RU2519926C1 - Method of treating joint pathologies - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves inserting acupuncture needles. That is ensured by using acupuncture needle No. 3, 4 or 5 depending on the size of the involved joint. The needles are inserted directly into the joint through the joint cavity. The needles are inserted along the perimeter of the joint space completely perpendicular to the joint axis in a quantity from 5 to 30 needles. A resting procedure length is 5-30 minutes. The therapeutic course is 1-10 procedures.

EFFECT: method provides the exudate recovered by the lymphatic system to pass into the subcutaneous fat, promotes the cartilaginous neogenesis and gain of the joint motion.

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Description

The method relates to the field of medicine, namely to traumatology and orthopedics, rheumatology. This method can be used to treat and restore the functions of the affected joints of various etiologies.

Among the methods of treating joint diseases, there are: medication, including therapeutic blockades; physiotherapy; medical gymnastics, kinesitherapy; manual therapy; surgical treatment of joint diseases [9], as well as reflexology.

Known methods of medical treatment of joints. Methods include the appointment of drugs for arthrosis and arthritis, which have, for the most part, an action aimed at relieving the pain symptom and inflammatory reaction. These are analgesics (including narcotic drugs), non-steroidal anti-inflammatory drugs, corticosteroids, psychotropic drugs and muscle relaxants. Known methods of blocking pain in the area of large joints. With the blockade method, the pain medication is injected directly into the pain site - at the so-called trigger points in the joints. Known methods of external use of funds, in the form of ointments, in the treatment of joints [6, 9].

However, these methods only eliminate the painful manifestations [6], but do not affect the exudative component of the joint cavity.

Known methods of physiotherapeutic effects on the joint. These methods are aimed at removing edema, reducing morning stiffness of movements in the joint by means of warming up procedures: ultrasound micromassages the affected tissues, electrical stimulation improves trophic joint. For joints affected by the disease, a program of exercise therapy is selected and their intensity is determined [4].

However, these physiotherapeutic procedures are prescribed only in the treatment of arthritis and arthrosis and are not used in the treatment of osteoarthritis, miniscitis, exudative arthritis, primarily chronic metabolic degenerative polyostearthrosis, in sports and domestic injuries, bursitis and hygroma [4].

Known is a method of physiotherapeutic influence with joint disease mud applications with temperatures ^of 23-25 C, which creates optimal conditions for the activity of the chemical peloid component [3].

The disadvantage of this method is the duration of the treatment for more than 20 days and the impossibility of its appointment in the presence of an exudative component of inflammation (synovitis) in the joint [3].

A known method of manual therapy in the treatment of joints. Manual therapy is aimed at a gentle sparing effect on the periarticular tissues. Manual therapy techniques improve the metabolism in the affected elements of the joint and slow down the degenerative processes in them. On the one hand, these techniques relieve pain; on the other hand, they promote regeneration and trigger recovery processes in a diseased joint. The combination of massage with manual therapy sessions improves the results of manual therapy [7, 9].

However, the disadvantage of these methods is the short duration of the result. Manual therapy does not prevent the reappearance of the same problems, since it does not affect the elimination of the causes of chronic joint diseases [7].

Known methods for surgical treatment of pathology of the joints, which consist in opening the joint cavity by an incision. With the help of surgical intervention, it is possible to lengthen or shorten the ligaments; remove foreign inclusions from the joints, such as salts, osteophytes, cartilage fragments; strengthen unstable joints; eliminate the consequences of serious joint dysfunctions as a result of chronic diseases or injuries; completely replace joints with severe injuries with artificial structures that provide similar functionality [1, 2, 5].

However, the disadvantages of treating joint pathology surgically are: gross irreversible interference in the joint, the target result is not guaranteed, long-term rehabilitation is required to repair damaged tissues, does not affect the causes of the disease, a high probability of a recurrence of the problem on an adjacent part of the joint surface, sometimes instead of one a series of operations to obtain a satisfactory result. In addition, surgical interventions, accompanied by the opening of the joint cavity, can lead to the development of processes that deform the articular surface [8, 9].

A known method of treating muscular-articular and periosteal pain syndromes, in which the introduction of an acupuncture needle to the point of maximum pain. Then, without removing the needle, repeatedly, at different angles, puncture the pain substrate is performed. After removing the needle, the point is cauterized 3 to 5 times with wormwood cones, for a treatment course 1-3 sessions [10].

However, the known method is aimed solely at eliminating muscular-articular and periosteal pain syndromes, acting precisely on the trigger points, not eliminating the causes of joint diseases and not preventing their reappearance.

As a prototype, the method of reflexology of traumatic joint dysfunctions according to the patent RU 2202330, in which the action of the needles on the trigger points corresponding to the areas of the dysfunction of the neuromotor system is carried out, was selected. The needles are inserted before contact with the tissue of the joint capsule. After that, a physiological, within the pain threshold, dynamic load is performed, for which they exert force on the joint. Impacts vary in time, magnitude and direction. It is aimed at compressing, stretching, shifting and twisting the joint. On the course of 10 sessions conducted daily [11]. The proposed method for treating joint pathology is fundamentally different in that acupuncture needles No. 3, No. 4 or No. 5 are used, depending on the size of the affected joint, which are inserted alternately, penetrating directly into the joint cavity through the joint bag, strictly perpendicular to the axis of the joint, throughout the perimeter of the joint space, in an amount of 5 to 30 needles, with a duration of 5-30 minutes in a stationary state, with the number of procedures from 1 to 10.

The objective of the method of treating joint pathology is the formation of graduates, lymphatic duct conduits through which exudate falls, including, probably, salts, toxins, toxins, nitrates, nitrites into the subcutaneous fat, which are utilized by the patient’s lymphatic system, and the necessary nutrition (lymph) enters the joint cavity, thereby contributing to the self-healing of cartilage and ligamentous apparatus.

The task is carried out due to the fact that acupuncture needles No. 3, No. 4 or No. 5 are alternately inserted into the joint cavity through the joint bag, depending on the size of the affected joint, strictly perpendicular to the axis of the joint, around the perimeter of the joint gap, in an amount of 5 up to 30 needles, with a duration of 5-30 minutes in a calm state without loads, with the number of procedures from 1 to 10.

The method is as follows: subject to asepsis rules, acupuncture needles No. 3, No. 4 or No. 5 are alternately inserted into the joint cavity through the joint bag, depending on the size of the affected joint, strictly perpendicular to the axis of the joint, around the perimeter of the joint gap, in an amount of 5 to 30 needles, with a duration of procedure of 5-30 minutes in a calm state without loads, with the number of procedures from 1 to 10.

The specified method can be used both independently and in conjunction with supporting procedures:

1) bioenergy vibration massage (striking edge of the palm on the joint space);

2) lamellar reflexology (tight fixation of the Kuznetsov applicator to the joint space for 30-60 minutes or more);

3) a hypertonic compress at night (200 g of a half-alcohol solution of ethyl alcohol + 2 teaspoons of salt).

The restoration of joint function occurs due to the fact that through the graduates formed by the acupuncture needles, the lymphatic channel holders, an exudate, including, probably, salts, toxins, toxins, nitrates, nitrites into the subcutaneous fatty tissue, which are utilized by the patient’s lymphatic system, is lost. and the necessary nutrition (lymph) enters the joint cavity, thereby contributing to the self-healing of cartilage and ligamentous apparatus.

The proposed method can be used to treat joint diseases of various etiologies, for example, such as arthritis; arthrosis; arthrosoarthritis, including deforming; osteoarthrosis; miniscite; exudative arthritis; primary chronic metabolic-dystrophic polyosteoarthrosis with selective or total damage to large and small joints; sports and domestic injuries (meniscus damage, ligament rupture), habitual dislocation (of the shoulder), bursitis, hygroma, etc.

In this way, 135 patients were treated. Of these, arthritis is 41 patients, arthrosis - 56, arthrosoarthritis - 17, bursitis - 12, hygroma - 9.

The results achieved, during the treatment of joints in this way, over 20 years indicate numerous cases of rapid clinical recovery, including with pain contractures; restoration of joint functions in especially severe cases (osteoarthritis - deformation, contracture, age) after persistent long work; to reduce the number of relapses: with arthrosis up to 3.6%, arthritis - up to 2.5%, arthrosoarthritis - up to 11.8%, with bursitis - up to 8.3%, with hygroma - without relapse.

Thus, the proposed method is simple in execution, eliminates the need for open surgery, can be used as an independent method for treating joints, can be reused, reduces treatment time, fully restores joint function in 39.7% of cases, improves joint function in 54.3 % of cases, eliminates hygroma and bursitis in 99.01% of cases.

Example 1

Patient S., 35 years old, diagnosed with bursitis of the left elbow joint. The duration of the disease is 6 years. Three times operated, there was a relapse of the disease. The course of treatment was 2 procedures. The first procedure - under aseptic conditions, in the fibrous bag of the bursa of the left elbow joint, acupuncture needles No. 4 were alternately inserted in the amount of 5 pieces for 10 minutes. With the introduction of needles on the surface of the skin in the region of the elbow joint, droplets of serous exudate were observed, and after their removal from the puncture sites, exudates were observed in the form of thin streams. After 4 days, the second procedure was carried out - under aseptic conditions, in the fibrous bag of the bursa of the left elbow joint, which markedly decreased in volume after the first procedure, acupuncture needles No. 4 were alternately introduced in the amount of 10 pieces for 20 minutes. After removal of the needles, abundant excretion of serous exudate in the form of streams was also observed; the size of the bursa became even smaller than before the second procedure. A week later, as a result of treatment, a complete recovery was observed. Pain, stiffness of movements, swelling and redness were not observed. Relapses were not recorded.

Example 2

Patient A., 53 years old, diagnosed with post-traumatic rupture of the anterior horn of the left meniscus of the knee joint as a result of an injury, abstained from surgery, is sick for a month. Complaints of pain, incomplete range of motion, lameness, swelling of the joint. The course of treatment was 1 procedure, which was carried out under aseptic conditions. In an articular bag of the left knee joint, acupuncture needles No. 3 in an amount of 30 pieces were alternately introduced for 20 minutes. After removal of the needles, exudative fluid was discarded in a small volume in the form of drops. After the procedure, a hypertensive compress was applied for 30 minutes. The next day, there was a sharp decrease in pain, the range of movements remained incomplete. The patient performed additional procedures: bioenergy vibration massage for two weeks 3 times a day and plate reflexology for 2 hours every day before bedtime for 30 days. Swelling and pain are completely eliminated after a week, after completing additional procedures. The lameness disappeared over the next two weeks. As a result of treatment, a complete recovery was observed, the range of movements was restored in full (walking, squatting).

Example 3

Patient B., 52 years old, diagnosed with arthrosoarthritis. Complaints of pain, swelling, redness, fever in the joint, lameness, limitation of range of motion. The duration of the disease was about four months. She repeatedly went to the clinic, was treated on an outpatient basis: physiotherapy, anti-inflammatory drugs, repeated administration of drugs into the joint cavity. According to the proposed method, ten acupuncture procedures were performed, including about one hundred and eighty penetrations into the joint cavity with needles No. 4. Initially, after removing the needles, exudative fluid came out in small drops, after subsequent procedures, the amount of fluid decreased, there was also a significant decrease in swelling and pain, there was no exudate secretion to the seventh procedure, pain, swelling, and redness were absent. Together with acupuncture, the patient performed additional procedures: bioenergy vibration massage 2 times a day at a convenient time; plate reflexology for 2 hours every day at bedtime for two weeks; hypertensive compress at night. After 30 days, as a result of treatment, the range of motion was restored (walking, crouching, not limping), no complaints.

Example 4

Patient G., 53 years old, diagnosed with an injury to the left knee joint with a rupture of the lateral ligament. Open surgery was not performed. After an injury, the functions of the knee joint are limited (any movements cause acute discomfort, it is impossible to stand on the foot), there is no swelling and pain, the shape of the joint is preserved, the shin is fixed unstably by the patient. The course of treatment was 10 procedures. Four procedures were performed during the first week after the injury. Under aseptic conditions, acupuncture needles No. 3 in the amount of 20 pieces for 10 minutes were alternately introduced into the joint cavity, the excretion of exudative fluid was observed in small volumes. Six procedures were performed during the second and third weeks. Under aseptic conditions, acupuncture needles No. 4 in the amount of 10 pieces for 20 minutes were alternately inserted into the joint cavity, and excretion of exudative fluid was not observed. In conjunction with acupuncture, the patient performed additional procedures: bioenergy vibration massage 3 times a day for three weeks; plate reflexology for 2 hours every day for four weeks. After a month, as a result of treatment, the function of the joint was practically restored, it became possible to step on the leg, a slight limp. After a month, as a result of treatment with additional procedures, the joint function was fully restored, no complaints.

Brief Description of the Drawings

Figure №1

The table compiled according to the results of treatment of the proposed method. The table shows the percentage, depending on the number of patients, symptoms of various joint diseases before and after the procedures described above. A sharp decrease in pain, swelling and other symptoms associated with joint diseases is observed.

Figure №2

The chart compiled according to the results of treatment in this way. The chart is made up as a percentage, depending on the number of patients treated as described above. In the course of studying the diagram, the following conclusions can be drawn: "The method of treating joint pathology" in the average ratio completely restores joint function in 39.7% of cases, improves joint function in 54.3% of cases, eliminates hygroma and bursitis in 99.01% of cases, relapses of diseases make up 6.55%.

Figure 3

A photograph of the right hip of patient S. the proposed method for the treatment of joint pathology.

Bibliography

1. Arkhipov S.V., Lychagin A.V. Modern aspects of the treatment of post-traumatic deforming arthrosis of the ankle joint. // Bulletin of traumatology and orthopedics. 2000. No4.

2. Villar R. / V - 45 Surgical treatment of arthritis of the knee and hip joints. 2008, KH - M - 0297027, ECHO, 96 pp.

3. D.R. Mamilyaeva. Low temperature peloids in the treatment of rheumatoid arthritis. Abstract, diss. Cand. honey. Sciences, M., 1995, p.13.

4. Kaptelin A.F. Rehabilitation treatment for injuries and deformations of the musculoskeletal system, 1969, 404 pp.

5. Laser arthroscopic surgery: Degenerative-dystrophic lesions of the knee joint / Ivannikov SV, Oganesyan OV, Shesternya NA / 2002, 160 p.

6. Nasonov E.L. Pharmacotherapy of rheumatoid arthritis from the perspective of evidence-based medicine: new recommendations // breast cancer, 2002, 302 pp.

7. Sitel A.B. Manual therapy. A Guide for Physicians, 1998, 336 pp.

8. Khitrov N. Arthrosis and its causes // http://medicinform.net/revmo/ther_23.htm.

9.http: //kuck-and-kuck.ru/stati/osnovnve-metody-lecheniya-sustavov.html.

10. Pat. 2344806 Russian Federation, INC A61H 39/08, A61H 39/06. A method for the treatment of muscular-articular and periosteal pain syndromes / A. Kurashov, applicant and patent holder of GOU VPO “Dagestan State Medical Academy of the Federal Agency for Health and Social Development”. - No. 2006115325/14, declared 05.03.2006, publ. November 27, 2007

11. Pat. 2202330 Russian Federation, MKP7 A61H 39/08, A61H 1/00. The method of reflexology of traumatic joint dysfunctions / Pugachev S.K., applicant and patent holder Pugachev Sergey Kirillovich. - No. 2000107470/14, declared 03/27/00, publ. 04/20/2003

Claims (1)

A method of treating joint pathology, including the introduction of acupuncture needles, characterized in that acupuncture needles No. 3, No. 4 or No. 5 are used, depending on the size of the affected joint, which are inserted alternately, penetrating directly into the joint cavity through the joint bag, strictly perpendicular to the axis joint, along the entire perimeter of the joint space, in an amount of from 5 to 30 needles, with a duration of 5-30 minutes in a calm state without loads, with the number of procedures from 1 to 10.

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