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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
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SCENAR therapyof 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 treated with classic method Ds:Perinatal affect of the central nervous system, myotonic syndrome. 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: woundculture– salmonella enterifidis blood hemoculture – negative growth Blood for sterility – sterile Urine 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 not applied.
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 and7 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 classic therapy.