MIL-therapy / Method of treatment / 7.3. Traumatic injuries of long tubular bones, tendons, muscles.
7.3. Traumatic injuries of long tubular bones, tendons, muscles.
MIL-therapy can be started right away after the trauma happened. MIL-therapy as a part of complex treatment in fractures activates regenerative processes in osseous tissue. Under such treatment fractures consolidate by 1,5-2 times quicker. MIL-therapy is also indicated in case of metallosynthesis. If a patient’s injured extremity is in the plaster of Paris, a hole is cut in it and the terminal is inserted into this hole at a distance of about 1 cm from the skin surface (exposure 5 min). Then the vascular bundle of the injured extremity above the fracture is irradiated (Fig. 6, zones 1 or 2) with 2 min. exposure. Impulse frequency is 50 Hz, LED radiation power is 80 mWt. In a day the frequency of impulses is changed (80, 150, 600, 1500, 5000, 1500 Hz). The first five procedures are performed daily, after that - every other day. The course of treatment consists of 12 procedures.
Fractures complicated by fistulas, osteomyelitis, trophic ulcers (in particular, in diabetes mellitus) are treated similar to slowly healing and nonhealing wounds and trophic ulcers.
MIL-therapy is performed contactly on the diseased zone. Impulse frequency is 50 Hz, LED radiation power is 60 mWt, exposure is 2 min; during one procedure 1-3 zones are irradiated on the diseased area. After that the irradiation is performed on the projections of big vascular bundles on the injured extremity (Fig. 6, zones 1 or 2) with exposure 2 min. The course of treatment consists of 2-8 daily procedures. In case of necessity MIL-therapy course is repeated in two weeks (7-8 procedures every other day).
MIL-therapy is performed contactly (Fig. 7) on the painful zone (1) at the site of tendon attachment to the bone. The terminal moderately compresses soft tissues. Impulse frequency is 80 Hz, LED radiation power is 80 mWt, exposure is 2 min. Starting from the 4th procedure the irradiation is additionally performed on CVII area paravertebrally ( zones 2) 1 min to each side and at ThX level (zones 3) 1 min to each side ( MIL parameters are the same). The course of treatment consists of 12 daily procedures. MIL-therapy course may be repeated in 2-3 weeks every other day under the same scheme.
Fig. 7. Zones for MIL-irradiation in epicondilitisTendovaginitis. Myositis.
MIL-therapy is performed locally on the injured tendon or muscle (Fig. 8) contactly without any compression to soft tissues; impulse frequency is 50 Hz, LED radiation power is 50 mWt, exposure is up to 5 min. After that the liver projection is irradiated during 2 min. (zone 2), paravertebrally at CVII level (zones 1) for 1 min; the adrenal gland projection (zone 3) is irradiated too. The irradiation is performed with impulse frequency 80 Hz, LED radiation power 70 mWt. The course of treatment consists of 8 daily procedures. MIL-therapy course may be repeated in 2 weeks, but procedures are performed every other day.
Fig. 8. MIL-therapy in tendovaginitis, myositis