SCENAR therapy of
hematogenous osteomyelitis
(case report)
Semikatov Y. V.,
Ekatirinburg, Russia
Osteomyelitis – inflammatory infectious
process of the bone tissue.
Cause of the disease is the necrosis of bone
parts different in thickness with following
ostempayesis, fenestration and slow
desequestration.
Symptoms of acute phase:
high temperature, pain, inflammation
(local hyperthermia, hyperemia),
leukocytosis in some cases – blood
poisoning.
Patient Maxim А.
Age 1 year 2 months
He was watched since his birth
(Dec.30, 1995) and was periodically treated
with classic method Ds: Perinatal affect of
the central nervous system, myotonic
syndrome. Allergic dermatitis.
Dysbacteriosis.
History of illness
(anamnes morbi):
March 08, 1997 – acute beginning of the
disease: in the evening the hung and stopped
move (in the day the boy was lifted by both
hands). During the night the temperature raise to
39C, edema occurred and acute pain in the
area of the right shoulder joint. Admitted to the
surgical department of multi-field children’s
hospital №9 in the town of Ekatirinburg where
the diagnosiswas made: acute hematogenous
osteomyelitis of of the right proximal capitelum.
Disbacteriosis.
On March 13,1997 the first surgical intervention
was made: Periostotomy. Osteoperforation of the
bone of the right upper arm.
Analysis:
wound culture– salmonella enterifidis
blood hemoculture – negative growth
Blood for sterility – sterile
Urine culture – negative growth
Bacterial analysis – negative growth
In postoperative period temperature remained
38C for two days.
On March 11, 1997 second operation was made
for cleaning of the damaged tissues of the bone of
the right upper arm.
On April 04,1997 patient is discharged with
recommendations:
• Long fixation of the arm with plaster dressing
• Protection from hits and falls on the sick arm
• Return to the hospital for surgical intervention in
exacerbation
• On April 03, 1997 in the evening the
temperature again raise to 39C, acute
pain, edema and local hyperemia in the
right right shoulder joint. Parents denied
second surgical intervention and
addressed a SCENAR therapist.
SCENAR therapy course started on April 4, 1997.
Course duration 17 days, total number of sessions
20.
From April 4 to April 6 – two sessions a day after that
one session a day.
During the course of treatment we worked on the
following zones
• Right shoulder joint projection
• Symmetric shoulder joint
• Collar zone
• Belly projection + liver projection (additionally)
• “three paths, 6 points”
• Zones of immunity increase (projection of breast
bone,spleen, points “he-gu” and “ju-san-li”)
During the course Subjectively-dozed
(mainly) and individually-dozed regimes
were alternated and combined.
During the treatment course the
manifestation inflammatory process
considerably decreased, pain intensity and
expression of periarticular tissues edema
were lower. During the course of treatment
and after it the arm had no fixation.
In May 1997 the child was registered invalid.
After May 20, 1997 (a month after the end of
the treatment course) the patient started
restrictedly handle a spoon and toys with the
sick hand.
Periarticular tissues edema passed without
therapy for 2 months.
July 1997 – 3 months after the start of the
SCENAR therapy: movements in the sick
arm practically painless in complete volume
(traditional therapy was not applied).
Second course of SCENAR therapy in the
recovery and follow-up period was not
applied.
In October 1997 - functional restoration of
the affected limb. The child started to hang
on the arms and to make complete support
on the elbow joints.
By October 1998 – complete functional,
structural and partial anatomic restoration of
the bone of the right arm.
April 1999 – complete anatomic, structural
and functional restoration of the right bone
of the arm (compared to the left shoulder
joint).
During the whole period of the disease
ACUTE HEMATOGENOUS OSTEOMYELITIS clinical
and X-ray control were conducted in
the classic scheme for 2 years.
Clinical outcome - full recovery.
Picture 1 - (March 23, 1997)
Start of the destructive process of the bone of right arm.
Picture 2 (July, 1997)
Complete lysis of the capitellum
Picture 3
(November 11,
1997)
Initial signs
fragment formation
of growth zone of
the proximal part of
the bone of the
right arm
Picture 4
(October 12, 1998)
Bone nucleus in the
growth zone in the
proximal section of
the bone of the right
arm.
Picture 5
(April 24, 1999)
Bone nucleus grew
and firmed
(compared to
October 12, 1998)
but the formation
is not complete.
Picture 6 and 7
Complete functional, structural and partial
anatomic restoration of the bone of the right arm.
Follow-up:
• Since September 1997 the child was
watched and treated with diagnosis:
infantile eczema. Since October 1998 no
occurrence of the eczema is registered.
• Since June 1998 total alopecia started.
From June 16 to July 4, 2003 he passed
hospital treatment with diagnosis:
neuroectodermal dysplasia, total alopecia.
Biliary dyskinesia (different treatments of
alopecia – without dynamics).
• Since September 3, 1999 officially
dismissed from the invalid registration,
actively attends the kindergarten, no
physical restriction.
• In the period 1997 – 2004 the patient was
often sick and received classic treatment.
• Currently the child is a student in the 3 grade
and does not fall behind in physical and mental
development from his peers.
Conclusions:
Treatment of the osteomyelitis with SCENAR
therapy allows to jugulate effectively the acute
clinical presentation in short term.
Bio-information influence of the SCENAR therapy
allows to reach complete functional, anatomic and
structural restoration without surgical intervention.
With children the aftereffect exclude the need of
the second course of SCENAR therapy and classic
therapy.