RU2054923C1 - Method for treatment of radicular syndrome and device for its embodiment - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method for treatment of radicular syndrome includes preliminary treatment with direct current by means of point electrode when moving it over the entire length of vertebral column or breast bone, in paravertebral or in parasternal regions symmetrically on both sides and in zones of pain irradiation. Then, above-mentioned zones and biologically active points located in them are stimulated by point massage with the use of special rods of definite color selected in compliance with the stage of illness. Procedure is completed by common manual massage of affected region and pain irradiation zones. In so doing, in cases of continuous chronic illnesses, after completion of point massage by rods, additional heating is undertaken of biologically active points with wormwood cigarettes and after manual massage, the entire affected region is irradiated in preeryrhema doses for not above one minute. Rods are cigar-shaped and made of triboelectret, e. g., ebonite or acrylic plastic, noncolored or colored with main colors carrying energy information. Rods have selected geometric parameters and may have barrel-shaped side surface. EFFECT: enhanced efficiency. 8 cl, 1 dwg

Description

 The invention relates to medicine, namely to neurology, and can be used in the treatment of osteochondrosis of the spine, radiculitis, lumbago of any localization, intercostal neuralgia and other diseases.

 It is known that in the acute stage and during the exacerbation period in the treatment of radiculitis of any localization (cervical, thoracic, lumbosacral), bed rest, painkillers are prescribed, various procedures are indicated locally: heat, rubbing irritating ointments, conduct a course of vitamin therapy, apply vasoactive and decongestants; various physiotherapeutic procedures are prescribed (UV irradiation, novocaine electrophoresis, UHF therapy). After the acute events subside, they go on to treatment with traction on an inclined plane, prescribe balneotherapy, mud therapy, inductothermy, UHF [1] This method is long, prescribing drugs can cause various allergic reactions in some patients, and physiotherapeutic treatment (mud, baths, etc.) .) requires a specially equipped room.

 A known method of treating neurological manifestations of spinal osteochondrosis with manual therapy [2] This method is not shown to all patients, the possibility of its use is limited.

 There is a method of treating radicular syndromes by exposure to electric current on corporal acupuncture points with a course of treatment of 10-12 procedures carried out daily or every other day [3] This method requires daily procedures.

 A complex method of treating diseases of the peripheral nervous system is known, which consists in the introduction of acupuncture needles to the exit points of peripheral nerves or spinal roots and to traditional acupuncture points for 10-20 minutes with exposure to them after 8-10 minutes, without removing the needles, with low-energy laser radiation in within 20 s to 5.0 min per point, the course consists of 10-15 daily procedures [4] This method requires the introduction of needles that violate the integrity of the skin, a special room for laser therapy.

 A comprehensive method for treating diseases of the peripheral nervous system is known, which consists in applying linear, acupressure and segmental massage to the affected area, zone and point of maximum pain, the zone of pain irradiation and biologically active points (BAP), massage can be performed with both hands and ebonite massage sticks [5] This method is taken as a prototype. The method is not used independently, but is a complex therapy procedure.

 A device for influencing reflex zones is known for treating diseases of the peripheral nervous system, comprising a needle applicator, the acting elements of which are connected to a current source [6]. This device is not effective enough for various pathologies in patients with different physique due to the lack of individualization of selection exposure parameters, in addition, it is difficult to manufacture.

 A device for influencing reflex zones is known, containing two ebonite sticks intended for massage and simultaneous exposure to an electric charge [5] This device is easy to manufacture, however, the parameters of the ebonite sticks do not provide an effective effect when using various techniques of BAT massage.

 The aim of the invention is to develop a method for the treatment of radicular syndromes due to the complex effects on the body, which allows to reduce the number of procedures to 2-4, simplifying the possibility of treatment, eliminating complications and contraindications for its use.

 The method is implemented using a device that allows to carry out quite effectively various methods of massage exposure and exposure to an electric charge, the magnitude of which is different when pressed, vibrated, rotated, stroked.

 The essence of the method consists in a complex effect on a patient sequentially: by electric current on biologically active points (BAP) located along the entire length of the spine or sternum, in paravertebral or parasterial areas symmetrically on both sides and in the zones of pain irradiation, followed by exposure to the above points and areas with acupressure with special sticks of a certain color, ending the procedure with general manual massage of the entire lesion area and pain irradiation zones, and with prolonged In case of acutely occurring diseases after acupressure with sticks, the BAT is heated with wormwood cigarettes, and after a general manual massage of the entire lesion area and irradiation zones, UV irradiation of these zones is additionally carried out for no more than one minute. This embodiment of the method allows to achieve cure for 2-4 procedures.

 Previously, such a complex effect on the body in the treatment of radicular syndromes was not known, consisting in the alternation of electrical effects, massage with specially designed sticks of a certain color, if necessary, heating with wormwood cigarettes, manual massage and, if necessary, UV radiation, in which certain areas are exposed, zone, BAP for a certain time. This proves that the invention meets the criterion of "novelty."

 Known effects on the body, consisting in the consistent use of electric current, exposure to massage [7] But the known method is used to restore the skin of the face and neck, the place of exposure, the exposure time is different. This proves that the invention meets the criterion of "inventive step".

 The method is carried out using known devices for influencing the body with electric current, quartz lamps for UV irradiation, as well as massage sticks specially designed for carrying it out.

 In the present invention, a sequence of exposure to various techniques in various areas, their execution time, exposure parameters. This proves that the invention meets the criterion of "industrial applicability".

 The device contains two massage sticks 1 of triboelectret, for example, ebonite or plexiglass cigar-shaped with one hemispherical end 2 and the other end 3 in the form of a part of an ellipsoid, the diameter of which is 3-15 mm, and the length of the sticks is selected at least 150 mm.

 The method is carried out using the device as follows.

 The procedure begins with exposure to direct electric current of 10-50 μA, moving the point electrode (d up to 0.5 cm) along the entire length of the spine or sternum, in the paravertebral or parasternal areas symmetrically on both sides and in the areas of pain irradiation, effecting biologically active points (BAP) located in the above areas located on the meridians: posterior median (UG), anteromedian (US), bladder (U), kidneys (R), stomach (E), three heaters (TR), and if necessary large intestine (Ci), small intestine (UG), heart (C) and other meridians. Each point is treated for 1-3 minutes with a total duration of 10-15 minutes. Electrical stimulation allows you to provide not only a therapeutic effect, but also to identify areas of greatest pain.

 After that, they begin to influence the body with massage with specially designed sticks made of triboelectret, for example, ebonite or organic glass, which are capable of generating an electric charge from friction, they process the above areas with BAT located on them, and on BAP located in zones hyperesthesia, the effect is carried out by pressing for up to 1.0 min, and for the rest of the BAP with acupressure techniques (rotation, vibration, etc.) for 1.0 to 2.0 with an exciting method , from 3.0 to 5.0 with the braking method, the points and the method of exposure are chosen according to the rules known in reflexology, taking into account the severity of the course, the stage of the disease, and during the massage, along with the mechanical effect, the biologically active points are exposed to an electric charge. The microhematomas resulting from the pressure points are subsequently resolved, this helps to restore the conductivity and function of the affected section, relieve pain and other symptoms. Moreover, the electric charge accumulated on a stick has different values depending on the type of massage acting on the BAP. The use of massage sticks 1 with a barrel-shaped lateral surface makes it possible to even out the electric charge arising on them, in this case there is no sensation of an injection when the tip of the stick is exposed with the largest diameter, comparable and smaller in size of the BAP. The use of sticks of different colors allows you to have an additional effect on the patient's body, since it is known about the effect of color on the body. The choice of color of the sticks is carried out according to generally accepted rules [8], taking into account the form, stage, severity of the course of the disease in a particular patient.

 The implementation of the method using the proposed device is confirmed by the following clinical examples.

 PRI me R 1. Patient M.E.A. 60 years old, was admitted with complaints of lower back pain, more on the right, worse with movement, pain on the back of the thigh and lower leg of the right leg. From the anamnesis: over the past five years, suffers from lumbosacral radiculitis, exacerbations 1-2 times a year, was repeatedly treated on an outpatient basis and in a hospital. The real deterioration of the last two weeks, when after physical exertion there was severe back pain. It was treated on an outpatient basis: reopirin orally, locally warming compresses, rubbing, parenteral vitamin therapy, DDT physiotherapy for the lumbar region. Marks only a slight decrease in pain, and only at rest.

On examination: satisfactory condition, increased nutrition, proper physique, skin and visible mucous membranes of normal color, clean. On palpation, tension of the long muscles of the back in the lumbar spine, pain in the paravertebral points of the lumbar, spinous processes of the IV, V lumbar, 1 sacral vertebrae, pain in palpation of the Vallee points along the sciatic nerve, positive symptoms of Degerin, Neri, Lasega, the symptom of rising and etc. On the R-gram of the lumbosacral spine: a decrease in the height of the discs between 1 ₅ -S ₁ , sclerosis of the vertebral bodies, narrowing of the intervertebral gap. Urine, blood tests without features. Clinical diagnosis: osteochondrosis of the lumbosacral spine in the acute stage, neuritis of the sciatic nerve on the right.

The treatment of the proposed method using the proposed device. The patient is laid on a couch on her stomach, the areas to be affected are freed from clothing. At the beginning of the procedure, with a point electrode (d up to 0.5 cm) at a current value of 10 μA, a linear effect was performed along the midline of the spine with a point effect of not more than 1.0 min on the BAT of the posterior median meridian (from the number UG ₂ -G ₁ ), on paravertebral the zone is symmetrical on both sides, with a point impact on the BAT of the bladder (from among _{21 21} -U ₃₄ ) symmetrically from both sides and on the lower extremities (from among _{36 36} U ₄₀ , _{56 56} U ₆₁ ). Zones of maximum pain were identified, localized in the lumbosacral region at the projection points BAT U _25- U _{28 on the} right and at points U ₃₆ , U ₃₇ , U ₄₀ on the right leg. After that, we started massaging the above areas with plexiglass sticks, and the identified BATs with maximum pain (from U _25, U ₂₈ , U ₃₆ , U ₃₇ , U ₄₀ on the right) were exposed to blue sticks by pressing for 1.0 minute on each, to the remaining points (from the number of UG ₂ -UG ₆ ) and to a number of points of the bladder by the braking method for 3-6 minutes. Considering the long course of the disease, age, we additionally heated several points located in the affected area with wormwood cigarettes for 1-2 minutes each, for a session of no more than 2-3 symmetrical points. Manual massage of the back surface of the body and both legs began with a flat stroking from top to bottom along the spine and along the back surface of both legs, using rubbing techniques followed by segmental massage of the lumbosacral region and the back surface of the right thigh with sawing, drilling, manual massage and finished with general massage the entire posterior surface of the trunk and lower extremities with stroking techniques. The total duration of manual massage was 20 minutes. The procedure was completed by irradiating the entire posterior surface of the trunk and extremities with UV rays in a doerythema dose for 50 s.

 After the first procedure, the next day the patient noted a significant reduction in pain, especially at rest, in the lumbar region and in the right leg. The second procedure was carried out seven days later, after this the pain at rest ceased completely, the pain during movement decreased, especially when turning, bending. Eight days later, a third procedure was performed, with the use of yellow sticks. After the third procedure, all the pains disappeared, but, taking into account the long, chronic course of the disease, the age of the patient, the fourth procedure was carried out, fixing a positive result, after 10 days. The patient was examined: the gutter did not show pain, no painful areas were palpated, neurological symptoms were negative. Clinical remission achieved. At the follow-up examination after eight months did not show complaints, neurological status without features.

PRI me R 2. Patient I.S. 35 years old, was admitted with complaints of pain in the left half of the chest, aggravated by movement. From the anamnesis: previously, chest pains did not occur. Real deterioration in the last two days after working in the country. On examination: satisfactory condition, physique correct, normal nutrition, skin and visible mucous membranes of normal color, clean. On palpation of the chest, pain is observed in vertebral and paravertebral points at the level of the thoracic vertebrae, especially Th ₄ Th _{10 on the} left, along the line connecting the ribs with the sternum, along the intercostal spaces on the left. On the ECG: sinus rhythm, frequency 72 beats. per minute, the horizontal position of the electrical axis of the heart, focal changes were not detected. Complete blood count, biochemical blood test without features, CRP negative, general urine analysis without pathology. On the R-gram of the chest, the pulmonary fields are transparent, the roots are structural, the diaphragm is usually located, the sinuses are free, Soch is without features. On the R-gram of the thoracic spine, pathological changes were not detected. Clinical diagnosis: intercostal neuralgia. The treatment was started by the proposed method. The patient is laid on a couch, on his stomach, the areas to be affected are freed from clothing. The procedure was started with the action of a point electrode at a current strength of 50 μA along the midline of the spine with a point of exposure, for no more than 1.0 min, to the biologically active points (BAP) of the posterior median meridian (from UG ₁₄ UG ₆ ), to the points of paravertebral areas symmetrically on both sides with the impact on the BAT of the bladder (from among ₁₁ U ₂₀ U ₄₉ U ₄₁ ). Zones of maximum pain were identified, which are localized in the areas of the BAP projection U ₁₃ -U ₁₈ , U ₄₁ -U _{46 on the} left. After that, they began to massage the above zones with ebonite sticks, and the revealed BAPs were pressed with maximum painfulness for 1.5-2.0 minutes, and the rest points were braked for 4-8 minutes per point. The procedure was completed by manual massage of the neck, back, lower back, pelvis, upper limbs, starting with plane stroking from bottom to top along the spine and on the back surface of the hands, then using rubbing, kneading techniques, followed by segmental massage of the thoracic spine and back, dusting techniques , drilling in areas of maximum pain, manual massage ended with a general massage of the entire back surface of the trunk and limbs with stroking techniques. The duration of the manual massage was 25 minutes.

Already after the end of the procedure, the patient noted a significant reduction in pain, an increase in movement volume. The second procedure was carried out after 7 days, the sequence of methods for performing the method was similar to the first procedure, however, in the second procedure, the effect was exerted on the front surface of the chest, for which the patient was laid on his back. Using a point electrode, they exerted an electric effect at a current magnitude of 30 μA along the sternum to the points of the anteromedian meridian (from the US _{15 –} US ₂₀ ), along parststernal lines on both sides, with the effect on the points of the kidney meridian (from the number R ₂₂ R ₂₇ ), on points of the stomach meridian (from the number E ₁₂ -E ₁₈ ), for no more than 3.0 minutes each, on the identified points of maximum pain on the front surface of the chest carried out the point impact of ebony sticks by pressing, on the rest (from the above) brake method. The procedure was completed with a general massage of the front surface of the chest and upper limbs, performed by hands. The day after the second procedure, the patient noted the complete disappearance of pain both at rest and during movement. When examining and palpating painful areas or points were not detected, neurological symptoms are negative. Diagnosis: healthy. At the control examination after 8 months there are no complaints, I’m healthy.

 The proposed method, using specially designed massage sticks, treated 230 patients aged 20 to 60 years, of whom with a diagnosis of intercostal neuralgia 43, osteochondrosis of the cervical spine with radicular syndrome 52, osteochondrosis of the thoracic spine with radicular syndrome 20, lumbosacral sciatica 35, osteochondrosis of the lumbosacral spine with radicular syndrome 55, sciatic nerve neuritis-25. After the course of treatment, a complete recovery was noted in all patients with intercostal neuralgia, with lumbosacral radiculitis, sciatic nerve neuritis, and complete cessation of pain in all patients with radicular syndromes of spinal osteochondrosis. The lack of effect from treatment, or worsening of well-being, was not observed in any of the patients.

Claims (7)

 1. The method of treatment of radicular syndromes, which consists in the impact of linear, acupressure and segmental massage on the affected area, zone and point of maximum pain, the zone of pain irradiation and biologically active points, carried out with the help of sticks and hands, characterized in that the biologically active points located along the entire length of the spine or sternum, in paravertebral or parasternal regions, symmetrically on both sides and in areas of pain irradiation with direct electric current value of 10 - 50 μA for 1 to 3 minutes per point, with a total duration of 10 to 15 minutes, followed by exposure to the above zones and points simultaneously with an electric charge and acupressure with sticks made of ebonite or plexiglass, with a total duration of 15 - 20 min, the procedure is completed by holding for 15 to 25 minutes a total massage of the entire lesion area and pain irradiation zones performed by hands using stroking, kneading, rubbing techniques, with segmental massage techniques in areas of maximum pain spine using sawing techniques, drilling, and in the areas of pain radiating on course 2 - 4 treatments carried out in 7 - 10 days.  2. The method according to claim 1, characterized in that for prolonged, chronically occurring diseases after acupressure, the biologically active points are additionally heated in the area affected by wormwood cigarettes for 1 to 2 minutes each.  3. The method according to claim 1, characterized in that for prolonged, chronically occurring diseases after performing a general massage, UV irradiation of the entire affected area in the pre-erythema zones is additionally carried out for no more than one minute.  4. The method according to claims 1 to 3, characterized in that the acupuncture with sticks is carried out with simultaneous exposure to a color selected from transparent white, yellow, orange, red, blue or green, depending on the stage of the disease.  5. A device for the treatment of radicular syndromes containing at least two tribo-electret massage sticks with a polished lateral surface and rounded ends, one of which is hemispherical, characterized in that the sticks are cigarette-shaped with the other end in the form of a part of an ellipsoid, the length sticks selected at least 150 mm with end diameters from 3 mm to 15 mm.  6. The device according to claim 5, characterized in that the lateral surface of the sticks is barrel-shaped.  7. The device according to PP.5 to 6, characterized in that the sticks are made of organic glass unpainted or painted in yellow, orange, red, blue or green.

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