/> Today, several types of therapy are used to treat spinal diseases, ranging from traction to surgery. Among them, there is a less radical method, which in some cases does work wonders.
This method - electrophoresis, used in medical practice since the first half of the XIX century, and is one of the most effective methods of physiotherapy.
Electrophoresis - what is it?
The process of electrophoresis or, as it is also called, iontophoresis is the directional movement of dispersed particles under the influence of an electric field. In other words, ions of a liquid, gas or solid materials, being involved in a controlled electrokinetic process, are directed from one location to another. In a similar way, for example, metal is painted or sprayed on in engineering.
In medicine, electrophoresis is used for the rapid delivery of liquid medical preparations to the tissues of the body., in need of treatment or rehabilitation, non-invasive method, when the integrity of the skin is not compromised by the impact of any surgical instruments or conventional needles for injection.
At the same time, the active substances of the medicinal product are not subject to destruction by the digestive enzymes. In addition, the effect of a small electric current on the tissues of the human body enhances the intensity of microcirculation of the blood and lymph, which also has a positive effect.
Methods of conducting drug electrophoresis
The mechanism of electrophoresis is simple and familiar to everyone from school physics lessons: under the action of an electromagnetic field, charged particles move in the direction from the anode to the cathode, passing through any materials capable of conducting current.
Thus, in the impact zone, high concentrations of the drug are achieved, which is preserved and produces its therapeutic effect for a long time.
The electrophoresis procedure itself is simple: on one of the electrodes of the apparatus, which produces a current of the required magnitude, a pad is impregnated with a medicinal substance, and on the other electrode is a pad moistened in saline solution. The electrodes are applied in a certain order on the patient's body near the diseased organ and fixed.
After turning on the apparatus, the magnitude of the current of impact is gradually increased until the patient feels a slight tingling or tingling in the area where the electrodes are located.
Recommended parameters for the electrophoresis procedure:
- session duration - 10-20 minutes
- The course of treatment is 10-20 procedures.
The advantages of electrophoresis over other methods of drug administration:
- a large concentration of the drug with a smaller volume,
- the medicine quickly goes to the diseased organ, without engaging the liver and the digestive system,
- the drug is not removed from the tissues for a long time,
- more effective action of the drug due to its ionization,
- the treatment process is absolutely painless,
- has a minimum of contraindications.
Indications for use
Electrophoresis is used as an independent procedure, and as an additional one in the complex of general therapy for the treatment of pathologies of the spine and the entire musculoskeletal system:
- intervertebral hernia and protrusions,
- deforming arthrosis,
- myositis, etc.,
Physiotherapy in osteochondrosis
In our time, osteochondrosis is a fairly common disease. It is expressed in the deformation of the cartilage tissue of intervertebral discs and often leads to hernias. At the same time they are under pressure and inflammation of the nerve roots extending from the spinal cord, and nearby tissues, which causes severe pain. Osteochondrosis can develop anywhere on the spine.
The use of electrophoresis with a solution of novocaine, zufillina, Dimexidum and other drugs relieves pain, contributes to the blood supply to the cartilage tissues and muscles. In combination with electrophoresis, a course of manual therapy and physiotherapy exercises is usually prescribed, which significantly enhances the effect and returns mobility to the spine.
Karipain for electrophoresis in the treatment of intervertebral hernia
Karipain is a specialized multienzyme preparation created specifically for the treatment of spinal diseases using electrophoresis. It has been successfully used for intervertebral hernias for more than 10 years and produces the greatest effect in comparison with other drugs.
The enzymes that are part of caripain (papain, bromelain, collagenosis, proteinase, lysozyme) are exclusively of plant origin, due to which the drug is as safe as possible for the human body. Penetrating into the surrounding tissue of the affected disk, they envelop it, creating a local therapeutic effect on cartilage.
With a properly chosen course of treatment and concentration of the drug, enzymes stimulate increased formation of collagen protein, which restores the elasticity and elasticity of cartilage tissue, as well as enhances its strength.
The hernia itself under the influence of caripain decreases over time and becomes soft, with the result that the clamped nerve is released.
The use of the drug has a high efficiency: more than 80% of patients who have undergone caripain electrophoresis treatment, have positive changes.
Usually for the treatment of intervertebral hernia, one course of treatment is prescribed, consisting of 20-30 procedures. For patients whose hernia size exceeds 0.5 cm, the number of such courses is increased to 3.
Karipain is available as a dry balm, cream, or gel. Balsam is used for electrophoresis, which is dissolved before the procedure with saline or distilled water. As an additional pain reliever, novocaine or dimexide can be used in electrophoresis.
To enhance the effect, caripain is also prescribed separately as a cream or gel.. They are used externally, inflicting on the skin over the affected area of the spine.
Contraindications and complications
However, electrophoresis is highly effective in the treatment of diseases of the spine, it has a number of contraindications. It is not prescribed for:
- cardiac arrhythmias,
- acute infectious diseases
- elevated body temperature
- oncological diseases,
- skin diseases (eczema, dermatitis, etc.).
Caripain, despite the vegetable origin of the components, also has contraindications. It may be:
- idiosyncrasy and allergies to the drug,
- acute forms of diseases of the musculoskeletal system.
In the course of treatment, some patients experienced exacerbations of the underlying disease (after 5-7 sessions), which took place with continued therapy after 3-5 sessions.
When is electrophoresis prescribed?
The procedure for herniated spinal column is prescribed when the patient has the following conditions:
- strong pains that are permanent,
- violation of the sensitivity of the back, upper and lower extremities,
- malfunction of the urogenital system,
- mobility restriction.
Electrotherapy is based on the movement of ions, which, under the influence of current, move along the electrodes, transferring the active substances of the preparations to the problem area. The accumulation of the drug occurs only in the necessary tissues, which eliminates the negative impact of the active components on various organs. This procedure is almost painless, the patient sometimes feels a slight tingling in the place of fixation of the pads with the treatment solution.
This method of drug delivery provides a long therapeutic effect, since the components accumulate in the tissues in large quantities, and then gradually distributed through the lymphatic and circulatory system. This introduction has several advantages:
- Pain relief in any situation. Many drugs can not reach the site of pathological neoplasms due to muscle spasm, blocking access of blood and lymph. This technique is based on carrying out the active components through the skin glands, so the drug quickly reaches the site of inflammation.
- Does not affect other body systems. The medicinal substance does not pass through the body’s natural filters (liver, gastrointestinal tract), therefore it is not destroyed by enzymes and does not create a toxic effect on the organs.
- Additional stimulation. Electrical impulses have a positive effect on the muscular corset and nerve roots, which, combined with the therapeutic effect, significantly improves the patient's condition.
- Quick action Other methods of drug administration imply a long passage through the circulatory system, in this case, the ions accumulate active components in the area of inflammation, so the effect comes immediately.
- Security. Electrophoresis eliminates the manifestation of side effects and allergic reactions associated with various organs. The only contraindication is individual intolerance.
Given this number of positive aspects, this technique can be considered effective and safe for the treatment of intervertebral lumbar hernia. (See also: massage for vertebral hernia of the lumbar spine).
What are the effects of electrophoresis on lumbar hernia?
Electrophoresis is prescribed in general conservative therapy and cannot be used as a separate treatment in the exacerbation of a pathological condition. Specialists can use:
- Caripazim, etc.
Most often, a pathological neoplasm in the lower back is caused by problems with the spine. In this case, the fibrous ring is shifted, which leads to pinching of the root and exacerbation of lumbodynia. Electrophoresis in hernia of the lumbar spine not only helps to eliminate pain, but also improves blood flow in the appointment of ancillary drugs (sulfuric acid magnesia, aminophylline). The combined effect of novocaine with auxiliary substances helps to reduce pain and restore mobility of cartilage tissues. (See also: lumbar herniated intervertebral diet).
If you use aminophylline, the procedure additionally warms the site of neoplasm localization, which improves the perception of medicinal substances. This technique is ideal in combination with drug treatment, exercise and visits to the spine.
Not every patient takes eufillin well, and some simply do not want to take potent drugs. In this case, you can make an effective replacement for caripain. This drug has a new generation of plant origin and has shown excellent results in research. The tool shows a strong effect when it is distributed in tissues with the help of ions. On average, the duration of its use is 25 procedures.
Features of the influence of electrophoresis on the tumor in the lumbar region
In the complex conservative treatment of hernia applied medical treatment. Primarily, NSAIDs are assigned to eliminate inflammation, if this group of drugs does not give the desired effect, then analgesics are added to the prescribed. Also used muscle relaxants, chondroprotectors and complex vitamins. Given these appointments, the doctor must carefully select the dosage and drugs for their introduction through electrophoresis.
That is why experts prefer caripain or caripazimu. The components of these drugs do not affect the spread or effect of drug therapy. They contribute to the softening of cartilage tissue, which further leads to the gradual release of the nerve root. This eliminates pain and contributes to the gradual restoration of disk mobility.
How are the procedures with caripazim (caripain)
These drugs do not require an individual approach when administered, everything is done according to a standard procedure. Electrodes are placed on the relevant parts of the spine, allowing to move the drug to the desired area. Medicinal products are mainly placed on the anode, but sometimes experts recommend double injection (from both electrodes). This allows not only to increase the area of perception, but also significantly increase the dosage of the accumulated active substance in the pathological zone of inflammation.
Karipain is produced specifically for physiotherapeutic procedures. Undiluted form (powder) makes it possible to choose a solvent that is relevant in a particular case. First of all, sodium chloride or distilled water is poured into the vial, and then mixed well until complete dissolution. Next added auxiliary solvents with a specific action. The most commonly used dimexide, which has established itself as an excellent conductor. With it, delivery of active components is faster.
Some experts use a compound of cariphazin and aminophylline, directing the composition from different poles. The patient must be in the physiotherapist's office for at least 20 minutes. During this time, the specialist not only connects the equipment and starts the process, but also monitors skin reactions and the general condition of the patient. The current is regulated throughout the procedure.
Like any drug substance, caripazim can also cause autoimmune reactions, even when using this gentle method. Therefore, the appointment of such funds should be carried out exclusively by a doctor who has studied the history, has an idea of the physical condition of the patient and compared all the factors of influence (comorbidities, medications used, etc.).
Electrophoresis cannot be used for:
- Damage to the skin in place fixing pads and nearby tissues.
- Malignant and benign pathological tumors.
- The acute stage of the inflammatory process.
- Increased body temperature.
- Infectious processes in tissues and organs.
- Heart problems, etc.
Procedures should be performed exclusively in specially equipped rooms, since so many factors can affect electrical impulses. Some patients who do not have the opportunity to regularly visit the hospital, purchase portable equipment for use at home. This is a useful acquisition, as a patient with a hernia requires regular restorative procedures.
Trusting the conduct of such a process is better for a medical professional who can properly dispense dosages and correctly position the gaskets of the device. If the patient has applied himself to cope with such a task, then it is necessary to always apply the exact amount of the active substance, use only the solvent recommended by the doctor and always apply a freshly prepared composition.
Electrophoresis and its scope today
This method is based on the kinetic ability of an external electric field to carry out the transfer of dispersed particles of protein and colloidal solutions inside a gaseous or liquid medium. For the first time, the phenomenon of electrophoresis was noted and described by professors FF Reuss and PI Insurance at the beginning of the 19th century in Moscow.
The effect of this phenomenon is that small particles of the solution have the opportunity to penetrate into the smallest cracks and slight deepening of the surface, even into the smallest pores. The body itself, at the same time, can be charged not only positively (anaphoresis), but also negatively (cataphoresis). The method allows to separate various substances into their components for the purpose of their further analysis.
This ability to help particles penetrate the solution into the pores is used in the process:
- physiotherapy treatment of people
- painting all kinds of surfaces
- in modern chemical industry,
- when dispelling fog or smoke and many other processes.
The use of electrophoresis in the treatment of the spine
Many highly qualified specialists from around the world recommend using this method for the treatment of hernias. In the process of carrying out this procedure by a doctor using a magnetic field, various special medications are introduced into the intervertebral disk.
Effective and popular today, for example, is the technique in which electrophoresis is prescribed with drugs called Karipain and Karipazim. These funds are proteolytic enzyme preparations that have a direct effect and are characterized by plant origin. In combination with electrophoresis, these drugs are recognized as highly effective means for the treatment of various pathologies of the spine.
Such treatment is prescribed for 20-30 procedures for from 1 to 3 courses. The exact number is determined by the attending physician. The interval between courses should be from 30 to 60 days. For intervertebral hernias, which have a size of more than 5 mm, experts recommend taking 3 courses.
At the end of treatment, it is imperative to engage in special physical therapy or perform a full-fledged complex of morning exercises to maintain the normal tone of the muscular system.
What is electrophoresis for spinal problems?
Electrophoresis in hernia of the lumbar spine allows to stop unpleasant symptoms with the help of potent drugs, but without harm to the patient's liver. This is especially important in the treatment of debilitated patients with chronic diseases. This method of exposure contributes to the accumulation of medicinal substances in the impact zone. This makes the therapeutic effect longer.
To implement the technique uses a special apparatus. It conducts an electrical current on the body of a person from the anode and cathode. A medicinal substance can be delivered to the patient through any of the electrodes. Which of them can be applied to the drug depends on the type of product. But for use in this way, it must disintegrate into ions, that is, have fragile bonds.
During the procedure, the patient does not experience discomfort.
Some people have a slight tingling sensation in the area where the electrodes are applied, but it does not create discomfort.
Electrophoresis is carried out by courses. For several sessions, the necessary concentration of the substance is created at the site of impact, which is gradually distributed. This allows significant breaks between treatments.
Electrophoresis has advantages over other methods of treating hernias of the lumbar or cervical spine. The advantages of this type of physiotherapy include:
- can be used in violation of the blood flow in a patient (the substance is transported through the ducts of the glands of the skin) when drug delivery by oral or intravenous administration is difficult,
- suitable for patients with pathologies of the liver and gastrointestinal tract, as it does not affect these organs and has no effect on them,
- acts for a long time due to the action of currents on the nervous and muscular tissue, which allows you to take breaks in treatment with preservation of the therapeutic effect,
- positive effect is achieved faster due to local exposure,
- non-invasive method allows to reduce the risk of complications, and also does not require recovery after sessions,
- there are no negative feelings during the procedure, which is especially important for patients with a low pain and sensitive threshold,
- the possibility of using potent drugs without the risk of side effects or overdose.
The introduction of drugs during physiotherapy reduces the likelihood of allergy to the drug. Therefore, this method of exposure is preferable for people prone to individual reactions to various drugs.
Indications for the use of electrophoresis
The method of administration of the drug with the simultaneous exposure to electric current helps with a number of diseases. This is due to the large number of therapeutic effects that electrophoresis has. These include:
- reduction of edema,
- pain relief,
- relief of the inflammatory process,
- increase of regenerative abilities
- normalization of blood circulation
- muscle toning,
- increasing nonspecific immunity
- acceleration of the synthesis of biologically active substances.
A variety of therapeutic effects allows the use of electrophoresis in a variety of diseases. Most often, this technique is used in the following conditions:
- osteochondrosis and complications associated with its course, including sciatica,
- pain localized in the back
- arthrosis with joint deformity,
- herniated intervertebral discs, protrusions,
- inflammation of the articular sac (bursitis),
- tendovaginitis, tendonitis,
If the patient has one of the pathologies, the doctor may prescribe electrophoresis. It is used as a component of the treatment regimen or as an independent procedure. The treatment is carried out with the exacerbation of diseases with a chronic course and with recovery from injury or surgery.
The remedy for electrophoresis in intervertebral hernia is selected by the doctor based on the needs of the patient and the characteristics of his body. Of the most commonly used can be identified:
Drugs have a powerful effect, so their use by patients themselves is not recommended. This can lead to complications or a decrease in the body's susceptibility to the drug, due to which its further use will be impossible.
The dosage of the pharmaceutical preparation is selected individually, taking into account the characteristics of the course of the disease, history of the disease and comorbidities.
Before prescribing the procedure, it is necessary to undergo all required examinations and confirm the diagnosis.
Use of caripazim for treating spinal hernia
Spinal hernias are one of the most serious pathologies due to possible complications. The disease is sometimes accompanied by compression of the spinal cord, edema of the adjacent tissues, and their inflammation. The patient is experiencing severe pain and limitation of movement.
Participation in the pathological process of the spinal cord increases the risk of serious complications during surgical treatment. Therefore, with hernias of the neck, thoracic or lumbar, preference is given to physiotherapy. To enhance the effect, various drugs are used that are able to break down into ions and penetrate into tissues under the action of electric current.
Treatment of hernia with caripazim electrophoresis is important for the neck and lower back. The action of electric current improves the nutrition of cartilage, and the preparations make it possible to free the nerves that are squeezed due to edema. It relieves pain, and also allows you to restore the function of the damaged spine.
Method of administration
For electrophoresis with caripazim for hernia of the lumbar spine, a special apparatus is used, at the ends of which there are two electrodes. One of them is placed in the neck, the second on the lower back. The drug is administered from the anode or from both sides, which allows to accelerate the onset of the therapeutic effect and increase the amount of substance entering during one procedure.
The preparation for the procedure is made in the form of a dry balm. Before the session, it is diluted with saline or purified water to achieve the desired consistency. Euphylline or dimexide can be added to the solution. This enhances the therapeutic effect of electrophoresis. In this case, drugs are administered from different electrodes to prevent mixing and neutralization of each other.
The procedure takes up to 20 minutes. The strength of the supplied current increases during the session and reaches a maximum at the end. The average course of treatment implies up to three visits, but sometimes it increases to 10-30 if the patient is in serious condition and the need for more prolonged exposure.
Karipazim is used only externally!
Despite the fact that drugs are used topically, the occurrence of allergic reactions is still possible. This should be taken into account in the event of unpleasant symptoms or consequences of the procedure. This should be reported to your doctor, who will select a replacement medication or prescribe another type of treatment.
Contraindications to the use of the method
Electrophoresis has a high level of safety and few side effects. But still not everyone can be treated with this method. There are categories of people who are contraindicated. These include:
- dermatological problems
- violation of the integrity of the skin in places exposed to electrodes,
- neoplasms of any nature, including myoma, cancer and polyps,
- the presence of an infectious process
- inflammatory diseases
- stretching of the ligament apparatus and violation of its integrity,
- presence of mental illness
- the presence of a pacemaker and other electric prostheses in a patient,
- the presence of a pathological effusion in the articular cavity,
- individual intolerance to electric current,
- pathology of hemostasis,
- failure in the cardiovascular system,
- severe course of bronchial asthma,
- increased sensitivity of the skin,
- strong joint swelling,
- septic arthrosis,
Conducting simultaneously electrophoresis and other potent physiotherapy (UV irradiation, inductothermia, ozokerite) is not recommended. This creates a heavy load on the body and can lead to complications. Due to the presence of a large list of contraindications, whether it is possible to do electrophoresis during spinal hernia, in each case the attending physician decides taking into account all features of the patient's illness.
Using the technique at home
Since patients with pathologies of the spinal column often have difficulty moving, and it is not always possible to transport them, there is a need to treat hernia at home. For this there are special devices. They allow you to carry out procedures at the bedside of the patient, which increases the level of his comfort and accelerates recovery.
Before use, it is worthwhile to study the instrument manual. It describes in detail how to adjust it and properly position the electrodes on the body. To do the first procedure, you can invite a health worker who explains and shows all the rules of treatment. The literacy of the electrophoresis will affect the final result, so you should approach the question responsibly.
For home use it is necessary to purchase pads of cloth or gauze, filter paper and the desired preparation. It may be in the form of a solution or dry matter, which is diluted immediately before use. During the procedure it is important to strictly observe the dosage. Otherwise, the effect may be insufficient.
Subject to the rules of the procedure, electrophoresis will be an excellent alternative to surgical intervention and oral medication. This technique allows you to achieve a positive effect quickly and without harm to the body.
Positive aspects and indications
Treatment of hernia of the spinal column by electrophoresis indeed has its own advantages, since there is no circulation in the intervertebral discs. This means that oral administration of drugs, in the case of them, is not that completely useless, but its effectiveness is markedly reduced.
As for the usual application to the skin, the spine, of course, is located very close to it. But the intervertebral discs are separated just from it by a series of spinous processes, which again gives a highly mediated contact of one with the other.
Therefore, if we aim to deliver the full amount of the active substance closer to the disc, we are only satisfied with the injection - a traumatic and unsafe procedure in the case of the spine. Electrophoresis is indicated for:
- common and not widespread osteochondrosis of the cervical, thoracic and lumbar regions,
- intervertebral disc protrusions of any part of the spine, and especially of the hard-to-reach lumbar,
- hernias of all types, including Schmorl's hernia and sequestered hernia,
- complications of osteochondrosis or hernia in the form of sciatica, spasms, inflammation, pain along the affected muscle fiber / nerve trunk and so on.
This is how electrophoresis is useful in spinal hernia. It should be remembered that the steeply curved and powerful lumbar region is most suitable for treatment in this way, but with the cervical, on the contrary, care must be taken.
When it is treated, a negative effect of warming up (it is unavoidable during electrophoresis) on intracranial pressure is possible.
Negative aspects and contraindications
The most unpredictable side of the treatment of intervertebral hernia by electrophoresis is the rapid and pronounced effect of the drug, introduced with its help. This is not always as good as it seems, since all drugs have side effects, and in this case they will appear just as soon and noticeably.
In addition, persons with prejudice against the “miracles of pharmaceuticals” and medical therapy in general will not receive any moral advantages with this method.
Basically, because it is just an unusual way of delivery to the place of damage of the usual in all other drugs. Treatment of vertebral hernia by electrophoresis is contraindicated in the following cases.
- Adherence of the infection to the inflammation originally caused by the hernia.
- Cardiovascular diseases, which completely exclude electrophoresis of the cervical and thoracic and restrict its use in the lumbar.
- High temperature and fever of unknown etiology.
- The presence of malignant and benign neoplasms, rashes, wounds, fresh scars on the skin in the area of the procedure.
- Malignant process, which led to the destruction of the intervertebral disc type hernia.
- The presence of a pacemaker, surgical pins, plates and other metal prostheses in the patient's body.
Recommendations for the procedure
In addition to all the listed contraindications, one should not forget about the laws of physics, in particular, the electric field, which is easily distorted under the influence of individual factors.
Due to, as a rule, a weak acquaintance with them, the answer to the question of whether it is possible to do electrophoresis in intervertebral hernia sounds like this: yes, it is possible, but it is highly desirable to do this in a physiotherapy room, by appointment and under medical supervision.
Another argument in favor of this approach is the dosage and combination of drugs used. If we do not know them, the case may end badly.
Therefore, any medications must be administered by electrophoresis only as prescribed by a doctor! In no case can one change his recommendations even with self-treatment!
In particular, this warning applies to electrophoresis with lidaza with hernia of the spine. Lidase is an effective hyaluronic acid breaker in tissues, which makes them less elastic and more permeable. In this case, it is used as an additional agent to facilitate the penetration of the drug into the target tissue.
To use it as a conductor, 300 ME of lidase must be diluted with 60 ml of purified water, add 2-3 drops of a weak (0.1%) solution of hydrochloric acid and sent from the anode.
However, it must be remembered that with osteochondrosis and hernia, the input of funds into the tissues surrounding it is not so difficult. In addition, hyaluronic acid “binds” the colloidal protein molecules that form the core of the disk.
Therefore, to achieve with its help the resorption of scars (for example, keloids) is one thing. And when used on the spine in excessive doses, it can accelerate the destruction of adjacent disks and the cartilage membrane, which will remain after the resorption of the hernia of the target segment.
Therapy using the electric field at home has become possible with the advent of electrophoresis devices for the treatment of intervertebral hernia. On their market, devices have proven themselves:
- "Elfor", among which there is a very simple, but truly mobile model with an intuitive mode control,
- a little more (but in moderation) complex “Flow” with smooth current regulation and protection against voltage drops.
One session lasts 10-30 minutes, but no more. A course of treatment is 10-25 sessions daily or after 1 day.
A selection of my useful materials on the health of the spine and joints, which I recommend you to look at:
Also look at a lot of useful additional materials in my communities and accounts on social networks:
Denial of responsibility
The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.
How electrophoresis works, contraindications
Electrophoresis in spinal hernia is a method of administering drug solutions through any part of the skin. The passage of drug particles is provided by means of direct current with low voltage (up to 80V). Compared with other methods of treatment, such physiotherapy has several advantages. It:
- the medicinal substance is injected directly into the lesion of the spine, thereby reducing the risk of its adverse systemic effects on the body,
- simultaneous administration of several drugs is possible,
- the dosage of the drug is easily adjusted by changing the size of the electrode,
- carrying out electrophoresis from hernia of the spine does not violate the metabolic processes in the tissues that fall under the area of influence of the apparatus,
- the active substance of the drug penetrates to the right place even with a spasm of the blood vessels that feed the vertebra, or in violation of nerve conduction,
- in addition to the medicinal effect, the procedure also provides a therapeutic effect from the electric current, which improves the activity of the nerve cells and stimulates blood circulation.
This physiotherapy can be performed not only in the clinic. Currently, there are portable devices for self-treatment in this way at home. But in any case, prescribe the procedure, drugs for it should be a doctor. However, despite the relative safety of electrophoresis in spinal hernia, there are certain contraindications for this manipulation:
- malignant neoplasms, benign tumors and cysts, localized in the area of the apparatus for physiotherapy,
- diseases of the cardiovascular system in the acute stage,
- severely flowing hypertension,
- bleeding tendency,
- damage to the skin in the area of imposition of electrodes, dermatosis of any etiology.
Treatment of spinal hernia with electrophoresis is not recommended for hysteria and other mental disorders that do not allow the patient to adequately respond to the manipulation. This procedure is not contraindicated in pregnancy. But consultation of the doctor is necessary for selection of a safe medicine. Also, exposure to current on the lumbar or lumbar-sacral spine is not recommended for diffuse toxic goiter.
Preparations used for electrophoresis in vertebral hernia
Currently, electrophoresis of hernia of the spine is carried out with several drugs. The most popular and effective reviews of doctors are Karipain and Karipazim. These tools are very similar in composition and action. Drugs are extracts from enzymes contained in the milky juice of papaya or melon tree. The list of their main components includes:
- chymopapain A and B,
- peptidase A and B,
These drugs, used for electrophoresis from hernia of the spine, have a wide spectrum of proteolytic activity. The drugs affect the collagen cartilage tissue, enhance cell regeneration of intervertebral discs. When treating Karipain and Caripazim, necrotic patches split up, the viscous secretion, exudate, blood clots liquefy. Pharmacologically, medications are close to drugs such as Chymotrypsin, Lekozim, and Trypsin.
In addition, these drugs effectively eliminate inflammation, reducing the level of C-reactive protein, prostaglandins and bradykinin. Such exposure also contributes to the improvement of microcirculation and removal of edema. After a short time after electrophoresis for a hernia of the spine, Karipain or Caripazim pain disappears. This is due to the inactivation of mediators that irritate the pain receptors of cells.
Technique and duration of therapy
The concentration of drugs and the point of application of the electrodes depends on the location of the hernia. Caripain or Karipazim, administered by electrophoresis, affect the affected area, causing the pathological formation to soften. Squeezed nerve roots, blood vessels are released, pain is reduced, numbness of the extremities disappears. The scheme and duration of electrophoresis procedures for the lumbar or other spine are also chosen by the doctor individually.
However, it is recommended that 3 courses of 30 manipulations with an interval of 1, 2 or 3 days. The gap between courses is usually 4-6 weeks. The procedure itself is quite simple in execution. You can do it this way:
- Caripain (Caripazim) bottle is diluted in 10 ml of isotonic sodium chloride solution and 2 to 3 drops of Dimexidum are added (it promotes better penetration of the active substance of the drug into the skin),
- the resulting solution is moistened with discs of white filter paper and placed on the electrodes, and their size should not be less than 5 × 5 cm.
Next, the doctor - physiotherapist sets the parameters of the device. The temperature of the gaskets is maintained at 37 - 39 ° C. Drugs are injected under the influence of direct current of 10 - 15 mA. On average, the procedure lasts 15 to 20 minutes. Sometimes during electrophoresis, the patient feels warm and tingling sensations in the hone of the electrodes.
Medical preparations used for electrophoresis
For hernia of the lumbar spine, the doctor prescribes electrophoresis with the following medications:
Electrophoresis of hernia of the lower back is done with the use of various drugs. The attending physician gives the patient a referral to undergo a course of procedures indicating the specific medicinal product.
Depending on the patient’s condition and the stage of the disease, the patient is usually given 10–20 electrophoresis sessions. This procedure eliminates the pain syndrome and improves the blood supply process, especially when taking certain medications (aminophylline and magnesia sulphate). To restore the mobility of cartilaginous joints, electrophoresis with novocaine and other excipients is most often prescribed. Electrophoresis with euphyllin can improve the perception of drugs and warm the site of hernia. The active substance under the influence of current effectively affects the pathological area with a neoplasm.
Electrodes impose on exposed areas of the body. Before the procedure, a specialist should examine the patient's skin for damage.
Important! Patients who do not tolerate the effects of aminophylline, prescribed physiotherapy with karipainom. This drug is of vegetable origin.
In medical practice, electrophoresis with karipazimom and karipaima is most often used. These medicines soften the cartilage tissue and release the nerve root. As a result of the course of procedures, the mobility of the intervertebral discs is gradually restored and the pain decreases.
The therapeutic effect of the electrophoresis procedure with herniated lower back will be noticeable soon depending on the condition of the patient and the stage of development of the pathology.
Description of the procedure
Electrophoresis of a hernia of the lumbar spine is carried out exclusively in specially equipped rooms. The electrodes of the device with a special gasket, impregnated with a medicinal substance, are placed in the corresponding region of the spine. The medicine is placed on the anode. On the other electrode place the strip with saline.
Interesting! In rare cases, the active substance is placed on both electrodes. In medical practice, this method is called a double injection.
Electrophoresis is prescribed to both children and adults. In addition to hernia of the lumbar spine, this procedure helps in the treatment of osteochondrosis, lumbodynia, injuries, etc.
Diamecid is often used as a conductor. Thanks to this medication, active substances are delivered faster to the affected area. The electrophoresis procedure usually does not take more than 10-20 minutes. The specialist connects the device, increases the current strength until the patient feels a slight tingling or tingling. The specialist for the entire procedure should monitor the condition of the skin and the general condition of the patient.
Electrophoresis for the treatment of hernia of the spine in any case can not be used for:
- high body temperature
- injured areas of the skin in places fixing parts of the device,
- heart disease
- inflammatory processes in the body,
- exacerbation of the disease
- malignant neoplasms.
Electrophoresis is an effective physiotherapeutic method of treating diseases of the spine. It facilitates the patient's condition and accelerates recovery.
Advantages of electrophoresis in spinal hernia
The procedure is prescribed when a hernia of the lumbosacral, thoracic or cervical spine is diagnosed. The main advantage of manipulation is considered to be a quick therapeutic effect. The medicine used to treat a disease in any situation penetrates to the affected area, even if a person has been diagnosed with a circulatory disorder. The gaskets with which the device is equipped deliver the medical preparation to the required area through the skin, without engaging the circulatory system.
The procedure promotes the regeneration of damaged tissues.
Another significant advantage is the safety of use. During the procedure, there is no negative effect on the adjacent tissues, as well as internal organs, because pharmaceuticals do not enter the hernia through the gastrointestinal tract or the liver. With the help of electrophoresis, it is possible to improve blood circulation in the affected area, accelerate the repair of intervertebral disc tissue.
In addition, after several sessions, patients note an improvement in spinal mobility.
The procedure can be prescribed in combination with the use of muscle relaxants, which serve to relax the muscle tissues, chondroprotectors, restoring cartilage, as well as nonsteroidal anti-inflammatory drugs, designed to relieve pain and inflammation. The described procedure does not affect the effect of drug treatment.
Treatment of hernia of the spinal column by electrophoresis is carried out with the use of various medications. However, “Caripain” is mainly used, which is diluted with Na chloride, purified water and Dimexide. To the aid of this medication resorted to both during the acute and in the chronic stage of the disease.
Often prescribed and electrophoresis with "Caripazim" with a hernia of the lumbar spine. Visit the procedure using this drug will take at least 20 times. The effect of the medication is not immediately noticeable. "Caripasim" with hernia accelerates the splitting of decay products of cartilage, improves the elasticity of the intervertebral discs and ligamentous apparatus.
Another popular drug used in vertebral hernia is Novocain. This medicine allows you to relieve pain that can not be stopped by using methods of conservative therapy. Doctors say that the effect of such a procedure increases if phonophoresis, ultrasound, massage is performed in combination with it. The use of pharmaceuticals prescribed by the physician for the treatment of spinal column disease, as well as adherence to special dietary supplements, are also required. In case of intervertebral hernia, electrophoresis can be done with “Euphyllin”, which belongs to the group of anesthetics. Thanks to this medication, it is possible to improve blood circulation, deliver oxygen and blood to the cartilage tissue. In addition, Eufillin helps to improve the nutrition of the vertebrae and intervertebral discs.
The electrophoresis session involves the use of sulphate and magnesia, due to which it is possible to stop muscle spasm and regulate the patient's sleep. Applied and "Lidaza", created to increase the permeability of tissue. Often resort to the help of "Alifor", which makes it possible to improve the immune system and has analgesic properties. Often prescribed "Mumie", which helps to reduce puffiness, tissue regeneration and removal of the inflammatory process.
When not prescribed?
Despite the effectiveness of the procedure, it also has contraindications. Electrophoresis, phonophoresis and ultrasound are not prescribed when the following conditions are diagnosed in a patient:
- cancer diseases
- infectious diseases in the acute stage,
- skin injuries in the area where the doctor will apply electrophoresis
- increased body temperature
- allergic to drugs
- mental disorders,
- persistent high blood pressure
- violation of the functioning of the cardiovascular system,
- kidney failure.
It is important to note that the use of electrophoresis may not bring the desired therapeutic effect when a person is rejected from the viable tissue of the dead area. In other words, if a patient has been diagnosed with a sequestered hernia of the spinal column. In addition, the procedure is not effective enough for a disease that is in a neglected state.