1. Последний раз, Алексей Викторович, Вы будете приводить подтверждение мифических больных, озонотерапевтов, на которые Вы ссылались?
2. В дискуссии
http://forums.rusmedserv.com/showthr...&threadid=5722
Вы как всегда с нагловатой нравоучительностью мне втолковывали:
«Владимир Яковлевич! Вы видимо так волнуетесь, когда в очередной раз садитесь в лужу, что не обращаете внимание на то, что пишут пациенты. notik мне сообщила по поводу спермограммы ее мужа: Вы правильно поняли: в 1 мл. - 60 млн. 52% живых (читай подвижных), 10%-двигающихся на месте, остальные -неподвижны. Вам остается сопоставить этот результат с ВОЗовской нормой спермограммы, которую я привел. И если есть глазки - все поймете».
Но как оказалось в лужу сели Вы, так как живые и активноподвижные сперматозоиды ДВЕ БОЛЬШИЕ РАЗНИЦЫ, живых может быть полно, а полноценных нуль и напыщенному урологу стыдно это не знать.
3. Последние фразы о перспективах ОТ принадлежат не мне. В своем рвении, Вы опровергаете и Российских академиков и ведущих зарубежных специалистов, плотно связанных с мед. озоном не один год. Причем о терапии, о которой не имеете ни малейшего представления. Объяснять человеку с манией величия, что не ему высказываться по 300% уверенности, бессмысленно.
4. Привожу работы по ОТ только при одной из патологий, упоминаемых Е.Е.Студенцовым. Был бы изумлен, если кто-нибудь из оппонентов их посмотрит. Для критики (точнее охаивания) принятой на форуме, ознакомление с материалом по предмету критики совсем ни к чему.
ID 24
CT-Guided intraforaminal oxygen-ozone therapy in lumbar disc herniation
M. Bonetti, B. Cotticelli, F. Albertini, L. Valdenassi*, and P. Richelmi*Servizio di Neuroradiologia Istituto Policlinico San Donato Milanese, *
Istituto di Farmacologia II - Università di Pavia, Milano/Pavia, Italy
Background: In recent years, there have been an increasing number of reports on the use of oxygen-ozone therapy in disc-root conflict caused by disc herniation. In addition, different routes of administration have been devised to inject the gas mixture: the so-called classical technique of paraspinal intramuscular injection, endoscopic or CT-guided intraforaminal administration and direct intradiscal infiltration.
Materials and methods: This paper assesses the therapeutic efficacy of CT-guided intraforaminal injection of an oxygen-ozone mixture in patients with disc-root pain caused by lumbar disc herniation. We have treated 368 patients between October 1998 and December 2002. A complete resolution of symptoms was achieved in 311 cases (84.5 %). On enrolment, a clinical chart was prepared specifying name, date of birth, date of enrolment, date of first treatment and clinical information on type of pain, irradiation, possible paraesthesias, Lasègue’s sign, degree of sensitivity, lower limb reflexes, plantar and dorsal extension of the foot and dorsal extension of the big toe. All patients had undergone CT or MR investigation with a diagnosis of non-calcified disc herniation. All patients with multiple hernias and those who had undergone surgery were excluded. The number of treatments was also specified ranging from a minimum of one session to a maximum of four. CT scan was performed at the outset to establish the point of injection at skin level and then the distance between this point and the root foramen was measured. Local anaesthesia was given by ethyl chloride spray. CT scans were then used to check the correct positioning of the needle whose tip must be 4-5 mm from the foraminal region. Three cc of oxygen-ozone mixture at 25mg/ml were injected; and the needle was then withdrawn by a few mm before injecting 7-8 cc of the gas mixture into the intervertebral joint. Another CT scan was then performed to ascertain the correct distribution of the oxygen-ozone mixture. Patients were kept under clinical observation for two hours and then discharged.
Results: The clinical benefit of treatment was immediate. The mechanism of action of oxygen-ozone therapy remains unsettled. The treatments may have a direct effect on the mucopolysaccharide chains in the nucleus pulposus, leading to oxidation and release of water molecules resulting in a mechanical resolution of disc-root conflict.
Many indirect mechanisms are also known including anti-inflammatory, analgesic and eutrophic effects with a reduction in disc degeneration and decongestion of the nerve roots.
Conclusion: We conclude that CT-guided oxygen-ozone injection is a highly effective treatment for lumbar disc herniation.
ID 74
Spinal segmental stabilization and oxygen-ozone therapy for lumbar discal hernia
Controlled, multicentric, randomised study.
preliminary resultsM. Monticone, A. Barbarino, R. Garri, L. Valdenassi, P. Richelmi, F. Bertè, and A. Moschi
Surgery Department, Physiotherapy and Rehabilitation Section, University of Pavia , Pavia, Italy
Background: Discal Hernia is considered one of the most causes of acute and subacute lumbar pain, accompanied by a strong decrease in the quality of life.
Materials and methods: Controlled, multicentric, randomised trial. 20 patients were chosen with an average age of 43.
Criteria of inclusion: no cognitive deficiencies, clinical and neuroradiological signs of Lumbar Discal Hernia, algia present for between two and six months, no response to medication or physiotherapy.
1st group(10 subjects): treatment with Oxygen-ozone Therapy and spinal segmental stabilization exercises.
2nd group(10 subjects): Oxygen-ozone Therapy. Both groups: 8 fortnightly sessions and the administration of Ozone by means of paravertebral penetration at a concentration of 20 m/ml.
Before the start, at the end and at the three-month follow-up, every patient was assessed for: pain at rest (VAS), pain during movement (VAS), articular movements.
Results: Analysis of the results showed a reduction in pain and an increase in flexibility, in the 1st group (p<0.03) and in the 2nd group (p<0.05). At the follow-up the significance remained at (p<0.05) in the 1st group. Comparison showed the results to be in favour of the first group (p<0.01).
Conclusions: Spinal segmental stabilization exercises accompanied by Oxygen-ozone Therapy are shown to have positive results. Our study, although preliminary, has brought to light the concrete possibility of functionally managing pain caused by Lumbar Hernia, at both acute and subacute stages, thus allowing the doctor and physiotherapist to use rehabilitation techniques based on accurate clinical reasoning and providing the patient with the possibility of daily self-treatment.
ID 99
Ozygen-ozone therapy in disc-root compression pain syndrome: comparison with other methods
A. Gjonovic, E. Montimara, T. Girotto, P. Richelmi.*, and L. Valdenassi*
OU Pain and Palliative Therapy, ASL 16, Regione Veneto, Dpt. Of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
Background: Oxygen-ozone therapy by paraspinal intramuscular injection is a method used in recent years for the treatment of sciatica with effective results.
We assessed effectiveness of this therapy in comparison with peridural cortisone administration and paraspinal intramuscular treatment with only local anaesthetic.
Material and methods: We studied 90 patients with lumbar pain and sciatica relating to disc-root compression; they were divided in 3 groups as much as possible homogeneous for initial intensity pain, for his irradiation and hernial compression seat. The first group was treated with oxygen-ozone (paraspinal bilateral injection with 15-20 ml of gas for side at 15 mg/ml concentration in 8 sessions for 20 days). The second group of patients were treated with 3 peridural injections (15 ml physiological solution with desamethasone phosphate 8 ml) always for 20 days. The last group was treated with bilateral injection of 10 mg bupivacaine 0,25% in the same seats of oxygen-ozone injection.
Results: Analysis of results has demonstrated a success percentage of 75% in oxygen-ozone group, of 55% in peridural cortisone group and 25% in local anaesthetic group.
Conclusions: This confirm a real clinical effectiveness of oxygen-ozone therapy in lumbar pain and sciatica relating to disc hernia especially in comparison with the third group; peridural cortisone administration is real effective but in lower percentage in comparison with group treated with oxygen-ozone.