severe pain in the lumbar spine, right leg, numbness of the right leg. Lumbosacral pain suffers for about 8 years. Exacerbation of pain occurs almost annually. Treatments are outpatient and

 inpatient: analgesics, vitamin therapy, biostimulants, electrophoresis of various medicinal mixtures, amplipulse. After treatment, a slight improvement was noted, and then resumed with the same intensity. Last exacerbation within 2 months.

Objectively-kyphoscoliosis in the lumbar spine, sharp tension of the back muscles and restriction of spinal movements, painful pressure on the spinous processes of 5 of the lumbar and 1 sacral vertebrae and paravertebral points on the right, L5 hypalgesia and slight in S1, sharply placed on the L5 level - С1, air depression is 0.6-0.8 kgf / cm, rhythm frequency is 100 120 min.

The patient underwent four such effects in painful areas at intervals of 2–3 days. On the sixteenth day, he was discharged in satisfactory condition. When re-examined after 3 months no complaints.

Local vacuum irritation

body Lasega at 40-45 °, the achilles of the ref-Yu are only exteroreceptors of the skin, but also the leke is reduced on the right. the receptors of the periosteum and muscles provide X-ray diffraction in the lumbar region

It produces a more massive reflex effect, and, in addition, the amplification of the impact provides it with a pulsating character. ., At the same time, adaptation of the receptors is prevented by changing the frequency of the rhythmic effect.

The layered vacuum stimulation affects the deep structures of the affected vertebral segment of the spine; sharp narrowing of the slit 4 and 5 in the lumbar vertebrae, osteochondrosis of the disc.

Diagnosis: lung osteochondrosis, hernia of the fourth lumbar disc with lesion of the fifth lumbar and first sacral root, reactive epiduritis.

Three sessions of vacuum stimulation were performed with an impact on the transverse processes of 20 tons, and the creation of a center of active hyperethrophytes 4 and 5 of the lumbar vertebrae, in the interosium in the periostat, muscular and dermal gaps at this level, painful trigger zones in the popliteal me, the outer surface of the right tibia and the foot (exposure intensity 0.4–0.6 kgf / cm, ,, (increase by 30% according to rheovasio-rhythm frequency of 80–100 pulses / min, length), and removes the localized muscle - 4 minutes, after 2 days). The duration of inpatient treatment is 14 days. When re-examination after 3 months. no complaints.

Example 3. Patient B., 56 years old. Complaints of the Zoo The proposed method allows to prolong the severe pain in the lumbar region after anesthetic effect after a single skull, left lower leg and foot.

Sick about 3 years. The year was marked by an acute exacerbation, about which about one month was treated in the hospital. She took treatment: analgesics, vita-5, duration of remission of pain syndromes, sedatives, rubbing (P observation for 1 year) on the back, massage. Due to the concomitant disease of uterine fibroids, she did not receive physiotherapy. Within 3 weeks blunt pains in the border, right thigh, aggravated at night.

Objectively: kyphoscoliosis in the lumbar spine, movement in the lumbar region is limited, painful, soreness of the paravertebral points and interspaces. cpuKui

L5-C1 left gland spaces, remission points, are affected by a vacuum in Valle along the left sciatic nerve, a pulsed mode with a frequency of 60 imp /

/ min with an air dilution of 0.2 ... 0.8 kgf / cm e for 5-8 min in 2–3 days, 36 procedures per course, the effect of the Q axis is effected with a cannula and all the anatomical layers are stimulated alternately that are in the pain zone, starting with the deepest (for example, the periosteum), and simultaneously with the movement of the needle into a more superficial layer of increased vacuum stimulation

The active layer prolongs the acupuncture effect, improves the exchange-trophic processes due to the activation of blood circulation

ny spasm (25% increase in muscle biopotential according to electromyogram data).

.lagable

the effect after a single procedure to 10.1 ± 0.22 h (according to the prototype 4.3 ± 0.8 h), reduce the time of inpatient treatment to 13.6 + 0.67 bed-days (but to the prototype 18.4 ± 0, 22 bed-days) and uvelido 10.3 ± 0.06 months (according to the prototype 8.8 ± ± 0.36 months).

Claims (1)

Invention Formula A method for treating patients with vertebral pain syndrome, including rhythmic vacuum stimulation of pain zones, characterized in that, in order to shorten the treatment time and increase the Lasegue's pimpympt, positive on the left at an angle of 45 °, the knee jerks are alive, Achilles, not sensitive sensitivity njena Diagnosis: osteochondrosis in the lumbar spine, left-sided lumbo-sciatic. Concomitant: uterine fibroids with frequent bleeding. On the day of admission, vacuum stimulation of the painful zones at the level 4 of the lumbar vertebrae 55 was performed on both sides of the interstitial intervals of 20 counts / min. at the level of L5-C1, the air depression is 0.6-0.8 kgf / cm, the frequency of the rhythm is 100 120 min. The patient underwent four such effects in painful areas at intervals of 2–3 days. On the sixteenth day, he was discharged in satisfactory condition. When re-examined after 3 months no complaints. Local vacuum irritation only the exteroreceptors of the skin, but also the periosteum and muscle receptors provides a more massive reflex effect, in addition, the increased effect provides its pulsating character. At the same time, the development of receptor adaptation is prevented by changing the frequency of the rhythmic effect. Layering vacuum-stimulation sightingly affects the deep structures of the affected vertebral motor segment, while creating a focus of active hyperemia in the periostat, muscular and dermal (30% increase according to rheovasography) and removes localized muscular the creation of a center of active hyperemia in the periostat, muscular and dermal (an increase of 30% according to rheovasography) removes the localized muscular The active layer prolongs the acupuncture effect, improves the exchange-trophic processes due to the activation of blood circulation the creation of a center of active hyperemia in the periostat, muscular and dermal (an increase of 30% according to rheovasography) removes the localized muscular "The proposed method allows to extend the analgesic effect after a single  l duration of remission of pain syndrome (P observation for 1 year) ny spasm (25% increase in muscle biopotential according to electromyogram data). .lagable the effect after a single procedure to 10.1 ± 0.22 h (according to the prototype 4.3 ± 0.8 h), reduce the time of inpatient treatment to 13.6 + 0.67 bed-days (but to the prototype 18.4 ± 0, 22 bed-days) and increase the duration of remission of pain syndrome (P observation over 1 year)   cpuKui up to 10.3 ± 0.06 months (according to the prototype 8.8 ± ± 0.36 months). Invention Formula A method of treating patients with vertebral pain syndrome, including rhythmic vacuum stimulation of pain zones, characterized in that, in order to shorten the treatment time and increase