Physiotherapy for chronic colitis

Chronic colitis is an inflammatory-dystrophic lesion of the colon characterized by the localization of pathological changes (tiflitis, proctosigmoiditis or total colitis), a change in the motor evacuation function (atonic or spastic colitis with appropriate constipation or diarrhea), defined by the morphology of the lesion substrate (atrophic or superficial colitis ) and the etiology of the disease (infectious, intoxicating, alimentary or neurogenic colitis).

Physiotherapy in chronic colitis is caused by the pathogenetic orientation of the effect of the corresponding physical factor and is aimed at improving the motor-evacuator and secretory functions of the large intestine.

Treatment of chronic colitis is usually carried out in a hospital (hospital). Different authors recommend the following list of physiotherapeutic purposes for this pathology.

With increased motor-evacuation function of the colon, it is recommended:

• electrophoresis of papaverine or platyphylline, or no-shpas on the abdominal region;
• diadynamic therapy of paravertebral regions (ThV - ThXII) according to a relaxing technique;
• inductothermy;
• UHF-therapy;
• CMV therapy;
• DMV therapy;
• local and general ultraviolet irradiation;
• paraffin applications of the abdominal region;
• mud treatment;
• balneotherapy.

With reduced motor-evacuation function of the colon,

• electrophoresis pilocarpine or carbachol;
• diadynamic therapy of paravertebral regions (ThV - ThXII) according to the stimulating technique;
• amplipulse therapy (with intolerance to diadynamic therapy) of paravertebral regions (ThV - ThXII) according to the stimulating technique;
• interference therapy;
• high-intensity pulsed magnetotherapy;
• local and general ultraviolet irradiation;
• mud treatment;
• balneotherapy.

Our long-term clinical experience convincingly demonstrates the rather high therapeutic effectiveness of the use of differentiated methods for treating patients with chronic colitis with low-energy laser radiation, mainly the near infrared part of the optical spectrum (wavelength 0.8 - 0.9 μm). This is one of the few methods of physical therapy that can be recommended to general practitioners (family doctors) for carrying it to patients at home.

Fields of exposure by means of OR emitters with an area of exposure with a contact technique of about 1 cm ² :

• I - Pirogov's sphincter zone - 2 cm to the left of the middle of the distance between the pubic articulation and the navel;
• II - Rossi sphincter zone - the middle of the distance from the wing of the left iliac bone to the navel;
• III - the sphincter zone of Bali - on the left anterior axillary line at the level of the navel;
• IV - 1 cm down from the middle of the left hypochondrium;
• V - the sphincter zone of Horst - the middle of the distance from the xiphoid process of the sternum to the navel;
• VI - 1 cm down from the middle of the right hypochondrium;
• VII - the zone of the sphincters of Buzi and Varolius - the middle of the distance from the right iliac bone to the navel.

Sequential action is carried out on the margins on the anterior abdominal wall starting from the region of the ascending colon, then from the transverse colon, and then downward and sigmoid colon from VII to 1 field. Infrared emitters are used in the continuous mode of generating an RPM OR 5 - 10 mW / cm2. Induction of the magnetic nozzle with magnetolaser therapy 20 - 40 mT. The time of exposure to one field is 30 s with atonic colitis and up to 2 min with spastic colitis.

Fields of exposure with a matrix radiator: - right iliac region, II - middle right hypochondrium area, III - middle region of left hypochondrium, IV - left iliac region. A sequential action is taken from the I to IV field. Use infrared matrix emitters in continuous OR mode. The time of exposure to one field is up to 20 s with atonic colitis and up to 60 s with spastic colitis.

Both for "point" and for matrix radiators, the course of treatment for atonic colitis is 5-7 procedures daily, with spastic colitis - up to 10 procedures daily 1 time per day in the morning hours (up to 12 hours).

[1], [2], [3], [4], [5], [6]