NON-SURGICAL TREATMENT OF HERNIATED NUCLEUS PULPOSUS (F-SWT METHOD)
Journal: International bilingual medical journal "MEDICUS" (Vol.1, No. 4)Publication Date: 2015-07-15
Authors : Kravchik M.G.; Karimova G.M.;
Page : 47-53
Keywords : non-surgical treatment of herniated disk; shockwave therapy.;
Abstract
In orthopedics and traumatology there is a range of impairments requiring surgery because of salvage treatment inef-ficiency. These are such spine disorders as discopathy, protrusion, diskal hernia etc. Nowadays there are ways of non-invasive treatment of such disorders. As referred to in patent of the Russian Federation №2162312 (МПК 7: А61Н1/00, published 27.01.2001) there is a way of treatment of diskal hernia with primary displaced pelvis, rotated resurrection bone and postprimary vertebral deformity, including surgical release of iliosacral abarthrosis, juxtaspi-nal tissues of dorsal surface of sacrum with follow-up traction of lower limb to elimination of relative leg length dis-crepancy, surgical release of juxtaspinal tissues of sacrum at the dorsal surface while decrease of kyphosis, elimina-tion of tail bone dislocation, postisometric relaxation of extensor muscles of lumbar spine and lumboinguinal mus-cles, surgical release of lumbar vertebrae and intervertebral tissues of lumbar spine, elimination of flexion and exten-sive contracture in knee joints, tissue distraction between resurrection bone and thoracic spine, between iliosacral abarthrosis and hip joints, abolition of resurrection bone rotation and flank bone dislocation in the caudal direction. As referred to in patent of the Russian Federation №2356588 (МПК A61N5/067 (2006.01), 27.05.2009), there is a way of pain management at spinal disc herniation, including affecting by laser irradiation with HeNe laser at 0,6328 ?m wavelength at abnormal focus and medicine administration. Medication in fluid transfer device includes fluid of Trental ? 5 ml, Actovegin ? 5 ml, 15 % of Xantinol Nicotinate ? 2 ml, thiamine ? 2 ml in a sequence with adermin ? 2 ml, 5 % of ascorbic acid ? 3 ml for 150 ml of normal saline solution. Paravertebral block is carried out on the first day using 5 % of glucocorticoid ? Diprospan, 1 ml jointly with 2 % of lidocaine. The other days it is carried out using 2 % of lidocaine. The disadvantage of the known methods is the elimination of consequences of disorder only (soft tissues oedema, phlogistic infiltrative reaction and pain syndrome). However, the reason remains unchanged and progres-sive. This is in reference to suspension of operative measures, which is sometimes rather long. Technical result, achieved using described method of non-surgical treatment of herniated nucleus pulposus (F-SWT METHOD), is high efficiency of therapy, possibility of outpatient medicine, absence of cicatrical changes and postoperative complica-tions, low probability of reherniation.
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Last modified: 2015-07-15 21:38:42