QUANTUN THERAPY COLD LASER OF PAIN SYNDROME OF VARIOUS GENESIS.

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QUANTUN THERAPY COLD LASER OF PAIN SYNDROME OF VARIOUS GENESIS

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COLD LASER QUANTUN THERAPY OF PAIN SYNDROME OF VARIOUS GENESIS

L.D.Tondy

SRI of laser biology and laser medicine of KhSU, Kharkov, Ukraine

When pain appears and informs about the presence of a morbid process, the human organism immediately determines the strategy and tactics of therapeutical-rehabilitation actions, which are sure to switch on the cupping of the pain syndrome and its treatment. It is known that "pain - is a complex psycho-physical phenomenon, which involves the mechanisms of emotion regulation and formation, motoric, humoral, hemodynamic manifestations" (V.A.Michailovich, Y.D. Ignatov, 1990).

The formation of pain syndrome has a direct connection with neuro-physiologic mechanisms of convergence of integration, co-operation of nociceptive and antinociceptive afferent signals. Thus, it is clear, that the presence of pain syndrome is open to such hazards as the aggravation of the patient's condition, the reduction of possibilities for quick reverse development of histological reactions, and also the increasing activity of the mechanisms of sanogenesis, such as restitution, regeneration, compensation, immunity.

It is known, that a large quantity of analgetics, even narcotic analgetics, is used to fight a pain. But many of them are characterised by a number of side-effects, form a habit, produce an unfavourable influence on digestive organs, rheologic characteristics of blood and so on. There exists a large danger of polypragmasy, about which S.P.Botkin wrote at his time.

With regard to the listed above, one should pay attention to the possibilities of alternative treatment in such situation. In this connection, therapeutic physic factors (TPF), both natural and preformed, are of a special interest. The peculiarity of their action in case of a disease is the realisation of its analgetic, alongside with anti-inflammatory, anti-edema, trophic-regenerative, immunocorrective, hyposensitising, effects (DDT, halvanic current, square current and so on). One of the advantages is its active stimulation of the sanogenesis mechanisms, mentioned above.

Yet, even among TPF there exists its own hierarchy, concerning the intensity and peculiarities of the influence on pain syndrome.

Clinisists are interested in the facts, which would simultaneously meet certain requirements: effective and quick action on pathogenetic and sanogenetic diseases processes, and also a prominent analgetic effect.

In this connection, low-level laser therapy (LLLT) deserves a special attention.

The fundamental investigations, carried out by the scientists of the ex-USSR (O.K.Skobelkin, V.M.Inyushin, N.F.Gamaleya, V.I.Kozlov, V.D.Popov, E.F.Stranadko and others) prove the appropriateness of LLLT application in cases of numerous diseases and syndromes.

Taking into account the urgency of the study of LLLT influence on the treatment of various diseases, where the pain syndrome constantly manifests itself and asthenises CNS, reducing protective powers of an organism, results in the disbalance of working capacity, we summed up the results of laser therapy application, with due regard to the fundamental study of the influence on pain syndrome. It allows us to give practical recommendations for the treatment of a number of common diseases.

We observed 425 patients at the age-range from 18 to 72 with diseases of degeneration-dystrophic character: vertebral osteochondrosis (100 patients) with the effect of cervicalgia, thoracalgia, lumbago, lumbalgia, lumbo and myalgia - the I group of patients.

70 observed patients (the II group) had osteoarthrosis deformans with pain syndrome.

The pain intensity was estimated by the method of academic Antonov, according to 4 degrees of pain intensity. The III group (82 people) were patients with cardialgia of neurogenetic metabolic, dishormonal genesis. The IV group - patients with diskinetic pains caused by spasmodic conditions of the smooth muscles of small intestine, constrictors in the digestive tract passage (50 people).

The V group included patients with chronic persisting hepatitis, in some cases with enlarged liver (18 people), which caused pain. The patients under observation didn't get analgetics.

The VI group consisted of HID patients, including patients after myocardial infarction a month ago, who had attacks of stenocardia of strain (11-111 functional class) and cardialgias of different origin. In total 105 patients.

The patients were having sanitation treatment in clinics and departments of the Centre of Laser Technologies, the Institute of Laser Medicine and biology, Kharkov Institute of the Advanced Training, specialised sanatoria of the suburban type ("Roscha", "Rai-Elenovka").

The applied therapeutic factor was based on low-level laser radiation in the red part of the optic spectrum (l=632.8 nm) in the continuous mode. The choice of the factor is explained by the fact, that he physiotherapeutical service of the Ukraine is rather well supplied with therapeutical devices, generating monochromatic, coherent, polarised red radiation. Methods of distant, contact and combined action, with regard to the influence on the projection of a sore organ, reflex zones, biologically active points, were applied.

Moderate energy loading was used:

In the case of a distant action 5-25 mW/cm2 on BAT - 1-3 mW/cm2 with the corresponding exposition -up to 5 min. on a zone, up to 600 seconds on a point (4-6 points during I session. The course - 7-14 sessions).

In the case of supravenous and intravenous actions ... up to 5 mW/cm2 with the exposition up to 10 minutes were used, 4-5 sessions in 2-3 days.

We analysed the obtained results with regard to the type of pain - physical or psychological, acute, subacute, chronicle; the time of the positive dynamics appearance, taking into account the peculiarities of the treatment.

The obtained data allow to conclude, that the analgetic action of LLLT in the red spectrum is effective, when applied to all patients with the above-listed diseases, and to confirm the preventive action of LLLT in the case of stenocardia of strain of... patients.

Thus, 92% of patients with neurologic forms of osteochondrosis developed a positive dynamics (the disappearance of pain syndrome by the seventh session or its considerable decrease).

In cases of acute pains (lumbago), the effect was obvious by the 3-4-th session. The most effective application of the above-mentioned laser radiation proved to be in cases of thoracalgia (14 from 15).

In the case of osteoarthrosis deformans, the positive dynamics of 85.8% of patients with pain syndrome was observed.

In cases of the patients with cardialgias of various genesis, the disappearance and lowering of the intensity of pain syndrome was observed in 92.74% of patients. The effect was lacking in the cases of patients with cardialgia ofdisharmonal genesis (grave pathological climacterium).

In cases of pain syndrome, caused by spasms of smooth muscles of intestine, constrictors, the positive effect was obtained in 96% cases, after 1-3 sessions.

When the pain was caused by the increased size of liver and the distension of Glisson's capsule, the decrease of pain syndrome was noticed in the half of the patients. The pain disappeared after diuretic procedures.

Patients on the sanatorium stage of rehabilitation after HID, myocardial infarction were given laser therapy with regard to the frequency of stenocardia attacks, disfunction of the hemodynamics of cardiac rhythms.

Patients with stenocardia of strain of the II functional class received treatment, according to the distant method (on the precardial area up to 5 mW/cm2 and up to 5 minutes).

In cases of stenocardia of strain of the III functional class, ventricular extrasystole, blood circulation disorders IIA, macrofocal myocardial infarction, the method of intravenous radiation was used. This group of patients received nitrates, antiarrhythmic medicines, diuretics.

For the objective estimation of the results, they were compared to the results of the control group (52 patients who didn't receive lasertherapy).

The course of 7-10 sessions allowed to decrease the dose of nitrates or do without them in 76% cases. The study of catamnesis during a year period showed the absence of repetitive myocardial infarction among those, who had received intravenous radiation.

It is clear, that the anaesthetic effect accompanied the reverse development of the pathologic process, the remission stage of the disease.

The treatment of patients with the locomotor system pathology resulted in the decrease of the signs of degenerative-dystrophic process (the joints deformity, the improvement of the indexes of flexion and extension).

In cases with HID patients, the improvement of coronary and myocardial reserve can be estimated according to the ECG , the indexes of central and peripheral hemodynamics.

In cases of digestion diseases, there was the improvement of the repetitive function of the intestine, bile passage. According to the data of the test Garkavi-Kvakina-Ukolova, the examined patients demonstrated the restoration of adaptation physiologic reactions. The study of zeta-potential of the buccal cells nuclei allows to speak about the improvement of electro-physiologic processes, which is characteristic of the mobilisation of sanogenetic mechanisms in the course of laser therapy.

Conclusions.

1. In cases of diseases, going on with a distinct pain syndrome, the method of the choice of treatment may be LLLT in the spectrum red range.

2. The action of laser irradiation with the wavelength 632.8 nm in the continuous mode, accompanied by the use of distant and local methods, shows a favourable influence on the reverse development of the pathologic process, thus causing the lessening of pain syndrome of various genesis.

3. The availability of corresponding devices and the simplicity of procedure actions allow to make a good use of LLLT in practical medical care.

 

1 TRAUMATOLOGY and Quantum therapy laser acupuncture Vityas:

 

1.1 arthritis,  arthrosis

1.2  ARTHRITIS,  GONARTHROSIS

1.3   ARTHRITIS,  HIP  JOINT ARTHROSIS

1.4  ARTHRITIS,  RADIAL  WRIST  JOINT  ARTHROSIS

1.5 ARTHRITIS,  ARTHROSIS OF PHALANGES OF  HAND  AND FOOT

1.6 CALCANEAL SPUR

1.7 OSTEOCHONDROSIS OF BACK BONE, RADICULITIS

1.8 NEURODYNIA

1.9 BONE FRACTURES

1.10 CONCUSSIONS, hydradenites

1.11 OPEN WOUNDS

1.12  TROPHIC  ULCER, LONG  OPEN  WOUNDS, DECUBITUS

1.13 HUMEROSCAPULAR PARASYNOVITIS

1.14 MYSITIS, PERITENDITIS, SPRAIN

2 SKIN DISEASES and cold laser device Vityas:

2.1 DERMATITIS, ECZEMA

2.2 FURUNCULOSIS, VERRUCAS

2.3 HERPES OF SKIN AND GENITAL ORGANS

2.4 WRINKLES

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1.1   ÀRTHRITIS,  ÀRÒHROSE

1.2  Gonitis,  Gonarthrose

1.3  Koxitis,  Koxarthrose

1.4 Arthritis -, Arthrose des proximalen Handgelenkes

1.5  Fingerarthritis, Fingerarthrose

1.6   Fersensporn

1.7 Osteochondrose, Radikulitis

1.8   Neuralgie

1.9 Knochenbruch

1.10 Schweißdrüsenabszeß, Kontusionen

1.11 Îffene Wunden

1.12 Trophisches Geschwür, Dekubitalgeschwür, Wunden  mit der grossen Heilungsdauer

1.13 Duplay Krankheit

1.14 Myositis, Tendovaginitis, Muskel- und Sehnenzerrung

 

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