Bone transcortical capillary vessels grid network infusion usage in the neuropathic pain treatment in diabetic distal symmetrical polyneuropathy

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The present article demonstrates the clinical case of treatment of distal symmetrical polyneuropathy with intraosseous infusion to the spongy substance of the ankle with solution of drugs. The details of this path of treatment are discussed. Information about intraosseous vascular access and legal security aspects is given. The aim was to evaluate the opportunity of usage transcortical capillary vessel grid network to improve microcirculation and carrying of drugs. Methods of diagnostics a treatment of diabetic polyneuropathy described. The observation of the neurological, somatic, neuropsychological status of a 55-year-old patient with diabetes mellitus and diabetic polyneuropathy with pain reduction, neurophysiological improvement was shown. The significance of the described case gives opportunity of longitudinal efficacy treatment of such conditions.

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作者简介

Lyudmila Kornilova

Peoples’ Friendship University of Russia

编辑信件的主要联系方式.
Email: 89851007080kle@gmail.com
ORCID iD: 0000-0002-8828-0582

MD, professor of the Department of algology and rehabilitation of the Institute of oriental medicine; neurologist

俄罗斯联邦, Moscow

Evgeny Sokov

Peoples’ Friendship University of Russia

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0001-7903-2854

MD, professor, head of the Department of algology and rehabilitation of the Institute of oriental medicine; neurologist

俄罗斯联邦, Moscow

Sergey Dlin

Clinic for the Treatment of the Spine and Joints of Dr. Dlin

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0001-9361-2134

neurologist, osteopath, manual therapist, preventive medicine specialist, chief physician and founder

俄罗斯联邦, Moscow

Viktor Urazov

Peoples’ Friendship University of Russia

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0002-0390-3825

deputy dean of the Faculty of continuing medical education of the Medical institute, director of the Institute of oriental medicine

俄罗斯联邦, Moscow

Anastasia Kornilova

City Clinical Hospital named after V.V. Vinogradov of the Department of Healthcare of Moscow

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0002-7688-3669

PhD in Medical Sciences, neurologist

俄罗斯联邦, Moscow

Mikhail Artamonov

MJA Research and Development Inc

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0002-8666-4398

PhD in Medical Sciences, director of the network of pain clinics

美国, East Stroudsburg

Petr Sokov

City Clinical Hospital named after V.V. Vinogradov of the Department of Healthcare of Moscow

Email: 89851007080kle@gmail.com
ORCID iD: 0000-0002-2365-5128

neurologist

俄罗斯联邦, Moscow

参考

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  2. Shestakova M.V., Vikulova O.K., Zheleznyakova A.V. et al. Diabetes epidemiology in Russia: What has changed over the decade? Terapevticheskiy arkhiv = Therapeutic Archive. 2019; 91(10): 4–13 (In Russ.). https://dx.doi.org/10.26442/00403660.2019.10.000364. EDN: BHBUBI.
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  4. Smith S., Normahani P., Lane T. et al. Pathogenesis of distal symmetrical polyneuropathy in diabetes. Life (Basel). 2022; 12(7): 1074. https://dx.doi.org/10.3390/life12071074.
  5. Zhang Y., Qu M., Yi X. et al. Sensorimotor and pain-related alterations of the gray matter and white matter in type 2 diabetic patients with peripheral neuropathy. Hum Brain Mapp. 2020; 41(3): 710–25. https://dx.doi.org/10.1002/hbm.24834.
  6. Tesfaye S., Sloan G. Involvement of the central nervous system in diabetic distal symmetrical polyneuropathy. J Xiangya Med. 2021; 6: 27 https://dx.doi.org/10.21037/jxym.2020.02.03.
  7. Brownlee M. The pathobiology of diabetic complications: A unifying mechanism. Diabetes. 2005; 54(6): 1615–25. https://dx.doi.org/10.2337/diabetes.54.6.1615.
  8. Gruneboom A., Kling L., Christiansen S. et al. Next-generation imaging of the skeletal system and its blood supply. Nat Rev Rheumatol. 2019; 15(9): 533–49. https://dx.doi.org/10.1038/s41584-019-0274-y.
  9. Asghar A., Narayan R.K., Kumar A., Naaz S. The transcortical vessel is replacement of cortical capillary or a separate identity in diaphyseal vascularity. Anat Cell Biol. 2020; 53(1): 107–10. https://dx.doi.org/10.5115/acb.19.171.
  10. Beliaev A.N., Rygin E.A., Zakhvatov A.N. et al. System and regional antioxidant therapy by complicated diabetic foot. Khirurgiiya. Zhurnal imeni N.I. Pirogova = Surgery. Journal named after N.I. Pirogov. 2007; (11): 46–50 (In Russ.). EDN: LESYTD.
  11. Nomenclature of medical services (new edition). Approved by Order of the Ministry of Healthcare and Social Development of the Russian Federation No. 804n dated October 13, 2017. Valid from 01.01.2018. As amended by the Order of the Ministry of Healthcare of Russia dated March 5, 2020 No. 148n. (In Russ.).
  12. Sokov E.L., Kornilova L.E., Nesterov A.I. Dorsopathies of the Modic type and their intraosseous therapy: a monograph. Moscow: Publishing House of the Academy of Natural Sciences. 2022; 86 pp. (In Russ.). https://dx.doi.org/10.17513/np.538.
  13. Sokov E.L., Kornilova L.E., Artiukov O.P. Intraosseous blocks in the treatment of symmetrical distal diabetic polyneuropathy. Terapevticheskiy arkhiv = Therapeutic Archive. 2013; 85(4): 61–65 (In Russ.)]. EDN: QBDYGT.
  14. Finnerup N.B., Attal N., Haroutounian S. et al. Pharmacotherapy for neuropathic pain in adults: A systematic review and meta-analysis. Lancet Neurol. 2015; 14(2): 162–73. https://dx.doi.org/10.1016/S1474-4422(14)70251-0.

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