Shock-wave therapy. Comparison of methods of treatment of a calcaneal spur and osteochondrosis.
Comparison of methods of treatment of a calcaneal spur and osteochondrosis.
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?
|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|
|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|
Read, think, analyze, make a right choice … And be healthy..