The above practical experience proves the feasibility of the undeniable effectiveness of a comprehensive approach in the treatment of various options of stage 11 diabetic polyneuropathy;
- a significant role in the complex treatment of diabetic polyneuropathy is given to the methods of reflexology: acupuncture, laser therapy, laser therapy, electrotherapy of microwaves of the millimeter range, point and vacuum massage of reflexogenic zones;
-methods of reflexology, in particular laser therapy on laser-puncture, make it possible to influence directly the problem organ (pancreas zone) and distal -through TA on the place of development of polyropathy;
-application of reflexotherapy has a positive effect on the endocrine-immune defenses of the organism, improves the processes of tissue regeneration and tissue respiration;
- reflexology methods offset the emotional state of patients and significantly shorten the duration of treatment and are a prevention of the development of diabetic foot.
PNPs are inherited and acquired
The causes of the development of acquired PNP are most often infectious-allergic agents, disorders of the immune system (autoimmune PNP), metabolic disorders (dysmetabolic PNP in atherosclerosis, gout…), diabetes (diabetic PNP). …), Under the influence of harmful factors (toxic PNP), on the background of cancer (paraneoplastic PNP).
The essence of the disease is multiple lesions of the nerve endings, often the upper and lower extremities, which result in the development of movement and sensory disorders, a violation of gait. Much less common are cranial neuropathies — for example, facial nerve diplegia in Lyme borreliosis.
PNP is divided into:
- sensory when sensitive disorders predominate;
- motor when motor disorders predominate;
Chronic inflammatory demyelinating PNP, which is the basis of the development of which primarily affects and destroys the myelin nerve sheath (PPE Guillain-Barre), is isolated.
Patients with PNP complain of pain , numbness, heartburn, crawling of ants in tassels, feet, such patients will freeze to extremities even in the warm season; there is muscular weakness: stumbling when walking even on a flat surface, reducing the distance previously passed, limp, swinging when standing and walking because of the most common complaint for this disease "do not keep your feet".
Trophic disorders are frequent manifestations: dryness of the skin and flaking on the tassels and feet, brittle nails, hair loss in the area of innervation of the affected nerves, cracks that do not heal well.
The disease progresses progressively. Therefore, patients require detailed examination, routine treatment, regular preventive measures.
Continuous self-improvement, training, exchange of information makes it possible to actively implement European and world recommendations for the treatment of patients with polyneuropathy and neurological pain
We carry out comprehensive examinations and comprehensive treatment, where patients attend physiotherapy and reflexology sessions in addition to medical prescriptions.
Electrotherapy and electropuncture
Due to the parameters of a certain frequency, electrotherapy and electropuncture irritate the acupuncture point (TA) or reflexogenic zone (RZ), which affects the horns of the spinal cord, the first structure of the nervous system where afferent nociceptive (painful) impulsation is suppressed. systems of pain suppression by presynaptic and postsynaptic action of GABA, serotonin, substance R. The actual secretion of all these substances is stimulated by electrotherapy and electropuncture.
Corporal and auricular acupuncture : activation of points with influence on regulation of carbohydrate metabolism, improvement of tissue respiration, with vasoconstrictor effect. A combination of metamorphic points with innervative connections with the pancreas was used: 2-3 points 2 lateral lines of the chest and back and 2-3 distal points. Auricular points were added : pancreatic AP, AP 22 / endocrine glands, AP55 / antistressor /, AP 82
The use of laser therapy and laser puncture is considered justified because of the known and proven effect on carbohydrate metabolism: stimulation of glucose utilization by tissues, absorption of oxygen by tissues and improvement of regenerative processes. In the case of laser puncture, infrared laser radiation is used. Pharmacopuncture with antigomotoxic drugs is actively used
With good effect, a spot foot massage is used to improve local circulation
Active training in medical gymnastics. Duration and scheme of treatment are individual - according to the appointment of a neurologist, a reflex therapist, taking into account the severity of the disease, the prevalence of certain symptoms in each individual patient. In the course of treatment, it is possible to correct procedures, parameters of frequency, modulation, exposure, as well as the order of leave of procedures, if required by the patient's condition.
An individual and comprehensive approach to the treatment of PNP allows you to maintain the volume of active movements, stop the development of sensitive and trophic disorders, serves to prevent complications - diabetic foot or atherosclerotic obliteration, which need surgical treatment.
Timely treatment, thoughtful diagnostic and therapeutic tactics are the key to a positive result in treatment.