Physical Therapy Complex

Our treatment directed toward pain reduction and normalization of spinal and joints mechanics.

Physical Therapy complex include:

1. Manual therapy. Review of scientific evidence by Nachemson, L. and Jonsson, E. demonstrated six randomized controlled trials, including the two high-quality, reported a positive result for manual therapy compared with placebo. (Neck and Back Pain. The Scientific Evidence of Causes, Diagnosis, and Treatment. Edited by Nachemson, L. and Jonsson, E., 2000, p. 295)

2. Electrical stimulation. Maigne, R (1996) demonstrated that electrotherapy is beneficial in the treatment of pain of spinal origin. (Diagnosis and Treatment of Pain of Vertebral Origin. 1996, pp 245-246). The Philadelphia Panel of evidence-based guidelines recommend transcutaneous electrical nerve stimulation and exercise for knee osteoarthritis; therapeutic exercise for chronic neck pain; and the use of therapeutic ultrasound in the treatment of tendonitis of the shoulder. (Harris GR, Susman JL. Managing musculoskeletal complaints with rehabilitation therapy: summary of the Philadelphia Panel evidence-based clinical practice guidelines on musculoskeletal rehabilitation interventions. J Fam Pract. 2002 Dec;51(12):1042-6).

3. Ultrasound, heat and cold application on muscle tendons and ligaments attachments decrease inflammation and increase blood circulation

4. Infrared light application significantly improves bone blood perfusion (Effects of infrared radiation on intraosseous blood flow and oxygen tension in the rat tibia. Kobe J Med Sci. 1999 Feb;45(1):27-39) and in combination with activation of "muscle pump" by electrical stimulation would effectively decrease intraosseous blood pressure and DRR. (Willis WD Jr. Dorsal root potentials and dorsal root reflexes: a double-edged sword. Exp Brain Res. 1999 Feb;124(4):395-421)

5. Physical exercises. Study by Mayer TG et al confirmed high efficacy of treatment with combined facet injections and stretching exercises. Patients' mobility improved significantly across all 4 motions. A large majority (71%-97%) of individuals improved on motion. According to self-reports made over the postinjection period, most patients improved their disability (83%) and pain intensity (63%) ratings. (Lumbar segmental rigidity: can its identification with facet injections and stretching exercises be useful? Arch Phys Med Rehabil. 2000 Sep;81(9):1143-50).