Darsonvalization

Application in the treatment of wounds and purulent-necrotic processes

The general program of physiotherapeutic rehabilitation for patients with wounds is formed by a multidisciplinary team (physiotherapist, medical rehabilitation physician, and exercise therapy specialist). Interventions begin as early as the first day of treatment. The choice of specific modalities depends on the nature of the injury (aseptic or infected wound).

Skin darsonvalization is used at the stage of purulent tissue necrosis. The main task of the method at this stage is to provide a bacteriostatic effect. This effect is achieved not through the direct influence of electric current on bacteria, but due to a chemical reaction: during the procedure, ozone is formed on the skin surface, which inhibits the growth and reproduction of microorganisms.

In addition to darsonvalization, the first stage of working with purulent-necrotic tissues also utilizes:

• Ultra-high frequency electric field (UHF therapy).
• Short-wave ultraviolet radiation (UVR).
• Ultrasonic skin treatment.
• Electrophoresis with enzymes and systemic antibacterial drugs.

Role in the treatment of nervous system diseases

In the nomenclature of medical services, local darsonvalization is identified as an important tool for the hardware rehabilitation of patients with neurological deficits. The method is officially indicated for:

• Diseases of the central nervous system (CNS) and brain.
• Diseases of the peripheral nervous system (PNS).

A striking example of the method's use is comprehensive conservative treatment of trigeminal neuralgia. Darsonvalization is included in the block of physiotherapy and reflexology. It is used alongside diadynamic currents (Bernard currents), sinusoidal currents, laser radiation, and drug electrophoresis.

For reference: basic pharmacotherapy for such neuralgias relies on antiepileptic drugs (carbamazepine, baclofen), spasmolytics, and agents for managing acute attacks (mixtures of promethazine and analgesics). Physiotherapy, including darsonvalization, complements drug treatment by improving trophism and reducing pain impulsation.

Darsonvalization in maxillofacial traumatology

In injuries to facial bones and soft tissues, physiotherapy is prescribed to accelerate regeneration and reduce pain. Darsonvalization is particularly effective for pain relief and treatment of the injured inferior alveolar nerve.

In this clinical situation, the method is often combined with:

1. Pulsed currents.
2. Anesthetic electrophoresis.
3. Ultratonotherapy.

As acute inflammatory phenomena subside, the focus of physiotherapy shifts to improving microcirculation (using direct current or vacuum therapy). In infected open bone fractures, preference is given to a variable magnetic field (50 Hz) combined with antibiotics and biogenic stimulants.

General principles of physiotherapeutic rehabilitation

The introduction of hardware electrotherapy, which includes darsonvalization, complies with the general rules of medical rehabilitation (recommendation strength grade C, evidence level 5):

• Timing: early rehabilitation starts from the first day after surgery or injury (for example, in injuries to the thoracic and lumbar spine).
• Organization: the scope and type of procedures are selected strictly individually by the multidisciplinary rehabilitation team (MDRT).
• Comprehensiveness: physiotherapy is always accompanied by therapeutic exercise (exercise therapy). Gymnastics aims to improve respiratory function, stimulate metabolic processes, and ensure the patient's rapid psychological adaptation to the injury.

Class and exam questions

What else to study on this topic

• Conservative and surgical treatment of trigeminal neuralgia
• Physiotherapy for infected and aseptic wounds
• Exercise therapy for spinal injuries and robotic mechanotherapy
• Timing and immobilization regimens for jaw fractures
• Peloid therapy and heat therapy in the rehabilitation of the bone and nervous systems

Prepared by WhiteCoat Pro faculty in accordance with the medical school curriculum. For educational purposes only.