Physiotherapy for reflux esophagitis
Last reviewed: 23.04.2024
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Reflux-esophagitis is a chronic inflammatory-destructive disease of the esophagus, arising from the failure of the cardiopulmonary valve function and causing regurgitation of gastric, intestinal and pancreatic contents into the lumen of the esophagus.
Physiotherapy with reflux-esophagitis consists in applying balneotherapy (ingestion of appropriate mineral waters). The use of preformed physical factors was limited only by the methods of amplipulse therapy and electrosleep.
The general practitioner (family doctor) often has to meet with this pathology. This is due to the fact that reflux esophagitis occurs mainly in the hernia of the esophageal opening of the diaphragm, and this disease ranks third among all pathologies of the gastrointestinal tract.
Based on the new concepts of the general theory of physiotherapy, with the available data on the use of the Azor-IC (information-wave therapy) apparatus and the DiaDENS-T apparatus (short-pulse electroneurostimulation), physiotherapists have developed and tested quite effective methods for treating reflux esophagitis with mentioned devices. The main goal of the methods developed is to achieve normalization of the cardiopulmonary valve function on the basis of the optimally minimal dose of exposure by a physical factor and to biosynchronize this effect by imposing physiological, but due to pathological changes in the rhythm of the work of the set of neuromuscular cardia elements. These methods of physiotherapy can be conducted in outpatient and outpatient settings and at home.
Method of information-wave action with the help of the apparatus "Azor-IK". The technique is contact, stable. Affect the exposed surface of the skin with one field directly under the xiphoid process of the sternum. The frequency of modulation of the EMR is 80 Hz, the exposure time is 30 min. The course of treatment 15 procedures daily 1 time a day in the morning on an empty stomach.
The method of electroneurostimulating therapy with the aid of the DiaDENS-T apparatus. The technique is contact, stable. Affect the exposed surface of the skin with one field directly under the xiphoid process of the sternum. The mode of action is constant at a frequency of electrical pulses of 77 Hz. The voltage of the electric current is strictly individual (according to subjective sensations in the form of a weak "tingling" under the electrode). Exposure time 10 min. For the course of treatment - daily exposure 2 times a day (morning 1 on an empty stomach and before dinner) for 15 days.
Combined exposure method. In the morning on an empty stomach, the procedure is carried out with the help of the apparatus "Azor-IK" according to the method described above, and before the dinner they operate the "DiaDENS-T" apparatus according to the corresponding procedure. The course of treatment is 15 daily procedures.
With a positive but insufficient clinical effect (incomplete normalization of the cardiopulmonary valve function), a repeated course of procedures of information-wave action or electro-neurostimulating therapy, or a combined effect is expedient to be carried out after 1 week. After the main course of treatment. If necessary, subsequent similar courses of physiotherapy are performed no more often than 1 time in 3 months.
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