Physiotherapy

MANUAL THERAPY

In our center we use the therapy Mulligan Concept, based on the mobilization of the spine, peripheral joints and therapy on trigger points.
The main aim of the method is the elimination of restrictions and the elimination of pain. The basic principle of the therapy is painless during treatment. Soft tissue, muscle and fascia use trigger point therapy, with success on many symptoms of pain and overload.
Manual therapy is a field of physiotherapy supported by numerous scientific studies having a basis in medical studies. It involves the study of the spine and treatment of peripheral joints and soft tissues. A very important and significant part of the study is an extensive interview, palpation of the patient and evaluation of mobility and motor skills of joints and muscles.
The selected techniques used to increase the mobility of joints in the spine and joints, lifting of the pain associated with movement of the resolution of inflammation. When working on soft tissues restores the impaired biomechanics of joints and relief for tired and strained muscles. The basic principle of the use of manipulation is painless when using mobilization techniques.

APPLICATION:

headaches and neck
radicular pain,
sciatica,
diseases of the upper and lower limbs,
type of migraine symptoms,
posture defects (eg. scoliosis)
sleep disorders,
joint pain and spine.
POULTICE

WRAPPING BOROWINOWINOWE
Mud wrap is made using a slurry mud containing 85% water. In order to properly perform the surgery prepare primer consisting of three layers: a blanket, oilcloth (or film) and sheets. On the sheet is applied to heated to 42 C, 4 -5 cm layer of mud. At the foundation is laid patient, and then cover it up peat (4-5 cm) and wraps in line backing layer. The duration of treatment is 20 – 30 minutes. After the procedure, we wash off mud or spray 2-3 minute bath in water with a temperature of 37 ° C. At the end of the treatment it is necessary to rest in the supine position under cover (blanket). Local wrapping are performed similarly for each patient uses a fresh layer.

peloids

– Organic or inorganic material, formed by natural processes of geological and biological, and after grinding and mixed with the water used for medicinal purposes.
Peat – peat medicinal

is a quaternary organic scale, are produced by the slow and prolonged decomposition of wetland plants in a high humidity environment with little air and with the participation of microorganisms.
The chemical composition of mud:

organic components: bitumen, pectin, cellulose and hemicellulose, and huminy acids, biologically active substances, acting as hormones, enzymes and antibiotics, proteins, amino acids, carbohydrates,
inorganic materials: mineral salts (sulfates, magnesium and potassium compounds, aluminum, iron and calcium),
microbiological components: aerobic and anaerobic bacteria, fungi.
Treatments criteria:

degree of degradation,
hydration,
content and type of organic and inorganic substances.
Physical properties:

large heat capacity – mud is considered a good heat transfer,
low conductivity – no convective heat transfer mud to the body (or vice versa)
large water – n mud cleaning, grinding in a homogenizing in the bed is about 90% water, but may also take p [a certain amount of water. The retention capacity of water through the mud, they decide humic substances (humic acids), having the character of hydrophilic colloids. Semi-liquid consistency of the mass of peat provides water and colloidal capillary,
neutral peat of the treatment temperature – temperature is 38 degrees indifferent, but the mud is irrelevant to the body of the patient, since at temperatures above human body temperature (36.6), it is heated body, even though the patient does not feel the heat,
the heat mud – small leadership and a lack of convection in a slurry mud, the advantage of treatment, followed by a slow rise in body temperature, obtained large overheat with less feeling. The closest layer of mud adhering to the skin quickly reaches the temperature (temp. 40-42 has the feel of water temp. 37) and the successive layers of mud slowly dissipates heat to the skin.
in a water bath heat it is by convection in the mud warmth spreads evenly and heated all these tissues deeper well,
the mud bath there is a sudden contraction of blood vessels, erythema intense heat. However, as a result of excitation of central thermoreceptors the strong sweating,
hyperthermia-induced effects of thermal mud – hangs cardiac output, followed by detuning the autonomic nervous system, stimulation of the sympathetic nervous system during surgery, and the parasympathetic system prevails. Hyperthermia causes suspending the bactericidal and virucidal properties.
Mechanical action:

hydrostatic pressure and buoyancy is greater than in water baths, the pressure is that you know the mush is thicker, and the body is more deeply immersed in it,
mechanical action has a friction between the skin and the mud,
execution of movements in the mud is difficult, in the case of exercise in mud, it is the resistance,
hydrostatic pressure and frictional resistance affect most on breathing, making it difficult to breath,
the mechanical action of mud – the absorption of exudates,
effect of mechanical and thermal burdens the circulatory system, so they are more dangerous for people with circulatory problems.
Physiological effects:

pharmacodynamic effects
local overheating causes an increase in cellular metabolism (edema, effusions)
an increase in stroke volume and cardiac output, decrease in peripheral resistance and diastolic blood pressure reduction,
overheating of the deep tissue (mm voltage pain, improved extensibility of the ligaments, collagen)
increased sweating promotes the removal of substances formed during metabolism.
relaxing, relaxes, sedative (nervous system)
effects on systems (overactive glands, increased activity of secretory glands and organs).
APPLICATION:

sciatica,
the period of recovery after injury or surgery.
osteoarthritis,
ankylosing spondylitis,
electric,
inflammation of the appendages, uterus,
ovarian adhesions,
neuralgia,
inflammatory diseases of the liver.
diseases of the stomach.
Contraindications:

strong inflammation,
diabetes,
anemias,
atherosclerosis,
hypertension,
blood clots,
circulatory failure.
cancer,
varicose veins,
ulcers.
LAMP SOLLUX

Sollux lamp – emits infrared rays and short-wave visible light rays.

A light filter aperture, which absorbs some rays, and allows its penetration of the other rays of a specific wavelength. Thanks to him we can get from one light source the desired range of radiation of a specific action. Filter red – light rays passing red and infrared light

APPLICATION:

in cosmetics healing,
acne vulgaris,
skin damage.
states exudative
boils,
scars,
in cosmetics nursing,
before the massage, iontophoresis, electroplating,
before treatment (pre-treatment before applying the mask of herbal and thermal)
after treatment (edematous papules or vesicles)
before applying the mask nutrients,
before surgery, regenerative,
beyond cosmetic
poorly healing wounds,
burns photochemical UV
inflammation of the nasal cavity, sinuses, the outer ear.
Contraindications:

heart failure.
active pulmonary tuberculosis,
a tendency to hemorrhage,
fever,
acute inflammatory,
glaucoma,
dysesthesia superficial,
dilated capillaries,
Rosacea,
hyperthyroidism,
cancer,
hypertension,
atherosclerosis.
CRYOTHERAPY

Cryotherapy (cryostimulation) is a non-invasive use of pairs of liquefied gases with extremely low temperatures to cool the outer surface of the patient’s body. The rapid cooling takes a very small amount of heat from the tissues, although it is sufficiently strong incentive launch CYM local and central reactions and thermoregulatory centers for support and redistribution of heat. Timing of surgery is 3minuty.

APPLICATION:

vasodilation and arterio-venous fistula closure lasting from 3 to 4 hours.
reducing muscle spasticity,
reducing edema – a few hours congestion active
in tissues undergoing cryotherapy promotes better metabolism and elimination of accumulated metabolites,
to improve the circulation of lymphatic vessels.
stimulation of the immune system,
reduction of morning stiffness,
increasing the range of motion of joints,
increase muscle strength,
increase exercise tolerance,
pain relief
reducing the use of anti-inflammatory drugs and painkillers.
Injuries and diseases of the musculoskeletal system both acute and chronic:

periarticular inflammation of tendons, joint capsule, bursae, muscles,
related ailments mikrourazami,
bruises and their consequences – swelling and effusion,
tearing tendon and ligaments,
postoperative (persistent symptoms after removal of the meniscus, surgical treatment of unstable joints,
contractures of joints and muscles,
twisted limbs,
chronic pain syndromes and overload
spastic paresis,
skin burns,
Wellness.
indications:

rheumatoid arthritis,
ankylosing spondylitis,
psoriatic arthritis.
osteoarthritis,
painful shoulder syndrome.
pain syndrome of the elbow,
joint disease against metabolic disorders.
discopathies,
septic arthritis.
Contraindications:

cancers,
cachexia,
intolerance to cold,
advanced atherosclerosis,
local frostbite,
Advanced oil mines gangrenous changes in the lower limbs,
inflammation of the small vessels in mixed krioglobulinemiach.
ELECTROSTIMULATION

Electrotherapy electrotherapy or a department of physiotherapy, which is used for medicinal purposes and diagnostic electrical energy. Procedures carried out using direct or alternating current of different frequencies. This is widely used in the treatment and rehabilitation, including in combination with other methods of physiotherapy. The electrotherapy uses biological effects of electric currents that depending on the cause may be:

stimulation of nerves and muscles,
pain relief,
alleviation of inflammation,
increase tissue perfusion,
improving trophic tissue
intensification of metabolism,
accelerate tissue regeneration.
The mechanism of biological activity of the currents used in electrotherapy is very complex because in addition to direct effects on the electrophysiological processes occurring in cells involved in the mechanisms of reflex and humoral, and in the case of high frequency currents and also the heat generated in the tissues. Various types of electric current used in elektrolecznictwie result: increase in local blood and lymph circulation, changes in the permeability of a biological membrane and potentiation of the muscle pump (anti-inflammatory and anti-). Changes in microcirculation, which facilitate processes reperacyjne tissues. The release of endorphins and enkephalins, dispersion mediators of pain by increasing microcirculation. The stimulation of muscles to contract as it facilitates and enhances the “shaking” which occurs in the case of medium frequency currents. Their alternating electric field induce a swinging movement of the rotary electric charges molecules in the tissue, with the result that meet the chemical groups of opposite electrical charges, which may react with each other, which may, for example. Accelerate the enzymatic degradation of mediators of pain. Kinetic energy created under these conditions affect equalises the concentrations of various substances involved in the creation of the pain, eg. Potassium or hydrogen ion. With agitation effect it is not only analgesic, but also increase the influence of the metabolism, enhancing trophic tissue accelerate recovery and the reduction of edema. This phenomenon is also occur during the occurrence of contractions induced by tetanus partial currents of low frequency pulsed release of neurotransmitters and hormones tissue, for example. Histamine release reduces sympathetic nervous tension, causing arterial dilation and increased microcirculation.

GENERAL CONTRAINDICATIONS FOR electrotherapy:

pacemaker,
insulin pump,
benign and malignant,
metals in the tissues undergoing treatment.
endoprosthesis,
purulent inflammation of the skin and soft tissues,
changes in the skin (eczema, ulcers)
fever,
local paraesthesia,
hemorrhagic diathesis,
acute inflammatory processes and general infections.
The inter-individual current intolerance,
blood clots,
risk of congestion,
thrombophlebitis,
arterial occlusive disease,
pregnancy (at the lumbar area, stomach and groin).
LASER THERAPY

Laser therapy is a therapeutic method, which for therapeutic uses laser radiation. In English therapy laser light low and medium power is called Low Level Laser Therapy (LLLT) in Poland, however, use phrases like laser therapy, laser therapy, laser biostimulation.

APPLICATION:

hard to heal wounds and ulcers,
burns, bedsores,
Chronic inflammation
difficult fusion of bones,
osteoarthritis,
inflammation of periarticular,
inflammation of the tendons, fascia, tendon sheaths, wallets articular
neuralgia,
diabetic neuropathy,
acne vulgaris,
acute disease processes,
back pain,
in states requiring stimulation of healing of tissue defects,
regenerative process,
for the treatment of Sudeck syndrome and other traumas,
in osteoarthritis,
arthritides soft tissue
dermatological diseases (scars, lesions, varicose leg ulcers)
ENT diseases,
in diseases of the eye,
in dentistry,
degenerative changes of the spine and extremities.
post-traumatic fractures, sprains, dislocations,
inflammatory soft tissue
Dupuytren’s contracture,
halluks,
neuralgia,
shingles,
inflammation of the sinuses,
postoperative after anastomosis screws and nails.
Contraindications:

active pulmonary tuberculosis,
Cancer,
pregnancy,
gastrointestinal bleeding,
the presence of electronic implants,
epilepsy,
allergic to light,
coronary artery disease,
in infants,
in children around the cartilage growth.
Local non-specific infections,
in states with high fever,
bleeding tendency,
sensory disturbances.
SONOTERAPIA (ultrasound)

It is one of the physical methods, which are used for therapeutic ultrasound. These mechanical vibrations inaudible to the human ear. Ultrasound cause micro-tissues and of their warm-up as well as reduce muscle tension, exhibit analgesic and inhibit inflammatory processes. By means of ultrasound can be introduced into the tissue analgesic in the form of a gel, such an operation is called phonophoresis. Ultrasound is therefore useful in the treatment of inflammatory conditions, pain syndrome, edema, degenerative diseases of joints and bones, eg. Spur calcaneus enthesopathy example. Tennis elbow, and in order to reduce the power and flexibility of muscles, tendons and ligaments and process improvements e.g., wound healing. scars. The therapeutic effect of ultrasound occurs after only a few treatments.

APPLICATION:

degenerative changes of the spine and peripheral joints,
spur calcaneus,
poamputacyjne pain,
neuralgia,
Dupuytren’s contracture,
scars,
lockjaw.
Contraindications:

Cancer,
pregnancy,
the presence of an artificial pacemaker,
active tuberculous processes,
acute coronary insufficiency,
thrombophlebitis,
acute inflammation and fever.