scholarly journals Effectiveness of laser therapy for the treatment of lumbosacral radiculoischemias

2021 ◽  
Vol 20 (1) ◽  
pp. 50-61
Author(s):  
V. V. Andreev ◽  
S. V. Zevakhin ◽  
E. R. Barantsevich ◽  
A. I. Sychov ◽  
N. N. Petrishev
Keyword(s):  
Laser Therapy ◽  
Neuroprotective Effect ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Clinical Effectiveness ◽  
Intervertebral Discs ◽  
Neurological Manifestations ◽  
Low Intensity ◽  
Spinal Roots ◽  
Laser Disk

Introduction.The study was devoted to assessing the effectiveness of laser therapy in the treatment of spondylogenic radiculoischemias. Low-intensity laser therapy and vaporization technology were used.Aim – to improve treatment and outcomes in patients with compression of the spinal roots in herniated intervertebral discs using various methods of laser therapy.Materials and methods. In two groups, the results of treatment of 225 patients with clinical manifestations of spondylogenic lumbosacral radiculoischemias were analyzed using laser therapy techniques. In 115 cases (group 1), laser treatment was performed using the method of puncture polychannel laser disk decompression. In 110 patients (group 2), low-intensity percutaneous laser therapy was used. The dynamics of the clinical and neurological manifestations of the disease was recorded: the time of pain syndrome reduction, the dynamics of motor and sensory disorders of the corresponding root, changes in parameters according to the Roland-Morris and Oswestry Disability questionnaire.Results. In both groups, an improvement in clinical and neurological manifestations was obtained: the intensity of pain syndrome according to VAS decreased in more than 70 % of the observed individuals. A significant improvement in the parameters of vital activity was revealed according to scales with a long-lasting effect (more than 12 months) with an improvement in the blood supply to the spinal roots.Conclusion. Laser radiation has significant clinical effectiveness; the important parameters are the wavelength and rate of the radiation. Structural-modifying action and improvement of microcirculation (of arterial and venous bed) are achieved. Evaluation of the effectiveness of polychannel laser puncture decompression is advisable using scales and questionnaires. Low-intensity percutaneous laser therapy and monochannel interstitial laser therapy provide a targeted antiedemic and neuroprotective effect with the possibility of dosing and control. The treatment is highly effective and improves the prognosis of the disease.

Use of low-intensity laser therapy for the treatment of lumbosacral radiculoischemia

2020 ◽  
pp. 20-32
Author(s):  
Vladislav Viktorovich Andreev ◽  
Evgeniy Robertovich Barantsevich ◽  
Aleksandr Ivanovich Sychev ◽  
Yuriy Olegovich Novikov
Keyword(s):  
Laser Therapy ◽  
Blood Supply ◽  
Venous Blood ◽  
Pain Syndrome ◽  
Physical Factors ◽  
Low Intensity ◽  
Spinal Roots ◽  
Low Intensity Laser Therapy ◽  
Significant Mechanism ◽  
Intensity Laser

The development of programs for the treatment of spondylogenic radiculoischemia is an urgent problem. The most significant mechanism of pathogenesis is due to impaired arterial and venous blood supply to the cerebrospinal root. The uniqueness of the use of preformed physical factors in dorsalgia has been proved. Low-intensity laser therapy improves blood supply and microcirculation in the irradiation zone. Clinically, a significant decrease in the intensity of pain syndrome is observed, and restoration of the function of the spinal roots is noted. The study analyzed the results of the treatment of patients using laser therapy technologies and its effect on segmental spinal hemodynamics. The effectiveness of low-intensity percutaneous laser therapy is demonstrated. Clinical evidence indicates improved microcirculation in the corresponding cerebrospinal root.

Dynamics of the clinical state of patients with peri-implantitis under conditions of complex application of physiotherapy technologies

2021 ◽  
pp. 42-52
Author(s):  
V. I. Livshits ◽  
S.N. Nagornev ◽  
V.K. Frolkov ◽  
R.Sh. Gvetadze
Keyword(s):  
Laser Therapy ◽  
Treatment Regimen ◽  
Electrostatic Field ◽  
Standard Treatment ◽  
Clinical Manifestations ◽  
Low Frequency ◽  
Therapeutic Efficiency ◽  
Low Intensity ◽  
Positive Effect ◽  
Standard Treatment Regimen

The article presents the results of the treatment of inflammatory complications in patients with orthopedic constructions on dental implants using the course complex application of low-intensity infrared laser therapy and low-frequency electrostatic therapy. It has been shown that under the influence of a complex of physiotherapeutic factors, a more pronounced inverse dynamics of the clinical manifestations of peri-implantitis is observed in comparison with the standard treatment regimen, which has a positive effect on the indicators of the secondary stability of the implants themselves. The mechanisms of realization of the therapeutic efficiency of a low-intensity laser and a low-frequency electrostatic field are considered from the medical and biological point of view. The analysis of the study allows concluding that the course complex application of physiotherapeutic technologies in the treatment of post-prosthetic inflammatory complications during dental implantation is highly effective. The addition of the standard treatment regimen with the combined use of a low-frequency electrostatic field and laser therapy has a positive effect on the regression of the clinical manifestations of peri-implantitis and on the index indicators of the patients’ dental status. The increase in therapeutic efficiency observed when using a low-frequency electrostatic field in combination with an infrared laser of the complex is realized due to the potentiating type of interaction of physical factors, which is based on various points of application and the mechanisms of their corrective activity.

Dynamics of clinical and morphological parameters in patients with peptic ulcer in the combined laser therapy

2020 ◽  
pp. 43-49
Author(s):  
A. G. Baybulatov ◽  
A. R. Gilmutdinov ◽  
A. F. Kunafin ◽  
B. R. Gilmutdinov ◽  
F. F. Usmanov
Keyword(s):  
Drug Therapy ◽  
Laser Therapy ◽  
Clinical Manifestations ◽  
Control Group ◽  
Laser Exposure ◽  
Morphological Parameters ◽  
Basic Drug ◽  
Antiulcer Drug ◽  
Low Intensity ◽  
Morphological Picture

The eff ectiveness of the use of a therapeutic complex based on the combined eff ects of intragastric low-intensity and transcutaneous infrared laser therapy in the antiulcer drug therapy of 60 patients with gastric ulcer and duodenal ulcer was studied. In all 30 patients of the main group, after a course of combined laser exposure, the regression of the morphological picture of the activity of the infl ammatory process with epithelialization of the ulcer defect and positive dynamics of the clinical manifestations of the disease within 10 days of treatment was noted. Meanwhile, in the patients of the control group (n = 30), the positive dynamics of similar parameters in the same period was achieved in 70 % of patients against the background of basic drug therapy.

Evaluation of Low Intensity Laser Therapy In Myofascial Pain Syndrome

CRANIO® ◽  
2009 ◽  
Vol 27 (4) ◽  
pp. 243-247 ◽  
Author(s):  
Thaise Graciele Carrasco ◽  
Laise Daniela Carrasco Guerisoli ◽  
Danilo Mathias Zanello Guerisoli ◽  
Marcelo Oliveira Mazzetto
Keyword(s):  
Laser Therapy ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Low Intensity ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser

scholarly journals Clinical effectiveness evaluation of laser therapy and dry needling in treatment of patients with myofascial pain in masseter muscle

2018 ◽  
Vol 44 (1) ◽  
pp. 22-41
Author(s):  
Diego Oliveira ◽  
◽  
Rafael Pinto ◽  
Larissa Reis ◽  
Isabela Dias ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Myofascial Pain ◽  
Mouth Opening ◽  
Clinical Effectiveness ◽  
Trigger Points ◽  
Dry Needling ◽  
Low Intensity ◽  
Final Treatment ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser

Myofascial pain is considered a type of muscular TMD, being common in patients with musculoskeletal pain associated with active or latent trigger points. Among the therapeutic options, there are low-intensity laser therapy and dry needling. The aim of this study was to compare the efficacy of these two therapies in the masseter muscles of patients with myofascial pain. Ten patients diagnosed with myofascial pain, with or without limitation of mouth opening, were randomly divided into two groups for treatment with low intensity laser therapy (G1) (n = 5) or dry needling (G2) (n = 5). The pain symptomatology and the mouth opening measurement were evaluated weekly before the start of treatment, and one week after the final treatment. The comparison between G1 and G2 in relation to the improvement in mouth opening was not statistically significant (p> 0.05). However, dry needling (G2) has shown numerically to be more effective than laser therapy in a shorter period comparing initial and final mouth opening. Regarding the pain symptomatology, both therapies were effective comparing the initial and final evaluations of patients with myofascial pain (p <0.05).

scholarly journals Low back pain: a case study

2021 ◽  
pp. 384-390
Author(s):  
D. Kh. Khaibullina ◽  
Yu. N. Maksimov ◽  
F. I. Devlikamova
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Case ◽  
Muscle Tension ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Intervertebral Discs ◽  
Lower Limbs ◽  
Low Back ◽  
Medical Opinion

As defined in the WHO Bulletin (1999), low back pain (LBP) is pain, muscle tension or stiffness localized in the back between the XII pair of ribs and the lower gluteal folds, with or without irradiation in lower limbs. The LBP syndrome is not a nosological unit, but due to its high prevalence, social and economic importance, it has a separate heading in ICD-10 – (M 54.5). Various structures can be the source of LBP: intervertebral discs, facet and sacroiliac joints, muscles, ligaments, tendons, fascia, spinal cord and its roots, peripheral nerves, etc. Depending on which structure the source of pain is, the nature of the pain can have a nociceptive, neuropathic or mixed character, which affects the tactics of patient management. The variety of clinical manifestations of LBP introduces certain difficulties in the process of making a diagnosis and may entail the appointment of treatment methods that are inadequate for the patient’s condition. In such cases, it is advisable to conduct an additional consultation in order to obtain a second medical opinion. The message is devoted to the analysis of a clinical case of LBP. During the examination of the patient, the nature of the pain, initially regarded as neuropathic, began to be interpreted as nociceptive. In accordance with this, a complex treatment was prescribed, which included pharmacological preparations and methods of non-drug therapy. In order to quickly relieve the pain syndrome, the drug dexketoprofen was used according to a stepwise scheme. Obtaining effective anesthesia within 5 days made it possible to abandon further NSAID intake and to continue follow-up treatment with a preparation of B vitamins, a muscle relaxant and SYSADOA in combination with non-drug methods of treatment. The considered clinical case illustrates both the difficulties arising in the diagnosis of LBP and the possibilities of successful conservative therapy of this disease. 

The rationale for the combined use of osteopathic methods of correction and reflexology in the complex treatment of patients with dorsopathy at the cervico-thoracic level

2020 ◽  
pp. 82-94 ◽  
Author(s):  
V. O. Belash ◽  
L. R. Urazgalieva ◽  
R. I. Fayzullina ◽  
L. G. Agasarov
Keyword(s):  
Drug Therapy ◽  
Drug Treatment ◽  
Pain Syndrome ◽  
Clinical Effectiveness ◽  
Complex Treatment ◽  
Standard Drug ◽  
Treatment Methods ◽  
Thoracic Level ◽  
Combined Use ◽  
Complex Therapy

Introduction. Degenerative-dystrophic changes in the spine are the most common chronic human diseases. Pronounced clinical manifestations of vertebrogenic diseases are observed during active labor activity and represent one of the most frequent causes of temporary disability. It is also known that any pain syndromes are accompanied by the development of psychovegetative disorders, which reduces the effectiveness of treatment. In recent years, there has been a reasonable increase in the interest of the medical community to the non-drug treatment methods. It is caused by the polypharmacotherapy side effects, an increased numbers of allergic reactions, problems with polypragmasia, and a low level of compliance. At the same time, the question of the possibility of various non-drug treatment methods combining is quite acute.The goal of research is to substantiate the clinical effectiveness of the combined application of osteopathic correction and reflexotherapy in the complex treatment of patients with dorsopathy at the cervical-thoracic level.Materials and methods. A prospective controlled randomized study was conducted on the basis of the medical clinics of LLC «Family Health» (Kazan) and ANO «Center for SEB assistance» (Kazan) from April 2018 to May 2019. The study involved 52 people with dorsopathy at the cervical-thoracic level, aged from 25 to 45 years. In accordance with the exclusion criteria, 7 people dropped out of the study. The remaining patients (45 people), depending on the used treatment method, were divided by a simple randomization method using a random number generator into three groups of 15 people. The first group (main group) received osteopathic correction and reflexotherapyon the background of standard drug therapy; the second and the third groups (control groups) received only osteopathic correction orreflexotherapy, respectively, on the background of standard drug therapy. The osteopathic examination was performed for all patients regardless of the group, before and after the course of therapy, with the formation of an osteopathic conclusion.Also there was the estimation of the degree of pain syndrome severity,the asthenia, and the degree of accumulated emotional and energy charge that does not get out in a person.Results. It was found in the course of the study that the inclusion of osteopathic correction and reflexotherapy in the complex therapy of patients with dorsopathy at the cervical-thoracic level is clinically more effective than the isolated use of these methods. Such complex therapy allows to achieve a more significant reduction in the severity of the pain syndrome by VAS (p<0,05), relief of internal emotional tension (p<0,05), and increase the effectiveness of correction of dominant somatic dysfunction. Based on the obtained data, it could be assumed that reflexotherapy potentiates the effects of osteopathic correction.Conclusion. Based on the study, it can be concluded that the combination of osteopathic correction and reflexotherapy in the treatment of patients with dorsopathy at the cervical-thoracic level increases the clinical effectiveness of the standard drug therapy. At the same time, it is worth noting the potentiating effect of the combined use of two non-medicinal methods. The question of combining of various non-drug treatment methods is quite acute today, so this study will be continued. 

Clinical and Radiographic Correlation (According to CT) in Patients with Degenerative Lumbar Spinal Stenosis

2017 ◽  
pp. 124-130 ◽  
Author(s):  
S. G. Mlyavykh ◽  
A. Y. Aleynik ◽  
A. E. Bokov ◽  
M. V. Rasteryaeva ◽  
M. A. Kutlaeva
Keyword(s):  
Ct Scan ◽  
Spinal Canal ◽  
Clinical Manifestations ◽  
Intervertebral Discs ◽  
Morphometric Parameters ◽  
Neurogenic Claudication ◽  
Clinical Group ◽  
Lumbar Stenosis ◽  
Degenerative Lumbar Spinal Stenosis ◽  
Lumbar Spinal

Сomputed tomography (CT) is widely used in the diagnosis of  degenerative pathology of the lumbar spine, but the relationship  between clinical manifestations of lumbar stenosis and its anatomical prerequisites has not been sufficiently studied to date.The objective: to determine the significance of the morphometric  parameters of lumbar stenosis according to CT scans and to  establish their relationship with the prevailing symptoms of the disease.Material and methods. Seventy-five consecutive patients with  clinically significant lumbar stenosis who underwent CT scan before  surgery were enrolled in this study. The average values of thirteen  different morphometric parameters were calculated at LIII–SI levels of the intervertebral discs and of the pedicels in the axial and sagittal views. The possibility of classification of clinical observations and the correlation of morphometric parameters with the clinical forms of lumbar stenosis were investigated using discriminant and logistic regression analysis. Results. CT scan with high probability allocates patients with  predominant symptoms of neurogenic claudication or bilateral  radiculopathy. The most significant morphometric predictors of this  clinical group are the depth of the lateral recesses and the cross-sectional area of the spinal canal.Conclusion. CT scan significantly expands the informative value of  magnetic resonance imaging and can be used in planning the  decompressive stage of the surgery intervention in patients with lumbar spinal canal stenosis.

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