MIL-therapy / Method of treatment / 7.6. Atherosclerotic injuries of arteries in the lower extremities.
7.6. Atherosclerotic injuries of arteries in the lower extremities.
Indications for MIL-therapy are the following: compensated or sub-compensated state of peripheral circulation in patients with atherosclerotic occlusions in the terminal part of the abdominal aorta and in the magistral arteries of lower extremities ( lesions in the aorta-iliac and femoral-genual segments), obliterative endartheriitis ( including the one complicated by trophic ulcers).
Irradiation is done contactly with a light compression to soft tissues (Fig. 14) on the projection of lumbar sympathetic ganglions paravertebrally at the level ThX-ThXII-LIV (zones 1, 2, 3) and on the projection of vascular-nervous bundles on the ankles and feet (zones 4, 5) as well as on the area of affected segment of the diseased vessel ( usually zones 6,7 or 8). Impulse frequency is 50 Hz, LED radiation power is 40 mWt at first three procedures, then 80 Hz at the next three procedures and 50 Hz for procedures 7 and 8; exposure to one zone is 2 min.
Fig. 14. Zones for MIL-irradiation in treating atherosclerotic injuries of lower extremities
The optimal course of treatment consists of 7-8 daily procedures. In two weeks the next course of 8 MIL-therapy sessions is performed every other day (impulse frequency 80 Hz at the first three procedures, after that the frequency is changed at every procedure in the following order: 150, 600, 1500, 5000, 1500 Hz). After three-month break the course is repeated. The next course is done after longer interval in 6 months. The treatment is performed under the same scheme.
Reovasographic data show that under MIL-therapy there takes place the activation of the depressed arterial blood in-flow, improvement of venous out-flow, positive changes of the vascular tone ( MIL-irradiation with frequency 150 and 1500 Hz is mostly effective for venous out-flow and vascular tone). Thermographic data show that in the majority of patients there is a significant reduction of longitudinal temperature gradient (by 23-26% in comparison to the initial values), elevation of muscular blood circulation in diseased extremities (by 25-28% on the average).
If the above recommended LT scheme does not bring satisfactory results, it may be replaced by other MIL-therapy scheme applicable for this pathology. Extracorporal MIL-irradiation of blood is performed every other day (from 8 up to 12 procedures) in combination with medicamentous therapy (Miskleron, Nicotine acid, Complamin, preparations of unsaturated fatty acids). LED radiation power is 70 mWt, laser impulse frequency is 50 Hz, exposure is 4 min, blood volume is 250 ml. A marked clinical effect proven by instrumental and laboratory investigations has been achieved in 70% of patients.
After the treatment patients have less pronounced feeling of cold and chill in the diseased extremities, they also feel less pain during walk. Trophic changes in the skin promote better healing. Temperature elevation and improved blood circulation are also observed in the diseased extremities. Lipoproteinemia decreases.