Трохантерит тазобедренного сустава лечение форум

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: úÉÎÞÕË 21 ñÎ×ÁÒØ 2007, 19:51

  ðÒÏÂÌÅÍÁ × ÔÏÍ, ÞÔÏ ÓÕÐÒÕÇÁ ÒÁÂÏÔÁÅÔ ÎÅ×ÒÏÌÏÇÏÍ × ÒÁÊÏÎÎÏÊ ÐÏÌÉËÌÉÎÉËÅ É ÒÅÇÕÌÑÒÎÏ ÓÔÁÌËÉ×ÁÅÔÓÑ Ó ÓÉÔÕÁÃÉÅÊ, ËÏÇÄÁ ÏÓÍÁÔÒÉ×ÁÑ ÂÏÌØÎÏÇÏ Ó ÂÏÌÑÍÉ × ÏÂÌÁÓÔÉ Ô/ ÓÕÓÔÁ×Á, ÎÁÈÏÄÑ ÂÏÌÅÚÎÅÎÎÏÓÔØ ÐÒÉ ÒÏÔÁÃÉÉ × ÓÕÓÔÁ×Å, ÂÏÌÅÚÎÅÎÎÏÓÔØ ÐÒÉ ÐÁÌØÐÁÃÉÉ × ÐÁÈÏ×ÏÊ ÏÂÌÁÓÔÉ × ÐÒÏÅËÃÉÉ ÓÕÓÔÁ×Á, × ÏÂÌÁÓÔÉ ×ÅÒÔÅÌÁ. ðÒÉ ÜÔÏÍ ÎÅ ÎÁÈÏÄÉÔ ÎÉËÁËÉÈ ÉÚÍÅÎÅÎÉÊ × ÎÅ×ÒÏÌÏÇÉÞÅÓËÏÍ ÓÔÁÔÕÓÅ É ÂÉÏÍÅÈÁÎÉËÉ ÐÏÚ×ÏÎÏÞÎÉËÁ. îÁ ÒÅÎÔÇÅÎÅ ËÏËÓÁÒÔÒÏÚ — ×ÏÚÒÁÓÔÎÙÅ ÉÚÍÅÎÅÎÉÑ ( ÉÌÉ ËÏËÓÁÒÔÒÏÚ 1-2 ÓÔ. × ÚÁ×ÉÓÉÍÏÓÔÉ ËÔÏ ËÁË ÔÒÁËÔÕÅÔ ÉÚ ÒÅÎÔÇÅÎÏÌÏÇÏ×). ÏÔÐÒÁ×ÌÑÅÔ ÎÁ ËÏÎÓÕÌØÔÁÃÉÀ Ë ÔÒÁ×ÍÁÔÏÌÏÇÕ. ÐÏÓÌÅ ËÏÔÏÒÏÊ ÂÏÌØÎÏÊ ×ÏÚ×ÒÁÝÁÅÔÓÑ Ó ÚÁÐÉÓØÀ: ÏÓÔÅÏÈÏÎÄÒÏÚ Ð/Ë ÏÂÌÁÓÔÉ ÐÏÌÉÒÁÄÉËÕÌÑÒÎÙÊ ÓÉÎÄÒÏÍ. òÅËÏÍÅÎÄÏ×ÁÎÏ ÌÅÞÅÎÉÅ Õ ÎÅ×ÒÏÐÁÔÏÌÏÇÁ. éÚ×ÉÎÉÔÅ ÅÓÌÉ ÄÌÉÎÎÏ ÐÏÌÕÞÉÌÏÓØ, ÎÏ ÈÏÔÅÌÏÓØ ÂÙ ÕÓÌÙÛÁÔØ ÎÁ ÏÓÎÏ×ÁÎÉÉ, ËÁËÉÈ ËÒÉÔÅÒÉÅ× ×ÏÚÍÏÖÎÏ ÏÔÄÉÆÉÒÉÎÃÉÒÏ×ÁÔØ × ÄÁÎÎÏÊ ÓÉÔÕÁÃÉÉ ËÏËÓÁÒÔÒÏÚ, ÔÒÏÈÁÎÔÅÒÉÔ ÉÌÉ ÔÒÏÈÁÎÔÅÒÎÙÊ ÂÕÒÓÉÔ? ëÁË ÇÒÁÍÏÔÎÏ ÐÏÓÔÕÐÉÔØ, ÞÅÍ ÐÏÄÔ×ÅÒÄÉÔØ ÄÉÁÇÎÏÚ É ÞÅÍ ÏÂÏÓÎÏ×ÁÔØ ÎÅÏÂÈÏÄÉÍÏÓÔØ ÌÅÞÅÎÉÑ Õ ÏÒÔÏÐÅÄÁ.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: Alexaander Chelnokov 21 ñÎ×ÁÒØ 2007, 21:59

  ú> ÓÕÓÔÁ×Á, × ÏÂÌÁÓÔÉ ×ÅÒÔÅÌÁ. ðÒÉ ÜÔÏÍ ÎÅ ÎÁÈÏÄÉÔ ÎÉËÁËÉÈ ÉÚÍÅÎÅÎÉÊ × ú> ÎÅ×ÒÏÌÏÇÉÞÅÓËÏÍ ÓÔÁÔÕÓÅ ïÔÐÒÁ×ÌÑÔØ Ë ÏÒÔÏÐÅÄÕ. ú> É ÂÉÏÍÅÈÁÎÉËÉ ÐÏÚ×ÏÎÏÞÎÉËÁ. ûÉÒÏËÁ ÓÆÅÒÁ ÚÎÁÎÉÊ ÎÅ×ÒÏÐÁÔÏÌÏÇÁ… ú> îÁ ÒÅÎÔÇÅÎÅ ËÏËÓÁÒÔÒÏÚ — ×ÏÚÒÁÓÔÎÙÅ ÉÚÍÅÎÅÎÉÑ ( ÉÌÉ ËÏËÓÁÒÔÒÏÚ 1-2 ÓÔ. × íÏÖÎÏ É ÄÏ ÒÅÎÔÇÅÎÏÇÒÁÍÍÙ ÎÁÐÒÁ×ÌÑÔØ, ÒÁÚ ÎÉÞÅÇÏ ÎÅ×ÒÏÌÏÇÉÞÅÓËÏÇÏ ÎÅ ÎÁÈÏÄÉÔ. ú> ËÏÎÓÕÌØÔÁÃÉÀ Ë ÔÒÁ×ÍÁÔÏÌÏÇÕ. ÐÏÓÌÅ ËÏÔÏÒÏÊ ÂÏÌØÎÏÊ ×ÏÚ×ÒÁÝÁÅÔÓÑ úÁÞÅÍ ÏÎ ×ÏÚ×ÒÁÝÁÅÔÓÑ? ú> ÚÁÐÉÓØÀ: ÏÓÔÅÏÈÏÎÄÒÏÚ Ð/Ë ÏÂÌÁÓÔÉ ÐÏÌÉÒÁÄÉËÕÌÑÒÎÙÊ ÓÉÎÄÒÏÍ. ú> òÅËÏÍÅÎÄÏ×ÁÎÏ ÌÅÞÅÎÉÅ Õ ÎÅ×ÒÏÐÁÔÏÌÏÇÁ. îÁÄÏ, ÎÁ×ÅÒÎÏ, ÉÍ ÔÁÍ ÓÏÂÒÁÔØÓÑ ÎÁ ×ÒÁÞÅÂÎÕÀ ËÏÎÆÅÒÅÎÃÉÀ ÉÌÉ ÓÏ×ÅÝÁÎÉÅ ÕÓÔÒÏÉÔØ Õ ÇÌÁ×ÎÏÇÏ ÓÐÅÃÉÁÌÉÓÔÁ, ÄÁ ÏÂÓÕÄÉÔØ ÓÏ×ÒÅÍÅÎÎÙÅ ÐÏÄÈÏÄÙ Ë ÌÅÞÅÎÉÀ, ÔÁËÔÉËÕ, Á ÔÁËÖÅ ÔÏÇÏ ×ÒÁÞÁ, ËÏÔÏÒÙÊ ÜÔÏ ÄÅÌÏ ËÕÒÉÒÕÅÔ. ú> ËÁËÉÈ ËÒÉÔÅÒÉÅ× ×ÏÚÍÏÖÎÏ ÏÔÄÉÆÉÒÉÎÃÉÒÏ×ÁÔØ × ÄÁÎÎÏÊ ÓÉÔÕÁÃÉÉ ú> ËÏËÓÁÒÔÒÏÚ, ÔÒÏÈÁÎÔÅÒÉÔ ÉÌÉ ÔÒÏÈÁÎÔÅÒÎÙÊ ÂÕÒÓÉÔ? äÁ × ÔÁËÏÍ ËÏÎÔÅËÓÔÅ ×ÒÏÄÅ ×ÓÅ ÎÅ ÔÁË ÓÌÏÖÎÏ. ú> ëÁË ÇÒÁÍÏÔÎÏ ÐÏÓÔÕÐÉÔØ, ÞÅÍ ÐÏÄÔ×ÅÒÄÉÔØ ÄÉÁÇÎÏÚ É ÞÅÍ ÏÂÏÓÎÏ×ÁÔØ ëÌÉÎÉËÏ-ÒÅÎÔÇÅÎÏÌÏÇÉÞÅÓËÁÑ ËÁÒÔÉÎÁ ËÏËÓÁÒÔÒÏÚÁ ÏÐÉÓÁÎÁ × ÔÁËÏÍ ËÏÌÉÞÅÓÔ×Å ÂÕË×ÁÒÅÊ, ÞÔÏ ËÁË-ÔÏ ÎÅÌÏ×ËÏ ÓÅÊÞÁÓ ÎÁ ÐÁÌØÃÁÈ ÂÕÄÅÔ ÓÏÞÉÎÑÔØ. âÕÒÓÉÔ ÎÅ ×ÙÚÏ×ÅÔ ÈÁÒÁËÔÅÒÎÏÇÏ ÄÌÑ ÁÒÔÒÏÚÁ ÕÍÅÎØÛÅÎÉÑ ÁÍÐÌÉÔÕÄÙ Ä×ÉÖÅÎÉÊ. îÕ É, ÎÁ×ÅÒÎÏ, ÂÏÌØ × ÒÁÚÎÙÈ ÍÅÓÔÁÈ ÌÏËÁÌÉÚÕÅÔÓÑ.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: úÉÎÞÕË 22 ñÎ×ÁÒØ 2007, 10:58

  «ûÉÒÏËÁ ÓÆÅÒÁ ÚÎÁÎÉÊ ÎÅ×ÒÏÐÁÔÏÌÏÇÁ…» Á Õ ÎÅ£ ÐÒÏÓÔÏ ÍÕÖ ÏÒÔÏÐÅÄ :-)) «úÁÞÅÍ ÏÎ ×ÏÚ×ÒÁÝÁÅÔÓÑ?» Õ ÎÁÓ ÜÔÏ ÞÁÓÔÏ ÎÁÂÌÀÄÁÅÔÓÑ, ÆÕÔÂÏÌÑÔ, ÓÍÏÔÒÑÔ ÎÅ ÒÁÚÄÅ×ÁÑ… îÅ×ÒÏÌÏÇ ÐÏÓÌÅ ×ÏÚ×ÒÁÝÅÎÉÑ ÎÁÐÒÁ×ÌÑÅÔ × ×ÙÛÅÓÔÏÑÝÅÅ ÕÞÒÅÖÄÅÎÉÅ (ÏÒÔÏÐÅÄ ÓÔÁÃÉÏÎÁÒÁ ÉÌÉ îéé ÏÒÔÏÐÅÄÉÉ) ÉÎÔÅÒÅÓÕÅÔÓÑ ×ÏÐÒÏÓÏÍ çòáíïôîïçï ÏÐÉÓÁÎÉÑ É ÏÂÏÓÎÏ×ÁÎÉÑ ÎÁÐÒÁ×ÌÅÎÉÑ…

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: úÉÎÞÕË 23 ñÎ×ÁÒØ 2007, 10:51

  «õ÷ô É ÓÔÅÒÏÉÄÎÙÅ ÂÌÏËÁÄÙ — ÎÁÛÅ ÄÅÌÏ» ëÏÌÌÅÇÁ, ÉÚ×ÉÎÉÔÅ ÚÁ ÎÅ ÚÎÁÎÉÅ, ÒÁÓÛÉÆÒÕÊÔÅ ÁÂÂÒÅ×ÉÁÔÕÒÕ õ÷ô. ðÏ ÐÏ×ÏÄÕ ÂÌÏËÁÄ ÁÂÓÏÌÀÔÎÏ ÓÏÇÌÁÓÅÎ.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: áÎÄÒÉÁÎÏ× áÎÔÏÎ 24 ñÎ×ÁÒØ 2007, 08:58

  õÄÁÒÎÏ-×ÏÌÎÏ×ÁÑ ÔÅÒÁÐÉÑ õ÷ô. îÅÐÌÏÈÏÊ ÍÅÔÏÄ ÌÅÞÅÎÉÑ ÏËÏÌÏÓÕÓÔÁ×ÎÙÈ ÚÁÂÏÌÅ×ÁÎÉÊ ÍÑÇËÉÈ ÔËÁÎÅÊ.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: úÉÎÞÕË 24 ñÎ×ÁÒØ 2007, 10:56

  ÓÐÁÓÉÂÏ ÚÁ ÉÎÆÕ. ÷Ù ÐÒÏÂÏ×ÁÌÉ ÐÒÉÍÅÎÑÔØ? ëÁËÏ× ÒÅÚÕÌØÔÁÔ? ðÒÉ Ð/Ì ÐÅÒÅÁÒÔÒÏÚÅ ÐÒÉÍÅÎÑÌÉ?

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: áÎÔÏÎ áÎÄÒÉÁÎÏ× 24 ñÎ×ÁÒØ 2007, 20:49

  þÔÏÂÙ ÎÅ ÕÈÏÄÉÔØ ÏÔ ÔÅÍÙ ôòïèáîôåòéô, ÐÏ ÐÌÅÞÅ-ÌÏÐÁÔÏÞÎÙÍ ÂÏÌÅ×ÙÍ ÓÉÎÄÒÏÍÁÍ ÂÙÌÏ ÂÕÒÎÏÅ ÏÂÓÕÖÄÅÎÉÅ × ÐÒÏÛÌÏÍ ÇÏÄÕ, ÓÍ ÁÒÈÉ×. åÓÌÉ ÅÓÔØ ×ÏÐÒÏÓÙ ÐÏ õ÷ô, ÔÏ ÐÉÛÉÔÅ ÍÎÅ ÎÁ agasfer2003@nm.ru, ÏÔ×ÅÞÕ Ó ÕÄÏ×ÏÌØÓÔ×ÉÅÍ.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: Alexander Chelnokov 24 ñÎ×ÁÒØ 2007, 22:59

  áá> õÄÁÒÎÏ-×ÏÌÎÏ×ÁÑ ÔÅÒÁÐÉÑ õ÷ô. îÅÐÌÏÈÏÊ ÍÅÔÏÄ ÌÅÞÅÎÉÑ ÏËÏÌÏÓÕÓÔÁ×ÎÙÈ áá> ÚÁÂÏÌÅ×ÁÎÉÊ ÍÑÇËÉÈ ÔËÁÎÅÊ. õÄÉ×ÉÔÅÌØÎÏÅ ÄÅÌÏ — ÈÏÔÑ ÕÂÅÄÉÔÅÌØÎÙÈ É ÏÂÝÅÐÒÉÚÎÁÎÎÙÈ ÐÏÄÔ×ÅÒÖÄÅÎÉÊ ÐÏÌØÚÙ shock-wave therapy ÎÅÔ É ÓÅÊÞÁÓ (ÓÍ. ÎÉÖÅ ÐÕÂÌÉËÁÃÉÉ Ï ÎÅÄÁ×ÎÉÈ ÉÓÐÙÔÁÎÉÑÈ), × òÏÓÓÉÉ ÜÔÉ ÏÞÅÎØ ÎÅÄÅÛÅ×ÙÅ ÁÐÐÁÒÁÔÙ Õ×ÅÒÅÎÎÏ ÐÏËÕÐÁÀÔ ÕÖÅ ÌÅÔ 6-7. ======================================================== lin J Sport Med. 2005 Sep;15(5):401-2. Low-dose extracorporeal shock wave therapy for previously untreated lateral epicondylitis. Lebrun CM. University of Western Ontario London, Ontario, Canada. OBJECTIVE: To determine the effectiveness of low-energy extracorporeal shock wave therapy (ESWT) in the treatment of previously untreated lateral epicondylitis. DESIGN: Randomized double-blind (patient and outcome assessor) controlled trial with power to show a clinically important difference in success rate between groups at the 0.05 level. Block randomization was stratified by unilateral or bilateral epicondylitis. SETTING: Community study at the University of Calgary. PARTICIPANTS: Participants were recruited by poster advertisements in physicians’ offices, fitness and sports centers, and postsecondary education institutions, and by e-mail to faculty and staff at those institutions. Inclusion criteria were tendern essover the lateral epicondyle and common extensor origin tendons that worsened with resisted wrist extension and hand grip and with elbow extension, forearm pronation, and wrist palmar flexion; presence of lateral epicondylitis for > or =3 weeks and or =18 years. Participants (mean age, 46 years; mean duration of symptoms, 21 weeks; 62% men) were informed that the purpose of the study was to compare 2 different treatment protocols. INTERVENTION: After telephone screening eligible persons were examined by 1 physician. All 60 participants were taught a single forearm extensor stretch (4 repetitions held for 20 seconds, 4 times per day). Persons in the active ESWT were assigned to 3 treatments, 1 per week for 3 weeks. In each session, 2000 pulses of 0.03 to 0.17 mJ/mm2, depending on the participant’s pain tolerance, were administered. The sham treatment group was administered the lowest dose buffered by an air pad, on the same schedule. MAIN OUTCOME MEASURES: The main outcome measure was treatment success or failure. Success was defined as > or =50% relief of pain overall from baseline, measured on a 10-cm visual analogue scale, with a maximum pain score of 4.0 cm, and no use of pain medication for lateral epicondylitis for 2 weeks before the 8-week evaluation. Bilaterally affected patients had to fulfill the success criteria for both arms. Change in quality of life and pain-free grip strength were also evaluated. Analysis was by intention to treat, including 4 patients (7%) lost to follow-up. MAIN RESULTS: The proportions of treatment successes in the sham ESWT and the active ESWT were 31% and 39% (P = 0.533). Mean differences pretreatment to posttreatment in median overall pain scores for the more painful elbow were a reduction of 0.9 cm (SD, 0.4; 95% CI, 0.1-1.8) for the sham ESWT group compared with a reduction of 1.5 cm (SD, 0.5; CI, 0.5-2.4) for the active treatment group. Changes in pain-free grip strength and minimal changes for both groups in quality of life did not differ between groups. CONCLUSIONS: Low-dose ESWT did not have a clinically important effect in reducing pain, improving quality of life, or increasing pain-free grip strength in middle-aged patients with previously untreated unilateral or bilateral lateral epicondylitis. ======================================================== äÒÕÇÏÊ ÐÒÉÍÅÒ: ======================================================== Clin Orthop Relat Res. 2005 Nov;440:199-204. Shock wave therapy for chronic Achilles tendon pain: a randomized placebo-controlled trial. Costa ML, Shepstone L, Donell ST, Thomas TL. The Norfolk and Norwich University Hospital, Norwich, UK. mattcosta@hotmail.com Shock wave therapy has been used for treatment of several soft tissue disorders that are characterized by chronic pain. We sought to determine if shock wave therapy reduces chronic Achilles tendon pain. Forty-nine patients were enrolled in a double-blind randomized placebo-controlled trial. Each patient was treated once a month for 3 months. The primary outcome measure was a reduction in Achilles tendon pain during walking. At the end of the trial, we found no difference in pain relief between the shock wave therapy group and the control group. There were two patients (62 years and 65 years) with tendon ruptures in the treatment group, suggesting caution when treating older patients. These results provide no support for the use of shock wave therapy for treatment of patients with chronic Achilles tendon pain. However, the confidence intervals include the potential for a clinically relevant treatment effect. LEVEL OF EVIDENCE: Therapeutic study, Level I (systematic review of Level I RCTs-and study results were homogenous). See the Guidelines for Authors for a complete description of levels of evidence. ========================================================

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: úÉÎÞÕË 25 ñÎ×ÁÒØ 2007, 12:57

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: Alexander Chelnokov 26 ñÎ×ÁÒØ 2007, 23:35

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: òÁÛÉÄ íÕÒÔÕÚÁÌÉÅ×ÉÞ ôÉÈÉÌÏ× 28 ñÎ×ÁÒØ 2007, 21:06

  õ×ÁÖÁÅÍÙÊ áÎÔÏÎ, ëÁËÏÊ ÍÏÄÅÌØÀ ÁÐÐÁÒÁÔÁ ÷Ù ÐÏÌØÚÕÅÔÅÓØ É × ÓÌÕÞÁÅ ×ÏÚÍÏÖÎÏÓÔÉ ×ÙÂÏÒÁ, ËÁËÕÀ ÍÏÄÅÌØ ÷Ù ÍÏÇÌÉ ÂÙ ÒÅËÏÍÅÎÄÏ×ÁÔØ? ó Õ×ÁÖÅÎÉÅÍ, ò.ôÉÈÉÌÏ×

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: áÎÔÏÎ áÎÄÒÉÁÎÏ× 29 ñÎ×ÁÒØ 2007, 19:27

  õ×ÁÖÁÅÍÙÊ ËÏÌÌÅÇÁ, Ñ ÒÁÂÏÔÁÀ Ó ÁÐÐÁÒÁÔÏÍ Storz Medical Master pulse MP100, ÎÏ ÐÏÞÔÉ × 2 ÒÁÚÁ ÄÅÛÅ×ÌÅ ÍÏÖÎÏ ËÕÐÉÔØ × òæ ÐÒÁËÔÉÞÅÓËÉ ÔÁËÏÊ ÖÅ Û×ÅÊÃÁÒÓËÉÊ EMS.

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• Re: ôÒÏÈÁÎÔÅÒÉÔ ïÔÐÒÁ×ÉÔÅÌØ: ëÁÔÑ 25 íÁÊ 2013, 17:42

  ÷Ù ÇÏ×ÏÒÉÔÅ, ÞÔÏ ÎÅÔ ÐÒÏÔÉ×ÏÐÏËÁÚÁÎÉÊ ÄÌÑ ÕÄÁÒÎÏ-×ÏÌÎÏ×ÏÊ ÔÅÒÁÐÉÉ, ÎÏ ÒÁÚ×Å ÜÔÏÔ ÍÅÔÏÄ ÎÅ ×ÈÏÄÉÔ × ÒÁÚÒÑÄ ÆÉÚÅÏÔÅÒÁÐÅ×ÔÉÞÅÓËÉÈ ÐÒÏÃÅÄÕÒ, ËÏÔÏÒÙÅ ÐÒÏÔÉ×ÏÐÏËÁÚÁÎÙ, ÎÁÐÒÉÍÅÒ, ÐÒÉ ÇÉÎÅËÏÌÏÇÉÞÅÓËÉÈ ÚÁÂÏÌÅ×ÁÎÉÑÈ?

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