SCENAR therapy of hematogenous osteomyelitis ( case report )

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SCENAR therapy of hematogenous osteomyelitis (case report) Semikatov Y. V., Ekatirinburg, Russia

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SCENAR therapy of hematogenous osteomyelitis ( case report ). Semikatov Y. V., Ekatirinburg, Russia. Osteomyelitis – inflammatory infectious process of the bone tissue. Cause of the disease is the necrosis of bone parts different in thickness with following - PowerPoint PPT Presentation

Transcript of SCENAR therapy of hematogenous osteomyelitis ( case report )

SCENAR therapy of hematogenous osteomyelitis

(case report)

Semikatov Y. V.,

Ekatirinburg, Russia

Osteomyelitis – inflammatory infectious

process of the bone tissue.

Cause of the disease is the necrosis of bone

parts different in thickness with following

ostempayesis, fenestration and slow

desequestration.

Symptoms of acute phase:

high temperature, pain, inflammation

(local hyperthermia, hyperemia),

leukocytosis in some cases – blood

poisoning.

Patient Maxim А.Age 1 year 2 months He was watched since his birth (Dec.30, 1995) and was periodically treatedwith classic method Ds: Perinatal affect of the central nervous system, myotonicsyndrome. Allergic dermatitis.Dysbacteriosis.

History of illness (anamnes morbi):

March 08, 1997 – acute beginning of the disease: in the evening the hung and stopped move (in the day the boy was lifted by both hands). During the night the temperature raise to 39C, edema occurred and acute pain in the area of the right shoulder joint. Admitted to the surgical department of multi-field children’s hospital №9 in the town of Ekatirinburg where the diagnosiswas made: acute hematogenous osteomyelitis of of the right proximal capitelum. Disbacteriosis.

On March 13,1997 the first surgical intervention was made: Periostotomy. Osteoperforation of the bone of the right upper arm.Analysis: wound culture– salmonella enterifidisblood hemoculture – negative growth Blood for sterility – sterileUrine culture – negative growth Bacterial analysis – negative growth In postoperative period temperature remained 38C for two days.

On March 11, 1997 second operation was made

for cleaning of the damaged tissues of the bone of

the right upper arm.

On April 04,1997 patient is discharged with recommendations:

• Long fixation of the arm with plaster dressing• Protection from hits and falls on the sick arm• Return to the hospital for surgical intervention in

exacerbation

• On April 03, 1997 in the evening the temperature again raise to 39C, acute pain, edema and local hyperemia in the right right shoulder joint. Parents denied second surgical intervention and addressed a SCENAR therapist.

SCENAR therapy course started on April 4, 1997.Course duration 17 days, total number of sessions

20.From April 4 to April 6 – two sessions a day after that

one session a day.During the course of treatment we worked on the

following zones• Right shoulder joint projection• Symmetric shoulder joint• Collar zone• Belly projection + liver projection (additionally)• “three paths, 6 points”• Zones of immunity increase (projection of breast

bone,spleen, points “he-gu” and “ju-san-li”)

During the course Subjectively-dozed (mainly) and individually-dozed regimes were alternated and combined.During the treatment course the manifestation inflammatory process considerably decreased, pain intensity and expression of periarticular tissues edema were lower. During the course of treatment and after it the arm had no fixation.

In May 1997 the child was registered invalid.

After May 20, 1997 (a month after the end of

the treatment course) the patient started

restrictedly handle a spoon and toys with the

sick hand.

Periarticular tissues edema passed without

therapy for 2 months.

July 1997 – 3 months after the start of the SCENAR therapy: movements in the sick arm practically painless in complete volume (traditional therapy was not applied).

Second course of SCENAR therapy in the recovery and follow-up period was notapplied.

In October 1997 - functional restoration of

the affected limb. The child started to hang

on the arms and to make complete support

on the elbow joints.

By October 1998 – complete functional,

structural and partial anatomic restoration of

the bone of the right arm.

April 1999 – complete anatomic, structural

and functional restoration of the right bone

of the arm (compared to the left shoulder

joint).

During the whole period of the disease

ACUTE HEMATOGENOUS OSTEOMYELITIS clinical

and X-ray control were conducted in

the classic scheme for 2 years.

Clinical outcome - full recovery.

Picture 1 - (March 23, 1997) Start of the destructive process of the bone of right arm.

Picture 2 (July, 1997)

Complete lysis of the capitellum

Picture 3

(November 11, 1997)

Initial signs fragment formation

of growth zone of the proximal part of

the bone of the right arm

Picture 4

(October 12, 1998)

Bone nucleus in the growth zone in the proximal section of

the bone of the right arm.

Picture 5

(April 24, 1999)

Bone nucleus grew and firmed

(compared to October 12, 1998)

but the formation is not complete.

Picture 6 and 7

Complete functional, structural and partial anatomic restoration of the bone of the right arm.

Follow-up:

• Since September 1997 the child was watched and treated with diagnosis: infantile eczema. Since October 1998 no occurrence of the eczema is registered.

• Since June 1998 total alopecia started. From June 16 to July 4, 2003 he passed hospital treatment with diagnosis: neuroectodermal dysplasia, total alopecia. Biliary dyskinesia (different treatments of alopecia – without dynamics).

• Since September 3, 1999 officially dismissed from the invalid registration, actively attends the kindergarten, no physical restriction.

• In the period 1997 – 2004 the patient was often sick and received classic treatment.

• Currently the child is a student in the 3 grade and does not fall behind in physical and mental development from his peers.

Conclusions:

Treatment of the osteomyelitis with SCENAR therapy allows to jugulate effectively the acute clinical presentation in short term.

Bio-information influence of the SCENAR therapy allows to reach complete functional, anatomic and structural restoration without surgical intervention. With children the aftereffect exclude the need of the second course of SCENAR therapy and classictherapy.