UA126057U - METHOD OF TREATMENT OF MYOFASIAL PAIN PAIN SYNDROME - Google Patents

Abstract

The method of treatment of myofascial pelvic pain syndrome is the use of ultrasonic waves with a frequency of 22 kHz, pulse mode: exposure - 3 seconds, pause - 5 seconds. with a session duration of 3 min per field, daily, the duration of the course depends on the clinical course of pain.

Description

The useful model belongs to medicine, namely to obstetrics and gynecology and can be used to treat myofascial pelvic pain syndrome by applying ultrasound waves to trigger points.

Myofascial pain syndrome is pain or autonomic symptoms reflected from active myofascial trigger points, with the manifestation of dysfunction in the corresponding anatomical locations. Myofascial pain is associated with muscle tenderness that arises from trigger points, foci of hyperirritability several millimeters in diameter found in many muscle areas and fascia of muscle tissue Shapio5 M (Dippe 2007). "Opaegviapaipa spgopis reimis raip". Reimiregipeoiyudu 26 (2). IZ5M 1973-4913). The clinical picture of myofascial pelvic pain syndrome is characterized by pain in the lumbar, suprapubic areas, in the area of the buttocks and the back of the thigh, in the perineum, difficult defecation, dyspareunia, pain when walking /286-287, 19521.

At present, the generally accepted method of treatment of myofascial pelvic pain syndrome is the use of selective COX-2 inhibitors, muscle relaxants in combination with reflex methods (postisometric relaxation, use of cold agents, acupuncture).

The disadvantage of this method of treatment of myofascial pain syndrome is the presence of a therapeutic effect only during the period of pharmacodynamic activity of the drug and, accordingly, the need for long-term use, the impact of side effects of drugs on the woman's body, as well as the absence of a pathogenetic effect due to the inability to destroy connective tissue.

No useful model prototype was found.

The basis of the useful model "Method of treatment of myofascial pelvic pain syndrome" is to provide an analgesic, thysotropic (dissolving connective tissue), soothing effect, activation of microcirculation processes.

The assigned task is carried out in a way that involves the impact of ultrasonic waves with a frequency of 22 kHz, a pulse mode of operation and a duration of the procedure of 3 min on one field. On the first day, 1-2 fields are announced, and then - up to 3-4 fields. Microvibration takes place, i.e

From micromassage at the cellular and subcellular level. This stimulates the functions of cellular elements and the entire cell, leads to an increase in the permeability of cell membranes, a decrease in the viscosity of the cytosol, a change in microcirculation, the defibrillation of connective tissue, which is necessary for the appearance of trigger points, such as those formed by replacement by connective tissue, acceleration of diffuse processes, increasing the sensitivity of cells to physical and chemical agents. These effects occur due to a change in the conductivity of ion channels of cell membranes and an increase in microflows of metabolites in the cytoplasm and organelles, an increase in the permeability of cellular and intracellular membranes. In practice, a transcutaneous emitter is used, which is included in the package and attached to the Barvinok ultrasound therapy device. Frequency 22 kHz, pulse mode: exposure - 3 sec., pause - 5 sec. Duration of the procedure From minutes to one field. On the first day, 1-2 fields are announced, and then - up to 3-4 fields. Sessions are prescribed daily, the duration of the course depends on the characteristics of the clinical course of the pain process. Palpatory changes during the examination of trigger points and corresponding pain reactions to palpation are used to control effectiveness. The frequency used provides a therapeutic effect, but at the same time does not have a destructive effect on the surrounding tissues and does not cause thermal trauma.

Example: woman M., 42 years old, complains of pain in the lower abdomen and lumbar region with a transition to the sacral spine. He has been sick for about 5 years. She had not sought medical help before. She contacted me only when the pain began to intensify and she stopped taking painkillers. At the time of application, taking non-steroidal anti-inflammatory drugs does not relieve the pain syndrome. Menstrual cycle - 31 days. Pregnancy

And, childbirth - 2 (at the age of 21 and 25, respectively). Abortions 2. Uses combined oral contraceptives. During the physical examination: the uterus is in the position of apieyehio, - megzio, of normal size, mobile. The body of the uterus has a regular shape, doughy consistency, and is painless on palpation. The appendages on both sides are not palpable. There is pain during palpation of the trigger points of the piriformis, gluteal and middle gluteal muscles. Bacterial culture of secretions, ultrasound of the pelvic organs - a variant of the norm.

The woman was prescribed a course of ultrasound therapy from the 18th to the 25th day of the menstrual cycle daily, a total of 8 procedures. Frequency 22 kHz, pulse mode: exposure - 3 sec, pause - 5 sec.

The duration of the procedure is 2 minutes per field. On the first day, 2 fields were announced, and then - 5 fields every day. After the third sounding, the patient noted the absence of pain in the lower abdomen and a decrease in the intensity of pain in the lumbar region. On the fifth day of therapy, the patient's condition improved significantly, complaints of periodic pain in the lumbar region persisted. On the eighth day of ultrasound therapy, the woman has no complaints. During palpation, he does not notice the tenderness of trigger points.

Thus, the proposed method affects the cause of myofascial pelvic pain syndrome, destroying the connective tissue, as the main etiological factor of the occurrence of trigger points and allows restoring the functional and physical potential of a woman.

Claims (1)

USEFUL MODEL FORMULA The method of treatment of myofascial pelvic pain syndrome, which consists in the use of ultrasonic waves with a frequency of 22 kHz, pulse mode of operation: exposure - 3 sec., pause - 5 seconds with the duration of the session From minutes to one field, daily, the duration of the course depends on the clinical course of the pain syndrome.