MIL-therapy / Method of treatment / 7.5. Disorders of the nervous system. Osteochondrosis. Psychoneurology.
7.5. Disorders of the nervous system. Osteochondrosis. Psychoneurology.
Neuralgias, neuritis, radiculitis, polyneuritis
Indications for MIL-therapy are determined by its analgesic, anti-inflammatory, anti-edematous effects. During MIL-therapy the areas corresponding to topographo-anatomic projections of the nervous trunk and innervation zones, as well as points at the exit of corresponding nervous routs are irradiated paravertebrally.
The terminal is put to the nerve bundle exit (Fig.12) (impulse frequency 1500 Hz, LED radiation power 40 mWt, exposure 0,5-1 min). After that the terminal is slowly moved along the injured nerve trunk (along lines 1,2 or 3) during 1-2 minutes (impulse frequency 10 Hz) slightly touching the skin surface. If there is edema along the diseased nerve trunks, it is recommended to set frequency to 5 Hz at the beginning of the treatment (2-3 procedures) and then to change it to 80 Hz. Next zone of irradiation is the projection of the upper neck sympathetic node (zone 4) on the affected side (under the lower jaw angle) with the exposure 1 min , impulse frequency 150 Hz.
As a rule, a marked analgesic effect is observed after 1-2 procedures. The course of treatment consists of 8-10 daily procedures. In case of necessity the treatment is repeated in 2 weeks (7-8 procedures every other day). To correct the scheme and MIL-therapy doses (see Article 8) it is advisable to control of the dynamics of biophotometric parameters in the diseased zone.
The projection of the upper neck sympathetic node
Fig. 12. Zones for MIL-irradiation in treating neuritis of the facial and trigeminal nerves, neuralgias
Complex treatment (a combination of drugs, balneology, point massage with MIL-therapy) is most effective in case of accompanying disorders. MIL-therapy is combined with the massage starting from the 5-6th procedure for treating radiculitis and radiculoneuritis, reflex syndromes of neck osteochondrosis, headaches of myofacial genesis.
Fig. 13. Zones for MIL-irradiation in treating borderline nerve-psychic disordersBorderline nerve-psychic disorders
Modern medicine considers that nowadays, borderline nerve-psychic disorders are most frequently met which are represented by the following pathologies: pre-nosologic disorders (neurotic reactions) without a complete complex of syndromes; neurosis-like and psychopathic-like conditions caused by somatic diseases ( in different internal diseases); borderline nerve-psychic disorders including neurosis and psychopathies. Among different forms of borderline nerve-psychic disorders the most sensitive to MIL-therapy are neurosis-like disorders accompanying somatic disorders and caused by vegetative-vascular changes, metabolic impairments and impairments of homeostasis itself.
MIL-therapy prescribed at the pre-clinic stage of syndrome complex formation in nerve-psychic disorders, for example, in neurotic reactions (pre-clinical stage, pathophysiologic phase, hormone-metabolic stage, etc.) may help to bring down the dosage of the administered psychotropic and other drugs even to their total cancellation.
MIL-therapy procedure. Treatment is performed out-patiently (Fig. 13). LILR is done to the carotids area (zone 2) with frequency 5 Hz and LED radiation power 50 mWt, exposure 4 min to each side once in 2-3 days (5-7 procedures for the course). Every day MIL-procedures (10 procedures) are done on the thymus projection (frequency 80 Hz, exposure 0,5 min), on the 7th neck vertebrae (zone 5; impulse frequency 80 Hz, exposure 8 sec), on the temporary areas (zone 3; frequency 80 Hz, exposure 8 sec), on the left auricle (zone 4; frequency 150 Hz, exposure 20 sec) and on the projection of the liver ( frequency 80 Hz, exposure 2 min.). All the course lasts for about 3 weeks.
Repeated courses of MIL-therapy under the same scheme (5-10 procedures every other day) are done in 4-5 months during the remission and in case when the patient has some psychotraumatic and stress factors.
MIL-therapy for patients with some clinical symptoms of nerve-psychic disorders is performed out-patiently by the scheme described above. The course consists of 8-12 procedures daily or every other day, LILR duration is 10 min (5 min on each zone 2). In addition every other day MIL-irradiation is done on the area of Achilles tendon attachment to the heel bone from the outside (zone 1) on both feet with exposure 0,5-1 min on each foot, impulse frequency 150 Hz and LED radiation power 60 mWt. While administering MIL-therapy a physician may change a dose of the prescribed psychotropic drugs up to their cancellation. Repeated course of MIL-therapy is performed in 1,5-2 months. After that MIL-therapy is performed once in 9-12 months despite of the presence or absence of clinical signs.
As a rule, after 2-4 LT combined sessions one can observe a marked reduction of symptoms of the above mentioned disorders; at the end of the course the symptoms are sharply decreased; further the vegetative lability may disappear completely; general psychophysical state, capability to work and psychosocial adaptability improve. Hypochondrical signs, phobias usually decrease in 1-2 weeks after LT course is over; and, they disappear completely after psychotherapy and psychocorrection.