HAC (Russian)
RSCI (Russian)
Ulrichsweb (Ulrich’s Periodicals Directory)
Scientific Indexing Services


DOI: https://doi.org/10.29296/25877305-2023-10-13

Professor L. Agasarov(1–3), MD; Professor T. Konchugova(2 , 3), MD; Professor
D. Kulchitskaya(3), MD; Professor V. Drobyshev(4), MD; T. Apkhanova(3), MD;
L. Tarasova(3), Candidate of Medical Sciences(3); O. Bokova(2)
1-Professional Association of Reflexologists, Moscow
2-I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
3-National Medical Research Center for Rehabilitation and Balneology
of the Ministry of Health of Russia, Moscow
4-Novosibirsk State Medical University, Ministry of Health of Russia

Objective. To study the effectiveness of combined application of zonal drug blockade and pharmacopuncture (drug stimulation of reflexology points) in treatment programs for dorsopathy at the lumbosacral level. Materials and methods. The study included 90 patients of both sexes under the age of 65 years who were treated for exacerbation of lumbosacral dorsopathy. The dynamics of clinical characteristics were compared with shifts in the results of psychological testing and electrophysiological analysis – zonal thermography, tetrapolar rheovasography and laser Doppler flowmetry. Patients were divided into three randomized groups in which basic (standard) medical-orthopedic treatment was performed. In addition to this, the first two groups used local stimulation, choosing up to 20 loci in the lumbosacral zone and 6–8 distal reflexology points in the lower extremities. Methodically, the anesthetic Lidocaine was injected into the points of the lower back and sacrum, and the drug alflutop (1st group, true pharmacopuncture) or physiological solution (2nd group, to a certain degree of placebo) was injected into the points of reflexology. The course of exposure consisted of 10 procedures performed every other day. In the 3rd group (control) they were limited to basic therapy. Results. Both variants of local stimulation were significantly superior in effectiveness to standard treatment. However, with the comparability of the rate of reduction of algia in these effective groups, the final level of pain was significantly lower in the 1st group. These data were consistent with a clear tendency to normalize the mental status and characteristics of regional vascular response in these patients. Conclusion. The advantage of the complex, which includes true pharmacopuncture, is explained by the direction of action and the points of application of medications: rapid anesthesia due to blockade with the anesthetic Lidocaine and the maximum effectiveness provided by pharmacopuncture with the drug alflutop.

lumbosacral dorsopathy
blockade according to the Vishnevsky method
psychological testing
electrophysiological analysis.

  1. Подчуфарова Е.В. Актуальные вопросы острой и хронической боли в пояснично-крестцовой области. Неврология, нейропсихиатрия, психосоматика. 2012; 4 (1): 27–35 [Podchufarova E.V. Acute and chronic lumbosacral pain: Topical problems. Neurology, Neuropsychiatry, Psychosomatics. 2012; 4 (1): 27–35 (in Russ.)]. DOI: 10.14412/2074-2711-2012-358
  2. Stochkendahl M.J., Kjaer P., Hartvigsen J. et al. National clinical guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018; 27 (1): 60–75. DOI: 10.1007/s00586-017-5099-2
  3. Traeger А., Buchbinder R., Harris I. et al. Diagnosis and management of low-back pain in primary care. CMAJ. 2017; 189 (45): 1386–95. DOI: 10.1503/cmaj.170527
  4. Агасаров Л.Г. Рефлексотерапия при распространенных заболеваниях нервной системы. М., 2017; 240 с. [Agasarov L.G. Refleksoterapiya pri rasprostranennykh zabolevaniyakh nervnoi sistemy. M., 2017; 240 р. (in Russ.)].
  5. Fan Huang, Mingwang Qiu, Siyi Zhao et al. Evaluating the Characteristics, Reporting and Methodological Quality of Systematic Reviews of Acupuncture for Low Back Pain by Using the Veritas Plot. J Pain Res. 2020; 13: 2633–52. DOI: 10.2147/JPR.S254234
  6. Вишневский А.В. Местная анестезия по методу ползучего инфильтрата. М., 1932; 112 с. [Vishnevskii A.V. Mestnaya anesteziya po metodu polzuchego infil'trata. M., 1932; 112 р. (in Russ.)]
  7. Агасаров Л.Г. Фармакопунктура. М., 2015; 192 с. [Agasarov L.G. Farmakopunktura. M., 2015; 192 р. (in Russ.)].
  8. Саакян Э.С. Биопунктура по принципу «Анатомической дорожки» в лечении поясничной боли. Рефлексотерапия и комплементарная медицина. 2018; 4: 30–2 [Saakyan E.S. Biopunktura po printsipu «Anatomicheskoi dorozhki» v lechenii poyasnichnoi boli. Refleksoterapiya i komplementarnaya meditsina. 2018; 4: 30–2 (in Russ.)].
  9. Попелянский Я.Ю. Болезни периферической нервной системы. М., 2005; 463 с. [Popelyanskii Ya.Yu. Bolezni perifericheskoi nervnoi sistemy. M., 2005; 463 р. (in Russ.)].
  10. Агасаров Л.Г., Саакян Э.С., Кончугова Т.В. Способ лечения пациентов с пояснично-крестцовой дорсопатией методом локальной стимуляции «Анатомическая дорожка». Патент на изобретение №2758988 от 08.11.21 [Agasarov L.G., Saakyan E.S., Konchugova T.V. Method for treating patients with lumbosacral dorsopathy by the method of local stimulation "Anatomical Path". Patent №2758988, 08.11.21 (in Russ.)].