The report of the doctors of the Awatage clinic on the treatment of cervical migraine with shock wave therapy
The report of the doctors of the Awatage clinic on the treatment of headache with shock wave therapy
On April 19, 2016, within the framework of the VIII International Medical Forum "Innovations in Medicine - Health of the Nation", a seminar "ShockWave Kiev" was held on the use of shock wave therapy in the field of traumatology, neurology, dentistry and dermatology.
One of the reports of the doctors of the Awatage medical center was devoted to the treatment of cervical migraine with radial shock wave therapy (RSWT) - "Treatment of certain types of headaches using the RSWT method." The speaker was the candidate of medical sciences, associate professor of the Department of Nervous Diseases of the Zaporozhye State Medical University, a neuropathologist of the highest category Sikorskaya Marina Vladimirovna.
In the report Sikorskaya M.V. shared her successful experience in the treatment of VERTEBROGENIC CERVICOCRANIALGIA by the method of radial shock wave therapy on the Belgian equipment of the Gymna company. This disease is characterized by pain in the neck, back of the head, with spread to half of the head. Neurological status: limitation of movements in the CS because of pain, palpation of spinous processes and paravertebral points is painful. In 68% of cases, it is accompanied by impaired venous outflow (according to USDG data) with appropriate symptomatology.
The average number of sessions of shock wave therapy is 5-6 with an interval of once a week. New RSWT applicators - SPINE-Actor (spine-ector), V-Actor (vi-ector) and others were included in the treatment protocol. Thanks to the therapeutic effect of acoustic waves on muscles in the neck and upper spine, patients felt improvements already in the first sessions of shock wave therapy.
Treatment results were assessed by:
- regression of pain syndrome (VAS scale)
- regression of increased muscle tone
- increased range of motion in the SHOP
- USDG data
As a result of the conducted shock wave therapy:
- regression of pain syndrome from 5.6 + 0.6 to 1.0 + 0.5 (according to VAS) was recorded in 80% of patients;
- soreness during palpation of the pericranial muscles of the muscles of the neck and shoulder girdle significantly decreased;
- there was a distinct regression of vegetative syndromes in 91% of patients (sleep improved, the level of daytime wakefulness, concentration of attention, work capacity increased).
The blood flow velocity in the vertebral arteries (on the pain side) increased significantly after treatment with shock wave therapy.
Of particular note is the fact that the achieved results persisted in patients from 6 months to 2 years. The duration of the achieved positive effect directly depended on the patient's compliance with the doctor's recommendations.
Sikorskaya M.V. touched upon the causes of the disease and also shared the experience of treating tension headaches (HDN) by the doctors of the Awatage clinic by the method of shock wave therapy.
Causes of tension headaches:
- Reaction to stressful situations.
- Prolonged tension of the neck, nape, shoulder girdle, upper back, which occurs when in non-physiological positions.
Classification of tension headaches:
Symptoms and Signs:
- Duration not less than 30 minutes.
- Character - squeezing, crushing.
- Daily stress does not make the pain worse.
- Bilateral, or in some part of the head.
- Sometimes it is accompanied by nausea, decreased appetite.
- On examination, as a rule, pericranial muscle tension.
The treatment was carried out on the equipment of radial shock wave therapy of the Belgian company Gymna. The average number of sessions is 4-7 with an interval of once a week. The treatment used the same applicators and unique Belgian technologies (see above).
The results of treatment are shown in the form of a comparative table BEFORE and AFTER treatment.
- There is a dependence of the severity of muscle dysfunction on the type of headache.
- Relief of muscle tension, muscle tone, elimination of the painful muscle component with the use of RSWT is effective in tension headaches, especially episodic ones.
- For chronic tension headache, repeated courses of radial shock wave therapy are recommended after 6 months.
- Between courses of RSWT, it is advisable to undergo exercise therapy, psychotherapy, and occasional use of muscle relaxants and sedatives is possible.
Vertebral artery syndrome
Neuropathologist of the highest category, Ph.D. Sikorskaya M.V. In her report she paid special attention to the treatment of vertebral artery syndrome (SPA) by the method of radial shock wave therapy based on the experience of the Awatage medical center.
Vertebral artery syndrome is a collective concept and combines a complex of cerebral, vascular, autonomic syndromes arising from damage to the sympathetic plexus of the vertebral arteries, deformation of its wall or changes in the lumen.
Causes of the disease:
- Vertebral, associated with disorders of the spinal column, which leads to changes in blood due to compression of the arteries; displacement of the vertebrae or intervertebral discs.
- Nonvertebrogenic, incl. anomalies in the development of arteries.
Shockwave therapy aims to:
- Increased blood circulation; elimination or minimization of the causes that cause irritation and vasospasm.
- Elimination of pain and muscle hypertonia in the SHOP. Improving local microcirculation of blood in the muscles, which leads to a decrease in pain and spastic contractions.
- The course of treatment of vertebral artery syndrome included group II: group I - conventional therapy + RSWT (18 patients). Group II - generally accepted methods of therapy (31 patients).
Radial shock wave therapy was performed once a week for a total of 5 procedures. During the treatment we used applicators for RSWT of the Belgian company Gymna. The results of treatment were evaluated immediately after the course of therapy and after 6 months.
- The regression of neurological symptomology in the group with RSWT is faster and more persistent than in the group with traditional methods of therapy.
- In the group of patients with and using radial shock wave therapy, no deterioration was noted during the observation period.
- Shock wave therapy is recommended for inclusion in the classical therapy of patients with vertebral artery syndrome.