Physiotherapy for gastric and duodenal ulcer disease

Peptic ulcer of the stomach and duodenum is a chronic recurrent disease in which there are functional and morphological disorders of the stomach, other organs of the digestive system, disorders of nervous and humoral regulation, trophism of the body and the gastroduodenal zone.

An exacerbation of this disease is characterized by either another occurrence of a stomach ulcer or duodenal bulb, or a resumption (intensification) of pain syndrome or dyspeptic disorders. During this period, it is advisable to conduct complex treatment in a hospital setting (in a hospital). The traditional list of physiotherapeutic methods includes procedures of general and local action.

Physiotherapy for gastric ulcer and duodenal ulcer of general impact:

• electrosleep therapy;
• transcranial electroanalgesia;
• galvanization of the collar area;
• balneotherapy (pine, oxygen, pearl sodium chloride baths).

Physiotherapy for gastric ulcer and duodenal ulcer with local action (epigastric region):

• galvanization and medicinal electrophoresis;
• amplipulse therapy (exposure to sinusoidal modulated currents);
• exposure to diadynamic currents;
• UHF therapy;
• inductothermy;
• ultrasound therapy;
• UHF therapy;
• SMV therapy;
• UHF therapy;
• laser (magnetic laser) therapy;
• magnetic therapy (exposure to high magnetic fields);
• high intensity pulsed magnetic therapy;
• paraffin applications (thermal therapy);
• mud applications (peloid therapy).

The sequence and combination of procedures of the specified physiotherapy methods are determined by the severity of the clinical manifestations of the disease and the stages of the pathological process.

From the point of view of new concepts of physiotherapy, at the hospital stage of treatment, the family doctor must defend the position of using physical factors of endogenous heat generation in the body (with UHF, UHF, SHF therapy and inductothermy) in an athermic mode of action.

In the inter-relapse period of the disease, the general practitioner (family doctor) recommends that the patient undergo preventive courses of exposure to therapeutic physical factors in an outpatient-polyclinic setting or at home, as a rule, in the autumn-spring periods of time. The most effective and simple physiotherapy methods for this pathology, especially at home, are magnetic therapy, laser (magnetolaser) therapy and information-wave exposure.

Magnetic therapy is performed using the Pole-2D device. The method of action is contact, stable, with one field on the epigastric region. The duration of the procedure is 20 minutes, once a day (2 hours after breakfast). The course of anti-relapse treatment is 10 procedures daily.

Laser (magnetolaser) therapy is performed using matrix infrared emitters (wavelength 0.8 - 0.9 µm). The method is contact, stable when the emitters are applied to the patient's bare skin.

Fields of influence: - epigastric region directly under the xiphoid process of the sternum; II - projection area of the pyloric part of the stomach on the anterior abdominal wall; III - projection area of the ulcer defect on the anterior abdominal wall.

PPM 5 - 10 mW/cm2. Magnetic nozzle induction 20 - 40 mT. If frequency modulation of the magnetic field is possible, the optimal frequency in the presence of pain syndrome is 80 Hz, in the absence or after relief of pain syndrome 10 Hz. The effect of NLI in continuous radiation mode is also quite effective. The exposure time per field is 5 minutes. The course of treatment is 10 procedures daily 1 time per day 2 hours after breakfast.

The previously mentioned methods of anti-relapse physiotherapy are prescribed to patients in the absence of neuro-emotional stress in their daily and professional activities.

Information-wave impact using the Azor-IK device in the inter-relapse period of the course of this pathology is carried out according to a complex option:

• in the morning after waking up - exposure to two fields on the frontal lobes (EMF modulation frequency 21 Hz, 15 minutes per field);
• 2 hours after breakfast - impact on the epigastric region and the projection area of the pyloric section of the stomach (EMF modulation frequency 10 Hz, 20 minutes per field);
• before going to bed at night - exposure to two fields on the frontal lobes (EMF modulation frequency 2 Hz, 20 minutes per field).

The course of treatment is 10 daily procedures. This version of information-wave impact is carried out as an independent method of physiotherapy in the presence of neuro-emotional stress in the patient's daily and professional activities.

It is possible to carry out consecutive procedures in one day for gastric ulcer and duodenal ulcer in outpatient and home settings:

• laser (magnetic laser) therapy + information-wave impact on the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• magnetic therapy (PEMP) + information-wave impact on the frontal lobes 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device.

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