Physical therapy

In addition to manual techniques, we also offer additional physical techniques and the use of electrotherapy, ultrasound or electromagnetic waves, which help to achieve speeding up of your recovery.

Electrotherapy

Electrotherapy is a therapeutic method that utilizes electrical energy of different frequencies and intensities in order to positively influence local tenderness of the affected site, improve circulation, stimulate or, conversely, relax muscles and the surrounding soft tissue, and it has anti-inflammatory effect. Specific type of electrotherapy depends on doctor’s prescription.

It is used for example for:

  • acute and chronic musculoskeletal pain
  • treating disorders of muscle tone and muscle function
  • restoration of joint range of motion
  • reduction of swelling
  • support of peripheral circulation
  • and others

physio & care - MEDICAL CENTER offers:

TENS – Transcutaneous Electrical Nerve Stimulation

Galvanizing

Ionophoresis

Diadynamic currents

Träbert currents

Mid-frequency currents

2-pole interference

4-pole interference

Isoplanar interference

TENS – Transcutaneous Electrical Nerve Stimulation

TENS – Transcutaneous Electrical Nerve Stimulation is a form of low-frequency electrotherapy focused on pain control. Pain perception can be mitigated through stimulation of nerves on different levels of the nervous system. This method affects pain and relieves muscle spasms, stiffness and cramps. It is also used as electrogymnastics in muscle atrophy and as stimulation of denervated muscles in central palsy.

Application:

  • painful conditions of the spine
  • acute back pain or neck pain
  • nerve pain
  • joint pain and sprain
  • muscle relaxation
  • muscle gymnastics
  • bruising
  • frozen shoulder syndrome
  • impingement syndrome
  • myalgia (painful muscle stiffness after cold, straining)
  • thoracalgia (pain in the thoracic spine)
  • and others

Galvanization

Galvanization is a therapeutic method using direct current with constant intensity. It is used to reduce pain, swelling and blood circulation. In tissues, it increases local metabolism in skin, subcutaneous tissue and blood circulation in the area, it mobilizes swellings, sprains and inflammatory exudates, it accelerates their absorption and subsequently flushes away waste products of metabolism. The application of galvanic current reduces muscle tension and helps control the pain.

Application:

  • joint inflammation (bursitis)
  • nerve pain
  • strained muscles
  • vasculitis (vessel inflammation)
  • bruising
  • Sudeck syndrome (excessive joint pain and stiffness, for example after a fracture)
  • paraesthesia and dysaesthesia (uncomfortable subjective sensation in the muscles or bones)
  • Dupuytren’s contracture (shrinkage and wrinkling of skin on the palm, followed by toe deformities)
  • and others

Iontophoresis

Iontophoresis – uses the summation of effects from electrical current and the drug inserted to the affected area. For example, the drug for pain control with anti-inflammatory activity (Voltaren) but also others, in various diseases.

Application:

  • severe pain in acute conditions
  • epicondylitis (excessive overloading of muscle groups, e.g. tennis and golf elbow)
  • arthritis
  • and others

Träbert’s currents

Träbert’s currents have significant analgesic (pain relieving) and hyperaemic (promoting blood circulation) effect that may appear immediately after application.

 Application:

  • acute pain of the cervical and lumbar spine
  • chronic joint pain
  • coxarthrosis and gonarthrosis (degenerative hip and knee disease)
  • and other conditions of the spine

Dia-dynamic currents

Dia-dynamic currents are formed by combining galvanic, harmoniously shaped impulse current. Their effect is blood circulation, toning and pain relief. They have beneficial effect on blood circulation in the affected area, and relax muscles. They are most commonly applied in the acute stage.

Application:

  • joint sprain (distortion)
  • strained muscles
  • arthrosis
  • arthritis
  • inflammation of the tendons
  • ischemic disease of lower extremities
  • Sudeck’s syndrome (excessive joint pain and stiffness, for example after a fracture)
  • contusion
  • post-herpetic neuralgia (chronic neuropathic pain with skin changes)
  • Osgoodschlatter (aseptic necrosis)
  • nerve pain
  • and others

Mid-frequency currents

Mid-frequency currents positively affect the electrophysiological functions of the body, and easily penetrate deep into the body tissues. They cause the release of endorphins into the central nervous system, which have analgesic effect and cAMP (cyclic adenosine monophosphate) with significant controlling effect on trophism, growth and function of tissues. Their effect is analgesic (painkilling), irritant, hypereremic (promoting blood circulation), resorptive (absorbing), toning and trophotropic (nourishing).

 Application:

  • postoperative physical movement
  • backache
  • syndromes of vertebrogenic system
  • post-traumatic conditions
  • degenerative diseases
  • chronic rheumatic diseases
  • rheumatoid arthritis
  • scoliosis
  • Bechterew’s disease
  • and others

2-pole interference

2-pole interference occurs after summation of mid-frequency currents with different levels of frequency. Thus, the tissue is treated with current of differential frequency which has particularly stimulating effect on muscles and also promotes blood circulation, tones and works against pain.

Application:

  • swelling
  • distortion (sprain)
  • epycondylitis (pain in joint projections)
  • hemarthrosis (joint blood staining)
  • Sudeck syndrome
  • contusion
  • heel spurs
  • muscle relaxation
  • tendovaginitis (tendinitis)
  • acrocyanosis (vasoneurosis)
  • and others

4-pole interference

4-pole interference – uses 4 poles, i.e. electrodes. It is used as with the 2-pole interference, but mainly to affect larger areas and joints.

Application:

  • acute pain
  • bladder dysfunction
  • distortion (sprain)
  • incontinence
  • contusion
  • constipation (abdominal pain)
  • frozen shoulder syndrome
  • and others

Isoplanar interference

Isoplanar interference – uses 4 electrodes. This method is the least intrusive and can be applied very soon after the accident.

Application:

  • frozen shoulder syndrome
  • acute back pain or neck pain
  • joint injuries
  • arthritis
  • bursitis
  • distortion
  • bladder dysfunction
  • haemarthrosis
  • ischemic disease of lower extremities
  • contusion
  • myalgia
  • and others

Combination Therapy

Combination therapy – combines the action of electrotherapy and ultrasound, where the head also acts as an electrode.

Application:

  • epicondylitis (painful condition of the outside of the elbow)
  • hyperalgesia zone (sores)
  • heel spurs
  • surface and deep trigger points
  • deep and surface muscle relaxation
  • trismus (spasm of the jaw muscles and muscles of facial expression)
  • and others

Treatment by Ultrasound

Ultrasound therapy exploits the mechanical properties of sound waves with high frequency to reduce muscle spasms, to remove trigger points in muscles, to relax and warm up the muscles before training, to remove pain and inflammation, and to promote healing generally.

The advantage of ultrasound therapy is no pain and treatment of larger areas. Our medical center has therapeutic ultrasound BTL-4000.

Mechanical waves are absorbed by the tissue and transformed into heat energy which leads to micro-massage based on vibration of all atoms and molecules, even the whole cells, and thus locally increases temperature of deep tissues.

Application:

  • relaxation of muscles and connective tissues
  • increasing local blood flow
  • reducing pain and swelling
  • speeding up metabolism
  • osteoporosis
  • neuritis
  • Sudeck syndrome
  • carpal tunnel syndrome
  • Dupuytren’s contracture
  • hyperaemic and trophotropic effect
  • scars
  • and others

Laser Therapy

Laser therapy is non-invasive therapeutic method based on the application of low-energy monochromatic, coherent radiation in the form of a laser beam. The laser beam is absorbed in the tissues and its energy is transferred to the tissue cells for restoration of their normal function.

These are electromagnetic waves from the visible light area. Harmonic vibration is capable of transferring large amounts of energy, and leads to increased cell membrane permeability and improves their nutrition.

Low energy laser therapy is designed to provide the treatment of painful musculoskeletal disorders and the treatment of traumatic and inflammatory conditions of the skin, mucous membranes, and soft tissues. The effect is particularly biostimulative, regenerative, anti-inflammatory, and painkilling based on the evoked photomechanical reactions.

It has a very wide range of applications.

Application in physiotherapy:

  • joint diseases (traumatic, surgical, rheumatic, degenerative, swelling)
  • disorders of the glands and muscles (congestion syndrome, post-traumatic and postoperative conditions)
  • disorders of synovium (inner layer of the joint capsule consisting of a thin ligament)
  • bursitis (inflammation of the sebaceous sac of the joint capsule)
  • tenosynovitis (condition affecting the tendons and finger loops)
  • neuralgia
  • paresis
  • cranial and cervicobrachial syndrome
  • arthrosis, arthritis
  • absorption of edema and effusions
  • lumbago
  • hematoma
  • and others

 Application in dermatology:

  • herpes simplex, herpes zoster
  • keloid scars
  • pressure ulcers
  • ulcers
  • burns, scars
  • chronic eczema, skin diseases, acne, eczema, herpes
  • accelerated wound healing
  • healing of inflammatory processes
  • varices
  • gangrenes
  • and others

Application in cosmetics:

  • alopecia
  • stretch marks
  • wrinkles
  • and others