Can it get worse after physical therapy? Contraindications to physiotherapy: effects on the body, possible consequences

20.04.202127.05.2017

In the pelvis and thigh area, the connection of the upper and lower parts of the body occurs, it is here that many muscles and tendons are attached to the bone protrusions. Near the joints are synovial bags, which serve as a kind of shock absorbers: they eliminate friction, pressure between certain types of tissues. These bags filled with fluid when they become inflamed are called hip bursitis.

Symptoms
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There are several synovial bags in the above area of the body:

Trochanteric, located on the outer part of the femur (near the greater trochanter), inflammation is accompanied in this part by unpleasant pain, trochanteric bursitis.
Iliac-scallop, which is located on the back of the femur and is closest to it. Because of this, when bursitis occurs in this part, it can often be confused with other diseases (for example, coxitis), the pain is given closer to the groin.
The sciatic, speaks for itself, in which part it is located, inflames less often than the rest.

When the synovial bag becomes inflamed, exudate accumulates in it (fluid with protein and blood elements).

Various types of manifestations, both aseptic (for example, from injuries) and infectious (bacteria, viruses):

serous;
purulent;
hemorrhagic;
fibrinous;
depending on the pathogen (gonorrheal, tuberculosis).

Bursitis in the hip area is complicated by the fact that the inflammation goes to the joint and tendons.

It occurs due to:

Injury;
Strong stress on the joints;
With diseases of the spine;
Different lengths of the lower limbs;
Ca salt deposits in this area;
rheumatoid arthritis;
Operations on the hip joint;
joint infection;
hypothermia;
From excess weight;
Inactive lifestyle;
endocrine diseases;
Elderly age.

Very often, such a disease occurs in professional athletes, female representatives, and aged people.

Symptoms

If the causes of bursitis for each of the above cases are the same, then the symptoms will be determined by the area of localization of the inflamed bag and, accordingly, by the spread of pain. Hip bursitis has very characteristic symptoms that boil down to one thing - pain and swelling.

Depending on where the inflammation is localized, unpleasant sensations are more pronounced there, which spread throughout the hip area, leading to the fact that it is painful to lie on your side, walk and even sit. If the inflammation of the synovial bag proceeds with the accumulation of pus, then the pain is very sharp and burning.

With the defeat of the iliac-scalloped bag, pain covers the anterior and inner side of the thigh, and mainly radiates to the groin area, if it is a trochanteric bag, then the pain will radiate to the side of the thigh. Characteristic sensations are pain when the ischial bursa is affected, which will intensify with bending over.

In addition to the main, pronounced symptoms, hip bursitis is additionally characterized by:

sleep disturbance (due mainly to discomfort and physical suffering);
poor health, weakness and loss of working ability;
rise in temperature.

It is important for such manifestations not to self-medicate, but to consult a doctor who will make a diagnosis using:

Anamnesis;
Palpation;
Ober's samples;
Rengen.

Most often, the bag of the greater trochanter becomes inflamed - trochanteric bursitis of the hip joint. In order to correctly clarify exactly where the inflammation occurs, in this zone or subcutaneous, displacement is noted when the hip moves. If it is, then it is not in the synovial bag, no, then in it.

An appointment with a specialist is required, only he can give the correct appointment. My patients use a proven remedy, thanks to which you can get rid of pain in 2 weeks without much effort.

Treatment for hip bursitis in most cases includes:

The use of drugs designed to relieve inflammation, as well as painkillers. In the event that the painkiller does not work, injections into the joint of potent drugs are used.
Carrying out the procedure for pumping out the liquid, the so-called aspiration (when a large amount of purulent inflammatory fluid has accumulated in the cavity of the bag, and therapeutic measures have not achieved an effect).
Physiotherapy (treatment with ultrasound, heating, the use of therapeutic mud, electrophoresis, and others).
Physiotherapy;
cold compresses;
Surgical intervention.

During treatment, they try to immobilize the joint (put a bandage, tight bandage) or, if possible, use crutches, sticks. It is best to remain calm so that the pain subsides. If the bursitis is aseptic, then apply compresses through gauze (cloth) from ice cubes or, on the contrary, warming (heaters, ointments). It is important not to self-medicate, but to follow the doctor's instructions.

Anti-inflammatory and analgesic drugs relieve inflammation and reduce pain. When unpleasant sensations in the hip area are eliminated, therapeutic exercises (special exercises) are prescribed. It is also important to have a moderate body weight in this disease. Otherwise, pay attention to nutrition and lose weight.

There are cases when it is necessary to apply surgical intervention using an arthroscope (less traumatic). The focus itself is removed so as not to affect the functions of the hip joint. After the operation, the patient needs rehabilitation. It is important after it not to lie constantly, but to try to walk with the help of improvised means. This speeds up the process of tissue repair. There is a complete recovery in a couple of months, a person can return to normal mode.

It is important to avoid complications of bursitis. Seek medical attention in time, avoid permanent injury, wear orthopedic shoes, control your weight, keep your muscles in good shape, not burden your joints - that's all you need to not only prevent the development of bursitis, but also feel full of strength and confidence. Remember, prevention is better than cure.

Reviews about the drug Artra

Chondroprotector Artra is a complex drug that contains two main "building materials" for cartilage - glucosamine sulfate and chondroitin sulfate. You can read about how these substances, which are extremely important for the health of the joints, in the article about them.

And what do the patients who took this medicine say about Artra's medicine? Are they satisfied with the results of treatment with this remedy or not?

Reviews of patients taking Artra chondroprotector

“I believe that glucosamine without chondroitin is ineffective, so I take Artra, because it has both. I suffered from severe pain in my knees, even walked with a cane, not to mention climbing stairs.

I drank Artra's course for four months, and the pain practically disappeared. It's been two years since then and everything is fine. But there is one “but”: in addition to Artra, it is also important to eat foods rich in glucosamine - for example, jelly, marmalade and other foods rich in gelatin. And repeated courses of Artra to pass. Then there will be a sense.

“Two months ago, I had severe pain in my knee, which appeared when I bend my leg, but I didn’t have a knee injury. An orthopedic traumatologist sent me for an ultrasound of the joints, and it turned out that I had a Baker's cyst.

The doctor prescribed Artra to me, I have been taking it for two months now. I don’t see any result, but the doctor said that it won’t happen quickly, only in six months. I continue to take the medicine and wait for the results ... "

“The doctors diagnosed me with gonarthrosis of the knee joint. Arthra was prescribed, I have been taking it for about a year, but I don’t see any results yet. The annotation says that a sustainable effect will be only after 6 months of admission, which will last 3 months.

I just don’t understand: I’ll finish the medicine, three months will pass, and if the pains resume, then you need to wait six months and drink the medicine until it works again? Or even take it all the time?

“I'm 25 years old, I do cycling in a pretty hard mode. From childhood, my knees crunched when squatting, and there was a broken leg, but until some time nothing bothered me anymore.

And 2 years ago, my knee started to ache a lot. The doctor prescribed Arthra. I have been drinking it for 6 months, there seems to be no pain, although the crunch in the joints still remains. But the main thing is that it doesn’t hurt, and it’s good.”

“I drank Artru for 6 months, and at the same time I started going to yoga. I am very pleased with the result: the pain in my knees is gone. Now I don’t take pills anymore, but I go to yoga and don’t plan to quit!”

“My opinion about this medicine is positive. I tried many chondroprotectors, but almost all of them caused me allergies. Luckily, this did not happen to Artra.

Since then, I have been taking it in courses for 3 months, after which the same break, and then again a 3-month course. The pain practically disappeared, and for the last year I was even able to refuse NSAID painkillers. There are no problems with the stomach and intestines. I am satisfied".

Valentine

“I am forty-six years old, diagnosed with coxarthrosis of the hip joint. After treatment with Arthra for 4 months, the joints both hurt and continue to hurt, and they were also joined by pain in the elbow joints, which had never happened before!!! I am very dissatisfied with this "medicine"!

“At some point, I began to notice pain in my right knee after a heavy load, quickly passing at rest. Over time, the pains began to get stronger, and passed more slowly until they became almost constant. Doctors prescribed me all sorts of therapeutic gels and balms, but there was little sense. They shrugged and said, well, what do you supposedly want - arthrosis is not treated.

I want to say that I feel better. I can’t say that I run like a girl, but at least I don’t drink handfuls of painkillers, the pains have become less piercing and the constant crunch in the joint has almost disappeared. In general, I am satisfied with the medicine and I am not going to change it to something else yet.

I must say right away: Artra is not cheap, it costs decently, but due to the fact that for the first three weeks you need to drink only one capsule a day, then a large package is enough for a long time. Some side effects from the side of the medicine was not found.

“My experience with this drug is very disappointing. On the advice of a doctor, I started taking Arthra, and after about 5-6 weeks of taking the medicine, some kind of incomprehensible spot appeared, first on one arm, and a little later on the other. But, unfortunately, I did not attach due importance to this and continued to take the medicine further.

Later, problems with the gastrointestinal tract joined, and by the fifth month of taking it, my ears were covered with crusts and I started going to the doctors already with these problems.

By that time, I stopped taking Artra, but the allergy did not go away. Since then, I have been examined for almost a year, I was in the hospital 3 times, but this did not give any results, and allergic rashes on my hands and face continue ... "

“Last autumn, as if for the weather, my knee joints and spine in the lumbar region and back began to hurt. The doctor recommended taking the medicine "Artra".

I drank it for seven months, about the second or third month of treatment, the pain began to disappear, and soon I almost forgot about it. I told my neurologist about this when I came to see him. He just laughed and spoke in the spirit of "it's all money down the drain." In general, in the spring I stopped taking this medicine.

And in the summer it so happened that there was a strong physical load on the back and legs. And as a result, since July, the same pains began again in the same places. I started treatment with Arthra again, I am waiting for the results.”

“I tried to drink Artra supplement. For the first three weeks everything was fine, no problems. And towards the end of the first month of treatment, the joints began to crackle quite sharply, and literally everything that is possible. I got scared and stopped drinking this medicine, now I'm waiting for these incomprehensible squeaks to pass. I really hope for it…"

“The drug helps me, I don’t particularly note side effects, which pleases. But, unfortunately, artra helps me only while I drink it for a long time. As soon as I stop drinking, the pain in the joint returns.

Vyacheslav

“My mother was diagnosed with coxarthrosis of both hip joints. The doctor said that soon it will be necessary to do an operation to replace the joints. He prescribed arthr and a course of special therapeutic exercises.

Mom drank a large jar of this medicine in six months, and on the background of the exercises she became much better. We refused the operation, but we drink artra every six months. Mom says she's feeling much better."

Have you tried to undergo treatment with the chondroprotector "Artra"? What was your personal experience with this remedy? Do a good deed - share your opinion about this medicine in the comments below. Our readers will thank you!

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Headache (cephalgia) is a condition that is familiar, perhaps, to everyone. According to statistics, this is the most common complaint at the reception. More than 40 diseases are known that are accompanied by discomfort in the head and neck. Sometimes they are so strong that a person loses the ability to carry out daily activities and needs to receive sick leave. Some types of cephalalgia are easily removed with drugs, others are difficult to treat with medication. In any case, the quality of life of such patients is significantly reduced.

According to WHO, 47% of the population regularly experience a headache, about 90% of adults at least once in the past year. The prevalence of this disease in different countries is not the same. Thus, Europeans suffer more from primary headaches, associated mainly with stress, than residents of developing African countries. Migraine is significantly more common in women, and cluster headaches, rare (about 0.5%) in general, affect men more often.

Types of headaches: classification

According to the international classification, there are 14 main types of headache (see table). The first four are classified as primary. These are independent diseases, which are based on a violation of the function of muscles, nerve trunks or the vascular system. The remaining cephalalgias are secondary, that is, they are a symptom or complication of another disease, whether it is organic damage to the brain or disorders in any other system of the body.

Table 1. International classification of headaches (2nd edition, 2004) and frequency of occurrence in the population, according to various sources.

Type of headache according to ICGB-2	Prevalence in the population
Part I: Primary Headaches
Migraine	5-20%
Tension headache	24-86%
Bundle headache and other trigeminal autonomic cephalalgias	0,1-0,4%
Other primary headaches (cough associated with physical exertion or sexual activity)	3,5%
Part II: Secondary headaches
Headaches associated with head and/or neck trauma
Headaches associated with vascular lesions of the skull and cervical spine	About 1%
Headaches associated with extravascular intracranial lesions
	Headaches associated with various substances or their withdrawal
Headaches associated with infections
Headaches associated with impaired homeostasis	About 1%
Head and facial pain associated with violation of the structures of the skull, neck, eyes, ears, nasal cavity, sinuses, teeth, oral cavity	2,82%
Headaches associated with mental illness	0,24%
Part III: Cranial neuralgias, central and primary facial pains and other headaches
Painful cranial neuropathies and other facial pains	2,67%
Other headaches	5,76%

The occurrence of tension headache (THT) and migraine is directly related to stress, physical or emotional overload. These are primary cephalalgias, that is, organic lesions in the nervous system or other organs are not observed, however, the patient's condition can be so severe that daily duties become unbearable for him.

TTH is a classic example of stress. Emotional overload in combination with a long forced position of the head (sedentary office work, driving a car) leads to a pathological increase in the tone of the pericranial muscles. At the same time, their blood supply is disturbed and soreness in the muscles occurs. In the development of migraine, heredity and hormonal disorders are more involved, but in many cases attacks are triggered precisely by stress.

The treatment of primary cephalgia is done by a neuropathologist. Only he can correctly diagnose, identify causes and predisposing factors. However, if the painful condition is caused by stress, it is necessary to connect a psychotherapist, he will help to find the source of emotional stress and control the disease. Reflexologists and specialists in the field of physiotherapy help to choose a set of non-drug procedures that can reduce emotional stress and eliminate muscle dysfunction.

When urgent care is needed:

headache appeared suddenly, for no reason, against the background of complete health (“thunder-like”);
it is constant and increases in intensity;
pain appeared after the injury;
cephalgia is accompanied by nausea, vomiting, changes in speech, consciousness, loss of orientation or motor disturbances;
severe pain in combination with tension of the occipital muscles and an increase in body temperature.

Diagnostics

Diagnosis of HDN and migraine, like all primary pains, is based primarily on the analysis clinical manifestations, while abusive headache should also be considered as a possible diagnosis. The mechanism of its formation is as follows: constant pain forces the patient to take painkillers. If this happens uncontrollably, over time, their action is blunted, the person is forced to take large doses, which become less and less effective. Sooner or later, a situation arises when pain is constantly present and is only slightly weakened by analgesics. In this case, they speak of abusive cephalgia.

Table 2. Comparative characteristics of the clinical picture of socially significant types of headache.

clinical sign	Migraine	HDN	MIGB (AGB)
Pain localization	Unilateral, limited to the eye, temple, or forehead	Bilateral, diffuse in the temples, crown, occiput	Unilateral or bilateral, no specific localization
Duration	Paroxysmal, duration of paroxysm up to 72 hours	paroxysmal, passes within a day	Constant, increases when exposed to provoking factors
Pain intensity	The pain is severe, almost unbearable, during an attack the person is unable to work	Pain is mild to moderate and does not interfere with daily activities
Weak to moderate, more intense in the morning	Emotional tension, menstruation, hunger, sleep disturbance, alcohol intake	Emotional stress, forced uncomfortable posture	Long-term medication for primary hypertension

To facilitate the diagnosis at the reception, universal questionnaires are used that help to systematize clinical data.

Scale-questionnaire for conducting a diagnostic conversation:

Time and duration	How long have the headaches started? Do they occur frequently? How long does a headache attack usually last? How many times a week can it occur?
The quality of the pain	Where is the headache located? Are there harbingers? How bad is the pain? How do you feel immediately after an attack?
Provocateurs	After what cases does the headache worsen? Are there situations when it becomes stronger or, conversely, weaker?
Measures	Are you able to handle an attack on your own? What are your usual treatments? To what extent does your headache interfere with your usual active life?
State between pains	How quickly do you recover from an attack? How well is your emotional background restored? Do symptoms persist after an attack?

Having prepared in advance the answers to the questions listed above, you can significantly facilitate the diagnostic search for the doctor, but you should not try to make a diagnosis yourself. The specialist takes into account a lot of factors: examination data and instrumental research methods. The latter are prescribed if the specialist suspects the secondary nature of cephalalgia.

Additional research methods

Most often, this is an x-ray of the skull in various projections, computed tomography or magnetic resonance imaging.

Method name	When appointed	What makes it possible to identify
Radiography	Previous head trauma	Acute traumatic brain injury or post-traumatic headache
	The presence of discharge from the nose, constant congestion	sinus pain
	Cracking and clicking when opening the mouth wide and chewing	Temporomandibular joint dysfunction
	Pain in the neck, crunching when moving the head	Cervicogenic headaches
CT scan, MRI	Nausea, vomiting, especially in the morning after waking up	Tumors, masses of the brain
CT scan, MRI	Sensory or motor dysfunction	Focal lesions of the brain, post-stroke conditions

General principles for the treatment of primary headaches:

the use of drug and non-drug methods of treatment;
movement from simple to complex;
the use of minimal effective doses of drugs;
detailed informing the patient about his condition and the mechanisms of the development of the disease.

An individual treatment regimen should be prescribed by a specialist, based on the diagnosis, taking into account the frequency of attacks and the severity of clinical manifestations. Non-pharmacological methods of treatment include massage, physiotherapy and sessions with a psychotherapist. An important role is played by the normalization of the daily routine, nutrition, the rational alternation of physical and mental labor, good sleep and the elimination of provoking factors. Unfortunately, more often you have to resort to drug therapy.

Medical therapy

Drug group	Active substance	Commercial names
First line therapy
Simple analgesics	Ibuprofen	"Nurofen"
	Paracetamol	"Panadol"
	Ketorolac	"Ketanov", "Ketorol"
Second line therapy
Combined drugs	Paracetamol + analgin	"Pentalgin"
	paracetamol + diclofenac	"Fanigan"
	Paracetamol + ibuprofen + caffeine	"Tamipool"
Third line therapy - specific anti-migraine drugs
Serotonergic agents	Sumatriptan	Amigrenin, Sumamigren
Serotonergic agents	Zolmitriptan	"Zomig"
Ergot alkaloids	Dihydroergotamine + caffeine	"Digidergot"
	Dihydroergotamine	"Ditamin"
	Ergotamine + propyphenazone + caffeine	"Nomigren"
Derivatives of glucocorticoids	Flumedroxone	Flumedroxon

In addition to the relief of acute pain, interictal treatment is carried out, aimed at preventing the occurrence and reducing the frequency of attacks. Experts do not recommend the use of painkillers without a doctor's prescription. Uncontrolled intake of analgesics - Right way to the development of abuse headache, damage to the liver and other organs. In order for drug therapy to be rational, all drugs must be used strictly according to indications, and only a doctor can determine them correctly. Effective treatment headache is possible, and the sooner it is started, the more successfully and easier it will pass.

With osteochondrosis of the cervical region, complex therapy is often used. One of the components of such treatment are physiotherapy. They are prescribed to reduce pain caused by displaced vertebrae, as well as relieve muscle tension. Let's get acquainted with the types of procedures that are used to treat the spine.

Cervical osteochondrosis is a fairly common degenerative-dystrophic disease that occurs in the intervertebral discs. The primary symptoms of the disease begin to develop already at the age of twenty-five.

Against the background of osteochondrosis of the cervical region, the development of headaches and migraines is often observed. But before you start taking analgesics to eliminate such symptoms, you should determine the root cause of the pathology. Only after that, together with the doctor, you can select medication.

The following factors most often cause the formation of cervical osteochondrosis:

sedentary lifestyle;
malnutrition, during which the human body does not receive enough nutrients necessary for the proper functioning of the musculoskeletal system, muscular system and cartilage;
violation of metabolic processes;
prolonged sitting at a computer or driving a car in the form of the main work.

In addition, the following can provoke the formation of osteochondrosis of the cervical region:

severe hypothermia;
the presence of progressive rheumatism;
hormonal imbalance in the body;
previous trauma of the spinal column, namely, the cervical region;
personal genetic predisposition.

Cervical osteochondrosis is characterized by the development of the following symptoms:

repeated pain in the neck, shoulders and arms, aggravated by physical exertion, coughing and sneezing syndrome;
the appearance of a strong crunch in the cervical region, growing during head movements;
often numb hands (especially fingers) and the interscapular region;
a headache appears, localized in the occipital region and gradually diverging into the temporal region;
there is a feeling of a lump in the throat, which is accompanied by muscle spasm of the larynx and neck;
there is a predisposition to fainting, dizziness with sudden movements of the head.

In addition, with osteochondrosis in the neck, it is sometimes possible to experience a noise effect in the ears, deafness, impaired visual function, and nagging heart pain. Patients diagnosed with this disease often complain of continuous exhaustion and lethargy.

Complications

Among all forms of osteochondrosis, the most dangerous is the pathology of the cervical region. Damaged segments of the ridge in the neck, where there are numerous vessels that supply food to the brain.

In the neck, there is a tight fit of the segments to each other. Therefore, even minor changes in them can provoke infringement and even displacement of the nerve roots and blood vessels.

In the absence of appropriate treatment of cervical osteochondrosis using physiotherapeutic procedures, the progression of the disease begins, which can contribute to the development of some complications:

Violation of visual function.
formation of hypertension.
Violation of cardiac functions.
Development of vegetovascular dystonia.
The coordination of movements is disturbed due to damage to the blood circulation in the brain.

Osteochondrosis of the cervical region in an advanced form can lead to the formation of complications in relation to the vertebral artery, which can cause a patient to develop a spinal stroke. This ailment favors the loss of motor ability, which is associated with disorders in the nerve fibers.

The sooner the patient begins to use physiotherapeutic procedures as therapeutic actions, the greater the likelihood of complete recovery, stopping degenerative processes in bone and cartilage tissue. If even minor symptoms of pathology are found, you should consult a doctor to determine therapeutic actions.

Principles of physiotherapeutic procedures for osteochondrosis of the neck

The use of physiotherapy for cervical osteochondrosis implies the choice of specific manipulations that will have an effect on the damaged area. During an exacerbation and deterioration of well-being, such therapy is not carried out. Otherwise, physiotherapy treatment contributes to:

elimination of painful manifestations;
stabilization of metabolic processes in the damaged area;
strengthening the immune system;
improve blood circulation in the cervical region of the spine;
normalization of motor functions.

Although physiotherapeutic procedures are only part of complex therapy, they play an important role in the cure of cervical osteochondrosis. Thanks to physiotherapy, the patient recovers faster and his well-being improves significantly.

Types of physiotherapy procedures in the treatment of osteochondrosis of the neck

As a component of complex therapy for osteochondrosis of the cervical region, the use of:

ultrasound;
shock wave therapy;
vibration massage;
myostimulation;
electrophoresis;
magnetotherapy;
detensor therapy;
laser therapy;
medical gymnastics;
balneotherapy;
acupuncture.

Let's get acquainted with each of the procedures in more detail.

Ultrasound

Ultrasound therapy is not very popular. The procedure is aimed at "massaging" the affected area by means of sound waves with special frequency. The device has an effect almost similar to electrotherapy, the only difference is that the procedure covers a smaller area and requires high costs.

Subsequently, it was found that the use of ultrasound contributes to the rapid penetration of drugs into the integument. This feature was used by doctors in ultrasound physiotherapy with drugs.

Most often, hydrocortisone is used for this procedure, since this agent (glucocorticosteroid), getting into the articular tissue under the action of ultrasound, helps to accelerate the recovery processes.

shock wave therapy

This is a relatively new physiotherapy procedure. In this regard, its effect on the damaged area has not been fully investigated. With osteochondrosis of the cervical region, shock wave treatment has an excellent result. The basis of the procedure is the effect of acoustic waves on the focus of inflammation or damage. This contributes to the improvement of microcirculation, as well as the restoration of metabolic processes. In addition, swelling is reduced and painful sensations are stopped.

Vibromassage

Conducting point vibration massage is carried out by a manual therapist. An important requirement is that the procedure be performed by an experienced specialist who will correctly calculate how to press on the pathological area.

During the massage of the affected area of the neck, a vibratory massager is also used. After the vibration massage, blood circulation improves, blood vessels dilate, pain sensations stop, and the patient's well-being as a whole stabilizes.

Myostimulation

Myostimulation is the most popular method of physiotherapeutic treatment of cervical osteochondrosis and other forms of pathology. A similar procedure involves the impact on the focus of electric shock.

Heat is created in the tissues, due to which blood circulation in the damaged area increases. Under the influence of myostimulation, an improvement in the patient's condition as a whole is observed. Although the procedure has its limitations. This applies to patients with pacemakers, as well as metal prostheses.

electrophoresis

Electrophoresis involves the use of point electrical discharges with a low frequency using novocaine, which are directed to the place of pain concentration. Through these discharges, muscle contraction occurs, due to which blood enters the inflamed muscles, novocaine is delivered to the required place. Under the influence of electrophoresis, painful manifestations are significantly reduced and damaged tissues are restored faster.

Magnetotherapy

The basis of magnetotherapy is magnetic waves, due to which, in the process of approaching the spinal column, the elements of the ridge and tissues located nearby are massaged.

Such a physiotherapeutic procedure does not always contribute to the cure. The effect of the course is due to some factors: the power of the waves, the physiological characteristics of the patient.

This procedure involves the use of a special simulator - a bed in which movable rollers are built in instead of a mattress. The mechanism is used to stretch the spine, thereby reducing pressure on the intervertebral discs. This kind of bed is used to improve muscle tone, restore blood circulation.

Thanks to this technique, a headache caused by pinching of blood vessels due to spasm of muscle tissue in the neck is eliminated. This treatment has no contraindications. In addition, detensor therapy can be used as a preventive measure for osteochondrosis of the spinal column.

Laser therapy involves the impact on the affected area with a special device that has a complex effect. Under the influence of the laser, biological processes are activated in the fibers of the central nervous system. The effect of the treatment appears quickly enough.

By means of a laser, pain, inflammation are eliminated, and wounds heal faster. The duration of one session of laser therapy is most often a maximum of 15 minutes. The duration of treatment in relation to pain points separately is approximately 2 minutes. Laser therapy is usually prescribed by a doctor only after a complete diagnosis of the patient.

Physiotherapy

Therapeutic exercises are recommended not only during illness, special exercises can be used as a preventive measure to prevent compression of the nerve fiber and displacement of the spinal segments in the future. The gymnastic complex is selected personally for each patient, taking into account the course of the pathology and individual characteristics.

The complex of physical therapy includes some simple exercises which can be performed at home. An important requirement is that during movements there should be no pain and discomfort. If the exercises are chosen incorrectly, the patient's condition may worsen.

Balneotherapy

This procedure is based on the use of applications for which healing mud and mineral waters are used. In the process of manipulation, nutrient substances penetrate into the pathological zone of the spinal column, affect the nerve endings and accelerate the recovery processes.

Balneotherapy involves the use of special baths, showers with mineral water and applications with healing mud or ozocerite. As a result, metabolic processes improve, the body is saturated with the necessary substances, and an acute inflammatory process is also removed.

Acupuncture is rarely used as a therapy and prophylaxis for osteochondrosis of the cervical column. This is due to the fact that each disease requires an individual approach. Acupuncture is a fairly serious procedure, which requires a thorough knowledge of the physiological characteristics of the human body, in this regard, it is not easy to find a doctor with sufficient experience.

What are the benefits of physiotherapy in the treatment of cervical osteochondrosis

The benefit of physiotherapy treatment lies in the direct effect on the affected area.

The main advantage is the beneficial effect on the focus of damage, as a result, the rest of the organs and systems remain intact (for tablet preparations, this effect is not typical).

An additional advantage is the focus of all physiotherapeutic methods of treatment on solving specific problems, as well as improving health in general. For example, when using hardware massage, not only the functions of the spine in the cervical region are improved, but the whole body is toned.

Although physiotherapy has some disadvantages. Such methods do not help and can even be harmful in severe pathology. For example, in the treatment of advanced osteochondrosis of the neck, vibromassage can provoke an increase in the gap in the fibrous ring.

Restrictions on physiotherapy procedures

Not every person with cervical osteochondrosis can be prescribed the use of physiotherapy procedures. There are certain limitations to such methods of therapy. These include:

pregnancy and breastfeeding - it is strictly forbidden to carry out almost all physiotherapy;
progression of cancer;
development of allergic or skin pathology;
the presence of mental disorders that do not allow the patient to withstand the manipulation (psychosis, epilepsy);
asthmatic condition;
if there is a built-in pacemaker;
in case of transfer in the recent past of a stroke or heart attack;
in the presence of serious renal, hepatic or cardiac pathologies;
if alcoholism is diagnosed;
in the presence of hypertension.

The use of physiotherapy procedures is prescribed by the attending physician, taking into account the diagnosed disease, symptoms, age category of the patient and existing comorbidities. Self-medication is strictly prohibited, as it can aggravate the disease.

Podolskaya M.A. Clinical analysis of the causes of complications of physiotherapy of the vertebral syndrome with neurological manifestations of lumbar osteochondrosis // Neurological Bulletin .. - T. XXVII, no. 3-4. - P.10-14

The use of physiotherapy for medical rehabilitation

Rehabilitation is such an impact on the body, as a result of which a person returns to the physical form lost during injuries, illnesses or an unhealthy lifestyle. Rehabilitation measures require great perseverance from the patient, and special knowledge from the doctor and, sometimes, the availability of special simulators.

Types of rehabilitation

Orthopedic- required after surgical interventions, ailments musculoskeletal system, diseases of the spine, posture errors.
neurological- is prescribed after operations affecting the nervous system, injuries, in violation of the state of the peripheral and central nervous system, paralysis, paresis, strokes.
Cardiorehabilitation- is prescribed for poor physical fitness, vascular ailments and heart disease, after heart attacks.

To restore muscles in a short time with atrophy, to restore tone and strength,
Normalization of the amplitude of movements in the joints after temporary immobility,
To shorten the period of cartilage recovery,
To activate peripheral blood flow, as well as metabolic processes in bones and muscles,
To improve mobility in the formation of adhesions and impaired muscle function,
To increase the tone of the body,
To reduce swelling and pain during sprains, joints,
To normalize the patient's condition after paralysis and stroke,
To normalize the state of the body after surgery, chemotherapy, etc.

In the course of rehabilitation, the processes of self-healing of the body are launched under the influence of therapeutic factors.

Physiotherapy methods

The recovery period is reduced, as the effect of other therapeutic methods increases,
Does not cause allergies
The effect of taking medications is activated,
Exacerbations in chronic diseases are less common,
Does not cause dependence on medications
The healing effect is mild
Almost all techniques are non-invasive.

Various therapies have been used by people since ancient times. Today's most significant trends are:

thermal effect,
laser therapy,
Myostimulation,
electrophoresis,
diadynamic therapy,
Phonophoresis,
Kinesitherapy.

Some areas are in contact with balneology, biochemistry, biophysics and radio engineering.

LFK - physiotherapy exercises is a very effective method of rehabilitation used in rheumatology, cardiology, traumatology, neurology. You should not engage in physiotherapy exercises without a doctor's prescription, since exercises with swelling and pain can lead to microtrauma, hemorrhage, and a deterioration in the general condition.

After the end of physiotherapy sessions, it is effective to apply absorbable techniques, for example, ultrasound, magnet, laser, heating. Various electrical stimulations are also prescribed.

Balneology is divided into balneology, mud therapy, climatotherapy ( thalassotherapy). As factors of influence, such types as: healing waters, mud, bathing in the sea, climate, sunbathing are used.

Rehabilitation after injuries

Even successful treatment may not be effective if competent rehabilitation measures are not taken. One of the main places in recovery after injuries is physical activity. It should be very clearly dosed and carry a specific goal. Thus, recovery processes are stimulated, the movement of blood and lymph in the damaged organ improves.

Rehabilitation can begin even before the fracture is fully healed, sutures or plaster are removed. Moreover, the best results are achieved with the earliest possible start of physiotherapy procedures. Control over the course of procedures should be carried out by an orthopedic traumatologist.

After a stroke

To activate blood flow in the brain, electrophoresis with vasoconstrictive drugs, pearl, coniferous and sea baths, and magnetic procedures are used. Baths are prescribed no earlier than six months after the stroke.

Classes can be started from the 2nd day after the stroke with the treatment position. The patient lies on his back, every 3 hours he should be shifted to a healthy side and after 3 hours back. After the patient's condition stabilizes, you can begin classes under the guidance of a physiotherapy doctor.

For joint recovery

The use of heat reduces the stiffness of the affected joint in the morning,
With the help of ultrasound, it is possible to carry out micromassage of the diseased joint and adjacent tissues,
With the help of electrical stimulation, the movement of blood and lymph improves, more nutrients and oxygen enter the joint,
Even an already sore joint should work, so the exercise therapy doctor prescribes exercises and a schedule of classes.

One of the methods of restoring the affected joints is manual therapy. To date, sparing techniques are more common, which primarily affect the soft tissues adjacent to the affected joint. Manual therapy activates metabolism, inhibits degenerative processes, relieves pain, accelerates recovery processes. This method does not cause complications, it is safe. Often combined with massage, which before the session manual therapy relieves tension and warms up the muscles.

After trauma and spinal surgery

Effective and water massages, which are divided into manual and hardware. Manual massage does not differ from the usual classic, but is done in water. The hardware is divided into water jet, underwater and pneumomassage.

After myocardial infarction and heart surgery

2. Convalescence, which must be carried out in special sanatoriums or rehabilitation centers,

3. Maintenance is the whole life of the patient after discharge.

Electrosleep for up to two hours is used, heparin electrophoresis is used to prevent the occurrence of blood clots. These methods also relieve pain, inhibit the process of tissue necrosis.

Electroanalgesia is also sometimes prescribed to relieve pain.

From the 10th day after a heart attack, a foot massage is already prescribed, lasting first 2 minutes and subsequently up to 5 minutes for each limb. This will help normalize the outflow of venous blood, improve peripheral circulation, prevent the formation of blood clots, and create conditions for the introduction of exercise therapy exercises.

First of all, walks, exercise therapy, therapeutic walking, as well as sulfide, radon and carbon dioxide baths for the limbs, and foot massage should be introduced.

To restore the nervous system, the use of massage, therapeutic exercises, galvanic collars is shown.

Massage of the heart area is prescribed for cardialgia, and massage of the reflexogenic zones ( left shoulder blade and left upper limb) leads to the regulation of heart rate.

The use of electrophoresis relieves pain, soothes. Panangin, gangleron, bromine, magnesium, potassium are administered with electrophoresis.

To restore the functioning of the organs of vision

2. infrared laser. A low-intensity laser is used, which is safe for the eyes and does not heat the tissue. It has a beneficial effect on cell membranes, improving eye trophism, normalizing blood circulation in the vessels of the eyes and relieving inflammation. The laser enters the eye through the pupil on the ciliary muscle. Increases visual acuity, strengthens the eye muscle.

3. Color impulse stimulation- light impulses act on the receptors of the retina and the cornea of the eye. Exposure to red and orange colors improves vision, increases the sensitivity of color receptors. Green color reduces intraocular pressure, promotes the regeneration of the biorhythm of the visual analyzer, improves the movement of blood and lymph. Blue color relaxes, improves sleep.

With inflammation of the lungs

2. Diathermy- is prescribed for a protracted illness. Sessions every day for 10 - 25 minutes from 8 days from the onset of the disease. Carry out no more than 10 procedures.

3. electrophoresis- used with a solution of copper sulfate, calcium chloride, magnesium sulfate, novocaine, sodium bromide, it can also be done with antibiotics - streptomycin or penicillin.

With bronchial asthma and bronchitis

Low frequency ultrasound is used to relieve obstruction.

A very effective method of restoring the body in bronchial asthma and bronchitis is speleotherapy - salt rooms.

After removal of the gallbladder

1. Position: lying on your back. Bend your legs at the knees, spread your knees, bring them together. Repeat 4 to 6 times. Do it slowly. If the exercise causes pain, stop.

2. Starting position: lying on your back. Press your palms to your sides, move along the body up to the armpits and down. Repeat 3-4 times.

3. I.P. Same. Bend the right leg at the knee and bring it to the chest, stretch the leg and put it on the bed. Repeat with the left leg. Do 2-3 times with each limb. Do not rush, if it hurts - cancel.

4. Lie on your back, lean on your elbows and head. Bend up the chest, relax. Do it slowly a few times. If it hurts, cancel.

5. The starting position is the same. Raise your legs and arms at the same time. Do 6 to 8 times slowly. Pain should not be felt.

With diabetes

The most commonly used methods are ultrasound and electrophoresis.

In frequently ill children

Rehabilitation of athletes

During rehabilitation, it should be taken into account that the athlete must continue to be in good physical shape,
It is necessary to restore the functions of the injured limb as quickly as possible,
It is necessary to psychologically support in the athlete the desire to train,
It is necessary to combine treatment with training.

For this, exercise therapy methods are widely used: exercises for general strengthening, exercises to restore the functions of a damaged organ, exercises of the training plan.

Warming up with healing mud, paraffin, peat, ozocerite improves breathing, dilates blood vessels, relieves inflammation, desensitizes, helps to dissolve edema, accelerates tissue repair.

After the massage, they begin to develop the diseased limb. Self-massage is also helpful. At first, all movements for development are carried out in a light mode, for example, straps, rollers and blocks are used to flex and extend joints.

Stretching exercises are introduced: passive, active and active-passive.

For this, along with the methods already listed, weight training is used. The burden gradually increases, the load increases.

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Physiotherapy is stronger than pain

After an active summer holiday and intensive work in the garden, we remember our joints and spine. Rather, they remind themselves of themselves. Autumn is traditionally considered a time of exacerbations of arthritis, arthrosis and osteochondrosis. When the knees swell, the foot hurts when walking, or the lower back aches, citizens run to pharmacies. And it would be necessary - to the physiotherapist. What is the difference between a pill and a physiotherapy treatment and what myths about physiotherapy are delusions, says Alexandra Moiseenko, a physiotherapist at the Panorama Med medical center.

Alexandra Valerievna, what happens to bones and joints in autumn?

Old injuries and chronic diseases are aggravated after increased physical exertion in the summer and as a result of the autumn hypothermia. Moreover, not only large joints become inflamed - knee and hip, but also small ones - on the hands and feet. And of course, osteochondrosis shows itself and spinal hernias “crawl out”.

At the same time, many people prefer to take pills, considering physiotherapy treatment as side and not serious. Why such distrust?

I think that the effect of the pill is much faster, I took it and after a while the pain disappeared. And the fact that it will reappear tomorrow does not bother a person at this moment. As well as the fact that all non-steroidal anti-inflammatory drugs and analgesics have a strong side effect on the stomach and kidneys. For those who have gastritis and ulcers, these drugs are strictly contraindicated. Even administered intramuscularly, they give strong side effects, not to mention allergic reactions. Well, physiotherapy, of course, takes time and patience. But this method of treatment practically does not give side effects and allergic reactions, and its effectiveness is much higher.

What is the difference between the effect of a drug and the effect of physiotherapy?

Not a single pill affects the cause of inflammation and pain, but eliminates the symptom. Entering the body through the mouth, the medicine spreads everywhere, and physiotherapy is aimed at a specific inflamed organ. Such a targeted effect does not give side effects. If we inject the same drug by electrophoresis, then it is localized in a certain place and will not enter either the stomach or the kidneys. At the same time, its dosage is several times less than in a tablet. Therefore, neither an ulcer nor gastritis is a contraindication to physiotherapy. In addition, physiotherapy treatment is multicomponent. For example, in case of osteochondrosis, we prescribe either SMT therapy or diodynamotherapy - a pulsed current, which, in addition to the analgesic effect, also has an anti-spastic and anti-inflammatory effect.

Perhaps the natural factors used in physiotherapy do not really convince patients that such a treatment can be highly effective?

There are many methods of physiotherapy, and all of them are really based on natural factors - these are solar radiation, heat, magnetic and electric fields. However, the power of nature should not be underestimated. Volumes of physiotherapeutic effects are calculated with no less accuracy than dosages medicines. Physiotherapy can be seriously harmed if used inappropriately or incorrectly. And at the same time, with its help, you can achieve high results in treatment, much more effective and long lasting.

But are patients right that physical therapy should not be expected to have an immediate effect? How long can this treatment be?

It is impossible to cure with physiotherapy in one session. The minimum course of treatment is five procedures, but usually we prescribe about ten. During each procedure, we act on the diseased organ with minimal doses, so the therapeutic effect accumulates and increases with each procedure.

Is it possible to skip a few days and continue the physiotherapy treatment again?

In no case. The break between procedures can be no more than three days, otherwise you will have to undergo treatment again.

People are often frightened when, after several procedures, their condition worsens. Some even drop out of treatment, blaming the doctor or the physical therapy itself for not helping them. What is really happening?

This is a normal reaction of the body, because any physiotherapy procedure increases blood flow to the sore spot and a person experiences subjective sensations of increased pain. But over time, these sensations decrease and pass. In addition, the positive impact of physiotherapy techniques continues for one to three weeks after the end of the treatment course. Therefore, it is not worth losing faith in physiotherapy, and even more so not trusting the doctor.

How wide are the possibilities of physiotherapy? For example, if the joint is very swollen and unbearably sore, do you still need to contact a physiotherapist, and not run for a pill?

Of course, because the method and volume of exposure is selected individually. And even with advanced arthrosis, we can choose a technique that will help a person get back on his feet and forget about pain. When choosing a method of treatment, the doctor focuses not only on the degree of inflammation of a particular organ or joint, but also on the general condition of the body and the presence or absence of concomitant diseases. We meticulously ask the patient if he had injuries, if he has a cold and fever at the moment. For some reason, many people hide these symptoms and consider them insignificant. But even a slight bruise of the head can provoke a displacement of the vertebrae in cervical region spine, and this in turn is a contraindication for certain types of physiotherapy.

Does this mean that there are contraindications?

Of course they do. But for different types physiotherapy. In this case, you can choose such a treatment or such dosages that will be absolutely safe for the patient. After all, there are a lot of physiotherapy methods. For example, we will never prescribe pulsed currents to a patient who has uterine fibroids. But in this case, you can use a local effect on the diseased organ (with the exception of the lower back) with direct current. An absolute contraindication to physiotherapy is only oncology. You can not perform these procedures in violation of blood clotting and febrile conditions with a body temperature above 37.5 degrees.

Can I immediately contact a physiotherapist or do I need to first visit a therapist, traumatologist or other specialist?

Usually, specialists refer patients with a certain diagnosis to me. After all, a person himself can guess and assume, but is unlikely to assess his condition correctly. I, as a physiotherapist, in turn, myself often refer my patients to consultations with other doctors to clarify the diagnosis. For example, a woman comes to me with complaints of back pain. She is sure that she has osteochondrosis, and the neurologist confirmed this diagnosis. But I need to make sure she doesn't have uterine fibroids, which often happens with back pain. So I suggest she go to the gynecologist. After all, it depends on the choice safe method treatment. Or the patient has a lot on his back birthmarks that fall into the zone of physiotherapy. I'll ask him to see a dermatologist to make sure it's not cancer.

Women often prescribe a massage for themselves, considering this procedure to be completely harmless and purely health-improving, correcting the figure. It is right?

Massage also has contraindications, so it can play a bad role if a person hides a disease from a doctor, the same fibroid. I had a case when a girl came for a massage, believing that she had osteochondrosis of the lumbar. Our experienced masseuse was alert and called the doctor. It turned out that the patient had frequent urination and even had a fever the day before. They sent her to a urologist who found kidney stones. If it were not for the vigilance of the masseuse, massage could provoke increased pain and even renal colic and, as a result, hospitalization.

Is a spinal hernia a contraindication for massage?

This is a common misconception. A hernia is perfectly treated with massage, but in this case we use gentle techniques. Osteopathic and acupressure massage will be useful here, but deep massage is really contraindicated. Turning to a physiotherapist, it is very important to know exactly your diagnosis and not to hide concomitant diseases from the doctor. Then physiotherapy treatment will be of great benefit.

Electrophoresis has found wide application in various fields of medicine. The method is used for the treatment of pathologies of the cardiovascular system, with hypertension, hernias of any part of the spine, arthritis, inflammation of the upper respiratory tract, gynecological diseases, etc. Side effects of electrophoresis in adults are rare, mainly when the doctor's recommendations are not followed and in the case of an individual reaction for the drug.

Benefits of physiotherapy

Electrophoresis is prescribed not only for adults, but also for newborns for the treatment of many pathological conditions. Its therapeutic effect is multifaceted:

analgesic effect;
inhibition of the inflammatory process;
reduction of puffiness;
normalization of blood circulation;
stabilization of the nervous system;
improvement of metabolic processes.

The introduction of drugs into the body in a physiotherapeutic way has several advantages compared to injections or oral administration. Benefits of physiotherapy:

the concentration of the necessary substance is created at the injection site, with the formation of a "subcutaneous depot";
local impact;
delivery of the drug in active form;
painless and non-invasive procedure.

The concept of an allergy to electrophoresis is incorrect. Side effects in the form of redness, itching, rashes are the result of an allergic reaction to a specific medication. It is possible to reduce the risk of such complications by carefully considering the absolute and relative contraindications to a particular procedure. Otherwise, the symptoms may worsen, the rash may itch. Without adequate therapy, the effect of electrotherapy will be negative.

During electrotherapy, there should be no abrasions, scratches, cuts, rashes, moles and birthmarks at the place where the pads come into contact with the medicine. If they are available, the physiotherapist will select the technique in such a way as to avoid affecting these zones.

Electrotherapy rules

Before starting a course of therapy, you need to make sure that the patient is not allergic to the drug. In addition, it must tolerate the effects of galvanic current well.
The essence of the method is the intake of the necessary medicines through the skin, bypassing the gastrointestinal tract. The list of products allowed for use during electrophoresis:

penicillin antibiotics;
vitamins;
lidocaine, novocaine;
chemicals (potassium, copper, iodine, zinc).

Depending on the lesion, electrophoresis is applied to the lumbar region, joint (leg, arm), and abdomen. If the lower abdomen hurts after electrophoresis, most likely, the session was performed during an exacerbation of the disease. Red spots after electrophoresis indicate an allergic reaction to the drug.

For effective action, minimal concentrations of medicinal substances are sufficient. Solutions are prepared immediately before use. They can be stored for up to 7 days. Solution concentrations:

iodine, calcium, potassium - 1-10%;
copper, zinc - 0.1%;
novocaine - 1 g dissolve in 100 ml of 0.5% soda solution.

If the allowable values are exceeded, a burn may occur after electrophoresis.

Indications for electrophoresis in newborns

A physiotherapy procedure for a baby can be prescribed for musculoskeletal pathologies, neurological disorders, diseases digestive tract, stomatitis, birth injuries, to speed up rehabilitation after surgery. This technique is safer for the health of the child than injecting drugs. Depending on the localization of the pathological process and the place of attachment of the electrode, a rash after electrophoresis in infants may appear on the neck, lower back, chest, and in the joints.

To prevent irritation after electrophoresis, contraindications must be taken into account:

kidney or heart failure;
blood clotting disorder;
the presence in the history of the disease of an allergy of any nature;
skin rashes;
acute infectious process.

Red spots after electrophoresis in infants are a reaction of the skin. If they appear after a while after the procedure, a doctor's consultation is necessary. In this case, the method of drug administration must be changed to another.

The choice of drug is influenced by the diagnosis of the child. Most often, doctors prescribe:

eufillin for joint dysplasia, muscle hypertonicity;
calcium for fractures and frequent bleeding, gingivitis;
magnesia for the treatment of pathologies of the respiratory tract, with pain and jaundice;
papaverine to eliminate spasms of a different nature;
dibazol for neurological disorders;
lidase in case of diseases of the organs of vision.

It should be noted that the drug and its concentration is determined only by a doctor.

Pain after electrophoresis can occur with the interstitial method of administering the drug due to injections. During the procedure and after it, you need to monitor the child so that there are no unwanted reactions: rashes and irritations. You may also experience shortness of breath or a coughing fit. Such a side effect as red spots sometimes occurs due to the high mobility of the child.

An allergic reaction to drugs can be instantaneous or appear after a while. Its main symptoms are a rash in the form of blisters all over the body, hives, and increased heart rate. In this case, the treatment is stopped.

Types of medicinal physiotherapy

Electrophoresis with caripain is prescribed for the treatment of herniated intervertebral discs and curvature of the spine. The effect of the procedure is analgesic and decongestant. After completing a course of physiotherapy, the strength and elasticity of the intervertebral disc increases. Physiotherapy is well tolerated, does not cause unwanted reactions.

To avoid negative consequences, during the first session, the dosage should be minimal.

Contraindications for carrying out:

oncological formations;
violation of the integrity of the skin;
heart and kidney disease.

Sometimes at the end of the procedure, the patient may feel discomfort and pain, these phenomena are short-term, they do not need to be treated. With extreme caution, electrophoresis should be carried out at home. Prolonged pain after electrophoresis indicates intolerance to the drug.
Electrotreatment with dimexide is indicated for the following diseases:

pain syndrome in osteochondrosis;
"pinched" nerves.

The procedure is used when traditional medical treatment is impossible due to gastric ulcer and duodenal ulcer. To avoid the appearance of irritation after electrophoresis and other side effects, it is not carried out in some cases:

with an allergy to dimexide;
in the third trimester of pregnancy;
with somatic diseases in the stage of decompensation;
in old age;
in the presence of wounds on the surface of the skin.

A weak concentration of the substance (5-10%) ensures the safety of the physiotherapy. According to patients, it is painless and side effects are extremely rare.

Physiotherapy treatment can be used as a primary and secondary procedure, depending on the indications for use. If the doctor has prescribed a course of electrophoresis, do not skip sessions and follow the recommendations to speed up recovery.

When the knees swell, the foot hurts when walking, or the lower back aches, citizens run to pharmacies. And it would be necessary - to the physiotherapist. What is the difference between a pill and a physiotherapy treatment and what myths about physiotherapy are delusions, says Alexandra Moiseenko, a physiotherapist at the Panorama Med medical center.

Alexandra Valerievna, what happens to bones and joints in autumn?

At the same time, many people prefer to take pills, considering physiotherapy treatment as side and not serious. Why such distrust?

What is the difference between the effect of a drug and the effect of physiotherapy?

Perhaps the natural factors used in physiotherapy do not really convince patients that such a treatment can be highly effective?

There are many methods of physiotherapy, and all of them are really based on natural factors - these are solar radiation, heat, magnetic and electric fields. However, the power of nature should not be underestimated. The volumes of physiotherapeutic effects are calculated with no less accuracy than the dosage of drugs. Physiotherapy can be seriously harmed if used inappropriately or incorrectly. And at the same time, with its help, you can achieve high results in treatment, much more effective and long lasting.

But are patients right that physical therapy should not be expected to have an immediate effect? How long can this treatment be?

Is it possible to skip a few days and continue the physiotherapy treatment again?

In no case. The break between procedures can be no more than three days, otherwise you will have to undergo treatment again.

How wide are the possibilities of physiotherapy? For example, if the joint is very swollen and unbearably sore, do you still need to contact a physiotherapist, and not run for a pill?

Of course, because the method and volume of exposure is selected individually. And even with advanced arthrosis, we can choose a technique that will help a person get back on his feet and forget about pain. When choosing a method of treatment, the doctor focuses not only on the degree of inflammation of a particular organ or joint, but also on the general condition of the body and the presence or absence of concomitant diseases. We meticulously ask the patient if he had injuries, if he has a cold and fever at the moment. For some reason, many people hide these symptoms and consider them insignificant. But even a slight bruise of the head can provoke a displacement of the vertebrae in the cervical spine, and this, in turn, is a contraindication for certain types of physiotherapy.

Does this mean that there are contraindications?

Of course they do. But for different types of physiotherapy. In this case, you can choose such a treatment or such dosages that will be absolutely safe for the patient. After all, there are a lot of physiotherapy methods. For example, we will never prescribe pulsed currents to a patient who has uterine fibroids. But in this case, you can use a local effect on the diseased organ (with the exception of the lower back) with direct current. An absolute contraindication to physiotherapy is only oncology. You can not perform these procedures in violation of blood clotting and febrile conditions with a body temperature above 37.5 degrees.

Can I immediately contact a physiotherapist or do I need to first visit a therapist, traumatologist or other specialist?

Usually, specialists refer patients with a certain diagnosis to me. After all, a person himself can guess and assume, but is unlikely to assess his condition correctly. I, as a physiotherapist, in turn, myself often refer my patients to consultations with other doctors to clarify the diagnosis. For example, a woman comes to me with complaints of back pain. She is sure that she has osteochondrosis, and the neurologist confirmed this diagnosis. But I need to make sure she doesn't have uterine fibroids, which often happens with back pain. So I suggest she go to the gynecologist. After all, the choice of a safe method of treatment depends on this. Or the patient has a lot of birthmarks on his back, which fall into the zone of physiotherapy. I'll ask him to see a dermatologist to make sure it's not cancer.

Women often prescribe a massage for themselves, considering this procedure to be completely harmless and purely health-improving, correcting the figure. It is right?

Is a spinal hernia a contraindication for massage?

Magnetotherapy. Contraindications for use

What are the contraindications to the use of magnetotherapy?

If you are interested in magnetotherapy and want to learn more about it, read this article and the medical board of tiensmed.ru (www.tiensmed.ru) will try to tell you about it.

If you decide to start a course of magnetotherapy, or purchase a device for home magnetotherapy, you should know that there are people who are strictly forbidden to be treated with this method. And there are such categories of patients who should carry out magnetotherapy only under the supervision of doctors.

Reviews

Here's my story for you. I am 22 years old. At the age of 14, something strange happened to my body (I felt arrhythmia and causeless fatigue). At the age of 16, I began to realize that I was getting dumber. Yes Yes. The worst was ahead. At the age of 18, I began to forget everything on the go + to this, I felt that my nervous system lives on its own (((. I was put on an vsd. Doctors say that everything is fine with me (and the fact that I came up with all these sores). How you know all diseases from nerves.I have already decided to face the fact that I will never be who I was before.But after the mri after 1 day I recovered!!How?I just felt healthy for a week.It was the most pleasant feeling when you are healthy.)) I bought Almagi in a month and I was completely cured. It is not clear what I was sick with when all the tests indicated the fact that I should at least go to kasmonafty. Simply, miraculously and inexplicably, I became healthy. So there is no harm from magnetotherapy Here is my experience.I advise everyone to buy this device, it costs a penny, but everyone needs it, even a healthy person who protects himself.

Relief comes after rubbing into the joints and muscles of creams and balms from the series "Your Rescue Service 911" with extracts of comfrey, cinquefoil and chondroitin.

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Worse after physiotherapy (back pain)

List of posts in the topic "Deterioration after physiotherapy (back pain)" of the forum Beauty, health, recreation > Medicine and health

This is fine? Maybe it's like with muscles - if you give them a load more than usual, then they start to hurt?

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WORSE CONDITION AFTER PHYSIOPROCEDURES

The therapist canceled the procedures and prescribed Nanoplast and Iboprofen. After canceling the procedures it got better.

Can there be deterioration from physiotherapy? Whether such treatment is appropriate or whether additional research may be needed, because. for all the time the improvements were only 2 days.

What is magnetotherapy - indications and contraindications, treatment with magnets

Magnetotherapy - what it is, indications and contraindications, the use of this subsection of physiotherapy in medicine, how this procedure goes, what devices are there for treating magnets - that's what we'll talk about today on the alter-zdrav.ru website.

Currently, medicine offers a huge number of physiotherapy procedures that help to cope with diseases. However, magnetotherapy is a time-tested method of alternative medicine. Despite the fact that the procedure has a positive effect on the body, it is prescribed only on the strict prescription of the attending physician. We will learn about the indications and contraindications of magnetotherapy from the article.

On the effect of a magnet on the body

The magnetic piece of iron was first found in the city of Magnesia, which is located in Asia. At first it was used to make compasses. In historical reports from the records of Hippocrates, it was mentioned that the magnet was used to treat inflammation, constipation and had a hemostatic effect.

In China, healers used a magnet to restore energy balance, applying them to certain points. Now a similar method is used as a physiotherapeutic procedure for the treatment of certain diseases.

Iron ore was also used to treat epileptic seizures.

A professor from Austria, Mesmer, studied the effect of a magnetic field on the human body. It was found that magnets can heal diseases of different directions. Therefore, magnets began to be worn as pendants and bracelets, and were also inserted into belts.

Cleopatra used a magical item to preserve beauty and youth. And the monks in Tibet activated brain processes with iron ore. In Russia, the United States, a magnet is still used in official medicine.

Magnetotherapy - what is it, the beneficial properties of the magnetic field

What is the benefit of magnetotherapy?

Magnetic therapy involves the impact of a magnetic field on the body in order to treat many pathologies.

The most commonly prescribed magnetotherapy for joints, after fractures, with osteochondrosis of the spine, in gynecology for relief pain syndrome, resolving effect and anti-inflammatory action in endometritis, uterine myoma, endometriosis, prostatitis.

There are 2 types of magnetic fields:

In this case, the therapy is divided into: local and general. During local treatment, the magnetic field affects certain areas of the body. For example, the knee joint or the spine.

And general therapy has an effect on the whole organism as a whole for preventive treatment.

Each magnet has positive and negative poles. The effect on the body depends on the pole.

raises the general tone of the body;
improves the acid-base composition of the body;
increases the development of beneficial bacteria in the body;
improves intellectual activity;
increases efficiency;
treats inflammatory processes.
has an analgesic effect;
effectively relieves inflammation;
reduces the rate of bacterial growth;
promotes alkalization of the body;
lowers the level of acidity of gastric juice;
has a calming effect on the nervous system;
increases the elasticity of blood vessels;
has a hemostatic effect.

Magnetotherapy - benefits and harms to the body

Therapeutic effect of magnetotherapy - indications

When applying this physiotherapeutic method of treatment, patients observe the following positive effects:

metabolism improves, which helps to regulate excess weight and reduce body fat;
blood hemoglobin begins to more effectively enrich tissues with oxygen;
proper contraction of blood vessels to cleanse the body of toxins;
the water-salt balance improves, swelling disappears;
improves the quality of blood vessels and nerve fibers.

Magnetotherapy is prescribed in the presence of the following diseases:

osteochondrosis;
diabetes mellitus;
with burns, fractures, injuries, cuts;
cardiovascular diseases;
pathologies of the gastrointestinal tract;
circulatory problems;
after operations;
with diseases of the central nervous system;
hypertension;
tuberculosis;
bronchitis, pneumonia;
dental pathologies;
asthma.

How is the physiotherapy of magnetotherapy performed?

The essence of magnetotherapy is the direction of special equipment that directs the magnetic field to the desired point. The procedure is considered quite simple and painless.

If magnet therapy is prescribed in a hospital ward, the nurse will place and connect the device herself. Usually the patient is asked to lie down on the couch and sit comfortably. The health worker herself sets the necessary parameters recommended by the attending physician.

The first session lasts about 5 minutes. In subsequent sessions, the time increases, up to a maximum of 20 minutes.

The magnetic field penetrates through any fabric of clothing and even through plaster. Modern devices are widely functional and combine 2 procedures at the same time: magnetotherapy and electrophoresis.

If the patient undergoes the magnetotherapy procedure at home, then the device will be easier to use so that people without medical education can use it.

Basic rules for the magnetic therapy procedure:

it is not recommended to attend therapy if you feel unwell;
therapy should be completed in a course of 5-10 sessions at the same time every day;
It is recommended to have a snack an hour before the session;
It is forbidden to take alcohol and smoke during the course.

Devices for magnetotherapy

For treatment with magnets, the following medical equipment is used:

stationary apparatus for general magnetic therapy;
portable device;
various accessories with built-in magnets.

Each device has its own functional features. Modern devices are equipped with various functional delights. Accessories must be worn as prescribed by a doctor based on their disease.

Magnetic therapy contraindications - harm

Despite the fact that magnetic field treatment is popular and has been used in medicine for many years, there are a number of contraindications to the procedure. It is forbidden to attend physiotherapy in the presence of the following diseases:

developed hypotension;
tendency to bleed;
severe heart disease;
if there is a pacemaker in the heart;
with benign and malignant tumors;
CNS disorders, schizophrenia;
pregnancy, breastfeeding;
myocardial infarction;
stroke
arrhythmias;
aortic aneurysm;
hyperthyroidism;
weak immunity;
children under 1.5 years old;
heart failure 2-3 degrees;
thrombosis;
elevated temperature, fever.

Magnetotherapy is prescribed to women during the gestational period only if there are risks of fetal death and the procedure is necessary. It is not recommended to undergo the procedure in case of violation of blood clotting, problems with hematopoiesis, thrombophlebitis.

Magnetotherapy promotes changes at the cellular level, enhances biochemical activity, activates the supply of oxygen to organs. At the procedure big list grateful healthy patients.

Magnet treatment has an effect on pain relief, strengthens the immune system, and normalizes the nervous system. The main advantage is the ability to use magnetotherapy at home.

Despite this, the effectiveness of this method of treatment in Europe is now being questioned, considering it insufficiently effective. But as a preventive procedure, it is recommended to use it together with the main treatment process.

If not alternative ways treatment, you can use magnetotherapy. However, this technique should not be chosen as the only way to cure an existing disease. It can be used as an addition to the main procedures.

Magnetotherapy helped me well when developing a hand in a joint after a complex fracture.

I am undergoing a course of magnetotherapy in the district clinic. I am suspicious of the operation of the device, because it is very cracking.

When asked if he was working properly, the health worker said that everything was fine. Don't want to hurt yourself. Please tell me, is the noisy operation of the device acceptable or is it a violation in its operation?

You see, Valentina, the perception of noise is different for everyone, but, in principle, the magnetotherapy apparatus should not make much noise - the range is from almost inaudible operation to slight crackling, sometimes there is also a sensation of vibration (depending on the specific apparatus).

I bought the AMT-01 device. I went through a course of procedures for the second time. I don’t know if this is a coincidence, but I have a feeling that after them I feel worse (pain worsens). I have big problems with my spine, with joints (osteochondrosis, deforming arthrosis cervical and lumbosacral). Is this possible?

It happens that a person has intolerance to some kind of therapeutic effect, even if it helps everyone around. Try to remember - did your exacerbation go on only after the first magnetotherapy procedures (often happens), and then it got better or clear after the entire course and only got worse in both times of application? If it is the second option, then it turns out that the effect of the device is not suitable for you.

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Who doesn't want to be healthy?

Probably, there will not be a single person who proudly shouted in response: "I am." Just the opposite situation is observed, everyone wants to be healthy, every holiday they make toasts with appropriate wishes, they consider health to be the main value in our age.

But nevertheless, they do not cherish, miss, lose ...

Years flash by, education, career, family, children.. Diseases.. Regrettably, but over the years we almost inevitably acquire diseases. Which very quickly progress, become chronic, lead to premature old age. Well, we can go no further...

However, I'm not here to sigh on a virtual mound and read a dying epilogue to us all!

You can start fighting, changing life for the better at any stage. And at 30, and at 40, and at 60 .. Simply, the possibilities in this struggle will be different.

Let everything go by itself? Or every day, systematically do something for your precious health. Let a little bit, half a step! But it will be a movement that will actually happen.

If you don’t do anything for years, and then on one Monday you start all at once - do exercises, go on a diet, start leading a healthy lifestyle, then I can upset you .. You won’t be enough for a long time. 97% of all beginners give up this “failed” activity by the end of the week. Everything is too sharp, too much, too scary .. Change everything ..

But you and I will not be globalists doomed to failure, we will take care of our health little by little, but every day.

Let's get healthier, shall we? Not tomorrow.. Not from Monday.. But here.. And now!

On the site alter-zdrav.ru you will find many effective and affordable ways and methods to improve your own health at home. We are considering treatments

with the help of massage (mostly acupressure, which allows you to help yourself on your own),
exercise,
therapeutic fasting,
hirudotherapy (treatment with leeches),
apitherapy (treatment with bees and bee products).
There are also methods of treatment of mummy, pet therapy, herbal treatment.

Particular attention is paid to proper (rational nutrition) and the personal experience of the author, who has tested most of the methods described here.

Alternative medicine provides an alternative to medical officialdom, allows a person to find their own methods of treatment without drugs, cleanse their body of toxins, toxins and excessive stress (we remember the hackneyed truth that all diseases are from nerves).

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