SU1505548A1 - Method of treatment of neurodistrophic syndromes of cervical osteochondrosis - Google Patents

Abstract

The invention relates to medicine, namely to neurology, and can be used in the treatment of neurological manifestations of cervical osteochondrosis. The purpose of the invention is to increase the time of remission. For this, from the first day of treatment, the patient is subjected to classical acupuncture by inserting acupuncture needles into corporal acupuncture points for 20-30 minutes, while simultaneously introducing micro-needles into corporal acupuncture points. At the same time, at the acupuncture points involved in the neurodystrophic process, the microneedles are introduced with the penetration of the tips into the bindings and leaving them at the points for 10-14 days. After 3-5 days, manual therapy is added with manipulations on the corresponding vertebral motor segments. 2 tab.

Description

The invention (; is related to medicine, in particular, to nev () ol () gui, and can be used for neuropathy and neuropathy of the cervical (for tehochondrosis).

The purpose of the invention is to increase the time) e mission and.

(lyusob carried out as follows: u) M.

C. of the first day of treatment, classical acupuncture is performed by inserting acupuncture needles into corporal points of an acupuncture for 20–30 min, while introducing microneedles into corpus acupuncture points, while engaging in acupuncture points involved in neuro-dysgrophic the process, the microneedles are reduced to penetration by stop and leaving and leaving 10 14 days. Through . i 5 days add

manual therapy with supra, niep.em.manipulations on the corresponding vertebral-motor segments.

The manual therapy procedure is performed as follows. The patient is placed in the sit position. The physician performs traction of the cervical spine by applying an extension; force (20-50 N) along the longitudinal axis of the spine. The duration of the traction is 5-9 s. Then the doctor performs 3-5 passive movements in the cervical spine of the patient in the form of turns and on the K.1ONOV of the head in the direction of limiting the mobility of the blocked vertebral motor segment. The twists and turns of the head can be performed both separately and in combination. When turning the head

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o ate

four

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Spinous processes of the vertebrae of the blocked vertebral motor segment are fixed to the sides, the angle of rotation is up to 90 °, the angle of inclination is up to 45, the force when turning the head is 5-70 N, when tilting is 3-50 N. The movements are performed with a gradual increase of the force and end springs good push.

Example I. Ill G., 49.chet, was admitted with complaints of pain in the right shoulder joint, shoulder blade, shoulder, restricted movement in the right numbular joint, “crunching in the uien when head movement. The disease is associated with an injury of the right shoulder joint. Physiotherapeutic treatment (electrophoresis, thermal applications) led to a worsening of the condition.

The neurological status of the cranial nerves, pathology has not been identified. Turning the head to the right 60, to the left 70 °, raising the right hand forward 150 °, leading to the side 90 °. Lead the right hand behind his back can not. The amount of movement) 1 in the joints of the left hand full.

Tendon and periosteal reflexes from the hands - a little Bbinie on the right. On roentgenograms of the cervical psx in the area of the occurrence of osteochondrosis in the region of Su, Cvn vertebrae.

Clinical diagnosis: right-sided humeroscapular H1e |) arthrosis on the background of a full-I O osteochond) (y, C w vertebrae).

Preventive treatment In a young way. I .iCHb treatment, I session. Introduced ig, - | s in the corporal acupuncture points. Mic) oi1, 1y are introduced into acupuncture points: (Gi2, 0.1 „, I ll. 1 m (Section 1. C, n, and at the points and (7.11. With the penetration m of microneedle in bindings Microneedles remained at specified acupuncture points for K) days.

II day of treatment. 11 sessions. Introduced ig.1Y in K () pii () i; i; ibiibU points ak p IIKTV. in Gt rt (n, l | H; J 1G) iHii.

111 days, 111 sessions. Classical I1 loreflexotryspray, as in

II D1. HB.

1 day, IV treatment session. The cervical vertebral motor segments were affected by manual therapy by performing right-and-left rotational-rotational movements.

V day of treatment; V session of treatment. The classical acupuncture was performed by inserting acupuncture needles into points // 44 {p. k), I am 45 (p), G, 14 (p). G, 10 (p, l) TR 5 (p) for 20 min.

Day 17 - a break.

Vll day of treatment, VI treatment session. The classical acupuncture was performed by inserting acupuncture needles at the H 44 points (11, H 45 n, l). C / 14 n). Gi И) (п), G, 4 (п) Г1род (), тжпте, 1н () стьк effects of 40 min.

VHI day - ne) eryv.

IX day of treatment, VII treatment session. Effect on the vertebral paper

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five

five

0 5

0

five

five

0

motor segments by manual therapy with traditional rotational movements left and right.

Day of treatment. VIH treatment session. The classic acupuncture was performed by inserting needles at the points G, 4 (l), TR 5 (p), iG H) (p). Duration of exposure 20 min. Damn mikroigy; 1y.

XI day of treatment - a break.

XII day of treatment, IX treatment session. The classical acupuncture was performed by introducing them into the points: G, 14 (p), G, 1 I (p), TR 5 (p, V (p, l, duration of exposure 25 min.

CI1 day of treatment - a break.

XIVDay of treatment, X treatment. The cervical vertebral motor segments were affected by manual therapy by performing traction-rotational movements.

XV treatment day, XI treatment session. The classical acupuncture was performed by inserting needles into dots, // 44 (A;), H 45 (p), Vll (n), Gi 10 (n, l) G 15 (p) TR 5 (n) Duration of exposure 20 min.

XVI and XVII days - a break.

XVIII day of treatment, XII session of treatment. The classical acupuncture was performed by inserting needles into points: H 44 (p, H 45 (p, l), G, 14 (p), BM, O 4 (p). Duration of exposure 20 min.

After the treatment, the movements of g (),: 1, were in full volume. Bo: 1na raised her right arm forward by 1 () 5 °, set aside by 175 °, could bring her right hand behind her back to the level of the first lumbar vertebra, a pronounced therapeutic effect was obtained.

Discharged to work in the specialty.

During the year, follow-up follow-up of recurrence of the disease did not occur in the patient.

Example 2. Patient K., 49 years old. He complained of pain in the area of the right elbow joint. Ill for about 1.5 months, the disease arose after prolonged physical exertion. Treatment on an outpatient basis: analgesics, fenalgon were used, but there was no improvement.

There is no focal neurological symptoms in the neurological status. There is moderate pain on palpation of the lateral armpit of the right elbow joint.

Clinical diagnosis: right-sided epicondylitis in the acute stage against the background of cervical osteochondrosis Cs-Ce-C.

The patient underwent 2 sessions of traction-rotational manipulations on the cervical vertebral motor segments with a frequency of I once a week. The load with a tensile force was 30 N, when the head was turned 20 N, and when the head was tilted 15 N. From the acupuncture point: iG 12, V 13, Gi 10 were delivered microigms for a period of 14 days.

B (). 1i () m iipoBe; u H k.ass sicic () th ig.yy-N f.-1 (. Ks11 | e). 1 pin with ns11ol: -yuvanie points; iKyiiyHKiyi) i.i: Oi 4, C 1, VLT 108, H 44, H 45.

lior.ie iR psoro pain treatment session c. Their survival decreased from the 5th day to 1–1 st.ch. non-permanent, by the end of the second non-UMII H | i; iKTH4 (, - CKH nrakratilis,. The patient recruited to work in his specialty.

Example 3. Ill F., 46 years old. She complained of constant aching pains n. leBOM ray of the joint, reinforcing with at night and when moving in the joint. Previous outpatient treatment did not produce any effect.

Clinical diagnosis; styloiditis of the left radiopaque joint on the background of cervical osteochondrosis (,; С :.

The patient underwent 3 sessions of manual therania with a load at a retreat of 20 N force, at a turn of the head - 5 H, with a nakuni ro; ioHi) i iMI. (by rock for 12 days. 1n. 1. Set of microneedles at acupuncture points: C / 16, U 11, U 13, YB 21.

Gzolny held 7 sessions to, 1 mass, 1 reflexotherapy. After nooeedno-G1), the flow is discharged for work on specialty.

The absence of exacerbations, i.e., the absence of pcnii.uiBa (abo.chswapi, ta 24-month observational period, was observed during the treatment

five

the proposed method in 84.2% of patients and only in 51.4% of patients with treatment in a known manner.

Data on the duration of remission in the treatment of known methods are presented in

tab. one.

Data on the duration of remission during treatment by the proposed method are presented in the table. 2

Thus, as can be seen from the presented data, the invention makes it possible to increase the duration of remission 6 (xiee than twice as compared to the known method, with H-efficacy of treatment by indicators of "Significant improvement and" Improve Composition, 1a 83,33 / o.

Formula i: yubregeni.ch

A method of treating neurodystrophic syndromes of cervical osteochondrosis by introducing needles into corneuric acupuncture points for 20-30 minutes and manual therapy

0 spinal segments, different in order. that, with 1e.; 1 increase of CJIOKOB 11 missi, additionally introduces microneedles into the corporal points located on the upper end terminal and in the cervical-portal

In zone 5, and acupuncture points located in the zones of the corresponding joints involved in the neurodystrophic process, microfibers) are introduced with the penetration of the tips into the bindings and leaving them for K) -14 days.

Table 1

1icon

22 (I00, i)

9 (100%)

four

(100%) 35 (100%)

13711

(4.6%) (13.6%) (31.8%) (30.0%)

(22.2%) (22.2%) (e5, b-)

112

(25.0%) (25.0%) (50.0%)

6 1018

(17.1%) (28.6%) (51.4%)

Shoulder thoracic periarthrosis

Shoulder epicon dilith

Styloidite Total

Table 2

1 (4.2%)

2 (8.3%)

21 (87.8%)

6%)

(22.2%)

one

(20.0%)

five

(13.2%)

(77.8%) 4

(80.0%) 32 (84.2%)

Claims (1)

Claim A method for the treatment of neurodystrophic syndromes of cervical osteochondrosis by introducing needles into the corporal acupuncture points for 20-30 minutes and manual therapy of the cervical segments of the spine, characterized in that that, in order to increase the terms of remission, microneedles are additionally introduced into corporal points located on the upper limb and in the cervical-collar zone, and acupuncture points located in the zones of the corresponding joints involved in the neurodystrophic process, microneedles are introduced with the penetration of the tip into the ligaments and leaving on K) —14 days Table 1 Nodological form Number of patients The average duration of remission, months Until 6 Before 12 Up to 24 There were no exacerbations Shoulder blade 11iriart | yud 22 I 3 7 eleven (100%) (4.6%) (thirteen , 6%) (31.84) (50.0%) Shoulder epigone dealings 9 - 2 ABOUT Z. 5 (100%) (22 , 2%) (22.2%) (55, g. ') Sti. 1OID1G1 4 - 1 1 1 (100%) (25 , 0%) (25.0%) (50.0%) Total 35 1 6 10 18 (100%) (2.9%) (17 , 1%) (28.6%) (51.4%) Table 2 Nosological form Number of patients Average duration remission, months Until 6 Up to 12 Up to 24 There were no exacerbations Shoulder blade periarthrosis 24 - 1 2 21 (100%) (4.2%) (8.3%) (87.8%) Shoulder Epicon dealings 9 - - 2 7 (100%) (22.2%) (77.8%) Styloiditis 5 - 1 4 (100%) (20.0%) (80.0%) Total 38 1 5 32 (100%) (2.6%) (13.2%) (84.2%)