RU2232006C2 - Method for treating osteochondrosis at hernias of intervertebral disks - Google Patents

Abstract

FIELD: medicine, vertebrology.

SUBSTANCE: one should carry out vertebral traction. And at its background one should affect with vibration upon vertebral spinous processes adjacent to the affected disk. Vibration is used to affect at pressing strength of 3-10 kg, frequency up to 100 Hz for 3-5 min for each process. During one procedure not more than two processes are affected. Procedures should be carried out daily. Course consists of 3-5 procedures.

EFFECT: shortened terms of therapy.

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Description

The invention relates to medicine, namely to the treatment of osteochondrosis of the spine with the phenomena of prolapse or with hernias of the intervertebral discs.

To date, the following conservative methods for treating osteochondrosis are known: therapeutic exercises; physiotherapy; corsets traction; manual therapy.

Physiotherapy. Long courses of certain physical exercises, the result of which is the strengthening of the muscle corset. The disadvantage is ineffective with exacerbations, with pain syndromes and in the late stages of the disease.

Physiotherapeutic effect (massage, water-heat-mud treatment, electrophysiotherapy, etc.) has an analgesic, anti-inflammatory effect, a beneficial effect on muscles, spine, generally positive on the body, but it is ineffective in cases of compression variant of osteochondrosis, especially with prolapse and herniated discs.

Corsets provide peace and moderate unloading of the spine, at the same time lead to a weakening of the muscle corset, which worsens the course of osteochondrosis.

Stretching is carried out on a plane, vertically, in underwater variants has many positive aspects: it reduces the effects of compression, muscle hypertonicity, pain, lack - the effect is often not stable, this is due to insufficient “stretching” of the intervertebral space due to inelasticity of powerful ligamentous capsular structures.

Manual therapy in skilled hands often allows you to achieve positive results: to relax spasmodic muscles, remove functional blocks in the spine, reduce swelling of the structures of the spinal motor segment, manual therapy sometimes gives effect in the prolapse and herniation of the intervertebral disc, which is manifested by an improvement in the clinical picture, but the effect is not is resistant and depends on many subjective factors.

A significant drawback of all of the above methods is the inability to adequately reduce the compression of neurovascular formations in the case of prolapse or disc herniation.

As a prototype of the proposed method, a horizontal traction treatment method was selected that helps to relieve muscle spasm, increase the diameter of the intervertebral foramen, reduce edema, and reduce intradiscal pressure (“Traumatology and Orthopedics”, a textbook for medical students, 3rd edition, Moscow , Medicine, 1990, under the editorship of G.S. Yumashev, p. 522). The method taken as a prototype includes the following techniques. The patient lies down on the traction table, belts for stretching are applied: one on the chest area (axillary region), the other on the pelvic region; the first is fixed to the traction table, and the pelvic girdle is attached to the unit with the loads, the loads gradually increase to 20-30 kg, continue stretching for 30-60 minutes, then the loads are gradually removed, after which the patient rests in a horizontal position for at least an hour and a half.

The main disadvantage of this method, as well as other methods of traction, is the insufficient severity of the decrease in intradiscal pressure and swelling due to the presence of powerful ligament-capsular structures of the spinal column, and that prevents a noticeable decrease in the volume of hernial protrusion and the elimination of compression and irritation. This disadvantage is largely eliminated by using the proposed method of targeted vibration exposure against the background of spinal traction.

The essence of the proposed method lies in the fact that against the background of spinal traction, the spinous processes of the vertebrae adjacent to the affected disk are affected by vibration with a pressing force of 3 to 10 kg, a vibration frequency of 30 to 100 Hz for 3-5 minutes for each spinous process , procedures are performed daily, the number of procedures is from 1 to 5.

The method of targeted vibration exposure with traction is as follows. A patient with compression phenomena is placed on a plane consisting of a movable and fixed platform on the stomach so that the border between the platforms is located at the level of the affected spine. This achieves local lordosis and unloading of the anterior spinal segments. The area of the shoulder girdle is fixed to a fixed platform. A belt for traction is applied to the pelvic area, the cord from which goes to the traction apparatus or unit with a load. Within 15-20 minutes, the traction intensity is increased to 10-15 kg, traction is continued with this load for an hour, during this time there is a complete mobilization of the affected spine. Then, vibration is effected on the spinous processes of the vertebrae located above and below the affected disc using a vibro-type vibro-device (USA) or other devices that give vibration with a frequency of 30-100 Hz and allow for the effect to be applied with force (hand pressure force together with the weight of the device ) from 3 to 10 kilograms.

The duration of exposure to vibration is 3-5 minutes per one spinous process (no more than 2 spinous processes are affected in one procedure to avoid the growth of edema). After the aiming procedure, vibration gradually removes the extension and allows the patient to rest for 2 hours.

The main result of the action is a significant and stable decompression of neurovascular formations, which is accompanied by an improvement in the clinical picture.

Treatment can include one session (described above) or consist of a course lasting up to 5 sessions (if the pathology captures a significant portion of the spine), carried out once a day daily.

Example. Patient L., 43 years old, diagnosis: osteochondrosis of the lumbosacral spine, prolapse of L3 discs; L4; L5, secondary scoliosis, severe pain syndrome, left lumbar root irritation phenomena. Suffers for a year, before that she received underwater vertical traction, to no avail.

A treatment course consisting of 5 sessions was carried out. Against the background of traction, a targeted impact was carried out by vibration on the spinous processes daily, conducting in one procedure the action on no more than 2 spinous processes of the lumbar vertebrae.

After treatment - the patient’s natural position, walks smoothly, scoliosis is absent, pain and radicular syndromes have significantly decreased. At repeated examinations after 7 and 28 days, the improvement is persistent and positive dynamics continue (pains do not bother).

The claimed method of treatment was used in 31 patients from 33 to 58 years old, 29 showed clinical improvement, including those patients who had previously been treated by underwater traction and other methods to no avail.

Thus, the claimed method allows to achieve positive results (reduction of compression and irritation) in the treatment of osteochondrosis of the spine with prolapse and disc herniation.

Claims (1)

A method of treating osteochondrosis of the spine with prolapse and herniation of the intervertebral discs by stretching the spine, characterized in that against the background of spinal traction, the spinous processes of the vertebrae adjacent to the affected disc are affected by vibration with a pressure force of 3 to 10 kg, a vibration frequency of 30 to 100 Hz , for 3-5 minutes on each spinous process, and in one procedure affect no more than two spinous processes, the procedures are performed daily, the number of procedures is from 1 to 5.