RU2624363C1 - Method for pain syndrome relief in case of primary menalgia - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: pain syndrome during primary menalgia is relieved by exposing the problem pain zone to low-frequency vibration from 20 to 50 Hz using a vibrator reciprocating in the vertical plane. Vibration frequency is adjusted in the specified limit until the optimum effect is achieved to relieve the pain. Procedure duration is 10 to 20 minutes.

EFFECT: method provides emergency relief of pain caused by a spasm of the smooth uterus muscles in the absence of inflammatory phenomena, with a prolonged effect, without the need for a course effect in primary menalgia.

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Description

The present invention relates to medicine, namely to physiotherapy and gynecology, and may find application at home for emergency care for painful menstruation.

Primary algomenorrhea is a violation of menstrual function, manifested by cramping or aching pains in the lower abdomen, lumbar, sacral areas, accompanied by a general psychophysical malaise.

As a rule, painful sensations appear 1-2 days before the onset of menstruation or on its first day, may be accompanied by fever, headache, nausea or vomiting, and dysfunction of the gastrointestinal tract. Severe pain can cause temporary disability.

During this period, analgesic therapy is of great importance. To relieve pain, medication is often used, which may be accompanied by undesirable drug reactions.

From physiotherapy, methods for relieving pain with the help of electro- and magnetotherapy are known. For example, a method of electroanalgesia is known according to RF patent No.2012020, A61H 23/00 using modulated stimulating current pulses. The method is effective for pain caused by spasms of blood vessels and muscles, completely and permanently relieves pain.

The known method according to the patent of the Russian Federation No. 2405597, A61N 2/04, using exposure to a low-frequency pulsed rotating magnetic field, can reduce the severity of pain and astheno-neurotic syndromes, improve uterine hemodynamics.

It is known the use of vibrotherapy as a method of exposure to mechanical vibrations to enhance local blood flow and lymph outflow, activate trophic tissue in the treatment of patients suffering from gynecological diseases. For example, the method described in the patent of the Russian Federation No. 2168975, A61H 23/00, in which vibration is applied to the anterior abdominal wall with a stepwise decrease in frequencies from high-frequency 102 Hz to low-frequency 52 Hz. The method is effective as a restorative postoperative course of treatment, but does not involve the provision of emergency assistance in the case of primary algomenorrhea.

A common disadvantage of the known methods used in gynecology for the relief of pain can be attributed to the fact that in order to achieve a therapeutic effect, medical personnel, special equipment, a large number of procedures with long sessions are required, which makes these techniques unsuitable for emergency care provided in that number and at home. In addition, well-known methods are limited in time, since physiotherapy for menstrual pain is prescribed in the second half of the menstrual cycle before menstruation in the course regimen, and not during pain.

The prior art has not identified methods that are similar in essential features and the achieved result with the proposed low-frequency vibration exposure to relieve pain in the case of primary algomenorrhea, in this regard, the prototype is not defined.

The objective of the invention is the provision of emergency care for the relief of pain with primary algomenorrhea with the possibility of use at home.

The technical result is to relieve acute pain due to the antispasmodic effect on the vessels of the uterus and myometrium, soothing and relaxing effects on the body.

The technical result is achieved by the fact that the relief of pain is achieved by exposure to low-frequency mechanical vibrations on the problematic pain zone. As a radiator of mechanical vibrations, any portable vibrator or vibratode that performs mechanical vibrations in a vertical plane with the possibility of controlling their frequency can be used. A vibrator (vibratode) is applied to the problem areas of pain, along the midline of the abdomen above the pubic bone, or the paravertebral zones of the lumbosacral joint, or the perineum. In this case, the low-frequency vibration effect is carried out with a frequency in the range of 20-50 Hz, adjusting the vibration frequency to achieve the optimal effect to relieve pain. The choice of the optimal frequency of mechanical vibrations, as well as the duration of the procedure, depends on the individual characteristics of the body. The exposure time is an average of 10 to 20 minutes.

The inventive method is the result of exposure to mechanoreceptors of the specified problem area. The analgesic effect is due to two mechanisms, firstly, there is the development of hyper inhibition in the central nervous system. Secondly, the local effect of mechanical vibrations with a frequency of 20-50 Hz has an antispasmodic effect on the vessels of the uterus and myometrium, which stimulates local blood flow and lymph drainage, improves tissue microcirculation, which helps to reduce muscle tone and ultimately leads to an effective reduction in pain ( A.N. Mumin, A.V. Volotovskaya. Vibrotherapy. Teaching aid. Minsk. 2007).

In addition, low-frequency vibrations have a sedative, calming, relaxing effect. The choice of the optimal vibration frequency within the specified limits, as well as the duration of exposure depend on the individual characteristics of the woman (the thickness of the subcutaneous fat of the anterior abdominal wall, the state of the nervous system).

The proposed method is as follows.

If a woman experiences pain in the lower abdomen, or in the paravertebral zones of the lumbosacral joint associated with the onset of menstruation, the woman takes a sitting, semi-sitting or lying position, so that the muscles of the anterior abdominal wall are relaxed (it is recommended to bend the legs in the knee and hip joints ) After taking a comfortable position, a woman applies a portable device that creates mechanical vibrations of 20-50 Hz to problem areas, for example, to the lower sections of the anterior abdominal wall along the midline of the abdomen above the pubic bone. The device turns on, the oscillation frequency within the specified limits is regulated at the discretion of the woman. During the session, a woman can adjust the frequency parameters at her discretion. Recommended session time is 10-20 minutes. If necessary, the session can be extended to persistent relief of pain or repeated.

The proposed method is not applicable for all diseases and conditions requiring inpatient treatment, including surgical intervention.

The availability of the method makes it suitable for use at home for emergency assistance in the relief of pain.

The proposed method, the pain syndrome with primary algomenorrhea was stopped under the conditions of admission to the antenatal clinic in 14 women of reproductive age. In all patients, the pain syndrome was completely stopped, the need for a second session arose in one case.

An example of a specific application of the proposed method of relieving pain in primary algomenorrhea.

Patient N., 18 years old, turned to a antenatal clinic for a routine examination by a gynecologist. Complaints of severe pain on the first day of the menstrual cycle.

The patient was examined, pathology from the pelvic organs was not detected. Indicators of a general blood test, a general analysis of urine, a vaginal smear on the flora are within normal limits. From the anamnesis: menstruation from 13 years old, established at 14 years old, regular, moderate, painful on the first day of the menstrual cycle.

The patient underwent relief of pain with algomenorrhea of the proposed method. During a physiotherapy session using a portable vibrator, the patient noted a rapid improvement. After 15 minutes, the pain syndrome was stopped, there is no need for a second session. No side effects were noted.

Claims (1)

A method of stopping pain with primary algomenorrhea, which consists in exposing the problematic pain zone to low-frequency vibration from 20 to 50 Hz using a vibrator that performs reciprocating movements in a vertical plane, with the vibration frequency adjusted in a predetermined limit to achieve the optimal effect to relieve pain , with the duration of the procedure from 10 to 20 minutes