Diagnosis: Nerve Root syndrome L5-S1, disc prolapse left posterior L5-S1. Spinal osteochondrosis, frequent recidivation.
Admission to rehabilitation center with severe signs of neurological deficits which had not been improved by prior cure and rehabilitative procedures including medication and physiotherapy.
The patient declined any operative intervention. The patient was accommodated in a room equipped with the DETENSOR spinal traction mat and Detensor mattress for night sleep.
Minimal medication (vitamin therapy, biostimulators, short diuretic therapy) mat (30-40 min. 3 times daily) and on the mattress (twice daily reaching a total time of 10-12 hours) as well as rational therapeutic gymnastics, led to a complete recovery from the signs of neurological deficits within 17 days of in-patient care.
Patient P, 58 years, was admitted at the rehabilitation center in a state of progressive (9 months) rediculopathy in the region L4-S2 in spite of prior unsuccessful therapy attempts.
Computer tomography of the lumbo-sacral region revealed a protruded disk L4-L5, L5-SI, with nerve root compression and edema in the investigated ranges l3-S1. Under DETENSOR-therapy in combination with physiotherapeutic treatment (swimming, Bischofit baths) and minimal medication (vasoactive and diuretic preparations in short-term treatment, vitamin compounds and antidepressants).
A considerable regression of the pain syndrome after 15 days of treatment was observed with regeneration of muscle mass of the affected extremities as well as in the posture.
Patient Z., 46 years with onset of cerebral vascular insufficiencies, with vertebral basilar syndrome and osteochondrosis of the cervical spine in the background. Aside from the common ailments, the patient exhibited an unstable gait, inhibited articulation, bradylalia, as well as pronounced mobility restrictions in the cervical region upon admission at the rehabilitation center.
DETENSOR-therapy with the therapy mat was carried out 3x daily for 40 minutes in combination with rational psychotherapy and therapeutic gymnastics. Further, a balneologic treatment as well as medication therapy (small dosages of tranquilizer and vitamin preparations) were administered. DETENSOR-therapy was included in these cure and rehabilitative procedures during 5 days. A perceptible improvement of the condition could be observed from the first treatment on.
The 5 th treatment led to a complete regression of headaches (paroxysms and background pain), active and passive mobility in the cervical region had increased. After 15 days, the signs of neurological deficit had subsided.
During the reported time period, the DETENSOR-therapy was applied to 9 patients 14-20 days following spinal surgery (post laminectomy syndrome). In comparison to previous observations, the duration of the rehabilitation period was reduced by 35-40%, which agreed with the statements of Dr. h. c. K. L. Kienlein.
Use of the DETENSOR-therapy produced also positive results in the treatment of spinal insults (apparently accelerating rehabilitation by inclusion of the DETENSOR-therapy).
According to our opinion, it was meaningful to prescribe the use of the DETENSOR-therapy in the postoperative period of patient N., 63 years, upon renewed removal of a gigantic sundial like neurofibroma of stage Th 4-6 with pronounced postoperative signs of neurological deficits (sensory deprivation), differing but severe pain syndromes, postoperative complications in form of ventile pneumothorax, reactive pleuritis, relaxation of diaphragm cupola, as well as compensation. For this patient, the DETENSOR-therapy was performed for 20 days on the mattress. Further, minimal doses of vasoactive preparations were adminstered. Under this cure and rehabilitation treatment, the pain syndromes steadily regressed after 5 days of DETENSOR-therapy, after 9-10 days the shooting pains had vanished completely. Comparing this with the rehabilitative treatments after the first operation, an equivalent effect, as in this case, could be reached four times faster without administration of analgesics.
Use of the DETENSOR-system led to positive development of sleep disorders with slight doses of soporifics, where the latter could be terminated in 17% of the cases. Nocturnal snoring ceased in 4 of the observed patients of middle age. In 87% of the cases, the DETENSOR-therapy led to regulation of the arterial B.P. at the adapted level in the first treatments. This occurred not only at high arterial B.P. but also in cases of hemodynamic insufficiencies of the cure and rehabilitative procedures permitted the reduction for the dosage of B.P. depressants. The results became stabilized during long term therapy on the DETENSOR (over 14 days).
The experiences of the DETENSOR-therapy in the practice of treatment at the rehabilitation center prove the collective possibilities of the method in the treatment of vertebral disorders as well as general somatic changes. According to our opinion, the DETENSOR—therapy is capable of reducing myohypertonicity to reestablish spinal mobility and a comfortable psycho-emotional state by gentle distention effects under the conditions of long term relaxation. Based on the above mentioned information and the assumed improvement of segmental innervation in connection with a corrected muscle tonus determine amongst others, the positive course of somatic processes accompanied by maximally agreeable conditions for the metabolism in the elimination of neurotrophic changes.