Treatment Methods

Treatment Methods

SOFT TISSUE RELEASE

Soft tissue release is a form of soft tissue therapy used to treat impaired or altered function of the musculo-skeletal system (somatic dysfunction) and accompanying pain and restriction of motion.

This is accomplished by relaxing contracted muscles, increasing circulation, increasing venous and lymphatic drainage, and stimulating the stretch reflex of muscles and overlying fascia [10]

MANUAL & MECHANICAL 
SPINAL TRACTION

It is a safe, effective and cost-effective non-surgical relief from back or neck pain.The goal of spinal traction is to pull the vertebrae apart from each other. The purpose is generally to create more space for nerves where they exit the spinal column or to relieve pressure on the cartilage disks between the bones or on the small spinal joints themselves. Traditionally it is classified as either manual or mechanical. Manual traction is performed by another individual, usually your medical or rehabilitation provider.
 
Mechanical traction comes in a wide variety of strategies and devices. Intermittent traction is traction where the force of pull is used on and off. This can be done either manually or mechanically. Sustained traction is when the force of pull is held for an extended period of time, usually no more than 30 minutes. While this can be done manually, it is usually done mechanically since the force of pull can be held steady for a longer duration of time.[13] Traction is used to reduce pressure in the spine in conditions such as disc bulges, facet syndrome, spinal arthritis, spinal stenosis, radiculopathy, protrusions and herniations, sciatica and more. It is also beneficial for intervertebral disc rehabilitation and for increasing blood flow to the soft tissue structures of the spine.

ELECTROTHERAPY

Electrotherapy is the use of electrical energy as a medical treatment (1). Electrotherapy is used for relaxation of muscle spasms, prevention and retardation of disuse atrophy, increase of local blood circulation, muscle rehabilitation and re-education electrical muscle stimulation, maintaining and increasing range of motion, management of chronic and intractable pain, post-traumatic acute pain, post surgical acute pain, immediate post-surgical stimulation of muscles to prevent venous thrombosis, wound healing and drug delivery.

Electrotherapy is commonly used for:
 
Pain management
  • Improves range of joint movement
Treatment of neuromuscular dysfunction
  • Improvement of strength
  • Improvement of motor control
  • Retards muscle atrophy
  • Improves local blood flow
Improves range of joint mobility
  • Induces repeated stretching of contracted, shortened soft tissues
 Tissue repair
  • Enhances microcirculation and protein synthesis to heal wounds
  • Restores integrity of connective and dermal tissues
Acute and chronic oedema
  • Accelerates absorption rate
  • Affects blood vessel permeability
  • Increases mobility of proteins, blood cells and lymphatic flow
Peripheral blood flow
  • Induces arterial, venous and lymphatic flow
Iontophoresis
  • Delivery of pharmacological agents

MASSAGE

Massage is the practice of soft tissue manipulation with physical (anatomical), functional (physiological), and psychological purposes and goals.[2] Massage involves acting on and manipulating the body with pressure – structured, unstructured, stationary, or moving – tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Massage can be applied with the hands, fingers, elbows, knees, forearm, and feet.
 
There are over eighty different recognized massage modalities.[3] medical research has shown that the benefits of massage include pain relief, reduced trait anxiety and depression, and temporarily reduced blood pressure, heart rate, and state anxiety.[4]
Relief from pain due to musculoskeletal injuries and other causes is cited as a major benefit of massage.[4] When combined with education and exercises, massage might help sub-acute, chronic, non-specific low back pain.[5] Furthermore, massage has been shown to reduce pain experienced in the days or weeks after treatment.[6]

SPINAL MANIPULATIONS & MOBILIZATIONS

Spinal manipulation (SM) is a traditional form of treatment practiced by physiotherapists and other healthcare providers mostly (but not exclusively) to treat musculoskeletal problems.[7] SM can be described as `the use of hands applied to the patient incorporating the use of instructions and maneuver to achieve maximal painless movement and exposure of the musculoskeletal system'[8] or as `the application of a load (force) to specific body tissues with therapeutic intent'.[9]
 
The postulated modes of action of SM include: increase of joint movement, changes in joint kinematics, increase of pain threshold, increase of muscle strength, as well as enhanced proprioceptive behaviour.[9]

JOINT MANIPULATIONS & MOBILIZATIONS

During rehabilitation from a sports injury, the return of a limb to full mobility by carefully applied pressure to a joint or muscle so that it will move through its normal range of movement. Mobilization maintains and then improves muscle tone, reduces joint stiffness, and strengthens ligaments and tendons. It is a graded process, starting gently with passive mobility exercises when injuries are in the acute and painful phase, and becoming more forceful with both passive and active mobility exercises during the recovery phase.
 
Mobility exercises should be designed to restore full mobility by strengthening and stretching muscles.[11] Joint manipulation is a type of passive movement of a skeletal joint and can be distinguished from other manual therapy interventions such as mobilization by its biomechanics, both kinetics and kinematics.[12]  

POSTURAL ANALYSIS &
CORRECTIVE EXERCISE REGIME

Postural analysis is conducted in order to detect any asymmetries (e.g., shoulder depression, elevation, head tilt, and/or knock knees) of the subject's anterior (front), lateral (side), and posterior (back) aspects of the body. It is of high importance to treat those symmetries/imbalances as early as possible since they can lead/contribute to development of chronic conditions.

ACUPUNCTURE

Acupuncture is a treatment originating from ancient Chinese medicine. Needles are inserted at certain points in the body for therapeutic or preventative purposes.

Acupuncture is often seen as a form of complementary or alternative medicine (CAM).
Acupuncture involves stimulating sensory nerves under the skin and in the muscles of the body.
This results in the body generating natural substances, such as pain-relieving endorphins. It's believed that these naturally produced substances are responsible for the beneficial effects of acupuncture.

It appears that a course of acupuncture typically creates longer lasting pain relief in comparison with a single treatment.
Traditional acupuncture is based on the belief that an energy flows through the body in channels called meridians. This energy is also known as Qi (pronounced "chee").
Therapists who adhere to traditional beliefs believe that when Qi doesn't flow freely through the body, this can cause illness. They also believe acupuncture can restore the flow of Qi, and so restore health.

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