Home Prevention Centers where fear decompensation is treated. Treatment of fears and anxiety

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Centers where fear decompensation is treated. Treatment of fears and anxiety

Headache and dizziness, disturbances in static movement and coordination of movements, visual disturbances, oculomotor disorders indicate serious illness brain. Below in the article you will find the causes of the disease; the doctors who treat him; necessary healing procedures for treatment; and general information about the disease, its localization, features of diagnosis of diseases and their treatment. However, we advise you to consult a doctor, because self-medication in 90% of cases is fraught with the disease progressing to the chronic stage with extremely unpleasant complications

Vertebro-basilar insufficiency. general information

Vertebro-basilar insufficiency is a complex disease of the brain that arose as a result of a decrease in its blood supply.

IN MC BIOSS work best doctors in Moscow, having extensive experience in treatment Vertebro-basilar insufficiency

WHEN YOU SHOULD SOUND THE ALARM, THE FIRST SYMPTOMS

The diagnosis of circulatory failure in the Air Force is based on a characteristic symptom complex that combines several groups clinical symptoms:

visual disturbances
oculomotor disorders (and symptoms of dysfunction of other cranial nerves)
violations of statics and coordination of movements
vestibular (cochleovestibular) disorders
pharyngeal and laryngeal symptoms
headache
asthenic syndrome
vegetative-vascular dystonia
conduction symptoms (pyramidal, sensitive)

It is this symptom complex that occurs in most patients with circulatory insufficiency in the vertebrobasilar region. In this case, a presumptive diagnosis is determined by the presence of at least two of these symptoms. They are usually short-term and often go away on their own, although they are a sign of trouble in this system and require clinical and instrumental examination. A thorough medical history is especially necessary to clarify the circumstances of the occurrence of certain symptoms.

At the core clinical manifestations VBN is a combination:

characteristic complaints of the patient
objectively detectable neurological symptoms indicating the involvement of structures supplied by the vertebrobasilar system.

The core of the clinical picture of vertebrobasilar insufficiency is the development of neurological symptoms reflecting transient acute ischemia brain in areas of vascularization peripheral branches vertebral and basilar arteries. However, some pathological changes can be detected in patients even after the completion of an ischemic attack.

The same patient with VBI usually combines several clinical symptoms and syndromes, among which it is not always easy to identify the leading one.

Conventionally, all symptoms of VBI can be divided into:

paroxysmal (symptoms and syndromes that are observed during an ischemic attack)
permanent (observed for a long time and can be detected in the patient in the interictal period).

In the basin of the arteries of the vertebrobasilar system, the development of:

transient ischemic attacks
ischemic strokes varying degrees of severity, including lacunar.

The unevenness of arterial damage leads to the fact that brain stem ischemia is characterized by mosaic, “spotting”.

The combination of signs and the degree of their severity are determined:

localization of the lesion
size of the lesion
possibilities of collateral circulation

Described in classical literature neurological syndromes are relatively rare in pure form are encountered in practice due to the variability of the blood supply system to the brain stem and cerebellum. It was noted that during attacks the side of the predominant motor disorders(paresis, ataxia), as well as sensory disorders.

1. Movement disorders in patients with VBI are characterized by a combination of:

central paresis
coordination disorders due to damage to the cerebellum and its connections

As a rule, there is a combination of dynamic ataxia in the limbs and intention tremor, gait disturbances, and unilateral decrease in muscle tone.

It should be noted that clinically it is not always possible to identify the involvement of the blood supply zones of the carotid or vertebral arteries in the pathological process, which makes the use of neuroimaging methods desirable.

2. Sensory disorders manifest themselves:

symptoms of prolapse with the appearance of hypo- or anesthesia in one limb, half of the body.
paresthesia may occur, usually involving skin limbs and face.
disorders of superficial and deep sensitivity (occur in a quarter of patients with VBI and, as a rule, are caused by damage to the ventrolateral thalamus in the areas of blood supply to the a. thalamogeniculata or posterior external villous artery)

3. Visual impairment can be expressed as:

loss of visual fields (scotomas, homonymous hemianopsia, cortical blindness, less often - visual agnosia)
appearance of photopsia
blurred vision, blurred vision of objects
the appearance of visual images - “flies”, “lights”, “stars”, etc.

4. Cranial nerve dysfunction

oculomotor disorders (diplopia, convergent or divergent strabismus, vertical separation of the eyeballs),
peripheral paresis facial nerve
bulbar syndrome (less commonly pseudobulbar syndrome)

These symptoms appear in various combinations; their isolated occurrence due to reversible ischemia in the vertebrobasilar system is much less common. The possibility of combined damage to brain structures supplied by the carotid and vertebral artery systems should be taken into account.

5. Pharyngeal and laryngeal symptoms:

sensation of a lump in the throat, pain, sore throat, difficulty swallowing food, spasms of the pharynx and esophagus
hoarseness, aphonia, feeling of a foreign body in the larynx, coughing

6. Attacks of dizziness (lasting from several minutes to hours), which may be due to the morphofunctional characteristics of the blood supply vestibular apparatus, his high sensitivity to ischemia.

Dizziness:

as a rule, it is systemic in nature (in some cases, dizziness is non-systemic in nature and the patient experiences a feeling of sinking, motion sickness, unsteadiness of the surrounding space)
manifested by a sensation of rotation or linear movement of surrounding objects or one’s own body.
Associated autonomic disorders are characteristic: nausea, vomiting, profuse hyperhidrosis, changes in heart rate and blood pressure.

Over time, the intensity of the feeling of dizziness may weaken, while focal symptoms(nystagmus, ataxia) become more pronounced and become persistent.

However, it must be taken into account that the feeling of dizziness is one of the most common symptoms, the frequency of which increases with age.

Dizziness in patients with VBI, as well as in patients with other forms of vascular lesions of the brain, can be caused by suffering of the vestibular analyzer at various levels, and its nature is determined not so much by the characteristics of the underlying pathological process(atherosclerosis, microangiopathy, arterial hypertension), how many localizations of the ischemic focus:

defeats peripheral part vestibular apparatus
damage to the central part of the vestibular apparatus
psychiatric disorders

Sudden onset of systemic dizziness, especially in combination with acutely developed unilateral deafness and a sensation of noise in the ear, may be a characteristic manifestation of labyrinthine infarction (although isolated dizziness is rarely the only manifestation of VBI).

alen Newbie

VSD or vertebrobasilar insufficiency? Experience and real help
I am 24 years old. He had not previously complained of anything that could be attributed to this pathology.
Since my story is very long and confusing, I will try to tell it tightly in three stages.
It all started last August after lifting weights. At the time of the hold, there was a very strong strain on the neck and head. Until the next day there was weakness and fatigue. The next day, after quickly climbing to the 2nd floor, suddenly, like a cannon shot, I felt a ringing in my ears, an incomprehensible fear and panic, palpitations, a rush to my head and a lump in my throat. I felt like I was about to lose consciousness.
In a panic, I ran home from work, where this condition continued to cover me in waves with hot flashes in my head. Unpleasant, so-called goosebumps appeared in my head, I could not relax on the bed, I could not lie in my usual position. I called an ambulance and measured my blood pressure - 130-90. On the advice of the doctor, I went to the clinic, took a 2-week vacation and went on a diet. The neurologist whom I visited listened to my story and with a smile sent me home to rest, saying it was nothing to worry about - it was just overwork, more positive and told me to take Afobazole and Oxibral. I started drinking it all, and it seemed like I even forgot about what happened to me. I finished the pack of Oxybral, Afobazole remained - I think it’s normal and I stopped drinking it all. I don’t remember exactly, either the next day, or the day after, the same attack hit me again with renewed vigor, I already began to feel strange somersaults in my heart (many months later I found out that this was extrasytolia), I could not move, then same pre-fainting state, from that moment the symptoms did not subside.
I went again to the neurologist, but not to the one I had visited (the manager), but went to the one next door, thought maybe their opinions would differ and went (on my own). In general, after examination, she said that the neck muscles were slightly tense, between the head and neck. I took an x-ray (a regular one from the back, not even in profile!), and said mild osteochondrosis was nothing to worry about. But the lump in my throat bothered me and we agreed that I would continue to drink what the manager prescribed, and in the meantime I would do a Doppler scan of my neck (I was also sent to do a gastroendoscopy and an ultrasound of the gastrointestinal tract to rule out that it could be the stomach). I resumed taking the pills, but I didn’t feel any effect. I took it and got specific.
All this time I walked around like a zombie. Home-work, home-work, home-hospital. It became difficult for me to sit, I constantly began to fidget, spin, and could not stand still in one place. I got goose bumps, visual disturbances appeared, spots appeared before my eyes like sparks. I began to feel unsteady, especially in the dark. Headaches appeared, I began to sleep poorly, falling asleep was generally a problem, I fell asleep in one position on my stomach, crossed hands on the chest, and face to the side on the pillow. Then I barely fell asleep on my side. It became impossible to lie on my back or sleep.
In a relaxed state, lying or sitting, for example, in a chair, dizziness, sensations of swaying and unsteadiness intensify. If you lie down and relax, you feel like you’re falling and are about to fall off the sofa. I constantly put my hand under my head to reduce these dizzinesses. Also, with slight physical activity, for example, changing body position in a sitting or standing position, the pulse and blood pressure numbers often increase, and a feeling of constriction in the chest area. The head has persistent compression in the area of the temples and the back of the head, also when lying down, if you relax and remove your hand from under your head, the pressure increases, you want to immediately change the position of your body.
In general, everything just started to grow. I did all the necessary examinations, and this is what happened
Neck - an anomaly of high entry of the vertebral artery at the C3 level, violation of the straightness of the vertebral artery. (The ultrasound specialist told me to be treated by a neurologist)
Ultrasound of the gastrointestinal tract and gastroendoscopy - since the ultrasound was done by the same doctor who sees me at the clinic, she didn’t like some liquid in the stomach, so she sent me for a tube.
Based on the examination data, the joint conclusion of the neurologist and gastroenterologist was: Helicobacter pylori (simply banal gastritis)
But my stomach didn’t bother me; all these symptoms bothered me. Despite my stubbornness, I was prescribed antibiotics and a course of gastrointestinal treatment. They prescribed Pilobact-Neo (please note, it contains several antibiotics at once), de-Nol and protection for microflora. In general, in the morning I drank a blister of pilobact-neo (3 tablets) + de-nol + for microflora and when I came home from work I drank the same thing in the evening, towards night I felt bad, my blood pressure jumped to 160/100. I called an ambulance, the ambulance said nothing of the kind, they recommended doing a REG. Until the morning they pumped me up so that I would fall asleep, by the morning I felt even worse, the pressure rose again and did not fall, the ambulance took me only 2 times, so the first one told me that it was VSD and that I didn't go into illness. Upon arrival at the hospital, the diagnosis was drug intoxication, antibiotics, bilirubin 40, crisis and blood pressure 160/100. The back of my head just fell off. After 10 days of therapy, bilirubin returned to normal, but all of the above symptoms remained. From that moment on, it became very, very difficult for me to move even 100 meters due to compression in the head and chest area, it becomes difficult to breathe, tachycardia appears, sometimes accompanied by extrasystole. Pain in the scalp also appeared.
Since that moment, I have been to a chiropractor several times, have had 25 massage sessions, including acupuncture, have been in the regional cardiology department, and have had additional examinations cervical region X-ray and other ECG, REG, EEG. There was only one diagnosis - VSD and osteochondrosis, or VSD of the hypertensive type, since the pressure usually stayed at 140-90. It was constantly bad every day, or very bad when it was already 160. I tried to drink almost everything the doctors prescribed, nothing worked, I drank from my heart - it was even worse.
I could barely move in public transport, only sitting, as I felt pain while standing. There was a fear of approaching any edges, be it a platform or a road, the unsteadiness did not stop. The gait became neat, and when walking, the cheekbones often cramped and went to the head, and then I wanted to take a lying position.
I also did a survey thyroid gland, her hormones and so on, which could be associated with the so-called VSD. I changed my diet, I think about my stomach, but the symptoms progressed and changed, some remained, some went away.
Crises with a pressure of 160/100 were very, often... I used to call an ambulance several times a day. They injected me with magnesium, after which I felt at least a little better. It became very difficult to walk, I constantly wanted to lie down, I could sit for a maximum of half an hour or an hour, after which my head would cramp and press very strongly and another hot flash attack could begin.
Then I did a massage, went to chiropractors, did acupuncture, all this alleviated my condition for some time, after stopping, everything fell into place - a day or two I called an ambulance, went out and walked down the street - an attack and a crisis.
After another attack, I find myself in district hospital already in the neurology department, where, based on the complaints I described about surges in blood pressure in a semi-fainting state, a diagnosis of VSD is made and at 10 day hospital, promising and convincing in every possible way that drug therapy will ease the course of the disease, I will be able to go to the pool there, take care of myself and so on, in general, in 10 days I will be jumping.
At the same time, while lying in the hospital, I followed the recommendations of a neurosurgeon for a consultation. I was recommended additional examinations, in addition to mine, and was previously told that there is a pathology in the neck (BASED ON MY 1st ultrasound of my neck).
I had an MRI of my head, I had my blood tested for viruses and had to do another ultrasound of my neck, already in state clinic, where he works. In general, he asked me what I was receiving in the neurology department, I don’t remember exactly, but they injected Cavinton, Cortexin, something else, and Eglonil. This was the scheme. I wanted to go to the clinic and be observed and treated there, but I was refused, since I was not a patient at the psychiatry clinic. He also told me to stop taking Eglonyl. When I returned, I canceled this drug, to which the attending physician came and insisted on further use, convincing me in every possible way that it was necessary in the regimen and should not be abandoned, that various fears, side effects, etc. might appear (IN GENERAL WHAT SHE SAID, THIS IS WHAT I GOT THANK YOU)
In short, I just had to do a repeat ultrasound of my neck to confirm the diagnosis and decide what to do next. After being discharged home, I saw another doctor, where, based on my examinations, I was diagnosed preliminary diagnosis VERTEBROBASILAR INSUFFICIENCY and recommended treatment at the Institute of Neurosurgery. Instability of the cervical spine was also questionable. But the next day (this was 2 days after being discharged from neurology) I felt so bad that I couldn’t even get out of bed. It was neuroleptic withdrawal syndrome. I started to feel dizzy, I felt terribly bad, my pulse rate increased very fast, and the last doctor who made the diagnosis said 2 options - either get out of this state yourself, or go back on this drug for six months (THESE DRUGS STILL KEEP UP FOR 6 MONTHS) and then gradually get off it.
I chose the first option, but immediately I ended up in cardiology to check my heart, as a terrible arrhythmia and tachycardia appeared. I became all sort of wooden, at the slightest lifting of my body from the bed, my heart just went off scale, I ate in minutes, went to the toilet I was accompanied, I could not sit for even a minute. Judging by my symptoms, the doctors who examined me, including neurologists and a psychiatrist, it was no longer about VSD but about acute neurosis. Absolutely everything began to appear side effects, which could only be. All this lasted about 3 months - it was 3 terrible months of hell. The VBN itself is simply delightful in comparison. Gradually emerging from this state, my goal was the institute - it was last hope, where they could help me, since after discharge from neurology no one wanted to deal with me and everyone was sent to psychiatry in the neurosis department. I managed to find the strength in myself and do that last ultrasound of my neck, but my condition was very bad, which against the background side effects There were no signs of VBI. In short, they refused me and only offered me a hospital stay in the psychoneurological department. Which of course I refused.
After spending about 3 weeks at the Institute of Neurosurgery, based on my examinations and additional CT and MRI scans of the neck and spine, a diagnosis of “Kimmerli’s anomaly” was made... I was prepared for the operation for a week, and already an hour before the operation, after a visit from the academician, my operation was canceled from lack of symptoms. I urgently demanded that additional examinations of the vertebral arteries be carried out, since they are the ones that cause the symptoms of VBI, to which I received a refusal and recommendations for treatment from a psychoneurologist at my place of residence, since in the previous extract the neurologist and psychiatrist recommended a neurosologist.
I was given additional examinations, had my hearing checked and had an REG done, and was sent home with recommendations to take antidepressants and be treated by a neuropsychiatrist.
After all this, I was terribly depressed, not to mention my condition. I scanned the Internet for 2 days, I made a list of absolutely all the clinics where VBN is treated and dealt with, mostly chiropractors. I understood that I had gone through all this and there was simply no way out. I also consulted neurologists and other doctors. Everywhere I received the same answer - this disease cannot be cured, here are the treatment regimens... I went through all these regimens on myself and even more. I understood that no matter where I turned, everything was the same, everywhere the same answer, the same recipe and the same advice. I was also lucky that I did not have surgery for Kimmerly’s anomaly, which has no indications for surgical intervention at all.
As a result, by a lucky coincidence, I came across an article by Andrey Zasukha on a forum about the spine, where I was intrigued by the lines of the topic he created. I realized that I was not the only one, that he also suffered in his own way and he was already RECOVERING. This was the hope of hopes, I understood that this was already the end and there was nowhere to go. I found the doctor’s contacts, contacted him, and in almost a year I received SPECIFIC ANSWERS to all my questions and a preliminary diagnosis. I did an MRI of the neck vessels and the diagnosis was confirmed. For more than 8 months, no one sent me to do this examination!!! They pointed me out about invasive angiography (the gold standard), but I had no indications for it, everywhere I was denied a thorough examination, saying that I had been examined enough to be treated at home at the address of a psychoneurologist. After 2 months, I had surgery, and I felt a little better, some went away, some symptoms still remain, but I am on outpatient treatment, taking medications for recovery. I wish you all patience and good health!
AIR Chiropractor, Ph.D.

I found the doctor’s contacts, contacted him, and received SPECIFIC ANSWERS to all my questions and a preliminary diagnosis in almost a year.
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I did an MRI of the neck vessels and the diagnosis was confirmed
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It is not clear what diagnosis was confirmed...

After 2 months I had surgery, and I felt a little better, some went away, some symptoms still remain,
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Somehow vague and uninspiring...
but I am on outpatient treatment, taking medications for recovery.
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So we returned to the drugs...
Conclusion: I personally have not yet seen a miraculous method...

NIKIO (MNPTSO)
alen Newbie

Registration: March 27, 2014 Messages: 20 Likes: 16

Description first three stages on three sheets, but here is only a line about “SPECIFIC ANSWERS to all your questions and a preliminary diagnosis.” - no answered questions, no preliminary diagnosis...
It is not clear what diagnosis was confirmed...
In the presence of many declared examinations that are not presented.. Publish at least an X-ray of the neck with functional tests...So that we can watch at least something...
Somehow vague and uninspiring...
So we returned to the drugs...
Conclusion: I personally have not yet seen a miraculous method...
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In order, now from your lines.
After an MRI of the vessels, the diagnosis of vertebrobasilar insufficiency was confirmed, which was visible on a regular ultrasound (and many do not know how to do an ultrasound) and not some kind of VSD, neurosis and other incomprehensible diseases that are of an abstract nature.
I received specific answers as to why I felt bad, where my anxiety and fears came from, and other symptoms. And not the psyche, VSD, neurosis and other excuses.
Regarding the symptoms, you as a doctor should know that if the blood vessels and brain were in prolonged hypoxia, and I wrote about antibiotics and other nasty things, then now you need time for rehabilitation. Or do you want to say that it goes away without drugs for recovery and support?
And lastly, I do not take any antipsychotics or antidepressants, which they tried to put me on several times. And this is the main point!
Later I will attach the desired examinations, pictures, etc.
Do you want to offer a miracle? I agree, show it - for free. And then I'll pay. And since I knocked on the thresholds of various massage therapists, chiropractors and others, listening to tales about fast recovery, and I’ll tell you, I visited specialists, certified and experienced, but alas, in my case I lost huge amounts of money and did not get the desired result. Short-term improvement is not a treatment or a cure. This is prevention and support.
Do you give guarantees, and let’s say some kind of agreement - that after your manipulations I will be healthy? As of today, apart from surgery, nothing has helped me even by 3%.
AIR Chiropractor, Ph.D.

I just had some doubts about the indicated main cause of this problem, nothing more... I will not analyze the entire message, just a couple of excerpts:
The head has persistent compression in the temples and back of the head
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After all, the anterior scalene muscle is located in a completely opposite place.
I had the operation and it became a little easier for me, some went away, some symptoms still remain,
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If the spinal artery was compressed by a muscle, then after its removal the blood flow should be restored in full and all symptoms should immediately subside. ..
And lastly, I do not take any antipsychotics or antidepressants, which they tried to put me on several times. And this is the main point!
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And lastly, I’m not saying that you were treated absolutely correctly. I also want to understand the true causes of the problem...
Do you want to offer a miracle? I agree, show it - for free. And then I'll pay.
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Do you give guarantees, and let’s say some kind of agreement - that after your manipulations I will be healthy?
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On what basis did you decide that I was inviting you to my place? Please answer your question: why do I need this?.. Someone created a big pile of problems, and I want to go out of my way to solve it with your condescendingly merciful attitude towards me? . No, excuse me.

NIKIO (MNPTSO)
I know a little, but I guess a lot (A.S. Pushkin)...
alen Newbie

Registration: March 27, 2014 Messages: 20 Likes: 16

as the doctor who operated on me and my local doctor (who installed VBN) explained to me, that the vertebral artery is intertwined with autonomic nerves, that it is one whole sympathetic plexus. It is also responsible for regulating vascular tone. During the operation, I had severe vascular dystonia (simply poor vascular tone). Therefore, the blood flow did not recover quickly, I myself feel that I am not 100% healthy. They also said that there may be innervation from the site of the problem, creating a spasm of both blood vessels and muscles (after all, the anterior scalene muscle compresses not only the artery, but also the nerve plexus). The mouth of my left artery branched off from the aortic arch, and it was transferred to my subclavian artery. So this problem gave innervation to the heart, I felt extrasystoles (now there are none).
I also want to note that conservative treatment also helps many; surgical treatment is not mandatory. As they say, you always have time to go under the knife. But I suffered for a long time and tried everything. Regarding the X-ray, there were doubts about the instability of the cervical spine, due to dysplasia connective tissue. That's what some doctors said, my fingers are bending. They offered a trench collar and neck extension. I refused both one and the other. Even if there is, say, minor instability, it can be treated with exercises. But in my condition, at the slightest physical activity, pulse and blood pressure rose.
On what basis did you decide that I was inviting you to my place? Please answer your question: why do I need this?.. Someone has created a big pile of problems, and I want flattery out of my skin to solve it with your condescendingly merciful attitude towards me? . No, excuse me.
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You see, you don’t want to take responsibility, but want to sleep peacefully, right?
And so every doctor on my way. But I didn’t ask to be treated when I paid for a consultation, they would have helped at least with advice, and would not have violated the 1st commandment. This is enough and even more. Sorry, but your colleagues caused mistrust and such an opinion.
A sick person should not have to justify himself to the doctor about why this happened to him, and where his brains were when he was breakdancing on his head. There is a problem - it needs to be solved.
And my local doctor at least pointed me on the right path and told me what to look for, who to look for, what needs to be treated, and what can lead to psychiatry.
doc Doctor

Therefore, the disease is not congenital. Straining caused the formation of active trigger points in the neck muscles with corresponding symptoms. Such problems can normally be solved without surgery.
As far as I understand, before the “severe neck strain” everything was fine with you. This means that this CONGENITAL feature that you are referring to has nothing to do with painful symptoms. This means that it did not require any treatment, especially such a radical one.
Val13 User

did not require treatment??? That's right, Alen, why did you undergo treatment? You would quietly go crazy and, as a result, die in 5-10 years, natural selection is weak, there is no reason to live!! Good method, doc!
alen Newbie

Registration: March 27, 2014 Messages: 20 Likes: 16

Therefore, the disease is not congenital. Straining caused the formation of active trigger points in the neck muscles with corresponding symptoms. Such problems can normally be solved without surgery.
As far as I understand, before the “severe neck strain” everything was fine with you. This means that this CONGENITAL feature that you are referring to has nothing to do with painful symptoms. This means that it did not require any treatment, especially such a radical one.
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For everyone, up to a certain point this does not bother them. As we age, tissues and muscles grow. Before lifting the weight, I felt incomprehensible states, but I did not understand what it was. These were short-term attacks (panic attacks in common parlance), short-term dizziness. But it was short-lived! And when it doesn’t bother you, you don’t bother. High entry and abnormal exit of the ostia of the arteries are congenital problems.
In my case, the provocation was the load, in another there may be stress, although every person has stress. It doesn’t matter what the premise is - the fact itself is important, a failure has occurred, adjusting your whole life with an unknown result, and in my case with a zero result, is standing under a leaky umbrella.
If such problems could be solved normally without surgery, people would be healthy. If only you wouldn’t suppress your symptoms with different medications, wouldn’t go to a “service station” for 30 bucks per session, as I did, after which all the miracle workers who “treated without surgery” when at the end of the course there is no result as promised, referred to your psyche . And here there is nothing to grab onto...
Pinched nerves, subluxations and other problems can be solved. But not innate...Everything has a reason, concrete, not abstract, and I wrote my reason in my topic. They are different for everyone, but they exist.
Yes, that's right. to severe stress, there were incomprehensible short-term states. And after that, as they say, whatever happened. From that moment on I did not feel healthy for a minute. And they worked on these points, and they placed needles, and there was a massage, and there was a manual. We could continue to try electrophoresis and other conservative methods. They can be listed for a long time, but the funds run out sooner or later.
I’ll tell you honestly, if after the conservative methods I had done, I had felt a concrete effect, then I would probably have continued going. But I think that these should not be endless sessions stretched over months, or even longer. The relief should be permanent, no matter how you look at it.
doc Doctor

"Electromyographic studies and stimulating effects on the scalene muscles prove their primary, and not an additional function in the process of breathing (mainly inhalation)... Cutting the scalene muscles immediately causes a decrease in vital capacity... The scalene muscles contract... when carrying, lifting or pushing heavy objects. In addition, they provide stabilization of the head position and body balance" (J.V. Basmaiian, E.J. Campbell, etc.).
The treatment method you choose involves not only risks, but also very specific consequences associated with the removal of an important part of the human body.
alen Newbie

Registration: March 27, 2014 Messages: 20 Likes: 16

"Electromyographic studies and stimulating effects on the scalene muscles prove their primary, and not an additional function in the process of breathing (mainly inhalation)... Cutting the scalene muscles immediately causes a decrease in vital capacity... The scalene muscles contract... when carrying, lifting or pushing heavy objects. In addition, they provide stabilization of the head position and body balance" (J.V. Basmaiian, E.J. Campbell, etc.).
The treatment method you choose involves not only risks, but also very specific consequences associated with the removal of an important part of the human body.
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Please, be more specific, what does this mean?
I have an MRI of the head, MRI and CT of the neck and MR angiography of the neck. All before the operation. How can I show them here?
Val13 User

It feels like there are only two muscles there and if we removed one, then it’s screwed, my head fell))) there are five fingers on the hand, remove one, that’s it? Can you forget about your hand??? So??? interesting approach!
The gall bladder performs its function in the same way, but when stones appear there, it is removed. But for some reason the person lives. Strange isn't it?? But you don’t have to remove it, there will be one less patient!
La murr Administrator Forum team

Registration: March 3, 2013 Messages: 15,186 Likes: 15,817

Or maybe there will be one less living person... I say this as a person with a gallbladder removed.
Yes, according to indications or emergency situation it is removed, but a person’s life changes very much after that, and, believe me, not for the better.
Val13 User

But nevertheless, a person is alive, and not a vegetable or a corpse. If there is a chance to fight for life, we must use it, we only have one. Although in Lately human life is worth nothing
Yes, I also have the consequences of the operation and they worry me (this appearance), they say it will go away within half a year, and if not, then this is less “evil” than my ailments, which prevented me from living fully. It is to live and not to exist!

Fear, anxiety and phobias are diseases that require immediate attention to a specialist. If you initially ignore changes in the behavior of a loved one, the disease will become severe form, and not only the cost will increase, but also the duration of treatment.

Our Family Clinic employs professionals who strive to help everyone who seeks help. We understand that health, especially mental health, is not a toy, and if any symptoms are detected, we must provide prompt assistance. Therefore, we do not strive to lure out as much money as possible by prescribing procedures that no one needs.

The work of professionals is a guarantee of quick relief from the disease

The principle of work of any psychiatrist working in a clinic is as transparent as possible and has no pitfalls:

consultation of the patient to study the cause of the mental disorder;
prescribing a course of treatment, involving other specialists - nutritionists, therapists or social workers, to improve the patient’s condition and promote his speedy recovery. Carrying out high-quality therapy that helps improve the patient’s well-being is one of the stages of treatment;
rehabilitation to consolidate the results. Important here the right approach, providing the patient with proper attention and care. It is important to communicate with loved ones who previously constantly surrounded him in everyday life.

It is worth clearly distinguishing between the symptoms that are the first urge to treat fear and anxiety:

changes in mood, fear of crowds, enclosed spaces and any little things that the patient would not have even paid attention to before;
hallucinations that drive a person into a dead end: it may seem that they are watching him or even want to kill him, mania of persecution is a common occurrence in cases of violation mental state;
insomnia, constant nightmares that prevent you from sleeping properly;
inexplicable anxiety both for oneself and for close friends, relatives or just acquaintances;
suicide attempts.

Timely visit to the clinic is the key to a positive result

In the treatment of fears, phobias and panic attacks there is nothing shameful in Moscow. After all, no one is immune from nervous breakdown, given the chaotic life in the metropolis, rapidly rushing forward. By contacting our clinic, you can be sure of the anonymity and confidentiality of the information received during the consultation and subsequent treatment. You are also guaranteed to be provided with:

qualified consultation;
ward with all amenities;
professional treatment;
sensitive attitude of doctors and orderlies;
guarantee positive result treatment.

Our prices depend on the form of the disease, the chosen method of treatment and the duration of the course. The cost is agreed upon before the start of treatment; our client will not incur any additional expenses.

Reviews of our patients, who have returned to a happy and carefree life forever, are posted on the website. Gratitude is expressed not only by them, but also by their families, relatives and friends who felt the difference in the behavior of a loved one.

Don't be afraid to admit that you need specialist surgery. There is no shame in this, we will help you cope with panic fear, the treatment will be as quick and painless as possible, you will immediately feel the difference.

If a person himself is not able to understand the full depth of the problem, then the intervention of a loved one is necessary to avoid dire consequences. Contact our clinic, we are always ready to help get rid of the disease.

PRICES FOR TREATMENT AT THE FAMILY CLINIC

Consultation with a psychiatrist is free

Psychotherapy

Analyzes

Biochemistry (glucose, cholesterol, total bilirubin, ALT, AST, albumin, gamma GT, potassium, sodium)	2430 rub.
Virological studies (virology)	3100 rub.
Bacterial infections (smears)	2500 rub.
Basic hormone block	6400 rub.
Thyroid hormones	1500 rub.
Tests for rheumatism (C - reactive protein, rheumatoid factor, antistreptolysin, hyaluronidase)	1600 rub.
Steroid profile	5300 rub.
Neural test	4700 rub.
Visceral test	4700 rub.
Abbreviated immune status(IgG, IgM, IgE, IgA)	2400 rub.
Detailed immune status (immune status, CEC, interferon status with selection of immunocorrectors)	6800 rub.
Drug concentration in blood	4700 rub.
Concentration of metabolites in the blood	4700 rub.
Pharmacogenetic analysis	4700 rub.
Cytokine profile (IL1, IL6, IL 10, TNF)	7800 rub.
Complete electrolyte chart	9700 rub.
Complete map of amino acids	9700 rub.
Hemostasis (APTT, INR, fibrinogen)	1150 rub.
Glycated hemoglobin	550 rub.
Microelements (Zn, Cu, Al, Li, Pb)	1950r.

Diagnostics

EEG	2450 rub.
Galvanic skin evoked potentials	2800 rub.
Auditory evoked potentials	2800 rub.
Visual evoked potentials	2800 rub.
Cognitive evoked potentials	4000 rub.
Response to significant stimuli	2800 rub.
Doppler ultrasound of the brain and neck vessels	2800 rub.
EEG monitoring (4 hours)	9500 rub.
Daily EEG monitoring	13650 rub.
Study of night sleep structure	13650 rub.

Non-drug treatment

TREATMENT IN A HOSPITAL

The cost of treatment is from 5000 rubles/day

Attention! The cost of treatment ALREADY includes:

24-hour medical supervision
daily consultations with the attending psychiatrist
dynamic assessment of mental state according to international standards
general blood analysis
general urinalysis and cultures
surfactant content test
blood chemistry
serological blood tests
hormonal test
neurotest
comprehensive assessment of the immune system
neuropsychological and pathopsychological examination
diagnostics of personality type and structure
diagnostics of social and labor status
diagnostics of sensitivity to psychotherapy methods
hardware assessment of functional brain activity (EEG)
electrocardiography (ECG)
fluorography of the chest organs
consultations with a neurologist, endocrinologist
modern medications
a wide range of psychotherapeutic techniques ( cognitive therapy, psychoanalysis, gestalt, art therapy, etc.)
group psychological trainings
psychoeducational sessions for patients and their relatives
accommodation in a comfortable room
four meals a day

Phobias is a group of thinking disorders characterized by a persistent, but irrational and pathological feeling of fear. In this case, the patient may understand the groundlessness of his feelings, but cannot control them.

Symptoms of phobias when confronted with an object of anxiety include:

rapid and difficult breathing;
hyperventilation, dizziness;
fainting;
contraction of the muscles of the larynx and abdomen (spasms);
numbness;
feeling of separation from oneself;
increased heart rate;
cold sweat;
trembling of limbs.

Diagnostic tests

The diagnosis and treatment of phobias is carried out by a psychiatrist or a specialist in clinical psychology (a science at the intersection of psychiatry). Based on the anamnesis (data about previous diseases, living conditions and heredity), as well as information obtained during a patient interview, the doctor makes a conclusion about whether the fear is rational.

The cause of the phobia is being clarified - whether it is related to other mental disorders. The disease can develop independently or be a symptom, so the doctor studies all its manifestations in the patient.

Based on the information received, not only a diagnosis is made, but also a further treatment plan is determined.

Main stages of treatment

For treatment they resort to complex therapy, consisting of an individual set of techniques.

Drug treatment. Traditionally, regardless of what psychotherapeutic techniques were prescribed, medications are used in parallel to dull fear. The mechanism of development of a phobia is such that once a signal about a real or imaginary danger was sent to the brain, it remained there, reminding itself every time in a similar situation. Medications help to react less harshly to it. Among them: beta blockers, antidepressants, tranquilizers, antipsychotics.

Psychological help. It consists of educating the patient about the phobia, learning how to cope with the difficulties that the disorder causes, and training the flexibility of the reaction.

Rational psychotherapy. Teaches common sense and sober assessment of emerging situations. Since a phobia is an unreasonable fear, the patient must learn to ignore discomfort, if they arise without good reason.

Neurolinguistic programming. Based on the collection of information for the subsequent destruction of the pattern (psychological “anchor”), which is played by certain situation or an object that triggers the mechanism of fear development.

Cognitive behavioral therapy. Changes the principles of thinking - the psychiatrist helps the patient replace negative thoughts with positive ones. The reasons for the development of a phobia are also analyzed if they are irrational (that is, the fear is caused by a reality that is not actually dangerous), and ways to control one’s behavior are proposed.

Treatment with hypnosis (hypnotherapy). By putting the patient into a trance, the doctor examines his consciousness, finding out the cause of the phobia and the prerequisites for its development. Also, while the patient is in a hypnotic state, the behavior pattern when meeting an object of fear is corrected, anxiety and panic are eliminated.

In addition to specialized therapy, patients are recommended to work independently: changing their lifestyle and thinking, using meditation practice and increasing physical activity.

When faced with your fear, doctors advise not to panic, but to do the exact opposite: depending on the characteristics of the phobia, either ignore it or, conversely, learn to cope with it directly during the meeting.

Complications

On early stage phobias may not have a significant impact on the patient’s life and may be invisible to others. But without appropriate treatment, the disease reaches a stage when it begins to affect all areas of the patient’s life.

Treatment of diseases at the Somnology Center:

The Multifunctional Somnology Center deals with the diagnosis and treatment of the entire spectrum of sleep disorders. We have all the resources to effectively help patients even with complex, long-term or complicated sleep disorders. We provide treatment for the following diseases:

Chronic insomnia
Drug dependence on sleeping pills
Increased daytime sleepiness
Narcolepsy
Circadian rhythm disorders
Various neurotic disorders, including depressive states
Snoring and sleep apnea (apnea)
Disorders eating behavior due to sleep problems (obesity)
Frequent urination at night
erectile disfunction
Nocturnal heart rhythm disturbances, arterial hypertension, difficult to treat, asthma attacks at night, vegetative crises, migraine
Restless legs and periodic limb movements syndrome during sleep
Bruxism (teeth grinding)
Nightmares, night terrors, sleepwalking, waking up with confusion, sleep talking, sleep convulsions, sleep paralysis and other disorders

Types of manipulations

Overnight polysomnographic study, including the ability to assess erectile dysfunction
Cardiorespiratory monitoring
Multiple sleep latency test
Selection of CPAP therapy
Encephalophonia (“Music of the Brain”)
Psychotherapy
Inhalation of therapeutic doses of xenon

Diagnosis of diseases

Overnight polysomnography is the “gold standard” for diagnosing sleep disorders.

The method allows you to get the maximum full information about the functioning various systems body during sleep. In our work we use the latest diagnostic equipment Neurosoft company.

Cardio-respiratory monitoring is a method for diagnosing breathing disorders during sleep (snoring and sleep apnea) at home.

The Multiple Sleep Latency Test (MSLT) is an objective method for assessing daytime sleepiness. Important for the correct diagnosis of narcolepsy (excessive daytime sleepiness) or other diseases that are accompanied by this symptom.

Penile tumescence test by recording spontaneous erections using the Androscan MIT device. The method is indicated for patients with identified neurological and psychological disorders, when the role of these disorders in the development of erectile failure is unclear. The test is important for patients with psychogenic impotence.

Treatment methods

Encephalophony, or Music of the Brain, is a unique non-drug method treatment of insomnia, anxiety and depressive disorders, chronic stress thanks to daily listening to music files obtained using computer processing of the patient’s own EEG (assessments electrical activity brain). .

Inhalation of therapeutic doses of xenon is one of modern methods treatment and restoration of not only physical health, but also psychological state. The method is based on inhalation with a xenon-oxygen mixture. Xenon does not cause chemical and biochemical reactions, is excreted without side effects and is non-toxic, and has a deep restorative, tonic and healing effect on the body. .

CPAP therapy, or CPAP therapy (Continuous Positive Airway Pressure), is a unique method of correcting sleep apnea. It consists of creating constant positive pressure in respiratory tract using a special apparatus. The CPAP therapy method is effective in eliminating apnea syndrome sleep and snoring, and in the treatment of diseases associated with them: arterial hypertension, obesity, diabetes mellitus, heart rhythm disorders, lipid metabolism disorders, etc.

As a result of treatment, the risk of dangerous cardiovascular diseases, myocardial infarction and cerebral stroke, the probability of death over the next decade is reduced by more than 3 times. The center’s specialists help the patient adapt to the device, select a mask and initial comfortable pressure, and teach how to use the equipment. We do everything to maximize effective application CPAP machine at home. .

Methods of positive psychotherapy

Physiological and mental reactions are various manifestations of individual internal state person. Overcoming periods of stressful, conflict and problematic situations, getting into life crises, the human body can experience prolonged states of tension, which inevitably leads to various sleep disorders.

The main task of positive psychotherapy is the transformation of the patient’s beliefs about his own illness and the search for new opportunities for internal reserve in overcoming the illness.

Methods of positive psychotherapy are aimed at helping the patient to realize that they need to live their own life (positum) in such a way that it becomes brighter, brings health, respect and acceptance of their own uniqueness.

Cognitive psychotherapy

Cognitive psychotherapy – correction of existing psychopathological symptoms both in relation to sleep itself and in relation to disturbances observed during wakefulness. Reducing the level of anxiety, as the most common symptom accompanying night sleep disturbance. Psychotherapy involves searching for the main factors that provoke the development of sleep disorders and working with them. Patients with insomnia tend to “catastrophize” their illness. They believe that the later they go to sleep, the less energy they will have and the worse the next day will be, and this increases anxiety and tension. Cognitive therapy targets dysfunctional sleep beliefs and maladaptive behavioral strategies. Its methods are behavioral experiments and dialogue, when the patient is asked consistent questions, answering which he independently formulates the correct judgments. As a result, realistic ideas about the body’s need for sleep and sources of daytime energy are formed, the patient stops “blaming” insomnia for his daytime failures - there are other objective reasons for them.

Relaxation techniques

Neuromuscular relaxation according to E. Jacobson consists of performing a set of exercises consisting of alternating maximum tension and relaxation of muscle groups. Thanks to exercises, tension is relieved from individual parts of the body, which causes a decrease in emotional stress.

The method of sensory reproduction of images consists of relaxation by imagining images, objects and complete situations associated with relaxation. At the same time, attention is focused on breathing correctly and pleasant feelings in various parts bodies.

The autogenic training method is based on teaching the possibilities of self-hypnosis. During training, connections are formed between self-orders and psychophysiological processes in the body. A patient who has completed a course of training can, using certain self-hypnosis formulas, induce the desired feeling of relaxation and peace.

Ericksonian hypnosis

It is considered one of the most effective and elegant methods of modern psychotherapy. This is “soft” non-directive hypnosis. It uses our ability to enter an involuntary hypnotic trance - a state of mind in which it is most open and ready for positive changes.

Moreover, each of us plunges into a state of trance every day.

So, when we fall asleep, but are not yet sleeping, various images appear before our mind's eye, which immerse us in a world located between reality and sleep. During Ericksonian hypnosis, a person remains awake: he sees, hears, feels. But the focus of his attention is not directed towards external world, as in ordinary life, but internally: on memories, fantasies, images. In this state, access to internal resources, forgotten by a person, but stored in his unconscious, opens. During Ericksonian hypnosis, nothing is suggested to the patient. The goal here is to free the knowledge, experience, sensations and thoughts that already exist in the human subconscious, and on their basis to create completely new resources and discover the sources of problems.

Comfortable conditions

Doctors of the Center practice individual approach to every patient. We offer comfortable conditions for staying at the Center, no queues, personal support during diagnosis and treatment. Attentive attitude by specialists, use of expert equipment, high quality medical services guaranteed to all patients.

We have the opportunity to conduct research at home, which predisposes us to obtain more accurate diagnostic results
You can visit the center at a convenient time, including weekends and holidays
For your convenience, the center offers a “pillow menu” - anatomical pillows various shapes with additional properties (memory effect, cooling effect, the ability to neutralize electromagnetic radiation), not causing allergies and providing free air exchange
There is free parking near the clinic, available during diagnosis and treatment.

Mir24.tv. 09.26.2018

How to get rid of snoring once and for all

Tatyana Surnenkova, head of the Somnology Center at the MEDSI Clinical Diagnostic Center on Krasnaya Presnya, spoke about what types of snoring exist and how to deal with them.

Mir24.tv. 08/24/2018

Forget about insomnia and sleep peacefully

Head of the Somnology Center of the MEDSI Clinical Diagnostic Center on Krasnaya Presnya, doctor functional diagnostics Department of Neurology Tatyana Surnenkova spoke about the causes of insomnia.

Mir24.tv. 08/23/2018

Not in reality, but in a dream: how to get enough sleep and overcome drowsiness

On World Sleep Day, a MIR 24 correspondent learned why gadgets negatively affect sleep and how to learn to fall asleep quickly. Tatyana Surnenkova, functional diagnostics doctor, somnologist, head of the Somnology Center at the MEDSI Clinical Diagnostic Center on Krasnaya Presnya, spoke about this.