JP6506895B1 - Treatment, improvement and alleviation equipment for chronic pain - Google Patents

Abstract

The present invention relates to an advanced technique by stimulating at least one kind of outer mucosa included in a group of muscles adhering to mucous membranes in the oral cavity, preferably maxillary ridge, mandible or sphenoid bone We propose a device for treating, ameliorating and alleviating chronic pain with short treatment without need. SOLUTION: The therapeutic, alleviation and alleviation device 1 for chronic pain is provided with a plurality of convex bodies 7 on one side 5 of a substrate 3, each of the convex bodies 7 has elasticity, and the mucous membrane in the oral cavity is convex It is a chronic pain treatment / improvement / relief device characterized by stimulating the mucous membrane in the oral cavity with the solid body 7. [Selected figure] Figure 1

Description

The present invention relates to a device for treating, improving and alleviating chronic pain which stimulates mucous membranes in the oral cavity.

Chronic pain, such as fibromyalgia, myofascial pain syndrome and pervasive pain, causes pain in various parts of the body and adversely affects the quality of life of the population. According to the American Chamber of Commerce in Japan (ACCJ) Health Care Committee on the chronic pain overall survey of 5,000 people (number of respondents) in Japan, the annual economic loss in Japan due to chronic pain is about 370 billion yen Was estimated.
Also, with respect to its treatment, 65% of chronic pain patients being treated are not completely satisfied with the effectiveness of the treatment and 2.9% are completely free of pain and are examined for chronic pain Of those who received or were treated on their own, 69.6% believed that an effective new treatment was needed.

Non-Patent Document 1 is a textbook on chronic pain co-authored by 43 university researchers around the world, mainly from the United States, and states that many chronic pains such as fibromyalgia are caused by central sensitization. It is done. In addition, central sensitization refers to a state of pain hypersensitivity in which a central control function of pain sensitivity does not work normally and central pain sensitivity is increased.

In Non-Patent Document 2, xylocaine is injected into the lateral forelimbus muscle of fibromyalgia patient to perform blocking, and at the same time, an oral cavity is provided with a device for restricting the contraction of the lateral forelimb muscle in the oral cavity. It has been described that fascial release of the lateral forelimb muscle, which is the jaw muscle, resulted in decreased central sensitization and improved chronic pain. In addition, the fascia release refers to a treatment for eliminating a lesion with tenderness called trigger point that is generated in the fascia by any means.

Although the treatment method disclosed in Non-Patent Document 2 provides a new effective means for chronic pain treatment, it is technically difficult and difficult to spread widely.

Fibromyalgia & Other Central Pain Syntheses D J Wallance, D J Clauw Lippincott Williams & Wilkins published Koji Yamada Nobuhiro Tsukiyama Oka Hiroshi Oka (Japanese Journal of Clinical Rheumatology) September 2009 Vol. 21 / No. 3 249-255

The present invention provides a device for treating, ameliorating and alleviating chronic pain that treats, ameliorates and alleviates chronic pain. More specifically, by stimulating the mucous membrane in the oral cavity using the chronic pain treatment / improvement / relief device of the present invention , chronic pain is treated / improved / alleviated in a short time without requiring advanced techniques. It is a thing.

The present invention for solving the above problems has the following contents.

It has a plurality of convex bodies on one side of the substrate,
Each convex body has elasticity and
The length of each convex body is 300 μm to 700 μm, and the maximum diameter of the convex body is 80 μm to 250 μm,
It is a chronic pain treatment / improvement / relief device that stimulates the mucous membrane in the oral cavity by the convex body.

The mucosa, maxilla, is at least one of the mucosa of the outer muscles contained in muscles that adheres to the mandible or sphenoid.

Each of the convex bodies has a tapered portion in which the cross-sectional area parallel to one side of the substrate is smaller than the area of the ground plane from the ground plane in contact with one side of the substrate to the opposite direction to the ground plane. .

In the convex body, the tips of two adjacent convex bodies are not in contact with each other.

The chronic pain treatment / improvement / relief device comprises a grip.

  The grip is removable.

A storage container for storing the chronic pain treatment / improvement / alleviation device,
The storage container comprises a main body, a lid and a leg,
The body portion is made of a concave portion for accommodating the chronic pain, improvement and relief device and the surrounding edges,
The recessed portion is provided substantially at the center of the body portion, and the fitting allowed to shape by the convex body of the chronic pain, improvement and relief device downwardly,
The edge comprises a plurality of holes,
The lid is openably and closably provided at the upper end of the recess, and the lid is closed to seal the chronic pain treatment, improvement, and alleviation device stored in the recess.
Respective legs, let a plurality below the edge of the main body portion,
A plurality of storage containers can be detachably connected by inserting the leg portion of the storage container into the hole of the edge of another storage container from above.

Mucosa with chronic pain, improvement and relief device in the oral cavity of the present invention, preferably to stimulate at least one of the outer mucosa contained in the muscles that adheres to the maxilla, mandible or sphenoid Thus, chronic pain such as fibromyalgia, myofascial pain syndrome and pervasive pain can be treated, ameliorated and alleviated.

The treatment using the chronic pain treatment / amelioration / relief device of the present invention does not require a high level of technology, and effects can be obtained in a short time of treatment.

It is a front view which shows an example of the chronic pain treatment * improvement * relief instrument of this invention. It is a bottom view which shows an example of the chronic pain treatment * improvement * relief instrument of this invention. It is a top view which shows an example of the chronic pain treatment * improvement * relief apparatus of this invention. It is sectional drawing which shows an example of the chronic pain treatment * improvement * relief apparatus of this invention. It is a partial enlarged front view which shows an example of the chronic pain treatment * improvement * relief instrument of this invention. It is a front view which shows an example of a chronic pain treatment * improvement * relief instrument provided with the holding part of this invention. It is a bottom view which shows an example of a chronic pain treatment * improvement * relief instrument provided with the holding part of this invention. It is sectional drawing which shows an example of a chronic pain treatment * improvement * relief instrument provided with the holding part of this invention. It is a top view which shows an example of the state which the cover part of the storage container of this invention closed. It is a front view which shows an example of the state which the cover part of the storage container of this invention closed. It is a top view which shows an example of the state which the cover part of the storage container of this invention opened. It is a front view which shows an example of the state which the cover part of the storage container of this invention opened. It is sectional drawing which shows an example of the state which the cover part of the storage container of this invention closed. It is sectional drawing which shows an example of the state which opened the cover part of the storage container of this invention. It is a front view which shows an example of the state which connected the storage container of this invention. It is a top view which shows an example which takes out the chronic pain treatment * improvement * relief apparatus of this invention from a storage container, and is equipped with a holding part. It is a front view which shows the several example of the convex body of the chronic pain treatment * improvement * relief instrument of this invention.

Hereinafter, embodiments of the present invention will be described with reference to the drawings. The present invention is not limited to the following embodiments.

As shown to FIGS. 1-4, the chronic pain treatment * improvement * relief instrument 1 equips the single side 5 of the board | substrate 3 with the several convex body 7, and each convex body 7 has elasticity. As an example, each convex body 7 is preferably formed integrally with the substrate 3.

The front view shape of the substrate 3 is not particularly limited, but is, for example, a substantially square shape, preferably a substantially trapezoidal shape, a substantially square shape, a substantially rectangular shape or the like shown in FIG. The shape in plan view of the substrate 3 is not particularly limited, and is, for example, a substantially circular shape, a substantially elliptical shape, a substantially polygonal shape, or the like, preferably a substantially circular shape shown in FIG.

The size of the substrate 3 is not particularly limited, and is, for example, a size that can stimulate the oral cavity. As shown in FIG. 1, the maximum diameter 3a of the plan view shape of the substrate 3 is preferably about 2 mm to about 10 mm, more preferably about 3 mm to about 7 mm. As shown in FIG. 3, the thickness 3b of the substrate 3 is preferably about 0.2 mm to about 2 mm, more preferably about 0.8 mm to about 1.5 mm.

As shown in FIGS. 3 and 4, the substantially central portion of the substrate 3 is provided with a concave portion 11 into which a convex portion 17 at the tip portion 15 of the grip portion 13 described later is fitted, as an example.

The material of the substrate 3 is not limited as long as it can be used hygienically in use, and is, for example, synthetic resin, elastomer, metal etc., preferably thermoplastic elastomer, silicone, aluminum etc., more preferably silicone etc. I assume.

The shape of each convex body 7 is not particularly limited, and the plan view shape of the convex body 7 is, for example, approximately circular, approximately elliptical, approximately polygonal or the like, and preferably approximately circular shown in FIG. The front view shape of the convex body 7 is, for example, a substantially polygonal shape, a shape in which a substantially semi-elliptic or a substantially semi-circle is joined to the upper part of the polygon, a shape in which both sides of the substantially polygonal are curved (see FIG. 17) Preferably, it is substantially trapezoidal as shown in FIG.

The shape of each convex body 7 is such that the cross-sectional area parallel to one side 5 of the substrate 3 is in the direction opposite to the ground plane 8 from the ground plane 8 in contact with the one side 5 of the substrate 3. It is preferred to have a taper 9 which is smaller than the area.

The shapes of the respective convex bodies 7 in the same substrate 3 may be different, but preferably they have the same shape.

The length and maximum diameter or maximum diagonal of each convex body 7 is not particularly limited as long as a plurality of convex bodies 7 can be provided on the surface of the substrate 3. As an example, as shown in FIG. 5, the length 7 a of the convex body 7 is about 300 μm to about 700 μm, and the maximum diameter 7 b is about 80 μm to about 250 μm. In the case where the tapered portion 9 is provided, the maximum diameter 9 a of the tapered portion 9 is preferably about 50 μm to about 200 μm.

The tips 10 of two adjacent convex bodies 7 are preferably not in contact with each other. As shown in FIG. 5, the spacing 7c on the substrate side of each convex body 7 is preferably about 1 μm to about 1000 μm, more preferably about 100 μm to about 700 μm. The distance 9b between the tips 10 (or the tapered portions 9) of each convex body 7 is preferably about 10 μm to about 1000 μm, more preferably about 300 μm to about 700 μm.

The number of convex bodies 7 is not particularly limited, and is preferably 2 to about 1000, and more preferably about 100 to about 200.

  The material of the convex body 7 is not limited as long as it can be used hygienically in use and has elasticity, and is, for example, a synthetic resin, an elastomer, a metal, etc., preferably a thermoplastic elastomer, silicone, aluminum And more preferably silicone.

As shown in FIGS. 6 to 8, the chronic pain treatment / improvement / alleviation device 1 can be provided with a grip 13 as an example, and as an example, the grip 13 is detachable.

The gripping portion 13 preferably has elasticity. The elasticity of the gripping portion 13 facilitates adjustment of the intensity of the stimulus given to the skin by the convex body 7 . There is no particular limitation on the bending elasticity of the grip portion 13. Preferably, the bending elasticity measured by the method of JIS K7171 is about 500 to about 3000, and more preferably about 1100 to about 2000.

It is preferable to provide the substrate 3 at the tip 15 of the grip 13. The means for providing the gripping portion 13 on the substrate 3 is not particularly limited. As an example, as shown in FIG. 8, the holding portion 13 is provided with the substrate 3 by fitting the convex portion 17 of the distal end portion 15 of the holding portion 13 in the concave portion 11 substantially at the center of the substrate 3 .

The shape of the gripping portion 13 is not particularly limited, and as an example, the convex body 7 can be brought into contact with the skin in the oral cavity from the outside of the oral cavity and can be gripped with a finger, and the length of the gripping portion 13a is preferably about 50 mm to about 200 mm, more preferably about 100 mm to about 140 mm. The tip shape of the grip portion is not particularly limited as long as it can be provided with the substrate 3 and the shape in plan view is preferably substantially polygonal, substantially circular, substantially elliptical or the like, more preferably substantially circular And so on.

The material of the grip portion 13 is not limited as long as it can be used hygienically, and examples thereof include synthetic resin and metal, preferably polyolefin thermoplastic resin, elastomer, stainless steel, aluminum and the like, and more preferably Polyethylene, polypropylene, etc.

The gripping portion 13 can be provided with a non-slip projection 19 as an example to facilitate gripping.

As shown in FIGS. 11 to 14, the storage container 21 for storing the chronic pain treatment / improvement / alleviation device 1 includes a main body 23, a lid 25, and a plurality of legs 27. The main body 23 comprises a recess 24 for housing the chronic pain treatment / amelioration / relief device 1 and an edge 33 around the recess 24. The recess 24 is provided substantially at the center of the main body 23, and the edge 33 Has a plurality of holes 31.

The shape of the recess 24 is preferably such that it can be fitted with the convex body 7 downward. The shape of the recessed portion 24 by a shape to be fitted to the convex body 7 of the chronic pain, improvement and relief device 1 downward, the convex body 7 is brought into contact with the mucous membrane in the patient's mouth It becomes possible to take out from the storage container 21 without touching the hand. In addition, the substrate 3 can be provided with a grip without touching the convex body 7 (see FIG. 16).

The lid 25 is provided so as to be openable and closable at the upper end of the main body 23, and the legs 27 are provided below the edge 33. The lid 25 can be provided with claws 35 to facilitate opening and closing of the lid.

As shown in FIGS. 13 and 14, when closing the lid portion 25, by the outer peripheral portion 37 of the lid portion 25 is fitted into the groove 39 of the main body portion, chronic pain and improvement for accommodating the recess 24 ・ Close the mitigation device 1. When the recess 11 is provided substantially in the center of the substrate 3 of the chronic pain treatment / improvement / alleviation device 1, the convex fitted in the recess 11 of the chronic pain treatment / alleviation / alleviation device 1 in the substantially center portion of the lid 25. By providing the part 41, it is preferable to seal and store the chronic pain treatment / amelioration / relief device 1.

As shown in FIG. 15, the tip portions of the legs 27a 'and 27b' are shaped to fit into the holes 31a and 31b, so that the holes 31a and 31b of the storage container 21 can be replaced by another storage container 21 '. The legs 27a 'and 27b' are inserted from above and releasably connected.

  Although the shape of the holes 31 may be the same, as shown in FIG. 11, different shapes may be used as the holes 31a and 31b. In this case, the tip of the leg 21a at the lower part of the hole 31a is shaped to fit into the hole 31a, and the tip of the leg 21b at the lower part of the hole 31b is fit to the hole 31b, thereby a plurality of storage containers When 21 21 '... are connected, it becomes easy to align and connect the position of the claws 35 35' ... of each storage container.

When the plurality of storage containers 21, 21 ′,... Are vertically connected, a gap is formed between the upper end of the lower storage portion edge of the two storage containers adjacent to the upper and lower end and the lower end of the upper storage portion edge Preferably 43 is provided. It becomes possible to put a finger tip, a nail, tweezers, etc. into the gap 43, and the connected storage containers 21, 21 ', etc. can be easily separated.

The chronic pain treatment / improvement / alleviation device of the present invention is used for treatment / improvement / alleviation of chronic pain and the like. Chronic pain using the chronic pain treatment / improvement / alleviation device of the present invention includes, for example, pain involving central sensitization, such as fibromyalgia, pervasive pain, myopathic pain syndrome and the like. It is preferred to use.

The chronic pain treatment / improvement / alleviation device 1 of the present invention stimulates the mucous membrane in the oral cavity using the convex body 7. The site of the mucosa in the oral cavity, maxilla, the mucosa of the outside of at least any one of the muscles of muscle groups that adhere to the mandible or sphenoid as an example. Among the muscle groups, mucous membranes of the outer side of palpable muscle groups from the oral cavity are preferably mentioned, and more preferably, outer sides such as the lateral forefoot muscle, the medial forefoot muscle, the digastric muscle, the periospinal muscle, the palatine hyoid muscle, etc. And mucous membranes of

The stimulation method is, for example, bringing the convex body 7 into contact with the skin, pressing the skin with the convex body 7, rubbing the skin with the convex body 7, tapping the skin with the convex body 7 etc. Be Multiple stimuli may be selected depending on the patient's condition and the like. The time for stimulation is selected depending on the patient, and is not particularly limited, and is, for example, about 10 seconds to about 3 minutes, preferably about 30 seconds to about 2 minutes.

The site to be stimulated with the chronic pain treatment / amelioration / relief device of the present invention may be one, and more preferably a plurality of sites.

The treatment using the chronic pain treatment / amelioration / relief device of the present invention often causes the patient to feel an effect on chronic pain during or immediately after the treatment, and while performing the treatment, the method of stimulation depending on the patient, the stimulation The strength and site to be stimulated may be selected.

EXAMPLES The present invention will next be described in more detail by way of examples, which should not be construed as limiting the invention in any way.

The chronic pain treatment / improvement / alleviation device 1 used in this example had a substantially circular shape in plan view of the substrate portion 3 and the maximum diameter 3a was about 6 mm and the thickness was about 1 mm. The plan view shape of the convex body 7 is substantially circular, and the front view shape includes 112 convex bodies 7 having a substantially trapezoidal shape, and the length 7 a of the convex body 7 is about 500 μm. The maximum diameter of the ground surface 8 was about 120 μm, and the maximum diameter of the tip portion 10 (gradient portion 9) was about 60 μm. The substrate 3 and the convex body 7 of the chronic pain treatment / improvement / alleviation device 1 were respectively made of silicone and provided with a grip 13 made of polypropylene.

Immediately after the mucous membranes in the oral cavity located on the outer side of the left and right lateral pterygium muscles and the left and right lateral pterygium muscles are abraded with light pressure using the chronic pain treatment / improvement / relief device 1 of the present invention, the patient The evaluation was made in 5 levels: significant, effective, slightly effective, no effect in descending order of effect.

The results of the above example are shown in Table 1.

(Table 1)

As shown in Table 1, the short-term treatment using the chronic pain treatment / improvement / relief device of the present invention is effective for chronic pain in patients with fibromyalgia, pervasive pain, and myofascial pain syndrome. The results were obtained.

By stimulating the mucous membrane in the oral cavity using the chronic pain treatment / improvement / relief device of the present invention, it is considered that chronic pain is improved by performing myofacial release to reduce central sensitization.

1 chronic pain treatment / improvement / alleviation device of the present invention 3 substrate 3a maximum diameter 3b thickness 5 single side 7 convex body 7a length
7b Maximum diameter 7c Spacing 8 Grounding surface 9 Gradual part 9a Maximum diameter 9b Spacing 10 Tip 11 Concave 13 Grip 15 Tip 17 Protrusion 19 Protrusion 21 Storage container 21 'Storage container 23 Body part 24 Concave part 25 Lid part 27 Portions 27a Legs 27b Legs 27 'Legs 31a Holes 31b Holes 33 Edges 35 Claws 37 Outer peripheral portion 39 Grooves 41 Convexities 43 Gaps 44a to 44d Example of a front view of a convex body

Claims (7)

It has a plurality of convex bodies on one side of the substrate,
Each convex body has elasticity and
The length of each convex body is 300 μm to 700 μm, and the maximum diameter of the convex body is 80 μm to 250 μm,
Each convex body is made of an elastomer,
A chronic pain treatment / improvement / relief device characterized in that the convex body stimulates the mucous membrane in the oral cavity.
The mucosa, maxilla, chronic pain and improvement and mitigation of claim 1, characterized in that the mucosa of the outer side of at least one muscle contained in muscles that adheres to the mandible or sphenoid Appliance. Each of the convex bodies has a tapered portion in which the cross-sectional area parallel to one side of the substrate is smaller than the area of the ground plane from the ground plane in contact with one side of the substrate to the opposite direction to the ground plane. The chronic pain treatment / improvement / relief device according to claim 1 or 2, characterized in that The chronic pain treatment / improvement / relief device according to any one of claims 1 to 3, wherein in the convex body, the tips of two adjacent convex bodies are not in contact with each other. The chronic pain, improvement and relief device is chronic pain, improving and relieving device according to any of claims 1 to 4, characterized in that it comprises a gripping portion. The chronic pain treatment / improvement / relief device according to claim 5, wherein the grip portion is removable. It is a storage container which stores the chronic pain treatment, improvement, and relief instrument according to any one of claims 1 to 4,
The storage container comprises a main body, a lid and a leg,
The body portion is made of a concave portion for accommodating the chronic pain, improvement and relief device and the surrounding edges,
The recessed portion is provided substantially at the center of the body portion, and the fitting allowed to shape by the convex body of the chronic pain, improvement and relief device downwardly,
The edge comprises a plurality of holes,
The lid is openably and closably provided at the upper end of the recess, and the lid is closed to seal the chronic pain treatment, improvement, and alleviation device stored in the recess.
Respective legs, let a plurality below the edge of the main body portion,
A plurality of storage containers can be releasably connected by inserting the leg of the storage container into the hole of the edge of the other storage container from above, so that chronic pain treatment, improvement and alleviation Instrument container.

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