Variants of local ozone therapy for lumbosacral dorsopathy

The characteristic resistance of dorsopathies to conventional therapy explains attention to new technologies that combine several therapeutic components, ozone therapy in particular. According to the rules of biopuncture, by introducing gas into the area of reflexology points, ozone therapy enhances the efficiency of treatment. Objective: To detail the main components and therapeutic characteristics of ozone therapy according to the rules of biopuncture. Subjects and methods. The investigation involved 90 patients less than 55 years of age in the phase of a dorsopathy exacerbation with a leading vascular component. The patients were divided into 3 groups: 1) those who received basic medical-and-physical treatment and standard ozone therapy with a preferential choice of algic areas; 2) those who had basic medical-and-physical treatment and ozone therapy according to the rules of biopuncture (exposure to a set of segmental, distant, and vascular points); 3) those who had basic medical-and-physical treatment only. The observed changes were verified by clinical, psychological, and electrophysiological analyses. Results. Both ozone therapy regimens showed a significant efficiency (an improvement was reported by 69 and 73% of the patients, respectively) compared to the control group (49%). The results of the Multiphasic Personality Inventory indicated a decrease in anxiety and the need to control the nature of painful manifestations in patients of the ozone therapy groups, there was also an improvement in the indicators of the Well-Being-Activity-Mood questionnaire. The differences between the ozone therapy groups in achieving a stable effect (2.6 days earlier in Group 2) and in the degree of a reduction in vasoreflex responses, the reversal of which was confirmed by characteristic shifts in electrophysiological parameters (in 50% and 75% in Groups 1 and 2, respectively). A follow-up analysis revealed dorsopathy relapses in 32% of cases of the control group and these were significantly less often in the ozone therapy groups (21% and 18% in Groups 1 and 2, respectively. Moreover, the relapses were milder in Group 2. In addition, the latter group maintained a positive vascular effect confirmed by electrophysiological parameters. Conclusion. Thus, the investigation involving additional control methods, such as clinical, psychological and electrophysiological ones, showed that according to the rules of biopuncture, ozone therapy ensures that the latter achieves a faster and more stable effect.