METHOD OF SHOCK WAVE THERAPY OF THE CERVICAL SPINE Russian patent published in 2023 - IPC A61H23/00 

FIELD: medicine; physiotherapy; manual therapy.

SUBSTANCE: invention is intended for the treatment of pain syndromes in the cervical spine (CS). The method includes performing procedures of shock wave therapy (SWT) using a spinal Y-shaped nozzle: the number of strokes of SWT apparatus for processing the entire zone of the SHOP is set to 5,000 and the frequency of strokes is 10 Hz with the initial pressure of the shock wave exposure at the level of 1.5 bar. Painful zones of the paravertebral muscles in the area of the SHOP are revealed by palpation, then UV exposure is carried out starting from the most painful zone, the ends of the Y-shaped nozzle are set to the most painful zone on the one hand and the zone symmetrical to it on the other side, an initial pressure level of 1.5 bar is used until a feeling of pain dulling appears. Then a less painful area and the area symmetrical to it are affected until a feeling of pain dulling appears. Afterwards, all the identified painful zones of the paravertebral muscles are affected. Then the pressure is increased to 2.0 bar and the SW exposure is repeated towards the same painful zones, followed by an increase in the pressure level to 2.25 bar, moving from zone to zone when the patient feels a dulling of pain. Then the remaining number of strokes up to 5,000 is performed, driving the spinal Y-shaped nozzle from the occiput to the 7th cervical vertebra, without breaking away from the paravertebral muscles, with a constant pressure of 2.5 bar. The number of procedures per course is 6 with intervals of 1 day.

EFFECT: method provides a reduction in the duration of the course of treatment and the achievement of earlier terms for the elimination of pain; reduction of the recovery period of incapacity for work in all categories of patients due to the easier-to-perform SWT technique with the number of 5,000 strokes and the use of a new spinal Y-shaped nozzle, which simultaneously affects the symmetrical zones of the paravertebral muscles in the CS area, providing the training of muscles on both sides with the same number of strokes and without causing muscle imbalance and asymmetric effects.

1 cl, 2 ex