Effective treatment for heel spurs. Photodynamic therapy in the treatment of cervical diseases Additional advantages of this method

Pathologies of the cervix are often asymptomatic, and yet they increase the risk of cancer. But now problems in this area can be solved quickly, effectively and painlessly. After photodynamic therapy, the cervix remains elastic, which is especially important for women who are about to give birth.

Laser photodynamic therapy (PDT) is a gentle, non-contact and painless method of treating cervical pathology, which is performed without anesthesia. PDT does not cause complications; it leaves no scars or stitches. One session is enough for a complete cure. The procedure is performed on an outpatient basis.

Avoid surgery

Photodynamic therapy is used to treat underlying diseases and precancerous conditions of the cervix:

  • endometriosis (proliferation of the epithelium of the inner wall of the uterus);
  • cervicitis (inflammation);
  • ectopia (erosion);
  • ectropion (protrusion of the mucous membrane of the cervical canal into the vaginal lumen);
  • leukoplakia (coarsening of the mucous membrane);
  • dysplasia;
  • various types of cervical tumors.

This effective innovative method allows you to get rid of pathology at an early stage, without surgical intervention, thus preventing the development of malignant processes.

Light treatment

The PDT method is based on the use of a low-energy laser beam of a certain wavelength. The pain threshold is not reached, so the patient does not experience discomfort.

A photosensitizer gel applied to the affected area absorbs the laser light and “triggers” a chain of chemical reactions. Having received an “impulse” from the laser, the photosensitizer gel “transmits” it to the oxygen contained in the cells. Oxygen becomes active and destroys pathological cells.

Healthy cells are not affected, since the photosensitizer “marks” only diseased cells. The affected tissue of the cervix is ​​eventually replaced by healthy tissue.

Main advantages of the PDT method

  • minimal local impact on tissue;
  • no systemic effect on the body (the procedure is performed without anesthesia);
  • no postoperative stitches;
  • preservation of the anatomy of the cervix and its functions;
  • possibility of outpatient treatment in one session;
  • painless, effective, fast.

Photodynamic therapy at ON CLINIC

The procedure is carried out using a Biospec laser photodynamic therapy installation, which produces a laser beam of a certain wavelength. As a photosensitizer, gynecologists at ON CLINIC use the gel “Photoditazin”, produced from the blue-green algae spirulina (Spirulina platensis). It is quickly eliminated from the body (98-99% after two days) and has virtually no side effects.

The gynecology department of ON CLINIC is equipped with the latest equipment that allows for painless, non-contact treatment of cervical diseases, in particular photodynamic therapy.

One of the most common causes of foot pain is a heel spur, and this disease can lead to long-term disability and even disability. Knowledge of the causes and conditions for the occurrence of heel spurs allows us to determine the most effective method of treatment. After all it is necessary to eliminate the cause of the disease, and not just treat its symptoms. Only in this case can you expect that the disease will not return after the next course of treatment.

Military Medical Academy named after. CM. Kirov, St. Petersburg;

biophysicist, full member of the Academy of Medical and Technical Sciences Fedorov V.A.

What is a heel spur?

A heel spur is an inflammation of the fascia on the plantar side of the foot. In medicine, this disease is usually called plantar (plantar) fasciitis.

The plantar fascia is a powerful connective tissue plate that stretches from the top of the heel bone (tubercle) across the entire sole over the muscles and is attached by four rays to the metatarsal bones of the toes. The fascia is in a taut state, like a bowstring, and supports the longitudinal arch of the foot, regulating the load on the leg when walking. It protects the moving bones and joints of the foot from injury and damage. Half of a person's body weight falls on the heel area and puts stress on the plantar fascia.

Due to excessive stress on this area, microtraumas of the fascia may occur, mainly at the site of its attachment to the heel bone. In a healthy body (especially in young people), these microdamages heal unnoticed. If the body does not have time to restore the tissue of the plantar fascia in a timely manner, it starts an inflammatory aseptic (microbial-free) process. Swelling and pain occur.

When heel pain occurs, the “spur” itself (bone growth) may not yet exist. Pain initially occurs due to the inflammatory response in the surrounding soft tissue and the process of destruction of the plantar fascia.

The cells of the plantar fascia are rich in calcium, and in case of their extensive death (mainly in the area of ​​​​the heel tubercle, where the greatest load is), this calcium is deposited. The inflamed area ossifies and a bone formation is formed, shaped like a spur. It is this phenomenon that came to be called a “heel spur.”

However, this name for the disease can be misleading. In his study, the American doctor DuVries noted that an extensive heel spur (bone growth) is often observed, which does not cause any pain and is discovered by chance when diagnosing other diseases. Often, ossification itself is not a disease, but rather a normal age-related tissue change for the body. A spur may be present, but not be a pathology, and vice versa, a spur may not yet be present, but the process of painful inflammation is evident.

Symptoms and signs of heel spurs

Plantar fasciitis of the foot manifests itself heel pain. Pain sensations occur more often on the plantar surface, less often on the back surface of the bone, and can radiate to the toes and leg muscles. These symptoms may intensify in the evening or with prolonged walking or standing.

Despite the pain and tension experienced in the foot, the start of treatment is often delayed, as the sensations are attributed to tired legs. However, over time, the pain in the sole intensifies after rest. There are so-called “starting pains” at the beginning of the movement after rest or in the morning when getting up, after sleep.

Heel pain can occur suddenly or develop gradually. Often, a sharp pain is felt immediately when putting pressure on the foot; it seems as if something sharp has hit the heel. If the disease becomes chronic with the formation of a heel spur, the person tries to walk on tiptoes or rely only on the outer part of the foot, but not on the heel.

If you experience foot pain, it is important to consult a doctor promptly ( orthopedist-traumatologist or surgeon). There are a number of diseases that present with similar symptoms. Self-medication can lead to serious complications, including dysfunction of the foot, the formation of contractures (immobility of joints) and lead to disability.

Your doctor will also be able to identify additional factors that may have contributed to the development of heel spurs and heel pain. In this case, first of all, treatment of the underlying disease is necessary. You can read more about these factors.

A “heel spur” occurs when the process of damage to the plantar fascia begins to prevail over the process of its restoration.

Pain with plantar fasciitis (heel spur) is a protective reaction of the body. In this way, the body “urges” the person to protect damaged tissues from further injuries to the fascia and to give time for the proliferation of new cells in the area of ​​necrosis.

The administration of painkillers (using an injection (blockade), phonophoresis, electrophoresis), the use of radiation therapy (x-ray therapy), when the nerve endings signaling pain are blocked, leads to rapid relief. As a result, the patient has the illusion of a “cure from the disease.” However, the price of this illusion is further damage to the fascia and progression of the disease. Once the medications or radiation therapy wears off, symptoms will return.

Like any other part of the body, the plantar fascia is made up of cells. Damage to the plantar fascia means the death of the corresponding cells. Dead cells are resorbed (utilized) naturally due to immune reactions. However, this process may not keep pace with the appearance of new dead cells as a result of constant microtrauma due to constant damaging loads (it is impossible to immediately stop walking).

Pain appears when too many dead cells accumulate, and the body launches an active recovery (inflammatory) process. Interstitial pressure increases around the heel spur in the soft tissues. This is necessary in order to increase the influx of immune cells and ensure their faster passage through the tissues. The more cells died, the stronger the reaction and pain.

In practice, when treating heel spurs, anti-inflammatory (in particular, hormonal) drugs are used, the essence of which is to “freeze” immune reactions. That is, the medicine acts in such a way that the body slows down its actions to cleanse the tissues in the heel area. As a result, the inflammatory process subsides and the person feels relief. However accumulation of dead cells, due to which a “heel spur” grows, remains. In this regard, a relapse is likely, since sooner or later the effect of the drug will end, the body will “wake up” and begin the inflammatory process again. This method is also dangerous because the administration of hormonal drugs often leads to necrosis (death) of the heel bone.

Thus, proper treatment should involve helping the body cleanse the tissues of the heel to prevent the formation of a spur. It is better to give preference to methods that enhance microcirculation in tissues, increase blood flow and lymph flow (for example, shock wave therapy in the clinic). The inflammatory process will eventually end if measures are taken in parallel to reduce the load on the plantar fascia.

The underlying cause of heel spurs

The plantar fascia is constantly exposed to shock when walking, running, and jumping. The degree of this load depends on the correctness of gait, the coherence of the entire musculoskeletal system, as well as on the chosen shoes. It is no coincidence that, according to statistics, heel spurs occur more often in women, since they often prefer beautiful, but “unhealthy” shoes (tight, with heels). The greater the load, the more often and more severely the fascia is damaged.

on the foot occurs, for example, in cases where one leg was injured and the person began to limp on the other leg. However, this is not a typical case of heel spur formation. Much more often the load on the foot increases with age due to the gradual deterioration of the entire, which is responsible for correct, careful gait.

The neuromuscular shock absorption system refers to the system that controls the functioning of skeletal muscles (primarily the legs and back). Many mechanoreceptors that control the position of the joints allow the nervous system to control the muscles so as to ensure smooth movements and reduce shock loads when walking and running tenfold. Without such shock absorption, the joints and spine would degrade within a few months. It is the neuromuscular protection that “gives our legs” when we try to jump on straight legs, makes us limp, trying to protect the sore joint from overload.

Causes of impaired neuromuscular shock absorption:

  1. Muscle exhaustion due to lack of cell nutrition. The most favorable conditions for muscle functioning are uniform physical activity. Therefore, both a sedentary lifestyle and, on the contrary, excessive sports activities have an unfavorable effect on the functioning of muscle cells.
  2. Poor kidney performance. We are not talking about kidney diseases, such as pyelonephritis and others. The kidneys may be healthy, but cannot cope with filtering (purifying) the blood due to its severe “pollution”. As a result, the electrolyte and water-salt balance of the blood is disrupted, which directly affects the performance of all muscles.
  3. Spinal diseases– , disc herniations lead to tissue swelling, impaired blood supply and pinching of the spinal cord and nerve roots. As a result, the passage of nerve impulses along the nerve pathways is slowed down or disrupted, which leads to a mismatch in muscle function and a decrease in neuromuscular amortization.

Weakened muscles do not adequately absorb the everyday impacts of walking, running and jumping, resulting in damage to the plantar fascia as well as the spine. The functioning of the spinal cord, hidden in the spinal column, from which signals are sent to the muscles, is disrupted. Due to poor conduction of nerve impulses, muscles begin to work inconsistently, do not group properly for maximum shock absorption, and the plantar fascia and spine are damaged.

Due to pain in the heel, a person’s gait changes, he begins to limp or walk on tiptoe. The load on the muscles is distributed unevenly, and the destructive load on the spine increases.

This creates a vicious circle when muscle weakness leads to injury to the spine and plantar fascia, and problems in the spine further impair muscle function. It is very difficult for the body to break this vicious circle on its own, which is why it is so important to change your lifestyle and provide competent assistance to the muscles, kidneys, and spine.

Principles of effective heel spur treatment

Based on the above, effective treatment of heel spurs includes the following key measures:

  • reduction of heel load by choosing the right and comfortable shoes, using orthopedic insoles and/or heel pads, and by performing therapeutic exercises by stretching the gastrocnemius muscle and plantar fascia. Gymnastics is very important, but, unfortunately, in most cases it is not sufficient for recovery;
  • cleaning tissue from excess dead cells in the heel area by increasing blood flow and lymph flow;
  • restoration of the neuromuscular shock absorption system, first of all, improvement of muscle function.

Compliance with these principles allows you to avoid relapse (recurrence of the disease).

Currently, there are many medical treatments for heel spurs, varying in effectiveness, cost and availability. Unfortunately, most of them do not meet all three principles of effective treatment of heel spurs. Most methods affect only the heel area and are aimed only at reducing/eliminating heel pain, relieving swelling and destroying bone growth. In this regard, some time after treatment, relapse (recurrence of the disease) often occurs.

The exception is phonation method. (vibroacoustic therapy) is the transmission of sound (frequency range (30-20,000 Hz) into the human body using.

Currently, this is one of the effective methods for treating heel spurs for the following reasons:

1. Phonics improves blood and lymph flow, helps clean tissue in the heel area and natural resorption of bone growth. Thanks to sound microvibrations, immune cells pass through tissues faster and more actively. As a result, the inflammatory process proceeds more easily, with less intensity and pain, and the heel spur resolves in a shorter period of time without surgical intervention.

At the same time, cell damage is excluded during phonation: the amplitude of microvibrations is comparable to the size of cells (0.0001-0.05 mm), and the frequency is within the speech range, that is, similar to those microvibrations that arise when the vocal cords are excited during singing or speaking.

2. The method has proven effectiveness in reducing pain. Usually the pain goes away within 2-3 weeks. According to vibroacoustic therapy (phonation) it is more effective in reducing pain than ultrasound and laser therapy.

Graph of changes in pain intensity on a scaleMcGill

This graph shows that the effectiveness of phonation in reducing pain intensity is 30% higher than that of laser and ultrasound therapy.

The effectiveness of phonation is comparable to shock wave therapy (SWT), while a similar result is achieved faster - in 2-3 weeks. As many studies on shockwave therapy show, a pronounced effect (reduction in pain intensity) is observed only after 3 or more months, and before that a person is forced to walk with severe pain. In practice, phonation shows better results with more frequent use (2-3 times a day).

3. Restores the elasticity of the plantar fascia by improving nutrition in this area and accelerating regenerative processes. Strengthens the effect of therapeutic exercises aimed at stretching the calf muscle and plantar fascia.

4. Phonation can be used from birth. The therapeutic effect is based on the natural sound microvibration of the body in the audible (speech) range, in contrast to ultrasound and infrasound. Has a limited list.

5. Aimed at restoring neuromuscular shock absorption. Unlike other types of therapy, the phonation technique includes an effect not only on the area of ​​the heel spur, but also on the muscles of the lower leg and the kidneys.

  • Phonics treatment of the kidney area improves the condition of all muscle resources by accelerating the removal of uric acid and improving the electrolyte composition of the blood (PH). Thanks to this, the muscle corset better copes with the function of protecting the musculoskeletal system from shock loads.
  • Radiation of the lower leg area directly improves the tone of these muscles.
  • Long-term and daily phonation of the problem area of ​​the spine (,) relieves swelling and, accordingly, improves the conduction of nerve impulses.

6. Prevents diseases of the joints and spine.

Additional advantages of this method:

7. Availability. Devices for phonation can be purchased, as well as with delivery throughout Russia and abroad.

There is a possibility that your attending physician may not know about this new modern treatment method (phonation) and the corresponding devices, so before going to your appointment, we suggest printing out information about contraindications and methods of treating heel spurs.

Comparative table of the main treatment methods for heel spurs

Name of treatment method

Price

The essence of the method, its effectiveness, complications

Phonation

Looking for a quick and painless way(2nd version of article title)

“No weapon... kills instantly.”

Don Rumata of Estor.

Typically, ideas about methods of suicide are taken from cliches, stereotypes imposed from outside, everyday ideas, opinions of those who themselves know nothing about it, and attempts to commit suicide are described based only on information obtained from the media, feature films and literature , without knowing the most complex structure of the human body.

On the other hand, even if you study physiology, pathological physiology, anatomy, physics and biochemistry well, there will still be no guarantees of obtaining the result desired by the suicide. After all, the reaction of an individual, complex organism to one or another influence is unpredictable.

However, this also applies to attempts only to “scare” others, the so-called “manipulative” suicide. In actions where the main goal is to simulate suicide rather than take a life, it is also almost impossible to foresee everything. For example, the manipulator’s hopes for the effect produced, as well as timely detection and rescue, may not be justified and he may be discovered too late, or will react to what is happening in a completely different way than he expected. And extra seconds and delay in providing assistance can lead to serious consequences and even probable death, which the manipulator did not count on.

However, there are other consequences. For example, for those who have attempted suicide (including for the purpose of manipulating others), being in the intensive care unit is not a picture from a television series, where relatives who sympathize with him are sitting around the patient and medical staff are fussing about. The picture is rather the opposite. To prevent inappropriate behavior and motor agitation in suicidal patients, which can arise under the influence of many factors, as well as to prevent subsequent suicide attempts and possible aggressive actions towards staff or other patients, an involuntary examination by a psychiatrist is often used, on whose recommendation such patients are undressed, restrained (tied). ) to the bed by the arms and legs. To prevent aspiration (so that the patient does not choke on vomit, since he is lying on his back and cannot turn around), a tube is installed in the suicidal person’s trachea, through which he breathes.

At the same time, naturally, the patient is not able to ask for anything or complain about pain. Of course, if a person is tied, then he cannot eat or go to the toilet on his own. To solve this problem, they install catheters in the bladder, a probe in the stomach and rectum, or put a diaper on him. Thus, after a suicide attempt, there are tubes in almost all natural orifices of the human body, giving the person a very unsightly appearance, and also depriving him of many of the joys of life. Relatives are not allowed into the intensive care unit at all, so you can’t count on sympathy and help from your relatives.

Once the patient's condition has stabilized, he may be involuntarily transferred from intensive care to a psychiatric hospital for involuntary treatment. And there they are waiting for special wards with enhanced surveillance, which also do not at all look like a five-star hotel on the seashore. In general, it's better not to go there.

Poisoning

The first thing that awaits those who decide to die by drinking “200-300 tablets of any kind” is extremely unpleasant detoxification therapy procedures. The bodies of such people, when discovered, appear for public viewing in a puddle of their own feces and vomit (the body thus tries to remove dangerous contents from the stomach and intestines). To begin with, the emergency medical team that arrived at the scene of the incident, in front of relatives, neighbors and onlookers, lavages the stomach of the suicidal person lying on his left side, inserting a rubber tube (probe) through the mouth into the stomach, gradually pouring tens of liters of water into it, and A laxative is administered through a tube. In a hospital, this extremely unpleasant procedure for introducing sorbents can be repeated several times. Gastric lavage and administration of sorbents are carried out in all cases. If the patient is in a coma, the tube is left in the stomach. Often the toxic effect of drugs leads to the fact that people resemble crazy people who cannot tell anything about themselves and do not remember anything.

In case of poisoning with breathing problems, tracheal intubation is performed (a tube is inserted through the mouth into the trachea for adequate breathing), in case of swelling of the larynx and the inability to intubate, a tracheotomy is performed (an incision is made in the neck through which a tube is inserted into the trachea), and then artificial ventilation is performed.

Treatment process

A common belief is that if you exceed a certain dose of pharmacological drugs (tablets, solutions, etc.), this will lead to death. We will not dwell long on the specifics of the effects of various groups of drugs, but we will explain that, to commit suicide, take into account weight, somatic and psychological state, individual characteristics of the body, resistance to the drug used, the effectiveness of the drug(s) (the effectiveness of the same drug on may vary tens of times between different patients), their interaction (drugs may not enhance each other’s pharmacological effects, but, on the contrary, reduce them), the method of administration (none of which guarantees anything), their effect on the individual unique organism of the suicidal person due to physiological counteracting the poisoning of the body itself, concomitant diseases, as well as a huge number of other factors is impossible. The interweaving of these extremely complex factors makes it completely impossible to accurately predict the outcome in each specific case. It is impossible to deceive and predict the body's reaction in any case.

Even pharmacologists, chemotherapists, toxicologists, resuscitators and other highly qualified specialists with knowledge and extensive experience cannot always select the correct dosages of medications to cure patients from various diseases or remove any symptom, due to the fact that each person’s body is unique .

Therefore, poisoning with any drugs cannot be a reliable method of suicide.

By the way, poisoning may not develop immediately, but several hours after taking the pills. Even for poisoning mild degree This process is very unpleasant; it is typically characterized by the appearance of apathy and lethargy, muscle relaxation, gait disturbance, a feeling of heaviness in the epigastric region, nausea and vomiting. After a while, anxiety appears. There is irritation to loud sounds, light, pain when urinating, as well as prolonged abdominal pain and diarrhea (diarrhea).

For poisoning moderate severity characterized by depression of the nervous system, respiratory and cardiac dysfunction. There is a spasm of the facial muscles with forced grimaces, cramps in the limbs. Shortness of breath may occur. With prolonged respiratory failure and hypotension (low pressure in the blood vessels), the appearance of cyanosis is noted, that is, cyanosis of the skin.

Poisoning severe characterized by various complications, among which, in addition to severe damage to the nervous, respiratory and cardiovascular systems, severe toxic damage to the liver and kidneys is detected, symptoms of liver and kidney failure appear, which can lead to further life on hemodialysis (a method of extrarenal blood purification in acute and chronic renal failure). Moreover, these consequences may not appear immediately, but on days 3-6 from the moment of poisoning. In addition, with delayed consequences, it is not always possible to save a person from death, at a time when he himself already passionately desires this salvation.

Also, the use of certain drugs can make serious adjustments to the functioning of the cardiovascular system, create serious interruptions in the functioning of the heart, and in some cases even stop it (which, by the way, does not mean death). But treating damage to the cardiovascular system is a difficult task, and it is not a fact that after what happened it will be successful. And then such an attempt may end in disability.

Of course, in some cases this can lead to extremely painful death. As we said above, all people have different functional characteristics of the body, the reaction of the body is different, and, accordingly, the rate of death is also different. How does a person die? This is often a long, multi-phase process. Usually the suicide person understands everything, has long changed his mind, wants to be saved, but the countdown has already started, death is approaching inexorably, bringing mental and physical suffering.

Severe respiratory depression begins (suffocation, which is completely unpleasant), breathing becomes shallow, groaning and wheezing, and later becomes periodic. The skin turns pale and becomes covered in sticky, cold sweat. Cyanosis appears. In this case, cardiac activity weakens and blood pressure drops. At this stage, mild but prolonged painful cramps often occur. As a result, death, which in the vast majority of cases is not instantaneous, can occur within 2-3 days in excruciating agony or coma (in a state of profound depression of consciousness, accompanied by a violation of the body’s response to the environment, including irritants, as well as a violation of the most important functions body, including pelvic functions - urination and defecation). According to scientists, a person in a coma feels severe pain while continuing to be in an altered state of consciousness. He even understands something. Time is stretching. To a person who has spent five minutes in a comatose state, it may seem like years have passed. All this is accompanied by painful symptoms of dying.

If a person still does not die, but does not regain consciousness for a long time, then due to prolonged lying on his back, bedsores form. Depending on the length of time you remain unconscious, such bedsores can reach 10-20 cm in diameter and reach the bones.

If the suicide ultimately survives, then relative recovery, on average, can only be observed after a very long time. However, even after the disappearance of acute phenomena, long-term headaches, mental disorders (often with hallucinations), memory and speech disorders, as well as severe hormonal and autonomic disorders and the acquisition of other severe chronic diseases are observed as possible consequences.

Medical consequences

As an illustration, we will give only one, far from the most severe, example of poisoning (according to Professor A.V. Dobronravov):

“Observation of drug poisoning. Vladimir S. complained of sharp pain in the neck, stiffness of the neck and neck muscles, and inability to bend the head. The day before I took... medication tablets. After this he fell into a drowsy state. In the morning I felt significant malaise, lethargy, and a sharp headache. During a doctor's examination, the patient developed a pronounced convulsive tonic syndrome with symptoms of opisthotonus (the patient convulsively arches backward from head to toe). The severity of the syndrome reached such a degree that the patient himself had to bend his head by his hair to his chest. All this was accompanied by significant pain with groans and painful screams. There was a strong feeling of fear. On examination: consciousness is confused, inadequate motor and emotional reactions. After 5 minutes, the seizure was stopped, the patient, in a state of drug-induced sleep, was hospitalized with a diagnosis of drug poisoning. In the hospital, the condition did not worsen, and the seizures did not recur. Subsequently, during a clinical examination after 2 months, a number of severe chronic diseases were identified, which were the consequences of a suicide attempt, which led to the patient’s disability.”

Jump from a height

A fall, even from a very great height, does not always end in death, and certainly does not guarantee a quick death. In the event of a fall, it is absolutely impossible to foresee a huge number of factors, such as the trajectory of the fall, the direction and strength of the wind, obstacles along the way, and, of course, a lot of other determining aspects. It is widely known that even in plane crashes involving helicopters and airplanes, a fall due to a parachute not opening, violations of climbing rules in mountaineering, as well as technologies in industrial mountaineering, many survive. But, naturally, in most such cases these people remain deeply disabled.

In addition, in case of severe injuries to the limbs due to a fall from a height, it is necessary to amputate them, and in case of damage to internal organs, complex operations to remove them must be performed, which, of course, cannot but affect the person’s future life, his quality of life, and professional opportunities. Scars from such injuries and operations are significant cosmetic defects that disfigure the skin and remain for life.

Treatment of bone fractures takes a long time, often up to several months, while the person lies motionless, and skeletal traction weights are suspended from his arms and legs.

Spinal fractures are also very common in falls from great heights and are accompanied by damage to the spinal cord. In this case, the sensitivity and motor functions of the arms and legs are impaired, up to their complete loss. Also, if the spinal cord is damaged, a person is not able to independently control his physiological functions (urination, i.e. does not hold urine, and defecation, i.e. does not hold feces). There are currently no medical options for restoring a severely damaged spinal cord, so these disorders remain for life, turning a person into a disabled person, confined to a bed, defecating on himself.

After landing, multiple fractures of the bones of the limbs, pelvis, spine and head make further independent movements impossible and make it impossible to call for help. Such victims can lie motionless for several days before they die, experiencing the full range of pain and comprehending their mistaken action. All this is aggravated by the fact that a person who is fully conscious can see, for example, the road and passing people, but cannot call for help or crawl due to the severe nature of the injury.

Headshot

A hit to the head does not mean fatal brain damage or death. In some people who do not think through their own actions very well, the brain can be so hidden in the spaces of the skull that you cannot hit it with a machine gun. Reanimation departments of the Research Institute of Emergency Medicine named after. N.V. Sklifosovsky, Research Institute of Neurosurgery named after. N.N. Burdenko, as well as other departments, receive a large number of such victims. It is also necessary to recall that in our time, veterans of the Great Patriotic War live with bullets and shrapnel in their heads, many of whom passed their bright path in life as disabled people. And immediately after the war there were thousands of them. But they have honor and respect - they lost their health for the sake of Victory, for the sake of the Motherland, for the sake of us. Why do you want to become disabled? After all, if you avoid the worst thing - death, then severe brain damage, as well as the consequences of a shot in the head, will remain for life. This rash step can most likely lead to disability or even a vegetative state.

In addition, if death does not occur immediately (and this, as stated above, cannot be predicted), then even weeks of terrible suffering and torment, as you understand, will not be able to return the damaged brain to its place. Nerve cells do not recover, this damage is forever! So, it's better not to joke with weapons and similar things.

Bullet and stab wounds to the heart

Even if a bullet hits the heart, no one guarantees a fatal outcome. The vast experience of military field surgery during the Great Patriotic War shows that such injuries did not always end in death, even in the extremely difficult conditions of wartime, with the level of development of medicine. And now, with timely hospitalization, such wounds are often cured. But of course, problems with the cardiovascular system remain with the suicidal person for the rest of his life. And not only with her. Such actions can most likely damage the lung, spine, and other internal organs. Therefore, if you do not like the prospect of being unable to get out of bed with paralyzed limbs, or have no desire to spend your entire life in an oxygen mask, then leave the weapon in place! Getting straight to the heart with a scalpel is not easy even for a professional who does not have the appropriate amount of practical experience. Why is this so? Firstly, all people are different; it is not always possible to determine “by eye” exactly where the heart is located in a particular person. Secondly, the heart is a very mobile muscle due to its systolic contractions, during which it not only changes its shape and volume, but also its spatial configuration.

In order to damage the heart, considerable physical effort is required, which must be exerted even during an autopsy (when the heart muscle is relaxed). A suicidal person will certainly not be able to do this.

We are not saying that all heart injuries are curable, but it is a fact that there is no 100% guarantee of mortality.

I also advise you to think about the fact that even if you accidentally manage to fatally damage your heart, in most cases death does not occur immediately. Consciousness lasts from several hours to several days. But you will no longer be able to help yourself, although you will passionately desire to live.

Vein cutting

This is more a way of attracting attention than a way of taking one’s life, but in any case it entails very serious consequences.

Sometimes suicide victims, under the influence of alcohol or drugs, or in a state of passion, in which euphoria is enhanced by the release of adrenaline, begin to cut randomly. An excited state makes it impossible to control one’s actions and assess the extent of self-inflicted damage.

Traumatization of the veins rarely ends in death, but when trying to cut the veins in the arms, damage to the tendons and muscles almost always occurs, which leads to impaired movements in the hand and fingers with subsequent disability (paralysis of the arm).

In addition, due to cuts in the veins and contamination of the wounds, inflammation can develop, which leads to severe painful conditions in the body, including blood poisoning or gangrene and, as a result, amputation.

It is important to note the social consequences of such actions. It is clear that the scars on the hands of a suicide remain forever. And it is their presence that can be decisive in life, for example, when finding a job. In this case, you will only have to blame yourself - well, personnel officers don’t like people from whom they don’t know what to expect! These defects can also cause problems when entering educational institutions: these cuts will be visible at any medical examination. These scars can also interfere in your personal life, receiving a negative assessment, for example, from future mothers-in-law, fathers-in-law, fathers-in-law and mother-in-law, as well as numerous other relatives of the other half. In our country, people like to judge, even for weaknesses that existed a long time ago. This can bring additional problems when starting a family or continuing family life, as well as during romantic acquaintances. After all, it is clear that a potential bride or groom, having seen such “beauty,” may begin to distance themselves and try not to get involved with the owners of such scars. And it happens that during a divorce, one of the spouses, when determining who the children will live with, pointing to long-standing cuts on their hands, tries, sometimes successfully, to win over the court, arguing that the spouse cannot take upon himself responsibility for children, because he is not able to answer even for himself. So you should not take this path where you will find many problems and no way to solve them!

Cutting the carotid artery

To get to the carotid artery, you need qualified knowledge of the topographic anatomy of the vessels of the neck, as well as professional use of a scalpel. But even if you manage to completely cut the carotid artery, most likely, the ambulance will have time to take you to the hospital for treatment.

At the same time, it is worth paying attention to the amazing structure of the human body, which, in order to survive, protects more important organs, even to the detriment of less important ones.

If an artery is cut, this precise rescue mechanism is activated. For the brain to maintain vital functions (its stem sections), the remaining second carotid artery along with the vertebral arteries is sufficient. Only for the cerebral cortex, which finds itself in conditions of hypoxia (with insufficient oxygen supply to the brain), this may turn out to be irreparable, since the dead nerve cells of the brain, alas, will not recover. The result, most likely, will turn out to be completely different from what a person who longs for his death wants. Damage to half of the cerebral cortex will lead the suicidal person to mental disability, and in more severe cases, to a “vegetative” existence. But even if recovery occurs after the most complex treatment, the cosmetic defect on the throat will remind you of this for the rest of your life.

Hanging

A very well-known, but also not always reliable method of suicide. Quite often, hanging attempts remain without a fatal ending, but with very serious and severe consequences, since in this case it is again impossible to take into account all the variety of associated factors.

Let us remember that during hanging there is a certain sequence of dysfunctions of the vital systems of the body. During the first 2-3 minutes after hanging, breathing occurs, erratic movements, anxiety, and attempts to escape occur. In corpses, fingers are very often pinched by a noose, which indicates a failed attempt at self-rescue. Instantly realizing the horror of what is happening, the man tries with his last strength to get out of the loop. Moreover, he also does this at the level of reflexes, which, of course, are outside the sphere of conscious control. And it must be said that he often manages to free himself, or with the help of others.

It is also impossible to calculate the reliability of this method, as well as to control your rescue actions. We do not set ourselves the task of considering aspects that affect the likelihood of a hanging attempt ending in death, but we dare to assure you that several tens of percent of suicide victims remain alive, but with the grave consequences described above. However, it happens that manipulative attempts (i.e. those not aimed at death) end in death. And there are many such cases too.

After strangulation (squeezing the neck with a noose) for more than 6-7 minutes, the person saved from death experiences pronounced convulsions. In addition, suicidal people can exhibit extremely aggressive behavior towards others.

Subsequently, the victims experience increased fatigue, headache, and dizziness for a long time, which leads to impaired performance for many months.

The most severe post-asphyxial consequences of hanging (i.e., the consequences of deprivation of oxygen to the brain as a result of squeezing the neck with a noose) include brain damage, namely decreased vision, hearing, stuttering, epileptic seizures, as well as persistent memory impairment: in the first months after After hanging, it is sharply reduced, over time it may improve somewhat, but complete recovery almost never occurs. With incomplete restoration of the functions of the central nervous system, the state of disorientation (impaired coordination of movements and spatial perception) and memory disorders persist almost constantly, which leads to persistent disability of varying degrees. In fact, a large proportion of those rescued after the fact show a change in character: people become hot-tempered, don’t understand jokes, and can’t stand noise. And, of course, if a person spent a long time in the loop and his brain experienced hypoxia, then due to the death of some brain cells, dementia may develop for the rest of his life.

So you shouldn’t look for additional life problems in this way.

Domestic gas poisoning

Propane (“household gas”) is practically non-toxic to the human body. Its danger is that it can ignite and explode. In this case, not only the apartment, but also the entire entrance can catch fire and explode. And the residents of this entrance, or even the entire house, including the elderly and children, can suffer and die. This will no longer be suicide, but an act of terrorism, and you are not a suicide, but a suicide bomber.

Another property of “domestic gas” that is dangerous for humans is the displacement of oxygen by propane, since it is heavier than air. A person who has experienced the effects of gas on his body will suffer from hypoxia (lack of oxygen). Mortality with this method is low, but posthypoxic encephalopathy (impaired activity of the cerebral cortex due to insufficient oxygen supply) is a common phenomenon. The consequence of posthypoxic encephalopathy is the development of deep, irreversible personality changes. In other words, a person has every chance of becoming not just a person with disabilities, but a disabled person with severe mental disability.

Carbon monoxide poisoning (as well as car exhaust fumes)

Another rather rare method of suicide, which, naturally, also provides absolutely no guarantees.

It is impossible to control the process of suicide due to carbon monoxide (CO) poisoning. The organism itself will seek salvation, not being interested in the desire of the “personality”. In case of CO poisoning, hypoxia of the cerebral cortex first develops. During that period of time during which the cortex turns off, but the subcortex does not, the body makes an attempt to escape. Successful or not - depending on your luck. Even with exposure (time of exposure to human organs) of 14 hours (the case is described in the literature), there is no certainty that death will occur. In case of CO poisoning, as in cases of poisoning with other gases, after long-term treatment, suicidal people retain signs of post-hypoxic and toxic encephalopathy, which can lead to severe mental disability due to the death of brain cells due to oxygen starvation.

But if this method leads to death, then, most likely, this departure from life will not be easy. Death from carbon monoxide poisoning does not always occur on the spot, often in the hospital, after a long, difficult treatment.

Caustic poisons or self-immolation

Attempts to die with the help of caustic poisons (acids and alkalis) in their pain can only compete with attempts at self-immolation. As for self-immolation, I would like to dispel the myth that a person dies instantly or at least very quickly from painful shock. In fact, it takes several hours, and sometimes several days, for shock to develop, during which a person suffers from terrible, unimaginable pain that is almost impossible to drown out even with narcotic analgesics. If a person survives such massive burns, he is left with huge scars on the skin, covering several areas of the body. Such scars, due to their density and inability (unlike skin) to stretch, subsequently impede movement in the joints. Disability in such cases is almost inevitable. The cosmetic consequences of such actions are also obvious. Most likely, this will lead to complete disfigurement.

As for those who nevertheless decide to drink acid or alkali, the result will be terrible internal burns of the gastrointestinal tract, the infliction of which is accompanied by severe pain and uncontrollable vomiting. Immediate death from these actions is extremely unlikely, and after the first sip it is almost impossible to take a second sip. On the contrary, the consequences of chemical burns of the esophagus are very likely: in addition to pain and other suffering, there are also widespread cicatricial narrowings of the esophagus, which do not allow a person to take food through the oral cavity. To prevent suicide victims from dying of hunger, they undergo surgery and have a gastrostomy placed on them - a “hole” in the stomach through which food is directly poured into the stomach. Believe me, such a procedure for eating does not bring either moral or aesthetic satisfaction to both the suicide person and those around him. Perhaps in a few months (if the body recovers completely), doctors will be able to try to perform a very expensive operation for plastic surgery of the esophagus, which uses a fragment of a person’s own intestine. But no one gives a 100% guarantee of the success of this operation, so the possibility of eating food in the manner described above for the rest of your life cannot be ruled out.

Drowning

It must be said that this method of suicide is also strange in that there is a greater chance of drowning by accident than of ending one’s life on purpose.

The fact is that when attempting to drown, various consciously uncontrolled reflex self-rescue mechanisms come into play, which we described above. Almost all drowned people have hemorrhages in the muscles of the neck, chest and back. This is the result of strong tension in the muscles of a drowning person while trying to escape, which clearly confirms the person’s awareness of the horror of everything that happens to him when making a desperate attempt to escape. It is these mechanisms that often nullify all attempts to drown themselves. However, all this does not in any way cancel the grave consequences of attempts to take one’s life in this way: first of all, this is hypoxia (oxygen starvation) in a person who was drowning, with all the ensuing consequences (see CO poisoning). But even if such an attempt leads to death, one must understand that it does not come quickly. The period of drowning lasts 5-6 minutes and is very scary and involves severe suffocation. So use swimming to get positive emotions, not to settle accounts with your life, which you have alone.

Self-detonation

Very rarely, individuals have the desire to commit suicide using explosives. At the same time, they completely ignore the well-known fact that even in the zone of direct influence of the factors of a nuclear explosion, people survived. The history of wars has accumulated many examples of people surviving in the immediate vicinity of shell explosions: the most powerful howitzer, mortar shells and even aerial bombs hit trenches and dugouts, military personnel are blown up by mines; of course, all this leads to losses, but we must take into account that even according to military statistics, for every one killed, there are from 3 to 10 wounded. These data indicate a low probability of killing oneself using this method.

Moreover, anyone who wants to end his life in this way does not have the slightest chance of accurately calculating the totality of the power, direction of the explosion, shock wave and many other related factors. There are much more opportunities to get concussed, wounded, injured and other damage, from which you will have to lie helplessly, bleeding, and die for a long time. After all, for example, one limb can be torn off, and in this case it will take a long time to die from loss of blood, experiencing a painful shock. If medical assistance is provided, the chance of remaining deeply disabled is simply enormous.

It is also necessary to take into account that when preparing to commit suicide in this way, you will have to obtain, store, and transport explosives or ammunition. So, the most likely alternative to suicide in this case may be a temporary detention center, lawyers, a court, examinations, tests for involvement in similar cases, interrogations and appeals, and ultimately, imprisonment.

Social consequences

It is necessary to note not only the physical consequences of suicide attempts, but also the social ones. We have already mentioned some of them earlier. And now we can talk about possible others. Firstly, if you are hospitalized after a suicide attempt, you will almost certainly be examined by a psychiatrist and then registered. I would like to note that those people who come to the doctor for help themselves, without having severe mental illnesses, in the vast majority of cases are not registered. But suicides, as people who create danger for themselves, on the contrary, are subject to mandatory registration. When you enter a medical facility, you will never be treated as a mentally healthy person, because... There will be a note of suicide in the medical history. The attitude of medical personnel towards such patients is usually, to put it mildly, specific.

Registration will also mean that for a very long time the suicidal person will have limited rights - he will not be able to obtain a driver’s license, drive a vehicle, or obtain permission to purchase and store weapons. In addition, due to the lack of a certificate from a psychiatric clinic, one will not be able to enter a prestigious university, get a good job in the public service, and sometimes in commercial organizations.

Accordingly, you will foolishly lose many of the benefits that our life provides. And there will be no one to blame but himself, who allowed momentary weakness to prevail over sanity.

100% sure way to die

It is very sad to see how healthy people, succumbing to fleeting weakness under the influence of imposed stereotypes, are looking for a “reliable”, “proven” and even “painless” method of suicide. This is reminiscent of fruitless attempts to find the “elixir of youth.” The same thing happens to those who want to commit suicide “reliably”.

A reliable, fast and even painless method of suicide simply does not exist in reality.

No. However, there is still one “reliable” way! It is very ancient and extremely effective. This way is to live your precious life, and overcome adversity with honor and dignity, and ultimately die of old age with the knowledge that you have completed your life's task, remembering the most joyful moments of life that filled you with faith in a wonderful future, endowed you with the ability to overcome obstacles on your life path, which only made your immortal soul stronger. Try it - you will definitely succeed!

  • )
    There are no painless or beautiful ways to commit suicide ( Alexander Sviridov, anesthesiologist-resuscitator of the highest category)
    Methods of suicide in the language of extracts from the medical history ( Petr Rozumny, forensic expert)
    Throw yourself out of a window, jump from a roof - and stay alive

Scientists have long noticed that sunlight has a beneficial effect on the course of certain diseases, helping to prolong remissions and even reverse the development of existing symptoms. Conducting research in this direction, they invented an effective treatment method - photodynamic therapy.

What is it?

Photodynamic therapy is a technique based on the unique properties of light rays: under certain conditions, when they penetrate into cells, they provoke the development of reactions that cause their death.

The main condition under which light rays acquire destructive power is increased tissue susceptibility. Doctors make tissues more susceptible using special drugs. The medicine is applied to pathologically changed areas of the skin or taken orally by the patient (taking into account in which organs it accumulates in maximum concentrations). After a certain period of time, a stream of light rays is directed at the patient’s body (or part of the body). Within a few weeks or even days, a significant improvement in condition or complete recovery is noted.

In what areas of medicine is this method used?

Today photodynamic therapy is successfully used:

  • dermatologists – in the treatment of psoriasis, acne, vulgar warts and papillomas, furunculosis and fungal infections;
  • dentists – in the fight against periodontitis, peri-implantitis, gingivitis, alveolitis and other inflammatory diseases;
  • oncologists – in the fight against cancer of the esophagus, lungs, stomach, breast, skin, superficial soft tissue tumors and neoplasms of internal organs – in combination with other treatment methods;
  • otorhinolaryngologists – in the treatment of oncological pathologies;
  • gynecologists - for the elimination of papillomas and condylomas of the genital organs, leukoplakia of the vulva, defects of the mucous membrane of the cervix;
  • urologists - to combat bladder tumors and prostate adenoma.

Thus, this technique has found its application in almost every field of medicine, thereby significantly expanding the capabilities of doctors and increasing the chances of patients to successfully get rid of many serious diseases.

What do you need to remember?

The use of drugs that increase the sensitivity of tissues to light rays is accompanied by a number of side effects, including a general increase in the body’s sensitivity to sunlight. Therefore, after treatment it is necessary to limit the time spent outside and be sure to use sunscreen. You should avoid not only light, but also high temperatures: do not go to the sauna, and if possible, do not use a hot hairdryer. Detailed recommendations are given by the attending physician.