Carboxytherapy in the practice of an occupational pathologist: experience of use in cervical dorsopathy in workers of harmful professions

2020 ◽  
pp. 8-18
Author(s):  
Shaykhlislamova Elmira Radikovna ◽  
Urmantseva Ferdaus Anvarovna ◽  
Gallyamova Svetlana Anifovna ◽  
Valeeva Elvira Timeryanovna
Keyword(s):  
Carbon Dioxide ◽  
Peripheral Nerves ◽  
Nerve Impulse ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Negative Consequences ◽  
Basic Drug ◽  
Physiological Properties ◽  
Myofascial Syndrome ◽  
Nerve Impulse Conduction

The task of ensuring the working capacity of the country’s industrial potential is to preserve the health of employees of enterprises with harmful working conditions. High rates of general morbidity and disability of the working population due to vertebrogenic diseases of the spine, the genesis of which is associated with organ overstrain, microtraumatization and vibration exposure, make the problem of treatment, prevention and rehabilitation of this pathology a priority in occupational medicine. In the present study, the expediency of using carboxytherapy in the treatment of cervical dorsopathies in 2 groups of patients working in harmful professions has been studied, in one of which, along with basic drug treatment, physiotherapy exercises and massage, injections of purified carbon dioxide into paravertebral points are included in the complex of therapy. At the end of the course of treatment in the group of patients receiving carboxytherapy, a more significant improvement in clinical and electrophysiological parameters was achieved: a decrease in the intensity of pain syndrome according to a visual analogue scale by 73.3 %, myofascial syndrome by 33.3 %, expansion of the range of motion by 40 %; according to stimulation electroneuromyography and rheovasography — improvement of nerve impulse conduction along the peripheral nerves of the upper extremities and the roots of the C6–8 — Th1 spinal nerves by 35 %, the hemodynamics of peripheral blood vessels of the upper extremities by 45 %. The extensive physiological properties of carbon dioxide, the availability and safety of the method, the absence of negative consequences, the effectiveness shown in the study allows us to recommend the use of carboxytherapy in occupational pathological practice in the treatment of vertebrogenic reflex syndromes in workers in hazardous occupations.

Efficiency of carboxytherapy in vertebrogenic syndromes in hazardous industry workers

2020 ◽  
pp. 68-74
Author(s):  
F. A. Urmantseva ◽  
S. A. Gallyamova ◽  
E. R. Shaykhlislamova
Keyword(s):  
Clinical Improvement ◽  
Peripheral Blood ◽  
Peripheral Nerves ◽  
Nerve Impulse ◽  
Pain Syndrome ◽  
Upper Limbs ◽  
Complex Treatment ◽  
Neurological Manifestations ◽  
Spinal Nerves ◽  
Paravertebral Muscles

In the complex treatment of hazardous industry workers with neurological manifestations of dorsopathy of the cervicothoracic spine with pain syndrome, the effectiveness of carboxytherapy is substantiated. The use of carboxytherapy in the treatment of vertebrogenic syndromes has shown a more effective impact: clinical improvement has been achieved in the form of pain regression and a decreased tone and degree of neurodystrophic manifestations in the paravertebral muscles and muscles of the upper limbs. Electromyography has shown a 45 % improvement in the conduction of a nerve impulse along the peripheral nerves of the upper limbs and C6-8-Th1 roots of the spinal nerves and a 35 % improvement in the hemodynamics of peripheral blood vessels, according to rheovasography.

scholarly journals Dynamic early clusters of nodal proteins contribute to node of Ranvier assembly during myelination of peripheral neurons

eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
Elise LV Malavasi ◽  
Aniket Ghosh ◽  
Daniel G Booth ◽  
Michele Zagnoni ◽  
Diane L Sherman ◽  
...  
Keyword(s):  
Peripheral Nerves ◽  
Lateral Diffusion ◽  
Nerve Impulse ◽  
Node Of Ranvier ◽  
Axonal Membrane ◽  
Macromolecular Complexes ◽  
Peripheral Neurons ◽  
Voltage Gated Sodium Channels ◽  
Peripheral Node ◽  
Nerve Impulse Conduction

Voltage-gated sodium channels cluster in macromolecular complexes at nodes of Ranvier to promote rapid nerve impulse conduction in vertebrate nerves. Node assembly in peripheral nerves is thought to be initiated at heminodes at the extremities of myelinating Schwann cells and fusion of heminodes results in the establishment of nodes. Here we show that assembly of 'early clusters' of nodal proteins in the murine axonal membrane precedes heminode formation. The Neurofascin (Nfasc) proteins are essential for node assembly, and the formation of early clusters also requires neuronal Nfasc. Early clusters are mobile and their proteins are dynamically recruited by lateral diffusion. They can undergo fusion not only with each other but also with heminodes thus contributing to the development of nodes in peripheral axons. The formation of early clusters constitutes the earliest stage in peripheral node assembly and expands the repertoire of strategies that have evolved to establish these essential structures.

Peripheral Nerve and Brachial Plexus Impairment, AMA Guides, Sixth Edition

2017 ◽  
Vol 22 (2) ◽  
pp. 3-5
Author(s):  
James B. Talmage ◽  
Jay Blaisdell
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Complex Regional Pain Syndrome ◽  
Lower Extremities ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Motor Deficits ◽  
Type I ◽  
Sixth Edition ◽  
Nerve Entrapments

Abstract Physicians use a variety of methodologies within the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, to rate nerve injuries depending on the type of injury and location of the nerve. Traumatic injuries that cause impairment to the peripheral or brachial plexus nerves are rated using Section 15.4e, Peripheral Nerve and Brachial Plexus Impairment, for upper extremities and Section 16.4c, Peripheral Nerve Rating Process, for lower extremities. Verifiable nerve lesions that incite the symptoms of complex regional pain syndrome, type II (similar to the former concept of causalgia), also are rated in these sections. Nerve entrapments, which are not isolated traumatic events, are rated using the methodology in Section 15.4f, Entrapment Neuropathy. Type I complex regional pain syndrome is rated using Section 15.5, Complex Regional Pain Syndrome for upper extremities or Section 16.5, Complex Regional Pain Syndrome for lower extremities. The method for grading the sensory and motor deficits is analogous to the method described in previous editions of AMA Guides. Rating the permanent impairment of the peripheral nerves or brachial plexus is similar to the methodology used in the diagnosis-based impairment scheme with the exceptions that the physical examination grade modifier is never used to adjust the default rating and the names of individual nerves or plexus trunks, as opposed to the names of diagnoses, appear in the far left column of the rating grids.

Metallothionein deficiency in the injured peripheral nerves of complex regional pain syndrome as revealed by proteomics

Pain ◽  
2012 ◽  
Vol 153 (3) ◽  
pp. 532-539 ◽  
Author(s):  
Gosuke Oki ◽  
Takuro Wada ◽  
Kosuke Iba ◽  
Hikono Aiki ◽  
Kouichi Sasaki ◽  
...  
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Peripheral Nerves ◽  
Pain Syndrome

scholarly journals Diabetic peripheral neuropathy: epidemiology, pathogenesis, clinic, diagnostics, treatment

2016 ◽  
Vol 24 (4) ◽  
pp. 139-151 ◽  
Author(s):  
A N Belova ◽  
M N Kudykin ◽  
G E Sheiko
Keyword(s):  
Peripheral Neuropathy ◽  
Diabetic Peripheral Neuropathy ◽  
Peripheral Nerves ◽  
Pain Syndrome ◽  
Common Complication ◽  
Review Of Literature ◽  
Chronic Hyperglycemia ◽  
Progressive Degeneration ◽  
Pathophysiologic Mechanisms

The article contains the review of literature data dedicated to the most common complication associated with diabetes mellitus (DM) - the diabetic peripheral neuropathy (DPN). DPN is regarded as economic burden for any state and significantly influences the quality of patient’s life. DPN is characterized by progressive degeneration of peripheral nerves that leads to pain syndrome, movement disorders and loss of sensation. There is a set of theories of development of DPN, but the major etiological factor is the chronic hyperglycemia. The article describes pathophysiologic mechanisms of DPN development. It is noted that considering high variability of clinical pattern DPN has no unified classification. The article addresses issues related to diagnostics and criteria of establishing the diagnosis. Special attention of the article is dedicated to pathogenic and expected treatment methods.

scholarly journals Clinical lecture on the pre-certification cycle of doctors on the specialty "General practice-family medicine" on the subject "Mononeuropathy (Neuritis and Neuralgia) and Plexopathy (Plexitis and Plexaglia): etiology, pathogenesis, clinic, diagnostics, t

2017 ◽  
pp. 25-29
Author(s):  
V. Sereda ◽  
N. Svyrydova ◽  
I. Dovgiy
Keyword(s):  
General Practice ◽  
Family Medicine ◽  
Peripheral Nerves ◽  
Metabolic Disorders ◽  
Nerve Impulse ◽  
Nerve Fibers ◽  
Motor Functions ◽  
The Subject ◽  
Clinical Lecture

Neuralgia and neuritis (plexitis) are lesions of the peripheral nerves caused by hypothermia, infection, trauma, intoxication, and metabolic disorders. Neuralgia is characterized by pain arising along the course of a nerve or its branches. Neuritis is accompanied by sensitivity disorders, trophic disorders, paresis and paralysis, as well as those that perceive the nerve impulse (sensitivity) and motor functions. All this is associated with varying degrees of degeneration of nerve fibers until their breakdown.

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