SCENAR therapy of hematogenous osteomyelitis (case report) - PowerPoint PPT Presentation

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SCENAR therapy of hematogenous osteomyelitis (case report)

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process of the bone tissue. Cause of the disease is the necrosis of bone ... of immunity increase (projection of breast bone,spleen, points 'he-gu' and 'ju-san-li' ... – PowerPoint PPT presentation

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Title: SCENAR therapy of hematogenous osteomyelitis (case report)


1
SCENAR therapy of hematogenous osteomyelitis(case
report)
  • Semikatov Y. V.,
  • Ekatirinburg, Russia

2
  • 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.

3
  • Symptoms of acute phase
  • high temperature, pain, inflammation
  • (local hyperthermia, hyperemia),
  • leukocytosis in some cases blood
  • poisoning.

4
  • Patient Maxim ?.
  • Age 1 year 2 months
  • He was watched since his birth
  • (Dec.30, 1995) and was periodically treated
  • with classic method Ds Perinatal affect of
  • the central nervous system, myotonic
  • syndrome. Allergic dermatitis.
  • Dysbacteriosis.

5
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 39?C,
    edema occurred and acute pain in the area of the
    right shoulder joint. Admitted to the surgical
    department of multi-field childrens hospital ?9
    in the town of Ekatirinburg where the
    diagnosiswas made acute hematogenous
    osteomyelitis of of the right proximal capitelum.
    Disbacteriosis.

6
  • On March 13,1997 the first surgical intervention
  • was made Periostotomy. Osteoperforation of the
  • bone of the right upper arm.
  • Analysis
  • wound culture salmonella enterifidis
  • blood hemoculture negative growth
  • Blood for sterility sterile
  • Urine culture negative growth
  • Bacterial analysis negative growth
  • In postoperative period temperature remained
  • 38?C for two days.

7
  • 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

8
  • On April 03, 1997 in the evening the temperature
    again raise to 39?C, acute pain, edema and local
    hyperemia in the right right shoulder joint.
    Parents denied second surgical intervention and
    addressed a SCENAR therapist.

9
  • 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)

10
  • 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.

11
  • 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.

12
  • 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 not
  • applied.

13
  • 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.

14
  • 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.

15
  • Picture 1 - (March 23, 1997)
  • Start of the destructive process of the bone of
    right arm.

16
  • Picture 2 (July, 1997)
  • Complete lysis of the capitellum

17
  • Picture 3
  • (November 11, 1997)
  • Initial signs fragment formation of growth zone
    of the proximal part of the bone of the right arm

18
  • Picture 4
  • (October 12, 1998)
  • Bone nucleus in the growth zone in the proximal
    section of the bone of the right arm.

19
  • Picture 5
  • (April 24, 1999)
  • Bone nucleus grew and firmed (compared to October
    12, 1998) but the formation is not complete.

20
  • Picture 6 and 7
  • Complete functional, structural and partial
    anatomic restoration of the bone of the right arm.

21
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).

22
  • 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.

23
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24
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 classic
  • therapy.
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