Physical therapy program

Hypobaric Therapy (Vacuum Therapy - Green Sack): This therapeutic method utilizes intermittent pulse changes of pressure lower than atmospheric pressure to enhance blood and lymph circulation. It is beneficial for conditions with compromised circulation such as Raynaud's disease and diabetic angiopathy. It is also used for pain syndromes like tendinopathy, overuse injuries, and "frozen shoulder" post-injury or surgery. Additionally, it aids in athletic conditioning and speeds up recovery after exercise by promoting lactate elimination and simulating high-altitude training.

Shockwave Therapy (Swiss Dolorclast, Extracorporeal Shockwave Therapy - ESWT): This non-invasive method uses acoustic impulses to target tissue depths of 4-7 cm. The microtrauma induced by shockwaves reduces pain sensitivity and enhances local circulation through neovascularization, accelerating the healing process in tendons, muscles, and bones. Approved by the FDA for plantar fasciitis and tennis elbow, it shows efficacy in chronic pain conditions such as shoulder tendinopathy, jumper’s knee, Achilles tendinopathy, pseudoarthrosis, stress fractures, calcifications, and diabetic ulcers.

Laser Therapy: Utilizing monochromatic, polarized, and coherent low-energy light, laser therapy stimulates natural healing processes. It promotes wound healing and scar firmness while providing anti-inflammatory and analgesic effects.

Ultrasound Therapy: In this method, a vibrating crystal in the ultrasound head generates high-frequency waves, which tissues convert into heat. The thermal and mechanical effects (micro-massaging and cavitation) of ultrasound increase pain tolerance, reduce inflammation, and facilitate early-stage tissue healing.

Electrotherapy: This therapeutic method applies electricity directly for various purposes. Interference currents are often used to treat pain syndromes by improving local blood flow. TENS (transcutaneous electrical nerve stimulation) provides electro-analgesia by interrupting pain transmission through peripheral nerve stimulation, used for acute and chronic pain in neurology, post-trauma, surgery, and rehabilitation.

Electrostimulating Therapy: This therapy uses electrical impulses to induce muscle contraction, beneficial for inactivated muscular atrophy and peripheral or central palsy. In athlete rehabilitation, Compex devices are used to enhance muscle strength, endurance, and facilitate faster muscle recovery post-training.

Magnetotherapy: By employing electromagnetic fields, magnetotherapy impacts cell metabolism, aiding in the treatment of musculoskeletal injuries, inflammatory and degenerative rheumatic diseases, and central or peripheral nervous system conditions.

K-Taping / Kinesiotaping: This non-invasive, drug-free method uses tapes to relieve pain and support injured body parts during exercise and daily activities. It is used for muscle injuries to normalize tone, reduce pain, improve muscle and ligament elasticity, and stimulate lymph flow.

Continuous Passive Exercise (with a Dynamic Splint - Kinetek): Used in early rehabilitation stages post-injury or surgery of the shoulder, elbow, knee, or hip, this method involves continuous passive motion to aid recovery.

Individual Medical Gymnastics: Customized and guided by professional therapists, individual medical gymnastics are essential for rehabilitation. This includes:

• Range of Motion Exercises: Active or passive movements to maintain or improve joint flexibility.
• Strengthening Exercises: Utilizing static (isometric) and dynamic (concentric and eccentric) muscle contractions to build strength.
• Eccentric Exercises: Effective for tendinopathies of the Achilles tendon, jumper’s knee, and conditions like tennis and golf elbow, involving muscle lengthening during contraction.
• Proprioception and Balance Exercises: Employed in the final rehabilitation stages to prepare for daily activities and prevent re-injury.

Therapists also use specific techniques and concepts such as PNF (Proprioceptive Neuromuscular Facilitation), Mulligan, Kaltenborg, Alexander Technique, McKenzie, Bobath, KMT, and Yumeiho for efficient rehabilitation.