Combined Method of Treatment of Dentists in the Early Stages of Osteochondrosis of the Cervical Spine

摘要

to develop an effective combined algorithm for the treatment of cervicalosteochondrosis in the early stages in dentists and other patients with a similar occupationaldisease (seamstresses, hairdressers, etc.). Materials and methods: The study was performed on 28patients, 9 - male and 19 - female, aged 23 to 44 years. The patients were divided into 2 groups.The first group - those who passed the 1st stage of treatment and the 2nd group - those whopassed the first and second stages. Pain syndrome and changes in its dynamics at the stages oftreatment were determined using a visual analogue scale VAS - Visual Analogue Scale (VAS). Therange of motion in the cervical spine was determined using a 5-point scale. During the II stage oftreatment, to assess the effectiveness of treatment at the time of manual therapy (before and afterthe session), an ultrasound study was performed with the registration of qualitative and quantitativeindicators of changes in blood flow in the vertebral arteries (PA). Results: after the first stage,positive dynamics was observed in all patients. All patients noted a decrease, and in 10.7%,complete disappearance of pain syndrome. The volume of movements returned to 7.1%.Restrictions of movements regressed to a greater extent after the second stage of treatment thanafter the first one. After stage II of treatment, patients showed a general decrease in the intensity ofpain syndrome in all patients. Complete disappearance of pain syndrome in 92.9% of cases. Nonpermanent pain syndrome was recorded only by 7.1% of patients. An increase in the normal rangeof motion up to 92.9% was noted. Satisfaction with the treatment carried out was assessed assatisfactory in only two cases, in all the remaining 26 as good. Before and after manual therapy,changes in the blood flow velocity in the VA were recorded using ultrasound diagnostics.Conclusion: Our proposed effective combined algorithm for the treatment of cervicalosteochondrosis in the early stages in dentists and other patients with a similar occupationaldisease (seamstresses, hairdressers, etc.) can be used in clinical practice along with othermethods.