Shock-wave therapy. Comparison of methods of treatment of a calcaneal spur and osteochondrosis.

Shock-wave therapy. Comparison of methods of treatment of a calcaneal spur and osteochondrosis.

ударно-волновая терапия киев

Shock-wave therapy.

Comparison of methods of treatment of a calcaneal spur and osteochondrosis.

Diseases of the musculoskeletal device and peripheral nervous system are very widespread problem today. Contrary to ordinary opinion that these diseases are  ”age”, a young face and working-age often have them. This pathology strongly worsens quality of the patient`s life. After all one of the most important functions of an organism – the movement is broken. Developing of these diseases is promoted by such factors as sedentary work (in particular, work at the computer), bad fitness, existence of injuries and overloads of the bone and muscular device, a psychoemotional stress.

Fortunately, it will be possible to avoid these problems, if you will lead a healthy way of life. Going in for sports and curative gymnastics, correct feed, proper selection of shoe, observance of the mode of labour and rest will allow to save health and mobility for long years. However that beautifully sounds in a theory, not always feasibly in practice.

The chronic lack of time, congestion working and household chores often doesn’t leave opportunity to be engaged in any prevention. The bowl of scales “health- illness” favors the last and before the patient there are quite clear and logical questions:

Where to ask for the help?

What method of treatment to choose?

What to be guided: efficiency, safety, price?

On these questions isn’t present and there can’t be a definite answer. Everyone makes the decision, proceeding from a set of factors. In this review we will place emphasis on one, but very important aspect influencing a treatment method choice – economic. Commercial tendencies in modern medicine can’t but be reflected on doctor`s and patient`s  psychology.

First of all, the modern patient is the doctor`s client and the consumer of medical services. Respectively, he wants to achieve the fastest and highest  efficiency of treatment for the most acceptable payment. After all today’s realities are not correct, because neither the state, nor employers aren’t interested in long-term treatment of sick workers. Therefore patients with installation on active social and private life are interested in the fastest recovery.

In this article we will consider such often widespread diseases as PLANTAR fastsiit (in the people – a calcaneal spur) and the osteochondrosis of a backbone cervical department which is followed by a pain syndrome. Despite seeming “harmlessness” of these diseases, they bring a lot of troubles upon doctors and patients. In turn, and costs of their treatment are also high.

In this article we will consider such often widespread diseases as PLANTAR fastsiit (in the people – a calcaneal spur) and the osteochondrosis of a backbone cervical department which is followed by a pain syndrome. Despite seeming “harmlessness” of these diseases, they bring a lot of troubles upon doctors and patients. In turn, and costs of their treatment are also high.

Estimation of MEDICATED therapy cost included the medicines which are most often appointed by general practitioners and neurologists. The average prices on drugstores of Kiev both on preparations of foreign producers, and on preparations of domestic analogs as of July, 2015 (www.tabletki.ua) were considered.

The prices received from the Internet on the Kiev private clinics chosen in a random way were taken as a estimation basis of cost of non-drug methods of treatment. Features of application of each technique are described taking into account literary data and own supervision. In a case with a calcaneal spur we didn’t include the cost of orthopedic insoles as it pays off individually in each case in the table.

Cervical  osteochondrosis

Medical treatment Nondrug  treatment
Courses of drugs Blockades with using local anesthetic and GKS Shock-wave therapy Acupuncture Massage Manual therapy Physiotherapy methods
course duration 7-14 days for the stationary treatment;1-1,5 monthes for the ambulatory treatment 3-5 days 1-1,5 monthes 10-12 days 10-14 days From several weeks to 2-3 monthes 10-15 days
Periodicity of repetition 2 times a year While exacerbation(2 times per year and more) 1-2 times a year 2 times a year 2 times a year 1-2 courses a year, depends on the individual necessity 2-3 times a year
Phase of the effect 3-4 monthes Individual From average to expressed Average From weak to average Average From weak to expressed
Advance of the effect During the course of treatment After 1-2 blockades After 1-2 sessions After 2-3 sessions After 4-5 sessions After 4-5 sessions After 1-3 sessions
Slight side effects From moderate to expressed: pathology of alimentary canal (risk of gastritis, alimentary bleeding and perforation, ulcerous disease of stomach and duodenum), violation of blooding and increasing of arterial pressure, toxic effect for liver and reins, allergic reactions  and other. After some time the effect of the treatment may bring down. Temperate:toxic and allergic reactions, prick of the body cavity and spinal cord shells, damaging of vesssels and nerves with an needle, inflammatory local reactions, oscillation of arterial pressure, tachycardia Practically absent Seldom: infectious and inflammatory changes of skin in the field of introduction of a needle, a change or a curvature of a needle with damaging of adjacent fabrics, it is very rare: vegetative reactions (dizziness, perspiration, nausea, fluctuations of a vascular tone and faints) at strong influence Practically absent Infrequently: rupture of sheaves and muscles, blocking or shift of vertebras, development of a hyper backbone mobility of, infringement of a hernia nuclei pulposi, fractures of edges, shoots of vertebras, ischemic stroke. The probability of development of side effects very strongly depends on qualification of the manual therapist. Practically absent
Risk for the patient Average Average Minimum Minimum Minimum Average Minimum
Expenditure of time Temporary disability in the case of stationary treatment If the treatment is ambulatory, the patient is employable, one blockade takes nearly ten minutes 10-15 minutes for a session per week, the patient leads the usual way of life From 30 minutes till several hours, depending of the method 20-30 minutes for a session. A patient has it every day or every other day 15-20 minutes with a break for 48 hours between sessions 10-15 minutes for a session for the majority of the methods
Full cost of the course(approximate prices) 700-3000 uah +additional 1500 uah for hondroprotector and symptomatic therapy Price for 5 blockades: 250-500 uah and 100-1000 uah and more for drugs 1000-2800 uah 1000-2800 uah 1200-2500 uah 1500-4000 uah 500-2000 uah
Cost of the course(average) 1850 uah(without hondroprotector cost) 1000 uah 1900 uah 1900 uah 1850 uah 2750 uah 1250 uah
Annual cost of the treatment 3700 uah(without hondroprotector cost) 2000(treatment of escalation two times a year) 2800 uah 3800 uah 3700 uah 4100 uah 2500 uah

Сalcar caicaneum

Medical treatment Nondrug  treatment
Courses of drugs Blockades with local anesthetic, lidasa and GKS Shock-wave therapy Physiotherapy methods Massage
Duration of the course 7-14 days ( for the injections), several weeks ( for the pills and gels) From 3 weeks to 1,5 monthes 1-2 monthes 10 days 10-14 days
Periodicity of repetition 2 times for a year and more 2 times for a year and more 1-2 times for a year 1-2 times for a year 2 times for a year
Expressing of the effect Low Normal Expressed Normal From weak to normal
Duration of the effect Momentary, less than several weeks Individual, high frequency of relapse From 6 monthes 3-4 monthes 2-3 monthes
Attack of the effect Individual, quite often after 5-7 injections of NPWS After 2-4 injections After 1-2 sessions Individual, after 3-4 sessions After 4-5 sessions
Side effects From moderated to the expressed: digestive tract pathology (risk of gastritis, gastrointestinal bleedings and perforation, stomach ulcer of a stomach and a 12-perstny gut), blood formation violations, increasing of arterial pressure, toxic effect for a liver and kidneys The expressed: destruction of a calcaneal bone and soft foot fabrics  , GKS have a harmful effect on a mucous membrane of a digestive tract Absent Practically absent Practically absent
Risk for the patient Moderate Moderate Minimal Minimal Minimal
Expenditure of time If the treatment is ambulatory, the patient is employable (14 days) 3-5 injections with the break for one time a week 10-15 minutes for 1 session per week 10-15 minutes for 1 sessionfor most of methods 10-30 minutes for 1 session every day or every other day
Full price of the course (approximate prices) 700-3000 uah +nearly 1000 uah for the symptomatic therapy Price for 5 blockades:250-500 uah :100-1000 uah and more for the drugs 1000-2500 uah 500-2000 uah 500-1500 uah
Price of the course (average) 1850 uah 1500 uah 1750 uah 1250 uah 1000 uah
Annual cost of the treatment 3700 uah 3000 uah (treatment of escalation two times a year) 2625 uah 2500 uah 2000 uah

In summary it should be noted that this review doesn’t apply for comprehensive illumination of the medical services features market at all. The data, which was provided in tables are indicative. We sincerely hope that having weighed cost factors, and also safety, reliability and efficiency of each technique, both patients, and doctors will be able to make a right choice.

Article is intended also for those patients, who have troubles in orientation in various medical approaches of a calcaneal spur and cervical osteochondrosis treatment. It is necessary to remember that the main factors at the head of any method of treatment – efficiency and safety (lack of side effects).

Taking into account transition of medicine to market living conditions economic validity of the patient `s expenses also matters. The «Awatage» clinic will carry out further analysis of treatment methods of other diseases not as advertising, and with the educational purpose of those who needs it. The main argument as the proof of our objective approach in supply of material is that fact that specialists of the SWT medical center «Awatage» always refer to authoritative scientific researches of both domestic, and foreign doctors – at the end of each article the big list of the used literature is provided.

 

Read, think, analyze, make a right choice … And be healthy..

 
Author: Kutz KV Clinic neurologist Avatage

 

ударно-волновая терапия