Consequences of prolonged use of TramadolAfter one year of misuse of Tramadol in humans, bone tissue is significantly weakened. This increases the risk of fractures and related injuries. Loss of teeth and hair can also occur.

If the patient does not throw Tramadol, then, as a rule, he dies within 3-4 years. However, even after a successful rehabilitation, people have the consequences of dependence that they will have to struggle with for the rest of their lives.

After two years of continuous use of the drug, severe consequences develop:

  • epilepsy;
  • toxic hepatitis;
  • dementia;
  • cirrhosis of the liver.

Among other consequences of long-term use of Tramadol, mental abnormalities are noted:

  • alternation of euphoria and depression;
  • bouts of irritability;
  • obsessions;
  • paranoids.

Only a quarter of tramadol addicts survive after undergoing rehabilitation. The rest die from causes that are directly or indirectly related to the consequences of dependence.

According to statistics, most patients die as a result of overdoses that occur during breakdowns. Up to 9% of all those who use this drug commit suicide during withdrawal, slightly less people die from diseases of internal organs. With 3% of patients in a state of drug intoxication, accidents occur that lead to death.

Signs and symptoms of consumption

Signs and symptoms of consumption
Tramadol is a psychoactive drug, so its use primarily causes behavioral abnormalities. They can be different and depend on the personality characteristics of the patient.
In different cases:

  • excessive motor activity or lethargy;
  • drowsiness or insomnia;
  • inability to concentrate;
  • self-isolation and indifference to everything;
  • reluctance to communicate with loved ones;
  • decreased memory and attention;
  • absenteeism of study or work without a clear explanation;
  • acute reaction to criticism;
  • sharp mood swings;
  • falsity and avoidance of direct answers to questions;
  • untidy appearance;
  • the appearance of suspicious acquaintances, jargon;
  • interest in specific music and films;
  • constant requests to borrow money;
  • loss of values.

The dependence on Tramadol can also be recognized by physiological signs. They can also vary depending on the characteristics of the body.

Most often in people who take the drug, there are:

  • enlarged or narrowed pupils;
  • red squirrel eyes;
  • clouded look;
  • pale or reddened skin;
  • rash;
  • slow and incoherent or simply accelerated speech;
  • lack of appetite or gluttony;
  • strong weight loss or a large weight gain;
  • digestive disorders;
  • excessive gesticulation;
  • unstable gait.

Within a month on the background of the reception of Tramadol, the patient’s appetite gradually comes to naught. At the same time, an unquenchable thirst develops.

Within three months of regular use of the drug develops physical, emotional and mental exhaustion. The person becomes more and more sluggish. He is often in a good mood, but laughter can suddenly turn into tears or a flash of aggression.

Because of the increased pressure in the patient, there are more intense headaches, with him there are fainting. Opportunities to learn and work are reduced, because memory worsens, absent-mindedness grows. As a result, a person has to exert more effort to perform the usual actions.

The development of dependence

How does dependence on Tramadol develop? Therapeutic doses of Tramadol are generally not addictive. However, even with a slight excess of it, even after the first use of the drug, both physical and psychological dependence develops.

During three months of regular use, Tramadol is the only or the main drug for a person. If the patient wants to be treated and gets rid of physical dependence, the psychological craving for the drug will still remain. It persists to 10-15 years, so very often failures occur.

Even with the help of detoxification in the hospital it is impossible to completely purify the body of Tramadol. The products of its decay are deduced within 20-25 years.

The process of inpatient treatment itself occurs quite quickly and takes from a week to a month. However, in practice, 75% of people who at least once tried Tramadol, go back to taking the drug for 4-5 years. This in most cases ends with death.

After a dramatic withdrawal of Tramadol, the drug addict experiences the most severe of all possible abstinence symptoms. The break takes 20-25 days.

Hallucinations in the period of the abstinence syndrome do not vanish, but, on the contrary, become more frequent and realistic, the gloominess of their plots increases.

In parallel, the patient manifests other mental disorders:

  • severe depression with suicidal tendencies;
  • aggressiveness;
  • hysteria;
  • irritability.

The effect of Tramadol

The effect of Tramadol begins one to two minutes after ingestion. There comes a euphoria, which lasts 12-36 hours, but as it gets used to the drug its duration gradually decreases. After a while, narcotic intoxication becomes weak, passes through 1-5 minutes.

Drug addicts usually use Tramadol in capsules, less often they use injectable solutions for the home-made drug production. After taking the drug develops an empathic state, similar to what causes “ecstasy.”

It is accompanied by:

  • emotional susceptibility;
  • desire to help others;
  • sympathy and sympathy for all, even for the enemies;
  • the tide of vivacity;
  • looseness.

After one or two days intoxication comes to naught. A person has a fear of being alone, nightmares begin to haunt him. As you get accustomed to the drug, euphoria and empathy practically disappear, but paranoia and mania develop, as well as as a result of prolonged use of heroin.

By the end of the first week of taking Tramadol against the background of euphoria, the first hallucinations appear. The patient can hear or see certain creatures. He talks to them, watches them from outside in extreme situations, perceiving what is happening as an exciting adventure.

Mechanism of action Tramadol

Posted on July 11, 2018  in Medical news

The mechanism of action of the drug Tramadol after penetration into the bloodstream Tramadol begins to affect the activity of the nervous system. It inhibits pain impulses and stimulates opioid receptors in the brain and spinal cord. As a result, a person has pain relief.

The use of the drug for its intended purpose and compliance with the recommendations of the doctor, rarely leads to side effects.

However, exceeding the therapeutic dose causes drug intoxication and related side effects:

  • retardation;
  • hallucinations;
  • cardiopalmus;
  • dizziness.


As a narcotic analgesic, Tramadol has a powerful analgesic effect. The effect of the drug begins almost immediately after administration inward or parenterally and lasts a long time. By activity inferior to morphine, so it is used in higher doses.

Tramadol as a drug

Tramadol as a drug

Tramadol belongs to the group of narcotic opioid analgesicsEarlier it could be bought in a drugstorethough with difficultybut now the drug is everywhere withdrawn from circulation.

Tramadol is available in capsules for oral administrationampoules for injections and rectal suppositoriesIn most countriesit is prescribed only to a fatal patient who experiences unbearable pain in the late stages of illness.

In the pastthe drug was used in the treatment of drug addictionDue to the fact that it has an effect on the central nervous systemit alleviates the pain in the withdrawal syndromebut other manifestations of withdrawal only aggravateThereforenow restrictions are imposed on the use of the medication.

Currentlyhalf of the patients in the narco-dispensaries are people who are dependent on TramadolAccording to statisticsthe drug is consumed by thousands of schoolchildren.

As a synthetic heroin opiateTramadol often causes an overdoseIt leads to paralysislimb amputationserious CNS lesions and deathBut is he a drugIndeedmany drug addicts use the drug as a single drug or use it at a time when they can not find heroin.


The composition of Tramadol differs slightly depending on the form of releaseThe active substance of the drug is tramadol hydrochlorideAs auxiliary components in the capsulesmagnesium stearate and milk sugar are containedand in injection solutionssodium acetate and distilled water are contained.


Posted on April 17, 2018  in Medical news

A synthetic antibacterial preparation of a broad spectrum of action from the group of fluoroquinolones.

Pharmacological properties

Ciprofloxacin is a broad-spectrum antimicrobial agent of the fluoroquinolones group. Has a bactericidal effect, the mechanism of which is due to the inhibition of DNA-gyrase of bacteria with a violation of DNA synthesis, growth and division of microorganisms.

Has antimicrobial effect with the highest activity against aerobic gram-negative and gram-positive bacteria: Pseudomonas aeruginosa, Haemophilus influenzae, Escherichia coli, Shigella spp., Salmonella spp., Neisseria meningitidis, N. gonorrhoeae. It is active against many strains of Staphylococcus spp. (producing and non-producing penicillinase), some strains of Enterococcus spp., as well as Campylobacter spp., Legionella spp., Mycoplasma spp., Chlamidia spp., Mycobacterium spp. Ciprofloxacin is active against bacteria that produce beta-lactamase. Resistant to ciprofloxacin Streptococcus faecium, Ureaplasma urealyticum, Nocardia asteroides, Treponema pallidum. Resistance of bacteria to ciprofloxacin develops slowly.

When ingested quickly and completely absorbed in the digestive tract. Cmax in blood plasma is achieved 1-2 hours after admission, bioavailability is 70%, T1 is 4 hours. Approximately 20-40% of ciprofloxacin binds to plasma proteins. Ciprofloxacin is well distributed in tissues and body fluids, and its concentration can significantly exceed the concentration in the blood plasma. Penetrates into the CSF through the placenta, excreted in breast milk, high concentrations are determined in the bile. It is excreted from the body up to 40% with urine (unchanged) for 24 hours, in part – with bile.


Infections caused by drug-susceptible microorganisms:

infections of the lower respiratory tract caused by gram-negative bacteria (pneumonia, except pneumococcal, bronchopulmonary infection in chronic obstructive pulmonary disease, cystic fibrosis, bronchiectasis);
infections of the middle ear and paranasal sinuses caused by gram-negative bacteria;
infections of the kidneys and urinary tract;
skin and soft tissue infections caused by gram-negative bacteria;
infection of bones and joints;
infections of the pelvic organs (including adnexitis and prostatitis), gonorrhea;
infections of the gastrointestinal tract (including diarrhea, caused by enterotoxigenic strains of Escherichia coli, Campylobacter jejuni);
intra-abdominal infections;
infection in patients with reduced immunity (with neutropenia).

Do not take Ciprofloxacin in the following cases:

hypersensitivity to ciprofloxacin, other quinolones or excipients of the drug;
pregnancy, the period of breastfeeding;
children and adolescents under 18;
simultaneous use with tizanidine.

Possible side effects: Like all medicines, ciprofloxacin can cause side effects with varying frequency, regardless of whether it was previously taken.

Often (1 to 10 – 100 cases): nausea, diarrhea.

Infrequently (1 per 100 to 1,000 cases): fungal superinfections, eosinophilia, lack of appetite, hyperactivity, agitation, headaches, dizziness, sleep disorders, taste disorders, vomiting, stomach and bowel pain, dyspepsia, flatulence, increased hepatic activity enzymes, increased bilirubin, rash, itching, urticaria, musculoskeletal pain (in the extremities, back, chest), joint pain, impaired renal function, fatigue, fever.

Rarely (1 per 1,000 – 10,000 cases): inflammation of the colon, changes in the number of leukocytes, anemia, a decrease in the number of platelets, allergic reactions, increased blood sugar, confusion, pathological dreams, depression with the appearance of suicidal thoughts, changes in sensitivity, trembling , convulsions, dizziness, visual impairment, hearing disorders, tachycardia, decreased blood pressure, fainting, choking, liver function disorders, jaundice, hepatitis, photosensitivity, muscle pain, joint inflammation, increased muscle -screw tone, muscle spasms, renal failure, blood / crystals in the urine, nephritis, increased amylase activity.

Very rarely (less than 1 in 10 000 cases): hemolytic anemia, decreased number of blood cells, suppression of bone marrow function, anaphylactic reaction, anaphylactic shock, mental reactions with possible suicidal attempts, migraine, impaired coordination, unstable gait, odor perception disorder, increased intracranial pressure, changes in color perception, vasculitis, pancreatitis, liver necrosis, petechiae, erythema, Stevens-Johnson syndrome, toxic epidermal necrolysis, muscle weakness, inflammation and tearing of tendons (mainly Achilles), swelling, increased sweating.

The frequency is unknown (can not be estimated from the available data): peripheral neuropathy, ventricular tachycardia, arrhythmia, acute generalized pustular exanthema, increased prothrombin time.

If you took a dose of ciprofloxacin more than the doctor recommended: If the number of tablets a day you took exceeds the amount that your doctor recommended, or your child swallowed the tablets, consult a doctor or call an ambulance! Stop taking medication! Overdosing can be manifested by dizziness, headache, fatigue, convulsions, hallucinations, confusion, a feeling of discomfort in the abdomen, a violation of kidney and liver function, the presence of crystals and blood in the urine. As a first aid it is recommended to wash the stomach and take antacids.

Precautions and special instructions for taking Ciprofloxacin:

Severe infectious diseases and mixed infectious processes. In these conditions, ciprofloxacin is administered in combination with other antimicrobial agents.

Streptococcal infection (including Streptococcus pneumoniae). Ciprofloxacin is not recommended for treatment due to inadequate efficacy.

Urogenital infections. These infections can be caused by fluoroquinolone resistant Neisseria gonorrhoeae. In these cases, ciprofloxacin should be administered along with other antimicrobials. If no improvement is observed within 3 days of treatment, then treatment is recommended to be reviewed.

Intra-abdominal infectious diseases. Data on the effectiveness of ciprofloxacin for the treatment of postoperative intra-abdominal infectious diseases are limited.

Diarrhea of ​​the “traveler”. When choosing ciprofloxacin, the available information on drug resistance of the relevant microorganisms in the visited country is taken into account.

Infectious diseases of bones and joints. Ciprofloxacin is administered in combination with other antimicrobials after a microbiological examination.

Anthrax: Information on the use of the drug in humans is limited. It is recommended to be guided by national and / or international documents on the treatment of this disease.

Other specific severe infectious diseases: Ciprofloxacin is used according to treatment protocols or after careful assessment of the “risk-benefit” ratio and microbiological analysis in cases where other treatment is not possible or after an adverse outcome of previous therapy.

Hypersensitivity. After taking a single dose of the drug, hypersensitivity reactions are possible, including anaphylactic and anaphylactoid reactions, which are life-threatening conditions. Take the medicine immediately and immediately inform the doctor or call an ambulance!

The musculoskeletal system. Ciprofloxacin should not be given to patients with tendon disorders or disorders in the administration of quinolones in the past. If necessary, treatment of severe infectious diseases in such patients for the treatment of severe infectious diseases, a microbiological study and an assessment of the ratio of “risk-benefit.” Perhaps the occurrence of inflammation or rupture of tendons, mainly in elderly patients or concomitantly taking corticosteroids. With any signs of this disease (swelling, inflammation), the drug is taken to stop and immobilize the affected limb. It is used with caution in patients with myasthenia gravis.

Photosensitivity. Patients taking ciprofloxacin should avoid direct exposure to sunlight and UV radiation.

Central nervous system. It is known that quinolones can lower the convulsive threshold and initiate convulsions. It is used with caution by patients with CNS diseases, provoking convulsive seizures. There were reports of cases of polyneuropathy (pain, burning, feeling of excitement, tinnitus, muscle weakness, sensitivity disorders, including tactile, pain, temperature, vibration, and musculo-articular). When these phenomena occur, stop taking the drug! Immediately inform the doctor.

The cardiovascular system. Since the use of ciprofloxacin is associated with cases of prolongation of the QT interval on the ECG, care must be taken when treating patients at risk of arrhythmia: congenital lengthening of the QT interval; simultaneous reception of antiarrhythmic drugs of class IA and III, antidepressants, macrolides, antipsychotics; electrolyte disturbances; women and elderly patients are more sensitive; heart disease.

Pseudomembranous colitis: If you suspect a pseudomembranous colitis (loose stool for a long time, possibly with an admixture of blood or mucus in it), stop taking it immediately and call a doctor immediately for the appropriate treatment! Do not use drugs that depress intestinal motility. Immediately inform the doctor.

Renal and urinary systems: Sufficient fluid should be taken.

Hepatobiliary system: There were reports of cases of liver necrosis and life-threatening liver failure (jaundice, dark urine, itching, lack of appetite). When these phenomena occur, stop taking the drug! Immediately inform the doctor.

Deficiency of glucose-6-phosphate dehydrogenase. Possible development of hemolytic reactions. The drug is not assigned to such patients, except when the potential benefit exceeds the possible risk.

Resistance. During long-term therapy and in cases of treatment of some infections, ciprofloxacin-resistant bacteria can be released.

Eating and dairy products. You should avoid simultaneous reception with dairy products or beverages enriched with minerals (milk, yogurt, calcium fortified, orange juice), since the absorption of ciprofloxacin may decrease.


Hypersensitivity to ciprofloxacin or other quinolones, pregnancy and lactation, age 12 years, severe liver and kidney dysfunction, history of tendonitis caused by the use of quinolones.

Side effects

As a rule, it is well tolerated, but the following side effects are possible: dizziness, headache, fatigue, agitation, tremor; in isolated cases – peripheral disorders of sensitivity, sweating, hot flashes, gait disturbance, increased intracranial pressure, a sense of fear, depression, visual disturbances; nausea, vomiting, diarrhea, digestive disorders, abdominal pain, flatulence, hepatitis, necrosis of liver cells; tachycardia, rarely – AH; skin itching, rash; extremely rare – edema Quincke, bronchospasm, arthralgia; anaphylactic shock, petechiae, vasculitis, Stevens-Johnson syndrome, Lyell’s syndrome; eosinophilia, leukopenia, anemia, thrombocytopenia; leukocytosis, thrombocytosis, hemolytic anemia; increase in plasma creatinine, hepatic transaminases, alkaline phosphatase, LDH, bilirubin.

Special instructions

With caution appoint patients with epilepsy and patients with other organic diseases of the central nervous system, as well as with cerebral atherosclerosis.

With simultaneous treatment with ciprofloxacin and barbiturates, it is necessary to monitor heart rate, blood pressure, and ECG. During the treatment should monitor the concentration in the blood of urea, creatinine, liver transaminases.

The most important thing for human health

Posted on March 11, 2018  in Medical news

The lymphatic system is the most important for human health

The lymphatic system is the only system for removing poisons from the body, especially bacterial and fungal-parasitic poisons! In fact, this system depends on the quality of human immunity, and good immunity is life! …

Lymphatic system

The lymphatic system is one of the most complex and cunningly arranged human systems. In our country there are only about 200-300 knowledgeable lymphologists, one of whom shared his opinion with us, which we reproduce below.

“You can not even imagine how much we do not know anything about the lymphatic system! That is, not even at the level of district doctors, but even at a high level of highly specialized doctors, on which the life or death of a patient depends! There is Professor Levinez – an amazing scientist – he worked for many years in alternative medicine, he tried to prove to the whole world that the lymphatic system is very important!

It is actually very important – it is a system for removing poisons from the body, especially bacterial and fungal-parasitic poisons of the simplest!

Practically from this system depends the immunity of a person, and immunity is a life!

With the lymphatic system, we are treated in the most disreputable way, and with it one should only address “you”! The lymphatic system goes all the way from the bottom up, and never in the reverse order! Those. from the fingertips to the breast lymphatic duct.

And how do we usually get a massage? Correctly: “from top to bottom”, against the course of lymph, which means that lymphatic flows are disturbed! Have you ever seen valves in the lymphatic ducts? This is a very important device: when the lymph rises, the valve passes it, but then it closes (it does not allow the backward movement of the lymph!). And if we properly massage ourselves, as usual, against the move – then all the valves will simply collapse!

The face is massaged in a different order, do you think that “from the center to the ears” along the lymph flow? No! Usually under the eyes it is done on the contrary – with fingers against the course of lymph! There are professional masseurs who own the lymphatic drainage system, but 50% of masseurs simply do not know anything about the lymphatic system, that it is “bottom-up” …

Surprisingly, in our group there were professional surgeons, and 50% of them admitted that they never sew lymphatic vessels!

There are doctors who do not know that there are no lymph vessels in the head … so many such incidents and problems! Because none of us, doctors, received a free specialization in clinical lymphology at the Institute! Yes, there is the Institute of Lymphology in Novosibirsk … probably people there know a lot …

But they do not have any relation to the precinct service of Moscow (and other cities), and we usually appeal to the district service with requests for help. Our science is now very far from people – it has come off and ran far ahead, and our goal is to catch up with the runaway medicine and science!

Imagine a blood vessel, through which there are red blood cells and white blood cells, and next to cells that receive food from them. From each tissue lymphatic vessels that begin directly in the tissue, they filter through themselves huge streams of excess fluid. The liquid comes out here along with the vitamins and substances dissolved in it, it is slightly absorbed back.

But the bulk of the liquid, washing these tissues, this “swamp” – goes to the lymph. Here live bacteria, here live and fungi, connected between themselves chains, and here live parasites – opisthorchia, Giardia – directly into the tissue! And here constantly all is washed out by water from vessels – and leaves in a lymph. Every minute there is emptying.

Do you remember the school problem? A certain amount of water is poured into the basin through a single pipe, and another quantity of water leaves the pipe of a smaller diameter. Calculate: after what time will the water be completely replaced in the basin? I could never calculate! And here is the same picture: one tube enters – the other leaves, and the space should remain perfectly clean!

Lymph node = Customs of the first small scale, if it is struck – say: “Cancer of the first degree”. Metastasis follows the lymph nodes, pumping all the water here. Ten entries – and one exit! Here the enzymatic base of lymphocytes-macrophages, they live here. Lymph node is a room in which live macrophages, lymphocytes-T, lymphocytes-B, they filter this liquid, they destroy bacteria, viruses, fungi, parasites and protozoa. Relatively pure lymph goes further, and wider areas are connected to it.

And here already the next lymphonodus of the second order. And if it is clogged – this is called “Cancer 2 degrees.” And so on: ten entries – and one exit … and everything goes from bottom to top – this is called the Work of the Lymphatic System.

What is important? This is that the lymphatic system is the only system other than the kidneys and the gastrointestinal tract, which has an ejection through the mucous membranes outside! This is a completely unique phenomenon, because through the skin we can not spit anything out! If the lymph is broken – we will spit through the skin … The release of poisons can only be through the mucous membranes, because they do not have a solid dead barrier of the epidermis.

So, the first beachhead of lymphatic evacuation is the first place for the dropping out of the bacteria bodies outside? Guess from 3 times ?! From the audience: “Probably a nose?”. No, remember that the current of lymph is going from bottom to top! And therefore the first place is the vagina (in women) and the urethra (in men)! As soon as something has got into the body, immediately it’s “something” here and it shows up: at once the uncomfortable state at the bottom, pain, rezi, something else starts … It means that something has already hit, or rather, then, and someone (alive and developing!) – a fungus, a bacterium, a virus, parasites, protozoa, chlamydia, opisthorchus!

And we usually “struggle” with all our might? Correctly, with secretions from there … And it is necessary to struggle with parasites – with bacteria, viruses, fungi, with АБВГД-infection! But our medicine’s main problem is that there should not be any excretions, coughing, runny nose, sweat! What happens: one tablet will try to save you from excreta, but where will they get to from one tablet?

Kilometers of fungal colonies that live in all tissues, in the liver, in the kidneys, in the intestine. The medicine can be so strong that it can hit the liver so that it does not seem too small. As a rule, it turns out not bad: three days of excretions are not present, and then start again (thrush, for example). And what is thrush, what is the secretion with thrush? These are fungus corpses that have been destroyed by our body with the help of leukocytes!

Therefore, not with the corpses must be fought – they are already killed! It is necessary to fight with live fungi! And you can fight only one way – by raising immunity! Because other methods will not work: all living things in the body will not be killed!

The second landing bridgehead – guess? – Correctly, the intestine, through it stands out a huge number of poisons! Someone says: “I have dysentery, and I have one solid mucus in my feces!” And what is mucus? Yes, the same pus – the corpses of viruses, bacteria, fungi, dysentery sticks, salmonella and other … Lymph nodes open inside the intestine, thousands – that’s what they all sing out!

The third bridgehead – climb to the floor above – it’s sweat glands, especially in the armpits. A person simply must sweat – all the poisons (hormones, toxic poisons – medium molecules, not pus), the body takes out through the skin.

And what do we do to ensure that they never appear? Correctly, advertised 24-hour deodorant, botox injections, gels, formaldehyde-based ointments, tablets, completely blocking the lymphatic system, and with prolonged use can cause serious side effects: speech disorders; Disturbance of taste sensations, difficulty in chewing and swallowing; dry mouth; delayed urination, constipation.

Often addictive drugs, including sedatives, tranquilizers, are also used in the fight against hyperhidrosis, whereas the cause lies in the slagging, intoxication of the body, and with this terrible chemistry we simply barbarously kill ourselves because of elementary illiteracy. And all problems are solved afterwards: at least frighten you, even if you roll on a roller coaster – and sweating will be no more!

And where will the poisons go? In the nearest place – in the mammary gland! And from here and mastopathy, contamination of the lymphatic pool: lymph drove everything out – and you sprinkled (anointed) – and now you’re fearless never sweating (but potentially sick) James Bond!

A terrible mistake! Never use blocking drugs! Unfortunately, the chemical substances sprayed onto the skin narrows the vessels according to the preset program – by 12-24-48 hours, and now there are super-deodorants – 7-day and various injection methods for a long time. And then you just have a blocked mechanism for sweat glands – and in general the end …

This is all – the lymphatic system: on the skin, on all joints. It’s very simple: here is the knee joint – two bones with a smooth supporting surface, and around them – an articulate bag (capsule). Some swell joints … it would seem, what is there to swell around? And it turns out, behind this joint is a huge lymph node, and if it is thrombosed (by bacteria, for example, beta-hemolytic streptococcus), which lives in the blood, then here arthritis will come (rheumatoid, infectious-allergic, polyarthritis – if many joints).

And what does the joints have in general? Two bones, without suspecting anything, exist for themselves – and suddenly there is a temperature, what is it for? Yes to fight with bacteria! Or there is edema – Why? A lymph node does not allow fluid.

What do we usually do: heat, ointment, mud, oil, hormones, rubbing – and think, will help? Never! Because, first of all, you need to clean the lymph!

But first you need to see who lives there, how many of them – and then start taking medication. But until we know who lives there, neither joints, nor skin, nor kidneys can not be cured! To get rid of different “residents” need different medications: for example, there lives a fungus, and we are prescribed a course of antibiotics, and they do not work against the fungus, and even feed it! And there is a powerful fungal arthritis, which is very difficult to cure! And after it begins and Bekhterev’s disease (when a person at a time twists all the joints) – and everything you want …

The fourth bridgehead is the nose, through which the main quantity of airborne infection is eliminated. The adenoids were cut off – they killed their defensive line!

The fifth springboard is the amygdala. Constantly swollen, disturbed – cut off – and buried another protective barrier!

The sixth foothold – the larynx – is laryngitis.

The seventh springboard – the trachea – the development of tracheitis.

The eighth bridgehead – the bronchi – the development of bronchitis.

The ninth foothold – the lungs – the development of pneumonia.

Everything, protective barriers are no more – and in a harmonious series “in a different world” …

A person can be blocked or cut off everything, that’s just what he then will allocate pus – completely incomprehensible! Most people who have tonsils cut off develop chronic laryngitis, chronic pharyngitis, and bronchitis. And if the parasites, lamblia and viruses he has left – it will also flow with the osmatoid or obstructive component.

What is pneumonia? This is thrombosis of the lymph nodes, which prevents the fluid from escaping. What is neurodermatitis, psoriasis? This is the complete obstruction of the lymph nodes due to the fungal pathology, it is a fungus that has cemented everything there, so the skin opens the “fire windows” on the flexor surfaces (the child has an ass, cheeks, tummy in the lymph nodes).

Why do those who pay attention to charging, usually in the lymph system is all right?

A person does not have a separate heart for the lymphatic system, but how is a moving lymph flow created? Here is the lymphatic vessel, and around it – the muscles! The muscle is contracted – the lymph is pushed, and back it is not let through the valves in the lymph vessels. But, if the muscle around the vessel does not work – where does the movement of the lymph come from ?!

Here we are now sitting motionless at the lecture 8 o’clock – we do not contract anything – and lymph is not being pushed! And whoever moves the arms and legs slightly (hidden gymnastics for the body) – the muscles contract – and the movement of lymph appears. Feel that you are tired – it means that lymph has stagnated! The accountant sits 8 hours at work, and already can not understand where she has “white cash”, and where “black” – drink water, move, do the hidden gymnastics – it will clear up.

And that there was no hemorrhoids – “jump” once 30-50 on the gluteal muscles – this massage of the lymphatic collectors of the small pelvis. And there will not be such a massage – there will be prostatitis, adenoma …

Lympho-system can not be heated, forget about quartz for life! On the lymph system you can not use any compresses, during the massage, you go around the lymph nodes: there are white blood cells, and if you squeeze them, go against the flow – you just destroy them … If you damage the lymph node under your knee – it will swell all your life! There is such a disease elephantiasis – lymph flows from the inside, all external procedures will not help anything! Lymph can be cleaned from the inside, but it can only be driven by active movements, muscle contractions – gymnastics. If the nodes are not clogged with bacteria! This is fundamentally important!

There are no lymph vessels in the head – there are lymphatic lakes, where the lymph simply flows down.

After cleansing the lymph nodes and passing 10 stages of “customs”, pure lymph (this is the same water, or the sulphure, this is the same part of the red blood in which there are no red blood cells) flows into the venous bed and mixes with the venous blood, along the way cleaning it.

And if the lymph nodes are clogged – nothing flows, and nothing mixes, it starts to ooze, because the body can not pass purulent lymph through the lymph node – it throws it out – on the skin! Also there will be an eczema, a neurodermite, a psoriasis, a dermatitis, a diathesis, a furunculosis, akne, an acne and other …

These manifestations depend only on who lives there in the lymph nodes. Most often there are fungi (lives in lymph, it affects the skin), on the second place worms, on the third – bacteria, in the fourth place – viruses (they are so small that they do not live in lymph – they immediately go into the cage!) Note: in all anti-psoriasis ointments are antifungal drugs, but the skin is already very distant from the fungus, because the process of its development goes inside, in the tissues.

Dermatologists are the happiest doctors: they are never brought to the ambulance, they all know that no one will ever cure anything – and no complaints! And now they have doctors of even narrower specialization: candidologists, chlamydiologists, I’m not talking about dermato-venereologists – these have long been divided … they specialize already on bacteria! And the bacteria are already so clever that you need your doctor for every sensible bacterium! Let’s say a rheumatologist deals only with beta-hemolytic streptococcus, but we already have an army of rheumatologists, and nothing can do about this bacterium (it’s smarter!). And we are treated quite the other way, because the main reason is stagnation and loss of lymph from immobility of muscles (we are just too lazy to do gymnastics!).

A voice from the audience: “What kind of gymnastics is better?” Yes, any – just to move! To whom that likes: whether it’s dance or martial arts: Yoga, Qi Gong, Tai Chi, Kung Fu and any other health gymnastics … but not all can do it themselves – there need competent teachers … Buy a book Katsudzo Nishi – there everything is very simple and affordable – this is one of the simplest systems. The Nishi system is not just a complex of very important rules and exercises, it is a way of life that develops the habit of living according to the laws of nature.

Gymnastics must enter into your lifestyle. If we have a “full pipe” in the country, then it’s even worse with gymnastics! But gymnastics should be individual.

The main thing in life is proper nutrition and at least some movement, and nothing is more important! A voice from the audience: “And sex?” And sex is also a rhythmic and orderly movement, and if everything is right, then there is a lymphatic system, plenty of sweating …

A voice from the audience: “And Norbekov?”. Norbekov we will consider when we go through eye diseases. But here’s what I’ll say: a good system, but not complex: they still do not want to understand that people do not see anything without beta-carotene! And they try to make something global from their system … But you can also take it from it, snatch something useful for yourself.

In principle, all people are good: both therapists are good, and psychics are good, and homeopaths, and surgeons … – they just do not see each other in the focus, and they do not want to notice!

The best diagnostician is a pathologist!

A case from my practice: Sochi, a briefing with the doctors dragged on until one in the morning, dealt with the antiparasitic program, and one of the doctors asked: “No, well, I do not understand, well, really, there is only one remedy against parasites in the whole world:” Black walnut leaf ? “- Yes, I will never believe it! Is there really no normal antiparasitic drugs? “.

I answer him: “Well, there is no such thing anymore!”.

He replied: “But I do not believe – I will look!”.

I ask: “Who do you work for?”.

And so 30 doctors sit, and he gets up, and proudly says: “I’m a pathologist!”.

I ask: “And what are you going to do with the parasites in the corpse? They are already leaving your “patient”! Why do they wait for you until you find a remedy? “.

We have Karaganov’s doctor in Magnitogorsk, she is engaged in biochemistry (laboratory assistant), and they died of lymphogranulomatosis in a child who had a prolonged resuscitation before that. They did not save this girl – she just gasped, and she got away the slime. And when the doctor wiped the mucus, he noticed an incomprehensible, and asked: “And what worms look like sorrel?”.

I honestly replied that I do not know this …

Here among gynecologists it is easier for me …

And there a full rag was worms – in appearance exactly, like maggots on meat – it’s someone’s larval stage … But they were in the lymph nodes of the bronchi! Actually, that’s why the child suffocated! For what is the edema of the lungs? This is a complete blockade of the exit of fluid through the sputum outside – and then everything! And blocked can be fungi, parasites, bacteria, chlamydia, thick mucus, etc.

The lymphatic system is unique, and it is necessary for doctors (and all of us) to even know a little!

We do not train specialist lymphologists from you, but it all started 5 years ago in Lipki, it was my first report on the lymphatic system. And limfoochistku passed through this system already thousands of our employees, and many had very good results!

Therefore, we will not save the whole of humanity with you – we will start ourselves by ourselves, and we will deal with the simplest banal limf cleaning!

And for this I will explain the mechanism of lymph cleansing

For 30 years, thousands of experiments have been carried out, with radioisotope methods of research, and it has been proven that all substances are divided into two types (like everything in the life of Yin-Yan, like all diseases: either you lose everything you need memory, or you get what you do not need dandruff, hemorrhoids) in relation to lymph:

– Some stimulate lymph on the way out (dilute it) and the removal of harmful substances from the body.

– others block or weaken the movement of lymph.

In lymph there are hyaluronic acids, they can be either gel (thick kissel), or sol (liquid jelly). They went into the bath-house – it flowed from the nose, they dived into the ice-hole – it thickened, and all because of the contrast of temperatures. Once a week, go to the bath, but to get lymph flowed well, there should be 60 degrees in the bath (proteins break down at 60, but the skin can also withstand a high temperature for a short time).

To make lymph move – you need to apply a lymphostimulator: licorice, echinacea, celandine, Glauber’s salt, magnesium sulfate. Therefore, when we apply the drug – all the lymph in the body is strongly encouraged, and begins to move to the exit.

This procedure is called “lymphostimulation”, and is done on an empty stomach.

The first stage is called lymphostimulation.

Lymph moved to the exit – and along with her went and poisons.

The largest number of lymph nodes is in the intestines – there are tens of thousands of them! And if at that time the sorbent (activated charcoal or another) enters the intestine, then the poisons are filtered out to this sorbent.

The second stage is sorption. But at the moment of sorption, unfortunately, minerals, vitamins, and energy are lost along with poisons along the way.

And therefore 3-4-5 stage is called, respectively, vitaminization, mineralization, and replenishment of the energy reserve.

The first part of the program – sorption of poisons, toxins – and withdrawal from the body.

The second part is the restoration of useful content, i.e. a cleaning program, and a recovery program.

In our programs, lymph drainage is clearly described in terms of time, timing, and tablets, and here one must understand that each organ has its own lymphostimulation, because it exits the cellular nutrition: the heart loves potassium and magnesium, the kidneys like sodium, the brain loves vitamin-B, the reproductive system of lecithin (vitamins A and E) – everyone needs something of their own, special!

So, we deduce all at once, at all the general, and we enter everyone individually.

Lymph purification should be remembered not by pills, but by principles! It can last one day, but maybe ten, and maybe a month! It can be after chemotherapy, it can be after the flu, it can be a preventive measure against the flu, or after stress, x-ray, or after poisoning (alcoholic, say) – lymph purification after intoxication – it’s just super!

In any case, lymphatic purification is a huge help to the whole system of lymph of your body! It is necessary to remember not specific cleaning schemes, but its principles, it is necessary to understand its essence.

Understand, it is necessary to make all the water in the body move (in the liver, kidneys, heart, lungs, muscles, bones, brain) – all water will simultaneously flow faster and begin to move to the exit.

And when it flows – we need to filter it through the sorbent and clean it (the sorbent will then go naturally through the intestine). And do not forget to take nutrients, vitamins and minerals = and that’s all, there’s nothing special about cleaning!

But it is very important that you understand: every intervention in the functioning of the body’s systems requires a subsequent cleansing of the lymph: he made an x-ray – cleaned the lymph, took chemotherapy procedures – cleaned, drank a course of antibiotics – cleaned, had any pain – clean it!

Do not confuse the cleansing of the intestine with cleansing the lymph – it’s completely different: here we clean the intestines, and lymph has nothing to do with it!

And lymph is all body tissues! 83% of water-soluble poisons accumulate in the intercellular fluid – not in the blood, not in the kidneys or liver …

15-20% of water-insoluble poisons accumulate in the intestine (who has more, who has less).

There is no contraindication for lymphatic drainage!

The kit can be of any level – from the simplest ones (Licorice, Activated Carbon, Vitamin C, Citrus Fruit, English and Glauber’s Salt, oils, folic acid). Contraindications can be only on a single drug individually for each person, but not on the lymphatic drainage system!

On the principle of lymphatic purging there are no contraindications – whether it is a newborn, whether it is an adult after a serious illness – and that, and other lymph should be cleaned, intoxication should be removed, the intercellular water (fluid) must be made to move! So that the lymph does not turn into a “standing swamp”, because everything will develop in the standing water!

A stagnant swamp turns sour – but in a stormy mountain river nothing harmful happens!

And if a person walks along our path – to study something, understand and accept, eat less of the advertised “muck”, drink less “nastiness” (it throws us back!).

All ingenious in this world is simple!

If you do everything right – all internal organs (including the lymphatic system!) Will work fine. Found out viruses, parasites at inspection – cleaned, raised immunity.

The process of rehabilitation should not stop, such as “Today – I’m flying, and tomorrow – I live”, it must continue continuously and daily.

Purely not where they clean, but where they do not litter!

Understand in your body, do not eat anything that moves, eat less, but tastes better and more often. But we are told: “There are many – harmful, but few – boring!”. We dig ourselves a grave with a spoon, in the East we are aware of this.

So, the lymph system demands to itself enormous respect, it does not forgive anything. If the stomach can forgive almost everything, the reproductive system partially forgives, then the lymph system does not forgive at all!

It depends on her own life and the provision of the body at the level of the removal of heavy metals salts, antibiotics, toxins, chemicals: formaldehydes, vinegars, acetones, paracetamols and other mucks-this is what the lymph system is all about.

Everything is absolute: bad juices, spoiled food, wine, medicines – all this is absorbed into the blood, gets into the intercellular fluid, and then it’s time to work the lymph system! And that’s how it works for each of us – that’s our life!

Three systems: the blood, the cardiovascular system and the lymph system are the three systems that form the flow of fluid in the body. All the rest is just the variants of this liquid: add some acids – get the Gastric Juice, just Digestive juices and Enzymes – get saliva, a little adrenaline – get Tear fluid (in the tears the highest density of adrenaline!), Yadov and Solei – get urine, Spermatozoa – get the sperm, cleanse the lymph thoroughly – and get Spinal-Brain Fluid.

And at the heart of it all is the same lymph !!!

There is no separate blood, separate urine, and separately lymph. And even when “urine strikes the head” – this is the same blood, this is the lymph that has not gone away! Everything in the body is one, in all we observe the circulation of water in the human body, tied up on a huge amount (70 liters with a person weighing 90 kg.!) Of intercellular fluid.

Paradox, but this fluid is not practiced by any of the doctors!

Here, perhaps, and all (in a very condensed form) on the lymphatic system. Imagine that you have now learned a lot in just 5 minutes, and it seems everyone understands!

And when you leave the university after 7 years of study, you think: “God, yes, I do not understand anything, what’s going on in the body ?!” And the more I work as a doctor – the more it seems to me that I understand even less!

There are many doctors, and, good, knowledgeable doctors. And if the doctor says: “First, clean up, and then we’ll sort it out!”, Then this is not the position of a single doctor, but the traditions of ancient doctors, starting from Avicenna and the more ancient traditions of healing indigenous peoples:

“First, cleanse, die food, starve, drink plenty of water, calm down, put your mind in order. And when all this has not helped – go to the doctor! “.

That’s just a doctor will not need to go if you follow the first part of this postulate!

At the same time, doctors and free from bad work!

Personal experience of health preservation

Posted on March 11, 2018  in Medical news

We are trying to save health by accidentally searching for a miracle

We have already made sure that doctors do not understand anything about health at all. Therefore, while there is no normally functioning health care system, it is necessary to use the experience of enthusiasts who accidentally discovered the positive qualities of something …

Mechanism of health

In today’s environmentally unfavorable world, the negative impact of various factors on human health is great. Despite all the efforts of modern medicine, the annual incidence of people is increasing year by year. Some diseases become epidemic. This primarily applies to such a common disease as atherosclerosis, which is the cause of more than 50% of deaths in humans on Earth.

With this disease, there are morphological changes in blood vessels, leading to a violation of blood flow and supply of various organs with oxygen, as well as contributing to the development of various cardiovascular diseases. Thus, atherosclerosis leads to the development of most modern “diseases of civilization”.

According to medical experts, 90% of deaths occur as a result of diseases associated with calcium deficiency in the body, which provokes the emergence of about 150 different diseases. Let’s try to figure this out.

Let’s see the symptoms of calcium deficiency: increased fatigue, chronic weakness, decreased ability to work and stress stress, deterioration of sleep, difficulty of concentration, dull brittle hair, fragile exfoliating nail plates, unhealthy complexion. Sometimes there are indeterminate pains in the muscles of the extremities, a tendency to cramp calf muscles, as well as the muscles of the hands and feet, especially under hypothermia.

There may be symptoms of increased bleeding gums, a tendency to nosebleeds, an unreasonable appearance of bruises. There may be increased sensitivity of tooth enamel to cold and hot, constantly recurring caries. There is a tendency to allergic reactions. The general immunity is weakened, and colds become more frequent.

The transferred flu does not end with full recovery, but leaves a “tail” in the form of chronic sinusitis and tonsillitis. With the worsening of calcium deficiency, the mineralization of the bone mass decreases, children begin to lag behind in growth, adults have articular pains, and in the elderly, vertebral or femoral neck fractures often occur.

But this is basically a description of the symptoms of a general malaise. And where is the direct provocation of about 150 diseases? Although with a general decrease in immunity, you can expect the appearance of more diseases!

Now let’s list the symptoms and consequences of excess calcium in the body:

– there is a kidney stone disease, calcification, gout;

– there is a decrease in the tone of smooth muscles; diseases of the gastrointestinal tract: increased acidity of gastric juice, development of gastritis, stomach ulcers, pancreatitis; the likelihood of developing disorders of the thyroid and parathyroid glands;

– increased blood clotting (threat of thrombosis) and the development of cardiovascular diseases: arrhythmia, hypertension, angina, bradycardia; dizziness or confusion, convulsions, depression;

– excessive excretion of iron, zinc, phosphorus, magnesium, etc. from the body.

Wow! The list is impressive! Mistrusters can see for themselves. The information is taken from open official medical sources.

What conclusion can be drawn?

Excess of calcium and its salts in the human body leads to the emergence of a large number of various diseases, including the most common, from which in the world there are more than half of the deaths and from which the medicine has not yet found a cure.

Let’s understand. No one will argue that calcium plays an extremely important role in the life of the body. But at the same time, its excess will adversely affect the work of individual organs and the body as a whole, if the thyroid and parathyroid glands do not react quickly to its level, and the kidneys will not remove its excess.

Getting into the blood, calcium increases the alkalinity of the blood, causing an increase in its viscosity, which leads to an increase in blood pressure and forms an increased formation of thrombi with the threat of a stroke or a heart attack afterwards. In alkaline blood, hemoglobin poorly supplies oxygen to the tissues of the body, which causes oxygen starvation of cells of various organs, which in turn leads to inhibition of the functionality of organs and can subsequently cause their disease, up to the oncological one.

The calcium itself in the alkaline environment of the body is deposited in the internal organs, in the joints, on the walls of the vessels. Almost all the stones that form in the kidneys consist of calcium salts.

The deposition of calcium salts in arteries is a known and often observed phenomenon. Arteries from this lose elasticity, become fragile and can break at any time with all the ensuing consequences.

At a young age, when a person is full of energy, all life processes are intense, the body manages to excrete excess calcium. That is why young people, basically, do not know what is the deposition of salts, stones and cardiovascular diseases. But this does not last long, after 20-25 years many begin to feel the appearance of the first unwanted signs.

In official medicine, there is a so-called theory of cholesterol, which explains the slowing down, and then fading with age of all vital functions of the body, by excessive accumulation of cholesterol.

It is believed that there is a gradual narrowing of the lumens of vessels that lose elasticity; the process of supplying oxygen to organs and taking carbon dioxide from tissues worsened due to a decrease in the activity of red blood cells in the thickening blood; the permeability of all cell membranes is worsened due to the accumulation of cholesterol in them, which leads to the loss of cell functionality. In addition, the activity of lymphocytes – the main immune defenders of the body – worsens.

The theory of cholesterol is designed to show and convince us of the inevitability of the course of time. When in an infant period all cholesterol in the body goes to create membranes of newly formed cells, during the life activity period the amount of cholesterol is in a harmonious equilibrium, and in the final period of life, with a decrease in sexual, motor and social activity, leads to a decrease in consumption and the accumulation of cholesterol. The development of this situation leads to the extinction of all vital functions of the organism and, allegedly, “easy” death.

In a modern average person, the increase in cholesterol, as well as the narrowing of the internal diameter of the arteries and the compaction of the arterial walls begin to be fixed from adolescence, and by the age of 60 atherosclerosis is more than 60%.

There is a feeling that something is developing in the life of the human body! .. On the one hand, it would seem: “As Mother Nature has created and calculated well!”, And on the other – the whole second half of life, most people have to fight with various and sometimes prematurely die …

With such a state of affairs, the world-famous physiologist, Nobel Prize laureate, academician I.P. Pavlov. Known are his statements, in which he regarded the death of a 70-year-old man as the death of an infant, and the death of a man of 150 years as a murder! But he, as a physiologist, knew what he was talking about!

And here is what he said about a certain happy people – the Hyperboreans, the Roman historian Pliny the Elder (around 23 AD – 79 AD):

“… Hyperboreans live in groves and forests, worship the gods separately and together, they do not know strife and infirmities. They die only when they are tired of living: the old men, having repaired and enjoyed luxury, jump from some rock to the sea. This is the best funeral rite … “. (“Natural History.” IV, 89-90)

That is, the happy Hyperboreans did not know the disease, but left the life when they themselves considered it necessary, having fulfilled all their earthly tasks! Hence, they were aware of some secrets of life, giving them the opportunity to do so, completely lost by modern people.

In the pre-Petrine Slavic-Aryan calendar, which our ancestors used until 1700 and according to which now is 7524 summers, there was a cyclical concept – the “circle of life”, which is 144 years (years). Was not the average age of an ordinary man mean?

At the moment, too, many facts of longevity are known, but on an equal footing with it, areas with increased morbidity and mortality are known, similar facts are noted on the territorial principle.

But what is most striking, the territories of mass longevity (the Caucasus, the Himalayas, Andes, Yakutia, Japan, etc.) are characterized by the presence of natural waters with a low content of calcium! These are either water streams formed from the melting of high-mountain snows, or water formed on territories of volcanic origin.

On the contrary, the rest, mostly flat areas, have natural waters saturated with calcium salts. This is due to the fact that these areas have extensive sedimentary layers of bottom sediments of ancient seas, such as shell rock, limestone and contain a large number of calcium salts.

Where these layers most closely approach the surface of the earth, water is formed with the highest content of calcium salts and with the most unfavorable effect on the human body. In fact, absorbed calcium hydrogen carbonates from natural or tap water in our body become water-insoluble calcium carbonates (limestone), which settle on our insides, preparing the appearance with age of a bouquet of diseases.

At present, the human body is placed in such unfavorable conditions, when he is constantly forced to fight for survival. He must constantly remove all kinds of harmful substances (excess calcium, toxins, chemical and biological pollutants, pharmacological substances, etc.) that interfere with his vital functions. And do it often in an environmentally unfavorable environment that reduces life forces, potential and opportunities. Here I mean the inadequate oxygen supply of various organs in alkaline blood and reduced their functionality.

Naturally, such an unequal confrontation does not lead to a long-term healthy life. At some age, in connection with the slowing down of metabolic processes, the body ceases to cope with the excretion of unfavorable substances, and they gradually begin to accumulate in the body, hindering the work of individual organs, and then of the whole organism as a whole.

What can be done in this situation?

First of all, it is necessary to pay attention to the level of calcium, which is present in the surplus for the most common diseases and to correct its quantity, and also to change the alkaline environment of the blood, in which all negative manifestations of the deviations become possible.

How can this be done? How can you deal with excess calcium in the body and the deposits of its salts?

The answer can be given by any housewife who knows how to remove the scum in the kettle, and these are the same calcium salts that are deposited in the human body. For this purpose, any acid, for example, acetic acid, which dissolves these deposits, is suitable! The more concentrated the acid, the faster the scaling disappears.

You can do the same with a man! Acidified blood, like a solution of acid in a kettle, can gradually remove calcium deposits from the body. Practical studies have shown that the shift of the acid-base balance of the blood (pH-balance) to the acidic side, a person with a certain persistence can exercise independently through nutrition. The relative constancy of the internal composition of the blood can be gradually changed from a slightly alkaline reaction to neutral or weakly acidic, as in most long-livers.

The acid-base balance of the blood is sensitive enough to life situations:

– nervous, overtired, stressed, long sunbathing, smoking, consuming a lot of sweet or wheat products – the balance is shifted to the alkaline side;

– Drank a glass of freshly squeezed juice, we practice hiking in the bath, health-improving physical training – the balance shifts to the acidic side.

Acidic blood has more fluidity, with it, the capillaries expand. Hemoglobin in acidic blood transfers oxygen more easily, and therefore oxygen supply of all cells of the body improves, eliminating their hypoxia. But it is the hypoxia of the tissues of the body that is one of the main causes of cancer. Only with acid reaction of blood can the antioxidant system of the body work effectively, and we do not have to resort to biological antioxidants in addition.

The blood itself becomes antioxidant, which contributes to the normalization of cholesterol levels! Acidic blood promotes a faster recovery of cells in the mucous membranes of the stomach and intestines. After all, these mucous membranes are in a very aggressive environment and are highly susceptible to various diseases.

Thus, sour blood with a low level of calcium prevents the development of major health threats in the modern world – atherosclerosis, cardiovascular and gastrointestinal diseases, and also reduces the likelihood of oncological diseases!

The first barrier to the path of various viruses and infections is not the immune system, as we always thought, but the acid potential of the body. It turns out that all the mucous membranes of the organs of the human entrance openings have an acidic environment in which most pathogens die, and only those who break through this first cordon are already dealing with the immune system of the body. By this principle, the stomach also works, in which, in an acidic environment, not so much digestion occurs as disinfection of food. A digestion and assimilation of food occurs in the intestine in a strongly alkaline environment.

If, for some reason, the acidic environment of the mucous membrane becomes alkaline, this means that the entrance gate to a person before pathogens breaks open. In women, by the way, all women’s organs are protected, high acidity of the mucous membranes, which excludes the development of any pathogenic microflora on these shells. Diseases start only when this reaction changes to neutral and alkaline.

For this reason, it is not recommended for women to perform hygiene procedures with a conventional alkaline soap. All these mucosal reactions are directly dependent on the blood reaction. All of the gynecological patients without exception have an elevated calcium content in the blood, which certainly contributes to an increase in the alkalinity of the blood. Streptococci, for example, develop well in an alkaline environment. Therefore, the presence of streptococcal disease indicates that the patient has increased alkalinity of blood. Angina also develops with alkaline blood, and even increases the alkalinity of the blood.

It seems that the normal favorable environment for the life of the human body in the distant past was acidic, but gradually, under the influence of changing external conditions, some internal parameters changed, including the blood reaction, apparently, not for the better …

What can we do to restore the body to a favorable environment of life?

First of all, we must help the body to become the master of the internal situation. It should be able to control the internal composition of substances not only at a young age, but also in the second half of life. This can be achieved only if the acid-base balance of the blood is shifted towards acidity.

Since the balance of blood is very much dependent on the amount of calcium in the blood and in the body as a whole, then we must pay special attention to it. After birth, during the growing up, the body needs a lot of calcium, especially the formation of the skeleton. After the body has formed, its calcium requirements are reduced, and the income remains practically at the same level or increase. Therefore, over time, excess calcium accumulates, which alkalize the blood and provoke the appearance of many negative consequences.

From all of the above, it follows: we must reduce the intake of calcium and its salts in the body and shift the pH of the blood to the acidic side. Concerning:

1. It is necessary to reduce the intake of calcium in the body with food. The largest amount is found in milk and dairy products. Note that no mammal on Earth consumes milk beyond a very short period of feeding, when there is a great need for calcium in the formation of an organism, and a small newborn animal can not yet get it in another way. As soon as the animal grows up a little, it goes on natural natural food and continues to grow no less intensively. So, calcium and other substances are enough for him and with natural nutrition and the need for milk consumption disappears.

Milk is long and difficult to digest in the human intestines, often causing constipation, and the protein of milk is digested much worse than the egg protein.

Only acidification of blood with lactic acid is the beneficial effect that dairy products have. This explains the well-being at the time of consumption of fermented milk products. But lactic acid in these products is adjacent to the huge amount of calcium, which nullifies the entire positive effect.

There may be objections that currently the main cause of bone fractures in people in old age is considered to be low intake and poor assimilation of calcium, and it is found most in dairy products. However, bones consist not only of calcium. For the construction of bone tissue requires more phosphorus and collagen, which gives bones strength and less brittleness. But for the normal synthesis of collagen in the body, an acidic reaction of blood is again needed, and the consumption of dairy products alkalizes the blood, thereby slowing its formation. With a lack of collagen, the bones become less dense, the skin is more flabby and joint problems occur.

Especially large amounts of calcium contain such concentrated dairy products as cottage cheese and cheese. And since most of the cheeses are now added calcium chloride (promotes blood clotting and deposition of calcium salts in the joints) as a hardener, the cheese becomes an especially dangerous product.

There are studies by American oncologists that milk consumption by the age of 25 is a potential threat to cancer.

2. It is necessary to reduce the content of calcium and its salts in the consumed water. For this purpose, reverse osmosis filters are used that filter water at the molecular level, producing practically distilled water. In order not to lose potassium and magnesium from the body with the use of such water, one should eat more dried apricots, raisins and nuts, rich in these elements.

A well-known nutritionist Paul Bragg drank only distilled water, which always has an acidic reaction, and moreover, to this water, he added “for taste,” as he said, citric acid. Every day he ate 100 grams of raisins or dried apricots, his diet included many fruits with organic acids – so the reaction of his blood was shifted to an acidic side.

3. You must additionally acidify the body. The reaction of the human blood pH determines the amount of hydrogen ions in it. The more hydrogen ions are in the blood, the more acid balance is shifted to the acidic side, the blood becomes more fluid, fluid. This improves the supply of oxygen to all cells of the body, reduces the likelihood of blood clots and calcium deposits.

The origin of hydrogen ions does not matter, but only their number matters. Therefore, in order to increase their concentration in the blood and shift the pH reaction to the acidic side, it is possible to use both acidic food and any food acid.

A major scientist in the field of biochemistry Linus Pauling considered it possible to defeat all colds with the help of vitamin C (ascorbic acid). On the same vitamin, he had hopes in the fight against cancer.

In the book of the American doctor DS. Jarvis “Honey and other natural products” contains information about the use of various folk remedies for medicinal purposes, of which the author especially singles out honey and apple cider vinegar.

Yogis call lemon a universal means of maintaining health. In their opinion, each person should eat one lemon a day or drink the juice of one lemon. Lemon juice contains a large amount of citric acid, which strongly acidifies the blood. For lack of a lemon, you can use gastronomic food citric acid. Strongly acid solutions are desirable to drink through the tube, so as not to spoil the tooth enamel.

In the traditions of the Russian people, too, there was constant acidification. I will never forget the sour-succulent taste of bread kvass in the house of my grandfather and grandmother in the village who stood in every house and who drank everything from small to large with thirst. A rustic soda – a tea mushroom … All year round consumed sour sauerkraut, cooked sour cabbage soup, made various marinades with vinegar, compotes from sour apples, etc. Virtually all fruits and vegetables have acid reaction of their juices.

Herbivorous animals also have an instinctive selectivity in the choice of food. Analysis of the juice from the plants selected by the cows showed that these plants always had an acid reaction.

The healing effect of acidic mineral waters of the Caucasus has long been widely known. Their action is based on acidification of blood by the waters of acidic sources when ingested, as well as through the skin when rubbing and taking acidic baths. This effect can be used as an additional means of acidification, especially for people with high acidity of the stomach. By the way, parents use it, without knowing it themselves, when they wipe the children with a solution of vinegar, wanting to bring down the heat in case of illness.

From all that has been described above, it can be seen that it is not difficult and costly to be healthy. And healthy is not temporary, while some correct medicines, mineral supplements, procedures, etc. are taken, but constantly, when favorable conditions are created for the body, and it becomes able to independently control and regulate the ratios of various substances not only at a young age, and to carry out their vital functions. You just need to help the body to be healthy. For this, I need information that I tried to popularly describe, as well as a person’s desire. So everyone’s health is in their hands!

Those who are interested and want to know more detailed information on this topic on various diseases, can read the book of the biochemist and the practicing doctor NG. Friends “How to prolong the fleeting life.”

All success and health!

Backache. Classification, diagnosis, treatment

Posted on January 19, 2018  in Pain

Back pain is the first in the structure of pain syndromes. According to experts of the World Health Organization (WHO), its prevalence in developed countries reaches 40-80%, and the annual incidence – 5%. This pathology is leading among the reasons for seeking medical help, temporary disability, disability, which has serious economic consequences for the patient as well as for society as a whole.

We present the section devoted to the treatment of back pain, clinical recommendations “Pain Syndrome: Pathogenesis, Clinic, Treatment” of the Russian Interregional Society for the Study of Pain (ML Kukushkin, GR Tabeeva, EV Podchufarova, edited by N. N. Yakhno, 2011).

Back pain can be classified by duration, localization, leading pathophysiological mechanism, taking part in its formation, its causes for causing it.

Pain lasting less than 6 weeks is considered acute, from 6 to 12 weeks – subacute and more than 12 weeks – chronic. Patients with acute, subacute and chronic back pain are differentiated by the prognosis for recovery and recovery of work capacity, as well as approaches to diagnosis and treatment.

Localization of pain, local, reflected and irradiating pain. Local pain can be associated with any pathological process that affects the pain receptors of the skin, muscles, tendons, ligaments, joints, bones and other tissues. It is usually constant, but it can change its intensity depending on the change in body position or movement. The pain is acute, blunt or aching, can have a diffuse character, but always is felt in the area of ​​tissue damage. The cause of local back pain may be, for example, facet pain syndrome, in which patients describe pain in the lumbar region of the aching nature, localized in the projection of the affected joint. It should be noted that facet joint dysfunction can simultaneously be the cause of reflected pain. The cause of local pain may be a potentially dangerous disease of the spine, for example, a compression fracture of the vertebral body with osteoporosis or a tumor lesion.

Reflected pain extends in areas lying within dermatomes associated with innervation of damaged structures. Usually, it is projected into these zones from the internal organs, for example, with diseases of the pancreas, pathology of the gastrointestinal tract, retroperitoneal space, gynecological diseases (Heda-Zakharyin phenomenon).

In some cases, the cause of reflected pain in the spine may be vascular disease. For example, with an aneurysm of the abdominal aorta, there may be pain in the lumbar spine, which is not related to physical activity. Obliterating lesion of the upper gluteal artery can lead to pain in the gluteal region, which is intermittent and depends on the distance traveled by the patient, resembling a neurogenic intermittent claudication in the lumbar stenosis. The pain is not provoked by physical activity, which increases the load on the spine: slopes, lifting of gravity, etc.

Irradiating pain, more often radicular or neural, is characterized by high intensity, distal distribution to the corresponding dermatome and associated disorders of sensitivity, reflex and motor disorders. The mechanism of this pain consists in stretching, irritation, compression of the rootlet or somatic nerve. With radicular pain, its spread almost always occurs in the direction from the spine to any part of the limb. Coughing, sneezing, or exercising are characteristic factors that increase this pain.

Chronic back pain can be formed with the participation of three pathophysiological components: nociceptive, neuropathic and psychogenic. For example, pain syndrome with compression radiculopathy often has a mixed character. Neuropathic pain is associated with damage to the spine due to its compression, edema, ischemia, and the formation of intranural inflammation. Nociceptive component takes part in the formation of pain due to the activation of nociceptors in the damaged disc and surrounding tissues containing free nerve endings (primarily in the roots and dura mater), with the initiation of immune inflammation in response to disc damage, as well as inflammatory reaction associated with the direct action of enzymes contained in the disk on the surrounding tissue. In addition, patients with compression radiculopathy often develop reflex musculoskeletal disorders, for example, muscular-tonal syndromes (in response to a change in the motor stereotype or to immobilize the affected motor segment), which, if preserved for a long time, can themselves become additional sources of nociceptive pain impulses. Thus, pain syndrome with radiculopathy is mixed. At the same time, it is shown that in patients with chronic back pain in the absence of clear clinical signs of lesion of the roots, pain formally corresponding to the characteristics of the neuropathic pain syndrome can form. Using a special questionnaire for the diagnosis of neuropathic Paindetect pain and an evaluation scale of neuropathic symptoms and signs of the University of Leeds (LANSS), it was possible to identify signs of neuropathic pain in 37-54.7% of patients with chronic back pain. According to the Russian epidemiological study of the prevalence of neuropathic pain, the development of neuropathic pain syndrome as the main cause of pain in the lumbar spine was found in 34.74% of the respondents, neck pain in 11.90%, chest pain in 3.94% of cases.

Back pain is a symptom, not a nosological form. Therefore, when its classification is often used anatomotopographic terms that do not reflect the essence of the pathological process, and denote the area in which pain is localized. So, local pain in the neck is designated as “cervicalgia”, in the thoracic spine – “thoracalgia”, in the lumbosacral region – “lumbalgia”. For pain radiating from the cervical spine to the arm, the term “cervicobrahialgia” is used, in the occipital or other area of ​​the head – “cervicocranium”, and pain that spreads from the lumbosacral region to the leg is called “lumbo-schiaalgia”. In the literature, these terms are understood, first of all, skeletal-muscular pain syndromes, i.e. states in which the sources of pain can be muscles, joints and ligaments. Pain associated with lesions of the cervical, thoracic, lumbar or sacral roots, described in the radiculopathy.


Analysis of complaints and anamnesis.

Despite the considerable variety of descriptions of pain by different patients, it is important to actively identify characteristics that allow us to assume the pathophysiological mechanism underlying the formation of the sensation of pain. Thus, the development of acute, clearly localized pain, rapidly regressing spontaneously or against the background of taking analgesics, not accompanied by a change in surface sensitivity, is characteristic of nociceptive pain syndromes associated with damage to the joints of the spine, ligamentous apparatus and muscles. The emergence of shooting, burning pain, irradiating in the limb and accompanied by a change in sensitivity, is typical for neuropathic pain syndrome associated with compression radiculopathy. In this case, even when the patient is questioned, it is often possible to identify the symptoms of sensitive disorders: allodynia, hyperpathy, paresthesia and dysesthesia.

The nociceptive component can play a leading role in the formation of a chronic pain syndrome, associated, for example, with joint damage (articular joints or sacroiliac articulations). Such pain is usually aching in nature, occurs or worsens with the load on the altered joints and short-term (for the duration of the drug) decreases after the introduction of the local anesthetic into the affected joint. In all cases, it is necessary to analyze the situation in which pain has arisen, the factors that enhance and weaken it, the features of the preceding exacerbations. Pain in the defeat of the internal organs (visceral pain) is often poorly localized, may be accompanied by nausea, changes in the color of the skin, excessive sweating, is of a spasmodic type, often radiating to the opposite half of the body.

The bizarre descriptions of pain, senestopathy allow one to suspect the presence of psychogenic pain syndrome, but its diagnosis is possible only on the basis of the complete exclusion of other causes of pain. It should be noted that pain in the lumbar spine without irradiation in the limb in a patient under the age of 50 years, in the absence of a malignant neoplasm in the anamnesis, clinical signs of systemic disease and neurological deficiency, with a probability of more than 99% is due to benign musculoskeletal disorders, for example, myofascial pain syndrome MFBS) or joint dysfunction. Nevertheless, even at the first examination of the patient it is important to identify symptoms indicating that back pain can be a symptom of a more serious, usually somatic, pathology. So, one should pay attention to the presence of fever, local soreness and an increase in the local temperature in the paravertebral area, which are characteristic for infectious lesions of the spine. His risk is also increased in patients receiving immunosuppressive therapy, intravenous (IV) infusions, who are HIV-infected and addicted. The presence of a tumor (primary or metastatic) can be indicated by an unreasonable decrease in body weight, a malignant neoplasm of any localization in the anamnesis, the preservation of pain at rest and at night, and the age of the patient over 50 years old. Compression fracture of the spine is more often observed in cases of injuries, with the use of corticosteroids and in patients older than 50 years. Spondyloarthritis can be suspected if there is concomitant uveitis and arthralgia (including anamnesis).

Physical examination

includes neurological, neuro-orthopedic and somatic examination. With pain in the back and extremities, a properly conducted clinical examination allows in most cases to identify the source or sources of pain, the pathogenesis of the pain syndrome, to presume or accurately determine the nature of the underlying pathological process.

When examining a patient, it is important to pay attention to changes in posture, posture, gait, the presence of contractures, deformities and asymmetry of the limbs. It is necessary to evaluate the configuration of the spinal column, the safety or changes in physiological kyphosis in the thoracic and lordosis in the cervical and lumbar spine, their change (strengthening or flattening), the presence of scoliosis in standing, sitting and lying. As guidelines, the position of the shoulder-blades, the angles of the shoulder blades, the awns, the crests of the iliac bones, the distortion of the Michaelis rhombus, the asymmetry of the gluteal folds, and the deformation of the joints are assessed.

When analyzing the gait, attention should be paid to its features, such as avoiding the transfer of body weight to the diseased leg, which shortens the time to rest on it (antalgic gait). To reduce the burden on the patient’s leg, a number of patients resort to the use of additional means of support – surrounding objects, walking stick, crutches.

With a neurological examination, it is necessary to clarify the presence and nature of motor disorders, sensitive and trophic disorders, and changes in tendon reflexes. When lesions of the lumbar and sacral roots, along with positive sensory disorders in the form of pain, paresthesia and dysesthesia, it is necessary to identify negative sensory symptoms (hypesthesia, anesthesia or dysesthesia of certain types of sensitivity: tactile, painful, temperature, vibrational or joint-muscular). Both sensitive, motor and vegetative disorders are localized in the innervation zone of the affected root. Signs of the neuropathic nature of the pain syndrome is a combination of positive (paresthesia, dysesthesia, hyperalgesia, allodynia) and negative symptoms (hypoesthesia, anesthesia). To identify hyperalgesia, which, depending on the type of stimulus that caused it, can be thermal, cold, mechanical and chemical, stimuli of the appropriate modality are used: gradual warming or cooling of the affected area, mechanical and chemical effects. Mechanical hyperalgesia is divided into hyperalgesia associated with brush irritation (“brush hyperalgesia”), needle hyperalgesia (both are combined with the term “dynamic hyperalgesia”) and static hyperalgesia caused by a slight blunt pressure.

The most frequent clinical sign of a neuropathic pain syndrome is sensory disorders in the form of hypesthesia and anesthesia of certain types of sensitivity: tactile, painful, temperature, vibrational or joint-muscular. The temperature sensitivity in the area of ​​the corresponding dermatome is conveniently studied using a special cylinder with plastic and metal ends or tubes with warm and cold water. Pain sensitivity is examined by applying a light prick. The joint-muscular sensitivity is studied in the joints of terminal phalanges of fingers and toes. Assessment of the degree of disturbance of vibration sensitivity is performed using a graduated 128 Hz tuning fork on an 8-point scale on the protruding parts of the bone in the innervation zone of the affected root.

A number of scales can be used to assess the “neuropathic” component of back pain: a questionnaire for diagnosing neuropathic pain DN4, a Neuropathic Pain Scale (NPS) scale, a PainDETECT questionnaire, an evaluation scale of neuropathic symptoms and signs of the University of Leeds (Leeds Assessment of Neuropathic Symptoms and Signs – LANSS).

Motor disorders are more often represented by weakness and hypotrophy of muscles in the innervation zone of the affected roots. Muscle strength is estimated according to the following conventional scale: 0 – normal; 1 – reduced by 25% compared with the intact side; 2 – reduced to 50% (for example, the patient can not walk on the heels – for extensors of the feet, on the toes – for flexors); 3 – decrease by 75% (movements are possible only without resistance); 4 – a reduction of more than 75% (muscle strength does not overcome gravity – only downward and downward movements are possible); 5 points – plegy (impossibility of contraction of muscles innervated by the affected nerve).

Evaluation of tendon reflexes is performed separately for each limb. On the feet – Achilles and knees, on the hands – carporadial, as well as reflexes from the biceps and triceps muscles. When assessing vegetative and trophic disorders, it is necessary to pay attention to changes in color and turgor of the skin, the presence of hyperkeratosis, peeling, hypo and hypertrichosis, a change in the growth rate of the nails.

For the convenience of the examination it is necessary to know the so-called “indicator” muscles innervated by the corresponding roots, and the typical zones of the sensory disorders in the corresponding affected spine of the dermatomes.

It is extremely important to identify symptoms of damage to the caudal peduncle in patients with pain in the lumbar spine, which include sensitivity disorders (anesthesia) in the anogenital region and distal sections of the legs, peripheral paresis of the leg muscles, prolapse of achilles reflexes and pelvic disorders in the form of a lack of urge to urinate / defecation, retention or incontinence of urine and feces. For skeletal-muscular pain syndromes, there are no changes in the neurological status of the patient, but in some cases, the MSFE, when the strained muscle compresses the vascular bundle or nerve, there are paresthesias, less often – gipalgesia or hyperalgesia in the innervation zone of the corresponding nerve. Transient vegetative disorders can be noted in the form of puffiness and a non-rough change in the color of the skin in the distal parts of the limb. The non-anatomical distribution of sensory and motor disturbances reflects their psychogenic origin.

With nevorortopedic examination, palpation is determined by the soreness of the muscles, joints and ligament apparatus. With light palpation with a pressure of about 4 kg, you can identify multiple painful areas that are localized in different parts of the body – gender points characteristic of fibromyalgia. Trigger zones (TZ) – areas of local soreness in the form of a tight strand, located along the muscle fibers, revealed by palpation of the muscles, are characteristic of the MFBS. The common soreness of soft tissues, even with mild, superficial palpation, reflects the presence of psychological ill-being (inadequate pain behavior). It is also necessary to evaluate active and passive movements in the cervical, thoracic and lumbosacral spine. Normally, in the cervical spine, rotation is 80 °, lateral inclinations – 45 °, extension – 75 °, bending – 60 °. In the shoulder joint, the amplitude of movements in the sagittal plane is 180 ° (total flexion and extension).

With lumboschialgic syndromes, the determination of the angle of the straight leg lift (Laceg’s symptom) is of clinical importance. Compression radiculopathy is characterized by its limitation from 30 ° to 50 °, irradiation of pain from the lumbosacral region along the posterolateral surface of the foot to the toes of the foot and its strengthening with the rear folding of the foot and the inclination of the head forward. It should be noted that the positive symptom of Lasega should not be interpreted solely as a result of the tension of the rootlet or nerve trunks. The most common causes of its appearance is the stretching of the posterior group of hamstrings and gluteus muscles, especially if they have T3. In cases of pain in the buttocks and sacrum, which occurs when testing the Lasega symptom, the mechanism of its formation can be the stretching of the capsule of the blocked sacroiliac joint and the subsequent reflex tension of the muscles of the lumbosacral region.

A somatic examination is aimed at excluding visceral pathology as a cause of pain in the back and extremities. It includes the identification of causeless weight loss, fever, skin discoloration, palpation of the abdominal cavity and pelvis, auscultation of the heart and lungs. Patients with pain in the pelvic and sacral region should carry out a rectal examination to exclude gynecological or urological pathology. In all cases of suspicion of a visceral source of pain, it is necessary to refer the patient to a consultation with the appropriate specialist (urologist, proctologist, gynecologist, cardiologist).

Instrumental methods of examination.

After the clinical neurological and neurological examination to clarify the sources of pain impulses in a number of cases, it is necessary to conduct instrumental survey methods. With pain in the lumbar spine and extremities, visualization methods are of particular importance, the usefulness of which is determined by the duration of the pain syndrome, anamnestic features and the presence of changes in the neurological and somatic status of patients. In the overwhelming majority of cases, acute and chronic back pain is a benign condition, and most patients do not need additional instrumental examinations. However, the presence of severe neurological and somatic disorders may require an urgent paraclinical examination. For example, weakness in the leg muscles, decreased sensitivity in the anogenital area (saddle anesthesia), pelvic disorders indicate the presence of compression of the cauda equina roots and require immediate MRT or CT scan, followed by a neurosurgeon’s examination of the need for urgent surgical intervention. The absence of a link between pain and movement, its preservation at night, the presence of a malignant neoplasm in the anamnesis, HIV infection, the use of immunosuppressants, intravenous infusions, unconscionable weight loss, fever and nocturnal hyperhidrosis, and the age of a patient under 20 and over 50 require additional methods of research already at the first reference of the patient with the purpose of excluding, first of all, infectious and neoplastic lesions of the spine. In all these cases, a spine X-ray is necessary in the direct and lateral projection, a general analysis of blood and urine, and if there is a suspicion of osteomyelitis, an epidural abscess or a lesion of the cauda equina roots, a MRI of the lumbosacral spine. If it is necessary to clarify the state of bone structures after carrying out X-rays, scintigraphy is shown in a number of cases. If you suspect a malignant neoplasm of the prostate, you need to investigate the level of specific antigen of the prostate (PSA). In the presence of a trauma in a recent history (a fall from height, traffic accidents, etc.), as well as long-term use of corticosteroids and the age of patients older than 55 years, it is necessary to conduct a radiograph of the spine, and if its informativeness and duration of pain over 10 days are insufficient – scintigraphy or CT of the spine. All patients with acute pain syndrome lasting more than 1 month, as well as all patients with chronic back pain, are shown to perform a spine X-ray in the direct and lateral projections in order to exclude tumor lesion of the spine. In the presence of clinical symptoms of compression of rootlets or spinal cord and in other diagnostic doubtful cases, the MRI of the corresponding spine department is shown to clarify the state of the structures of the spinal canal and determine the further tactics of patient management. Table 3 shows the main markers of a potentially dangerous pathology in acute back pain and associated with their presence of the disease.


Acute skeletal-muscular pain.

The degree of evidence of the treatment method is a level 4 system where high-level evidence is consistent with the reproducible data of qualitatively conducted numerous randomized controlled trials, moderate – reproducible data from less qualitative multiple randomized controlled trials (mainly due to small patient samples), low – data from one randomized controlled research or conflicting data from numerous studies with the use of control groups, lack of evidence – studies conducted without comparison groups, theoretical assumptions, expert opinions. The optimal tactics of managing a patient with acute pain in the lumbosacral region, based on the principles of evidence-based medicine, boils down to several provisions: informing the patient; exclusion from bed rest; the appointment proved effective treatment; correction of treatment tactics with its inefficiency in the period of 4-12 weeks.

Rational information about the nature of the disease, its prognosis and treatment methods allows to correct misconceptions of the patient about back pain and to strengthen his active participation in rehabilitation programs. This aspect has been given more attention only in the last few years. It is shown that the “educational booklet” reduces the number of repeated calls to the general practitioner for back pain, and a 15-minute clarification by trained average medical personnel, accompanied by a demonstration of a booklet about pain and a subsequent phone call, leads to greater patient satisfaction with treatment. At the same time, the diagnosis of any specific pathology of the spine (“disc hernia”, “radiculopathy”) in the absence of clinical symptoms of compression of the lumbosacral roots or signs of serious pathology, conflicting opinions and advice of doctors increase psychological distress and misconceptions about the prognosis of the disease, leading to an increase painful behavior, the degree of disability and the deterioration of the prognosis for recovery. Informing the patient is based on a moderate level of evidence. The volume of information is usually limited to 3-5 key positions (good prognosis, absence of the need for radiography in the absence of serious pathology, connection of pain with muscles, ligaments, disc and joints, the need to maintain activity). It is desirable to provide a patient with a brief memo containing these statements.

To maintain the level of daily activity is the most frequent position of clinical recommendations from around the world in managing patients with acute back pain. With acute musculoskeletal pain, there is no need to comply with bed rest, even in the first days of the disease, wearing fixation belts, as well as using a pedestal when moving (walking stick or crutch). Currently, 6 systematic reviews and 10 randomized controlled trials are available on the effects of bed rest on acute pain in the lumbosacral region. With a high degree of evidence, bed rest should be excluded from the management of this group of patients. However, given that in a number of cases, high pain intensity can significantly limit the amount of daily activity, individual clinical recommendations (for example, from the UK) indicate that the patient can comply with bed rest, but he should be informed that the restriction of activity in this case is his own response to pain, not a method of treatment.

If there is a need for anesthesia, the patient should be prescribed medication at regular intervals (not on demand), with paracetamol and NSAIDs being the drugs of choice. All NSAIDs can be conventionally divided into groups, based on the primary effect on cyclooxygenase (COX) isoforms: COX1 and COX2. Most standard NSAIDs (diclofenac, ketoprofen, indomethacin, etc.) are classified as nonselective inhibitors of COX. The predominantly selective inhibitors of COX2 include nimesulide and meloxicam, with highly selective coxibes. The selectivity of drugs for COX2 provides a higher degree of safety in relation to the gastrointestinal tract (GI tract). The incidence of gastrointestinal side effects with non-selective COX inhibitors is about 10%, and the risk of serious adverse events increases significantly in the elderly. The least frequent side effects from the gastrointestinal tract in the treatment of nonselective NSAIDs are noted with the use of diclofenac and ibuprofen, which may be due to the more frequent administration of low doses of these drugs. In general, the advantage of any one NSAID before others in the treatment of acute pain in the back is not shown. Therefore, when choosing NSAIDs it is necessary to take into account the presence and nature of risk factors for adverse events, the presence of co-morbidities, the nature of interaction with other drugs and the cost. The maximum recommended time for the use of oral NSAIDs is 10-14 days.

Regarding paracetamol, there are currently two systematic reviews showing that it has no advantages with respect to the analgesic effect before NSAIDs. At the same time, the spectrum of side effects of this drug is well studied, and the risk of their development is relatively low. Therefore, in most clinical recommendations, it is referred to as a drug for the relief of back pain along with NSAIDs. When paracetamol is ineffective, the use of NSAIDs is recommended.

The efficacy of muscle relaxants in acute back pain is shown. According to modern clinical recommendations, muscle relaxants should be prescribed as a short course in the form of monotherapy or in addition to paracetamol and NSAIDs with insufficient effectiveness of the latter.

Concerning non-medicinal methods of treatment of acute pain in the back, it can be noted that manual therapy is recommended for patients who have not returned to the normal level of daily activity. At the same time, the majority of clinical recommendations, including the latest European ones, do not indicate the optimal timing of manual therapy. It is noted that this method of treatment is more effective than placebo, however, it has no advantages over other types of treatment (physiotherapy exercises, “school pain in the back”, taking analgesics). In general, spinal manipulations in patients with back pain musculoskeletal performed by qualified specialists are a safe method of treatment (the risk of development of the horse tail compression syndrome is less than 1 per million).

Modern clinical recommendations point out the inexpediency of prescribing special exercises for acute pain in the lumbosacral region. Multidisciplinary treatment programs are useful in working patients with subacute pain in the back and restriction of activity for more than 4-8 weeks. They usually include an educational program (“back pain school”), physical therapy, studying and, if possible, changing working conditions, behavioral psychotherapy. However, the contribution of each of these methods of influence can not be studied.

With acute pain in the back, ineffective traction of the spine, percutaneous electrical neurostimulation is proved. Due to the lack of evidence base in the treatment program for a patient with acute pain in the lumbar region, it is not advisable to include physiotherapy, wearing a warming belt, the use of psychotherapy, visiting a “school of back pain”, the appointment of a massage. There is a weak evidence of the effectiveness of acupuncture in acute pain in the lumbosacral region.

Thus, in the overwhelming majority of cases, acute back pain is a benign self-limiting condition, and most patients do not need additional instrumental examinations. Optimal is considered an active approach to treatment. If necessary, drug therapy, the drugs of choice are NSAIDs and paracetamol.

Patients who do not show improvement within 4 weeks of treatment need to be screened again for markers of clinically significant pathology, as well as identification of signs of psychosocial distress and correction of therapy taking into account the revealed violations.

Chronic pain in the back. A major problem is the treatment of patients with chronic (persisting for more than 3 months) pain syndrome. Within their framework, both radicular (eg, neurogenic intermittent claudication) and skeletal-muscular and psychogenic pain syndromes are noted. In all cases of chronic pain syndromes, it is necessary to try to reveal as much as possible the source of painful impulse using data from both a neurological and a neurological examination using diagnostic blockades. Proceeding from the different specific weight of the role of psychological factors and objective violations in each individual case of chronic pain syndrome, treatment of patients should be aimed at correction of both peripheral sources of pain and accompanying psychological disorders.

In the treatment of MFBS, an integrated approach is used. It includes the impact on all levels involved in the formation of a vicious circle of pain. This includes the effect on the muscle concerned and TK: its stretching, massage, exposure to heat or cold, percutaneous neurostimulation, electrostimulation and injections of botulinum toxin type A, the appointment of analgesics, antidepressants, muscle relaxants. The most effective are injections of local anesthetics in TK. Usually inject 0.5-1 ml of a 0.5% solution of novocaine. After injection, passive stretching of the muscle is performed. To relax the remaining tension of muscle fibers above the muscle and the area of ​​reflected pain, it is advisable to spray the refrigerant (chloroethyl). Irrigation is carried out at a speed of about 10 cm / s, the direction of the jet is 30 ° to the surface of the skin. Other local methods of treatment include ischemic compression (strong and prolonged compression of the trigger point with your fingertips for 1 minute with a gradual increase in the pressure force to 10-13 kg, leading to its inactivation), massage, ultrasound application (in continuous or pulsed mode with intensity 0 , 2-0.5 W / cm2 around the TK). An important place is occupied by applications on painful areas of the skin of gels, ointments – both anti-inflammatory and irritating. It is justified to use dimexide applications in combination with corticosteroids, lidocaine, procaine. In addition, the relaxation of spasmodic muscles is achieved by post-isometric relaxation (IRP). PIR is reduced to muscle relaxation after their volitional stress without changing the distance between the attachment points of the muscle (i.e., after isometric tension). If the effectiveness of treatment is inadequate, botulinum toxin injections are expedient, followed by IRP. At МФСС receptions of a soft-tissue manual therapy (techniques of a myofascial relaxation, muscular-energetic techniques, etc.) are effective. Correcting the asymmetry of the body, the motor stereotype, avoiding provoking loads and poses is beneficial.

In the cases of dysfunction of the arched, rib-transverse joints, rib-chest and sacroiliac joints, blockades with local anesthetics and corticosteroids are shown and manual therapy is performed. With prolonged maintenance of pain syndrome and short-term effect from drug blockades in cases of dysfunction of arched joints and sacroiliac joints, it is necessary to consider the use of their radiofrequency denervation (RFD), which leads to a reduction in the severity of pain by at least 60% in 80% of patients.

Drug therapy for exacerbations of chronic musculoskeletal pain syndromes includes the administration of NSAIDs in conventional doses of 5-7 days, muscle relaxants and antidepressants. Amitriptyline (50-100 mg per day) is effective in 50-60% of patients with chronic back pain. Selective serotonin reuptake inhibitors (fluoxetine, paroxetine, sertraline), devoid of the side effects of tricyclic antidepressants, are used to correct concomitant chronic pain of depression, anxiety and sleep disorders, but the antinociceptive effect is much less pronounced. A group of selective serotonin and noradrenaline reuptake inhibitors, including venlafaxine (75 mg per day) and duloxetine (60 mg per day), is promising for the treatment of patients with chronic pain. Selective serotonin and noradrenaline reuptake inhibitors are included in the latest (2006) European clinical guidelines as an effective treatment for chronic pain in the lumbosacral region.

If depression often accompanies chronic pain, then at the stage of subacute pain (with a duration of pain of 6 to 12 weeks), anxiety disorders are often brought to the fore, related to the patient’s presentation of uncertainty or a negative prognosis for a full quick recovery. Behavioral and cognitive behavioral psychotherapy helps to correct incorrect, impeding the patient’s convalescence about the nature of his illness, change the social reinforcement of painful behavior, reduce dependence on analgesic therapy and increase the level of daily activity.

Behavioral psychotherapy based on the principle of reinforcement, includes several aspects: gradual activation of patients, changing social reinforcement of pain behavior, reducing dependence on analgesic therapy, teaching patients self-control skills.

Gradual activation of patients should begin with the explanation that small physical activity is not harmful, but useful. For this purpose, it is advisable first to ask the patient to keep a diary of daily activity and then together to analyze how much time during the day he spends lying because of pain in his back. For example, if the daily normal activity of the patient is only 4 hours, the initial goal of treatment may be to recommend actively 20 minutes per hour. Gradually, the duration of motor activity increases, for example, up to 5-10 minutes rest after 1.5 hours of stay in an upright position, and achievements are recorded by the patient in a diary. It is advisable to combine the activation with exercise physiotherapy exercises with gradually increasing loads, while aerobic exercises (walking, swimming) are preferable.