Electrical currents are widely used in physiotherapy. Changes in their parameters can diametrically influence the mechanisms of action and the observed effects on the body.

High frequency currents in physiotherapy

Currents used for medical purposes are divided into low, medium and high. High frequency current is detected at frequencies greater than 100,000 hertz.

High frequency currents are generated by special equipment and are applied without direct contact with the patient. An exception is the local darsonvalization method, which uses high-frequency currents through special electrodes on the body.

Many physiological effects of HF currents are based on the formation of endogenous heat in tissues. High-frequency currents cause small vibrations at the molecular level, resulting in the release of heat. This heat acts at different depths in the tissues, and the effect lasts for some time after completion of the procedure.

Application of RF currents in medical practice

The effect of high-frequency currents on the central nervous system is sedative and on the autonomic system - sympatholytic; in general, HF currents have a relaxing effect on the nervous system. The same can be said about their effect on the smooth muscles of the bronchi, where the antispasmodic effect is combined with an anti-inflammatory effect.

HF currents are indicated for pain syndromes such as neuralgia, neuritis, radiculitis, etc. The analgesic effect is due to an increase in the pain threshold of skin receptors and inhibition of the transmission of pain signals through nerves.

Procedures using high-frequency currents are effective for slow tissue healing in wounds, bedsores and trophic diabetes. This mechanism of action is associated with the induction of endogenous vasodilator heat. In spastic conditions such as Buerger's disease or Raynaud's syndrome, HF currents can also relieve some symptoms.

In another case, the effect of high frequency currents on blood vessels is tonic and is used in the treatment of varicose veins and hemorrhoids. Sometimes the bactericidal effect of high-frequency currents is used to treat infected wounds. The bactericidal and antimicrobial effect of HF currents has indirect mechanisms that increase local blood flow, stimulate and accelerate the phase of the inflammatory process.

Contraindications to the use of all types of currents in medicine are large metal objects in tissues, implanted pacemakers, pregnancy, a tendency to bleed, and some others.

Ultra-high frequency currents

Ultra-high frequency currents are another group of high-frequency currents. They also work on the principle of generating endogenous heat and targeted activation of metabolism in certain tissues. Their action is used in response to a wide variety of pathological processes. The duration of one procedure is on average 10-15 minutes, and courses vary in length depending on the result achieved.

Irradiation of the kidney with ultra-high frequency currents in acute and chronic glomerulonephritis produces a vasodilating and anti-inflammatory effect, acting on blood vessels, and increases diuresis. On the other hand, radiation to the adrenal glands naturally stimulates the production of corticosteroids and is used in the treatment of some autoimmune diseases.

The third group of high-frequency currents used in medicine is centimeter high-frequency currents. Microwave waves affect blood, lymph and parenchymal organs. Centimeter waves have a depleted effect 3-4 centimeters deep into the body surface.

The principle of operation of all types of high-frequency currents is associated with the formation of endogenous heat. The latter has different effects on different organs. The difference between the currents in frequency determines the depth of heat penetration into the body and the preference for treating a certain type of tissue, with more or less water content. Treatment with HF currents must strictly correspond to the type of pathology, location and type of tissue.

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Low frequency currents in physiotherapy

Low frequency current is defined from one to 1000 hertz. Within this range, depending on the frequency, the effects of LF currents differ. Most medical equipment uses low frequency currents with a frequency of 100-150 Hz.

In general, the therapeutic effect of low frequency pulsed currents can be divided into irritating and suppressive. What the effect of such therapy will be depends mainly on the frequency of the current. Low frequency currents affect electrically excitable structures such as nerves and muscles.

The application of low frequency currents is carried out through electrodes that are placed on injured muscles, a diseased area of ​​the body or other place. In most cases, electrodes are placed on the skin. It is possible, however, to insert them into the vagina, rectum, or implantation in certain muscle groups and the medullary canal, and even in the brain.

The normal process of excitation of nerve and muscle cells is achieved by changing the charge on both sides of the positive and negative electrodes. The use of electric current with certain characteristics near excitable structures has a stimulating effect on them. The local mode of action of the current is due to a change in the charge of the cell membrane.

Application of low-frequency currents in medicine

Low-frequency currents are used to stimulate muscles with preserved innervation, for example, when, during immobilization after bone fractures, muscle wasting and hypotonia (low tone) develop in the immobilized area. This occurs because the muscles do not move and are not stimulated by the nerves.

In these cases, the applied low frequency current causes contraction of part of the muscle fiber, which improves blood supply and, to a certain extent, helps prevent the occurrence of severe malnutrition. However, to achieve this effect, electrical stimulation must be used quite often.

In other cases, muscle stimulation may be impaired by innervation (paralysis, paresis). It is necessary to reuse low frequency currents, but with their different physical characteristics. The goal is to stimulate the muscles and restore nerve integrity.

Electrical stimulation can be applied not only to the skeleton, but also for various smooth muscle diseases, such as postoperative intestinal atony, postpartum uterine atony, etc. Another application of this method is stimulation of the venous wall during varicose veins and hemorrhoids. Contraindications for stimulation with low-frequency currents are pregnancy, pacemakers and some other conditions.

The second main use of low frequency currents is to reduce pain from neuralgia, myalgia, tendinitis, headaches and other conditions. The most common method is transcutaneous electrical nerve stimulation. With this type of stimulation, specific very sensitive nerve fibers are affected, which block the transmission of pain information at the level of the spinal cord. The duration of one session of such therapy ranges from 10 minutes to 1-2 hours. The most suitable frequency to achieve an analgesic effect is about 100 Hz.

Denial of responsibility: The information presented in this article about the use of low-frequency and high-frequency currents in physical therapy is intended for informational purposes only. It is not a substitute for advice from a healthcare professional.

Electrical pulse therapy (EPT) is a method used to restore cardiac arrhythmias. Cardioversion is used in the treatment of atrial fibrillation and paroxysmal tachycardia. Represents the effect on the myocardium of high-power direct current.

The discharge is delivered at a certain phase of the heart rhythm. It differs in safety, because in the first case there is a risk of delivering an electric shock to the patient in the most vulnerable phase of the cardiac cycle. It is used in cases of ventricular fibrillation. These two methods are electrical pulse therapy, which is indispensable for cardiology.

Indications for electropulse therapy

• Patients with ventricular dysfunction (flutter and fibrillation).
• With persistent gastric tachycardia. If hemodynamics are compromised, cardioversion is performed immediately. To further stabilize the patient's condition, drug therapy is used.
• People with supraventricular tachycardias. In this case, electropulse therapy is indicated for patients whose condition is rapidly deteriorating or traditional treatment is ineffective.
• When atrial fibrillation or flutter is diagnosed, cardioversion is prescribed based on the patient's condition.
• EIT is used to treat tachyarrhythmias. However, for patients with this type of disease, reentry is more effective than for people with a disease caused by increased automaticity.
• Electrical pulse therapy is indicated for patients with shock resulting from tachyarrhythmia and pulmonary edema.
• This type of therapy is indicated for patients with pronounced tachycardia, when more than 150 beats per minute are diagnosed. People with acute myocardial infarction and those who suffer from unstable hemodynamics. EIT is indispensable if therapy with antiarrhythmic drugs is contraindicated.

Cardioversion-defibrillation is an important and irreplaceable method with which serious conditions are stabilized.

Carrying out EIT

To use EIT, the doctor must know about all the patient’s diseases that may complicate the condition, and about the individual characteristics of the body.

Electropulse therapy: contraindications

There are cases when this type of therapy is contraindicated. If a patient is diagnosed with atrioventricular block, this type of treatment is not used. This applies to people with sick sinus syndrome and heart defects, if they are treated surgically. If there is no threat to the patient's life, cardioversion is not used, as there is a risk of ventricular fibrillation.

It is strictly forbidden to carry out EIT in case of an overdose of digitalis preparations. When the body is saturated with glycosides and potassium levels are low due to diuretics, this therapy is not recommended. Low effectiveness of the method is observed in the treatment of patients with severe heart failure and cardiomegaly.

How patients are prepared for the procedure

There is no general scheme that doctors follow when dealing with EIT. If the procedure is prescribed to the patient as planned, it is recommended not to eat for 6–8 hours.

If the patient does not require extreme assistance, certain drugs are administered about an hour before the procedure to create a background concentration. It is strictly contraindicated to administer beta blockers for this purpose, which can lead to serious consequences.

When cardioversion or defibrillation is performed for emergency reasons, and a person’s life is in danger, doctors do without training, since there is no time for this. If possible, do oxygen therapy with 100% humidified oxygen. Correct electrolyte balance and CBS.

If the patient has not lost consciousness, painkillers and sedatives should be given before the procedure.

If respiratory depression is observed, the patient is injected with analgesics that do not contain narcotics, for example: analgin. Next, the person is put into medicated sleep by administering diazepam intravenously, this is done slowly, in a stream, first 5 mg, and then 2 mg are added until the patient falls asleep. To avoid respiratory depression, drugs with a minimal dose of narcotic drugs are used. Quite often, breathing problems occur in a patient during the period of falling asleep, so doctors need to be especially careful.

Technique of the procedure

First, the discharge energy is determined, it all depends on the diagnosis and condition of the patient.

• 50 J is enough for supraventricular tachycardia, when the heartbeat increases sharply and paroxysmally, the heart rate exceeds 100 beats. The same discharge is used for atrial flutter.
• A 100 J pulse is used for atrial fibrillation - this is one of the types of supraventricular tachycardia, chaotic electronic activity of the atria is observed, heart rate fluctuates between 350 - 700 per minute. And with ventricular tachycardia, the frequency of ventricular contractions exceeds 100 beats per minute. Characterized by a sudden cessation of disturbances and the same sudden resumption, occurs regularly. A fairly severe and life-threatening heart rhythm disorder.
• 200 J is used if the patient has polymorphic tachycardia, a serious disturbance in heart rhythm can cause arrhythmic death. Or ventricular fibrillation - a violation of the coordinated functioning of the heart muscles, in which the main function of the organ is disrupted.

The diagnosis and condition of the patient determines the discharge energy

The strength of the first category is indicated; if it is ineffective, doctors increase it. The pulse can reach a maximum of 360 J.

If the necessary equipment is available, and if the patient’s condition allows, synchronization of the electronic discharge is used at a certain phase of the heart rhythm. More precisely, when an R wave appears on the ECG, a shock is immediately given. This is cardioversion.

To minimize the electronic resistance before EIT, electrodes are placed on the patient’s defatted skin; alcohol or other methods are used for this. After the electrodes are pressed firmly against the patient's chest, the first shock is applied. This should be done when the person has taken a deep breath.

When defibrillation is completed, the heart rhythm is checked; if it has recovered, it is necessary to register an ECG in 12 leads; for this, the potential difference between two electrodes located on the patient’s body is recorded.

Antiarrhythmic drugs and how they are used in EIT

In the case when, after three shocks, the heart rhythm has not recovered, and the doctors constantly increased the strength of the impulse, then the fourth maximum is 360 J. It is applied after the administration of an antiarrhythmic drug intravenously, which is prescribed for rhythm disturbances. In this way, the effect achieved by electropulse therapy is consolidated.

What determines the effectiveness of EIT?

Cardioversion-defibrillation is effective and safe if doctors have done the following:

1. Correct diagnosis.
2. Preparation of equipment and necessary equipment, all necessary solutions and preparations.
3. Appropriate patient preparation.
4. Administering the correct pain medications and sedatives.
5. Compliance with a technique in which the procedure is carried out taking into account all the rules and regulations for the dosage of drugs, with degreasing of the skin.
6. Prescription of antiarrhythmic drugs.
7. Accounting for and compliance with safety regulations.
8. The technical capabilities of the defibrillator used in work have been tested.

If cardioversion-defibrillation is ineffective, we can talk about incorrect implementation of the technique, incorrect determination of indications for electropulse therapy, the patient’s serious condition, when the electronic balance or CBS is significantly impaired, in which case correction is required.

More:

In what cases is cardioversion prescribed for the treatment of atrial fibrillation in patients?

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Thanks to this, oxygen and nutrients quickly saturate the vessels and regeneration occurs quickly, and pain and inflammation gradually go away.

Diseases treated by IVT

This therapy is used to treat a variety of diseases:

• Osteochondrosis;
• Arthritis;
• Spinal hernia;
• Injuries;
• Heel spur;
• Vascular system;
• Diseases of the prostate gland.

I must say that IVT has helped many women cope with cellulite. It decreases after several procedures.

Arthrosis

The use of IVT in the treatment of arthrosis began quite recently. Conducted studies and numerous patient reviews show that this method in the treatment of affected joints can become an excellent assistant in rehabilitation therapy.

Pulse wave therapy also treats:

• Spinal diseases;
• Arthrosis of the hip joint;
• Deforming arthrosis of the knee joint;
• Heart diseases.

The IVT device, thanks to sound vibrations, makes the structure of osteophytes much “softer”. A patient with arthrosis, whose disease is expressed by spiny processes, after completing a course of IVT feels great relief. After some time, the thorns completely dissolve and complete recovery occurs.

Skeletal system and its treatment

Pulse wave therapy has become the most modern method of treating the musculoskeletal system.

It first appeared in Switzerland. Here doctors began to treat affected tissues with acoustic waves operating at infrasound frequencies.

When exposed to IVT, calcium salts, which are a source of pain, are destroyed, blood circulation and elasticity of ligaments improve, swelling and inflammation go away, and metabolism is restored.

Pulse waves greatly increase the movement of microblood flow in all small vessels.

Due to the specific action of acoustic waves, certain processes begin to occur:

• Metabolism improves;
• Cells are renewed;
• Vascular blood flow increases.

As a result of the use of IVT, accelerated healing occurs and joint mobility is restored. This procedure has an excellent analgesic effect.

Treatment effectiveness

Pulse therapy today is considered the most promising area of ​​modern medicine. Now, instead of surgical intervention, doctors have begun to use the IVT method. The effectiveness of this method has been proven by thousands of recovered patients.

Patients who have completed a course of IVT report the following positive symptoms:

• The affected tissues began to recover at an accelerated pace;
• Metabolism has improved significantly;
• The swelling has completely subsided;
• There was an opportunity to start working again;
• Pain sensations have decreased significantly. After several sessions, the pain completely disappeared.

Note that pulse therapy shows excellent results in the treatment of various pathologies.

Osteochondrosis

• After several procedures, blood circulation in the body improves and microcirculation returns to normal.
• The patient no longer experiences severe pain, and the inflammatory process gradually disappears.
• Pathological growths become smaller;
• The functioning of the nervous system improves.

Thrombosis

High frequency vibration minimizes complications.

The blood clot is destroyed and reabsorbed within a few days.

Scoliosis

• Damaged tissues begin to quickly recover.
• The patient stops feeling severe back pain.

The number of diseases that can be treated very effectively with the help of IVT is growing every day. Today, this method is used in a variety of departments of medicine:

erectile disfunction

With age, sexual function in men gradually decreases. But when the blood vessels through which blood flows to the penis are disrupted in the body, impotence or erectile dysfunction occurs. Pulsed wave therapy is also applicable for the treatment of impotence.

Today, hundreds of methods have been developed to treat erectile dysfunction. However, not all of them give a positive result; professional doctors have justified complaints about some.

Physiotherapy deals with the problem of male erectile dysfunction. The most promising method of treatment is considered to be pulsed wave therapy.

This procedure is completely painless, lasts 25 minutes and is performed on an outpatient basis. No contraindications have been identified. Pulse therapy restores the functioning of blood vessels by affecting them with short-term discharges.

The best result of treatment is considered to be the complete restoration of blood vessel function and the complete return of erectile function.

The effectiveness of pulse wave therapy has been fully proven by scientists and helps get rid of many diseases.

Pulse wave therapy of joints: indications

In the structure of morbidity, one of the main places is occupied by joint diseases. Pharmaceutical companies now offer many different medications and supplements to treat them. Along with them, no less effective physiotherapeutic treatment can be used. The main place among physiotherapeutic methods is occupied by pulse-wave therapy of joints. The principle of impact on the joint cavity, indications and contraindications for this treatment will be discussed below.

Shock wave therapy for joints

Pulse wave therapy is also called shock wave therapy. This method is one of the modern methods of treating joint diseases. Shock wave therapy for joints (SWT) is based on low-frequency sound, less than 16 Hz, which the human ear cannot hear.

Operating principle of UVT

What is the basis for curing articular pathology with a shock wave? The mechanism of action is as follows:

1. In the process of exposure to a wave on the cell wall, it stretches, its permeability to various substances entering and exiting the cell increases, that is, metabolism accelerates. By improving microcirculation, accelerated restoration of damaged structures occurs and calcium deposits dissolve.
2. Due to the pressure of the wave, cavities are formed. If the pressure continues, the cavities burst, allowing intra-articular calcium deposits to be destroyed.
3. After the cavities burst, smaller waves are formed, which contribute to the further destruction of pathological formations.
4. An important point is the reduction in pain intensity due to a decrease in the passage of pain nerve impulses. In addition, the production of the hormone endorphin increases, which also helps reduce pain. SWT also destroys areas of fibrosis.

What joint diseases does UVT treat?

Shock waves are used for the following pathological conditions:

1. Arthrosis. This pathology is found in almost 80% of the population and ranks third in prevalence after heart and cancer diseases. Shock wave therapy is mainly used for arthrosis of the knee joint, as well as for the treatment of arthrosis of the ankle.
2. Contracture. The consequence of improved microcirculation is the return of elasticity to the ligaments. After therapy, the range of motion increases.
3. Degenerative changes in the articular cavity.
4. Injuries and fractures in the articular area. By improving blood circulation, joint tissues and structures are restored quite quickly.

UVT is designed to quickly relieve pain and restore joint mobility.

Shockwave therapy is also used to develop the joint during the rehabilitation of patients after surgery. In addition, this method is used if conventional medications no longer help and there is a question about surgical intervention. Pulse wave treatment will help avoid surgery.

Contraindications to the procedure

In what cases should shock wave therapy not be used for arthrosis? Contraindications to this treatment are:

1. Pregnancy.
2. Low blood clotting. This is due to the likelihood of bleeding due to damage to blood vessels by waves.
3. Age up to 18 years. This is due to the fact that the growth zone on the bones is not yet closed, and when exposed to waves, tissue growth can stop and lead to bone deformation.
4. The presence of tumors in the body, especially near the site of application of the UVT device.
5. Presence of a pacemaker. Wave action can disrupt its operation or damage it.
6. The presence of an inflammatory infectious process in the knee, ankle or other joints. Due to increased intra-articular circulation, infectious agents can be spread to all organs and tissues.
7. When exposed to waves on nerves or nerve plexuses, paresis or sensitivity may develop.
8. You cannot use the UVT device at the border with organs that contain gas inside them: lungs, intestines.

• joint swelling;
• redness of the skin over it;
• the occurrence of intra-articular hematoma.

The listed side effects are not an indication to interrupt the course. As a rule, they disappear within 10 days.

How is the procedure done?

Treatment of joints with shock wave therapy is carried out as follows:

1. The doctor palpates the affected area.
2. A special gel is applied to the pathological focus to facilitate the transmission of impulses from the device to the site of application.
3. The doctor determines the required frequency and time of exposure to the pathological focus. Next, the applicator is pressed to the site of exposure and the procedure begins, which lasts 15-30 minutes.

The course requires about 6 procedures. Each procedure is carried out at intervals of 7-10 days. During this period of time, the body removes the remaining calcifications from the site of exposure. The procedure is completely painless.

SWT of the knee joint gives good results: remission lasts 2-3 years.

Shock wave therapy for arthrosis: reviews

Here's what doctors and patients think about percussion therapy.

Alexey Mikhailovich, orthopedist, Moscow:

“I have been treating joints with shock waves for about three years. The effectiveness is high, especially in relation to arthrosis. The condition of patients with pathologies of muscles and tendons also improves. The method can be used as monotherapy, and the effectiveness is higher than that of other treatment methods. UVT allows you to restore damaged structures and relieve inflammation and pain.”

“I am worried about pain due to arthrosis of the ankle joint. I take a course of injections prescribed by the doctor - the pain subsides, but not completely. I read about shock wave treatment on the Internet. I consulted with the doctor, he recommended taking a course. The procedure is inexpensive. After the first time, the pain decreased significantly, but did not disappear. I completed the course completely, the pain went away and never came back. I recommend UVT treatment for ankle arthrosis to everyone.”

Evgeniy R., 52 years old:

“I have been suffering from knee arthrosis for a long time. Constant pain that subsides only temporarily after taking or injecting painkillers. I heard about such treatment as shock wave therapy of the knee joint. I decided to try it. After the first procedures, the pain became noticeably weaker, and after the course of treatment the pain disappeared. I recommend everyone to treat the knee joint with shock wave therapy.”

Gonarthrosis or deforming arthrosis is an inflammatory disease of the knee joint. With this disease, degenerative dystrophy or osteoarthritis of cartilage occurs. Not only the cartilage inside the joint is deformed, but also the entire joint (ligaments, capsule, subchondral bone, periarticular muscles, synovial membrane).

Gonarthrosis usually occurs after exposure to unobvious hidden causes, but most likely it is a consequence of idopathic or primary osteoarthritis. Gonarthrosis begins to gradually affect various parts of the joint, for example, the internal part, the anterior or external part.

There are a number of reasons why you need to see a doctor immediately. You may have gonarthrosis if:

• You have joint immobility or partial limitation of movement;
• You have severe joint pain that occurs after physical activity;
• You feel a feeling of instability in the joint;
• you have swelling or swelling in the joint area;
• Your joint has changed or become deformed.

Gonarthrosis develops in stages; depending on its severity or duration, there are several stages of this disease:

• Stage 1 - pain appears periodically, but most often it occurs after strong physical activity. Slightly noticeable swelling or slight deformation of the joint.
• Stage 2 - symptoms of stage 1 gonarthrosis increase significantly. The pain increases in degree and duration. There is often a feeling of stiffness or crunching in the affected joint. The joint becomes severely deformed or changes in size.
• Stage 3 - severe pain appears both with strong movement and at rest. Severe pain is noticed when the weather changes, there is a sudden change in movement and severe deformation of the joint.

Shock wave therapy has a positive effect on the affected tissue. Charged impulses break down the formed calcium salts or areas of fibrosis that have arisen, which usually form during gonarthrosis after chronic injuries, where there are microtears of muscles, tendons, and ligaments. Shockwave therapy changes the chemical environment inside the inflamed joint. After this exposure, the pain becomes almost unnoticeable or goes away completely.

The effect of shock wave therapy is noticeable after the first procedure.

Charged pulses affect blood flow inside damaged tissue, this stimulates tissue regeneration. The formed calcium salts leave the human body through the bloodstream. Then a sharp recovery of the affected area is noticed: swelling and inflammation go away, the tissue acquires elasticity. A person can safely and painlessly endure physical activity. After the positive effect of shock wave therapy, new microcapillaries are formed - this has a positive effect on the patient’s rapid recovery.

Treatment of gonarthrosis is completely painless. The duration of one session varies from 10 to 40 minutes. For complete recovery, about 4-10 sessions are usually sufficient. Between procedures it is necessary to maintain an interval of 5-10 days. During the session, the patient lies down, the skin is treated with a special gel and shock wave therapy treatment begins.

Step 1: F-SW (combination therapy)

The pain after the first session is significantly reduced or disappears completely, but after 2-3 hours after the procedure the pain may occur again. There is no need to be alarmed, this is a normal healing process. After all treatment sessions, the pain will leave your body forever. There have not yet been any relapses or complications after treatment.

Before the treatment procedure itself, your consulting doctor will determine the duration of your course of procedures and draw up a rehabilitation program after treatment. Most likely, this will be a set of physical exercises or additional procedures. For each patient, the treatment, the duration of the periods between sessions and the duration of the sessions themselves are selected only individually. This depends on the degree of gonarthrosis, the presence of concomitant diseases and the personal characteristics of the patient.

Shock wave therapy completely relieves swelling, accelerates healing, relieves pain and inflammation, gives elasticity and tone to muscles, completely removes formed calcium, increases collagen production, increases microcirculation of the affected area and increases metabolism. Charged impulses act only on affected tissues, without affecting healthy ones at all. This guarantees treatment of gonarthrosis without damaging soft tissues and skin. New blood vessels form in the healthy area. This helps keep the newly affected area healthy.

Doctor Dunaev Vladimir Igorevich

Treatment of arthrosis with shock

joint therapy

Shock wave therapy restores capillaries and fills the painful area with oxygen. It also completely restores the former mobility of the joint, removes scars or scars on the skin. Shock wave therapy is a modern treatment method that allows you to completely cure not only gonarthrosis, but also many other diseases.

This might be interesting

Shock wave therapy doctors in our clinic

Dunaev Vladimir Igorevich

Urologist, chiropractor, acupuncturist, UVT specialist

Doctor of the highest category. He has extensive experience in the non-surgical treatment of herniated intervertebral discs, treatment of pain, degenerative, vascular syndromes associated with pathology of the musculoskeletal system. Professional with a constant desire to improve.

Work experience in the specialty - more than 25 years.

Cost of treating knee joint diseases with shock wave therapy

Make an appointment for a consultation about shock wave therapy

Questions from users on our website about shock wave therapy

Good afternoon. Please formulate the question more precisely and indicate which area of ​​training you plan to perform?

Good day, Andrey! Are you interested in the possibility of performing shockwave therapy in general, in the presence of an endoprosthesis, or specifically on the operated joint? In general, it’s possible. In particular, on an operated joint - extremely rarely, and in conjunction with examination data, the nature of complaints, assessment of risks and the expected effect of treatment. I would like to inform you that, in addition to shockwave therapy, there are many modern methods of influencing the knee joint, used depending on the patient’s main complaints. This is HILT (high-intensity laser therapy), joint taping, the use of specialized orthoses, manual therapy, kinesiology, exercise therapy, massage, griseo-hirudotherapy, etc., etc., etc. But the main thing is the patient, his condition and his complaints. If you decide to contact our clinic, your treatment and examination will be based on this postulate. Best regards, V.I. Dunaev, deputy general director of the clinic. Specialist in UVT.

Ask your question about shock wave therapy

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Pulse wave therapy - contraindications and benefits

Medicine now simply surprises every person with its new developments; one of these areas is IVT - pulsed wave therapy. This is a modern method that allows you to cope with many ailments in the body of every person. Thanks to this process, soft tissue is restored, as well as the growth of blood vessels in the area of ​​​​damage. As a result, this process removes inflammation and the pain goes away.

How does this recovery process work?

Many people are interested in how it all works, and for what problems does the treatment process occur? This method helps to cope with many diseases:

• Arthritis.
• Osteochondrosis.
• Presence of vertebral hernias.
• Any other injuries.
• Disturbance in the vascular system.
• Problems of sexual significance, etc.

In addition, this method helps every woman cope with a problem that worries many - cellulite. When carrying out this procedure, after a couple of receptions everything decreases significantly. As a result, it turns out that pulsed wave therapy brings benefits. But many people, when various new methods of treatment appear, are always interested in whether there are contraindications that could negatively affect human health. Of course, this is always present, for this reason any method of treatment should be prescribed with the approval of a competent specialist, so that no side effects arise.

In what situation is the use of pulsed wave therapy contraindicated:

• If blood clotting is reduced, then there is no need to use this method.
• If diagnosed with cancer.
• If the heart is not working properly, or there are various deviations from the norm.

Now this method of treatment is recognized as the most effective and efficient method in the treatment of various problems with the musculoskeletal system. The effect of this is always noticeable; the first mentions of this can be found in Switzerland. As a result, experts understood how it works and what brings great effect. Now many surgeons do not use intervention in the human body, but simply choose the IVT method. And after the first procedures, every patient experiences improvement, which is why this is recognized as the best way.

Every person feels better because the pain goes away, and this is the main thing for many patients. The recovery process begins and the fight against many pathologies becomes effective.

Shock wave therapy - cost and reviews. Indications for shock wave treatment and contraindications

Special sound waves began to be used to treat pathologies of the musculoskeletal system quite recently. Nevertheless, the results obtained over the entire period of their use indicate the high efficiency of this technology. Find out in more detail what this method is and why it is needed.

What is shock wave therapy

This technique was developed from lithotripsy, widely used in urology. Extracorporeal shock wave therapy (ESWT) is based on the principle of cavitation, as well as the acoustic impedance of the cartilage and bone structures of the human body. Clinical trials have shown that the method has a positive effect on other tissues of the body.

The shock wave in medicine has become so widespread due to its special healing effect. The latter lies in the fact that low-frequency radiation is capable of breaking up solid calcified formations encountered in its path without harm to healthy tissue. At the end of the procedure, these pathological accumulations, as a rule, completely resolve. It is important to note that the technique is ineffective against malignant neoplasms.

Shock wave therapy - indications

Low-frequency sound vibrations are used in the treatment of a wide variety of musculoskeletal pathologies. The wave shock method also helps fight many urological problems. Thus, ESWT is indicated for erectile dysfunction. In addition, this non-invasive procedure is used in the complex treatment of ailments that previously required exclusively surgical treatment: herniated discs and advanced popliteal tendonitis. In general, the use of shock wave therapy has the following indications:

• intervertebral hernia;
• avascular necrosis;
• arthrosis;
• Achilles tendinitis;
• pain after endoprosthetics;
• pain when rotating the shoulder;
• valgus deformity of the toe;
• chronic knee tendinitis;
• inflammatory processes of non-infectious nature;
• a bone on the foot;
• false joints;
• plantar fasciitis;
• osteocondritis of the spine;
• healing of bones after fractures;
• tendinosis;
• revascularization of damaged areas of the vascular network;
• rehabilitation after muscle and ligament injuries;
• epicondylitis;
• foot ulcers.

Shock wave therapy treatment

For many diseases, low-frequency sound waves are used as a good alternative to surgery. During treatment with shock wave therapy, the penetrating ability of cell membranes increases, which helps to activate regeneration processes in the affected area. In addition, under the influence of UHT, cavitation bubbles form, which, when bursting, create a counterforce directed against calcific formations.

Shock wave therapy device

A significant advantage of such devices is the possibility of outpatient SWT. Modern shock wave therapy devices are effective and have a high level of safety. One of the most budget-friendly options is considered to be a pneumatic device for ESWT. This device, like its other analogues, generates waves in the ultrasonic spectrum. Such characteristics help the device influence the course of cavitation processes in the cell. Depending on the source generating the shock wave, devices are distinguished:

• electromagnetic;
• electrohydraulic;
• piezoelectric;
• pneumatic.

Shock wave therapy procedure

Conducting a UVT session does not require any special preparation from the patient. The shock wave therapy procedure is performed in an outpatient setting. The patient lies on the couch. Before the session, the specialist sets up the UVT device in the mode required for a specific diagnosis. A special gel is first applied to the problem area, after which the sensor is pressed tightly against the body. The duration of the procedure is 7-25 minutes. The course of treatment includes about 10 sessions, which are carried out at 4-6 day intervals.

Shock wave therapy - contraindications

The UVT procedure has some limitations. Contraindications to shock wave therapy mostly relate to oncology and diabetes. It is important to say that pregnancy is also considered an obstacle to prescribing ESWT. Questions often arise among patients about the permissibility of treating bone necrosis using shock wave therapy. Experts say that this diagnosis is not a contraindication for the procedure. Meanwhile, doctors strongly do not recommend doing shockwave therapy for the following conditions:

• blood clotting disorders;
• implanted pacemaker;
• acute infectious process;
• angina pectoris.

Where is shock wave therapy performed?

You can undergo the UVT procedure in specialized private physiotherapy clinics. Before visiting one of these medical institutions, read patient reviews about the quality and cost of the services provided there. Recently, shock wave therapy has been carried out in many rehabilitation centers and sanatoriums. UVT sessions can be easily carried out at home. To bring this idea to life, you will need to purchase the appropriate technical equipment.

Devices for UVT are sold in specialized medical equipment stores. It should be said that prices for such products are often unreasonably inflated. It is important for the consumer to know that a reliable device for shock wave therapy can be purchased inexpensively in an online store by pre-ordering it from the photo catalog presented on the website.

Price for shock wave therapy

The cost of the SWT procedure depends on the nature of the disease and the number of sessions required for cure. The duration of the course, as a rule, is determined purely individually for each patient. In addition, the cost of shock wave therapy in different clinics is determined taking into account the class and level of technical equipment of the latter. Thus, prices for shock therapy for some diseases are presented in the table below.

Treatment of osteochondrosis with Bernard currents is prescribed to relieve pain, relieve inflammation and improve general condition. In combination with medications, exercise therapy can lead to stable remission.

Osteochondrosis occurs in people who lead an inactive lifestyle, are overweight, are often in a sedentary position and practically do not engage in sports. The disease can be eliminated using complex therapy.

Today, treatment of osteochondrosis with low-frequency electrical impulses is very popular. The method allows you to reduce pain and relieve inflammation in the area. Bernard currents have the following effects:

• copy the pain;
• improve tissue condition;
• help quickly restore affected areas;
• reduce movement disorders;
• strengthen the muscle corset and increase its tone;
• normalize metabolic processes;
• improve immunity;
• stimulate microcirculation in the diseased area.

Such physiotherapy can serve as an independent treatment for osteochondrosis or be used in combination. This method is based on the effect of a small current charge on the affected area.

As a result, heat is generated in the tissues, which significantly increases blood circulation. Bernard's impulses affect nerve endings and receptors, reducing pain.

This type of therapy for osteochondrosis has its own characteristics. The procedure should be carried out in specialized centers under the supervision of a doctor or nurse. Modern devices for the treatment of spinal pathologies make it possible to generate pulses of different frequencies for effective impact on damaged areas.

What are Bernard currents and what are their advantages?

For the first time, the treatment of osteochondrosis with electrical impulses was applied and modeled by the French scientist Pierre Bernard. Thanks to low-frequency currents, the tone of the muscle corset increases. When the waves pass, a dynamic contraction of smooth and skeletal muscles occurs, causing stimulation of the vascular networks, muscles of the internal organs, and the muscular corset.

With the help of Bernard currents for osteochondrosis, blood circulation is improved, and an analgesic effect is observed due to irritation of the nerve receptors. A frequency of 100 Hz is enough to dilate arterioles, improve tissue nutrition and activate collateral capillaries.

Low frequency currents help eliminate inflammatory and edematous processes in osteochondrosis. The modern method is widely used in the treatment of diseases of the musculoskeletal system.

Is it possible to be cured this way?

Bernard's method is not inferior in its effectiveness to the drug type of treatment. Physiotherapy is used for the affected areas and segments of the spinal column. Most patients experience a significant reduction in pain after the first session of therapy for osteochondrosis using current.

Doctors recommend using Bernard's electrical impulse treatment in combination with medications for effective results. You can use current as an independent therapy in the initial stages of osteochondrosis.

What are the contraindications for treating the spine with currents?

Physiotherapy is used in the treatment of osteochondrosis. Electrical exposure has a number of contraindications. Bernard's electrical impulse therapy is prohibited:

• during exacerbations of the disease;
• under drug and alcohol intoxication;
• for skin diseases;
• with kidney inflammation in the active phase and tuberculosis;
• in the presence of malignant tumors;
• for disorders of the sensitivity of the skin;
• for diseases of the circulatory system and heart;
• in case of individual intolerance to the method;
• during breastfeeding and pregnancy;
• for mental disorders, especially during exacerbation;

The attending physician should prescribe Bernard currents for osteochondrosis, taking into account all possible consequences and problems of the patient.

Before starting a session, it is necessary to undergo diagnostics to identify contraindications in order to avoid negative consequences from treatment.

The procedure using electrical impulses for osteochondrosis is not performed on patients who have metal implants in the cardiac system or throughout the body. The Bernard method is not suitable for patients with a non-immobilized bone fracture. Before the procedure, the doctor must carefully examine the skin in the area where the current is applied. If there is damage, they must be covered with oilcloth or the electrodes must be moved.

Treatment of osteochondrosis using pulses is prohibited for people who have purulent diseases of the subcutaneous fat layer. The procedure can be carried out only after creating an outflow of pus (drainage).

Osteochondrosis requires complex intervention, especially in advanced stages. To achieve results, the doctor prescribes the necessary course of Bernard currents, medications, massage and physical therapy.