Shock wave therapy. Indications and contraindications, what it is, the price of the procedure, the devices, how the treatment in medicine, used in cosmetology

With age, bones and muscles of the human wear, violated function of the musculoskeletal system. This leads to a restriction of motor activity, the presence of pain. In the severe stages of surgical procedures performed.

To avoid this, it is possible in the early stages to conduct comprehensive physiotherapy. One of them - the shock-wave therapy. To it there are a lot of indications that will be described hereinafter.

Working Principles UHT

UHT method implies an effect on bone, and muscle tissue of a shock wave of low frequency ultrasound.

Ultrasound therapy is used in 4 areas:

1. Cosmetology.
2. Orthopedics.
3. Urology.
4. Traumatology.

How it works:

1. During the procedure creates cavitation. This acoustic pulse that generates the ultrasonic wave.
2. Wave penetrates human tissue, from the blows they feel "healthy stress".
3. There is an influence: accelerated metabolism; restores lipid balance; cell regeneration occurs; skeletal muscle relaxes.

The use of shock wave therapy

The benefit of the following procedures:

1. Reduction of pain.
2. Improving blood flow.
3. The joints become more mobile.
4. Disappear bony outgrowths and fibrotic tissue.
5. Bundles are strengthened.
6. Regenerates tissues.
7. Improves skin condition.

Efficiency

Positive results were seen as early as 90 years. While in Germany already by UHT treated joints. The effect of the method is already apparent during the course. Next comes a secondary effect, which also has a therapeutic effect.

The primary effect of:

1. Pain subsides.
2. Relaxation as from a deep massage.
3. Improved circulation.

Secondary effect:

1. Strengthening of the joints, muscles, leaving them stiff.
2. Loosening kaltsioznyh stagnation.
3. Ligaments become stronger, they are less exposed to injury.
4. Fibrotic tissue decrease and disappear.

The advantages of this type of physical therapy:

1. High performance - positive results were observed in 80% of cases, regardless of disease severity.
2. In severe stage of the disease of the musculoskeletal system it is possible to avoid not conservative treatment.
3. The result is visible to the first procedures.
4. The method is not invasive.
5. The shock wave does not harm healthy tissue - acts locally on the desired area.

testimony

Indications for use of shock wave therapy are:

1. During rehabilitation after fracture. The shock wave helps bone healing.
2. Tibialis syndrome. The patient can not get up on his toes and wiggle your toes due to dysfunction of the lower leg muscles, as a result of the defeat of the tibial nerve.
3. Intervertebral hernia.
4. Osteoarthritis.
5. "Bone" on the inner side of the foot, flat feet.
6. Inflammatory processes only if they are not caused by infection.
7. Osteochondrosis.

   

8. Foot ulcer.
9. The appearance of salt deposits.
10. Epicondylitis - the affected tissue in the elbow.
11. When you restore the normal blood flow to the damaged vascular network.
12. Plantar Fasciitis.
13. Achilles tendonitis.
14. Kidney stones and gall bladder.
15. Bursitis.
16. Avascular necrosis.
17. Valgus deformity toe.
18. Rehabilitation after muscle and ligament injuries.
19. Radiculitis.
20. Erectile dysfunction.
21. Burns.
22. Cellulite.
23. Plechevolopatochny periarthritis.
24. Prostatitis.
25. Rehabilitation after stroke.
26. Myocardial ischemia.

The device is shock-wave therapy

Apparatus for carrying out UHT divided into several types, depending on the source of occurrence of the pulse wave generating:

1. Pneumatic - the most common and budget.
   
2. Electromagnetic. The structure of the head of this type of device is similar to the structure of the speaker. It consists of a magnet which is moved by the electromagnetic coil with a steel membrane. Due to the high voltage creates an electromagnetic field. It moves the diffuser, which is in the water. Water is used to cool (in operation, a large amount of heat) and for energy transmission. Waves also focused at one point.
3. Piezoelectric. It runs using piezoelectric crystals which are disposed on the surface of the plaque, the radiating wave. The plate has a special shape which allows pressure from all crystals focused at a specific area.
4. electrohydraulic. The method of operation of such a device lies in the fact that there are 2 metal pin in a metal container. These electrodes are connected ends. When approaching the pins explosion occurs. At this time, a shock wave. The special shape of the container allows you to focus the wave at one point.

Classification UHT apparatus for shock-wave type:

1. radial. Very little impact because there is no focus. Wave enters the human body, is not reflected there and is not focused. The farther the wave of the gun - the less impact.
2. planar. It does not focus, but has the same duration of exposure, and focus it. Distributed as narrowly focused plane.
3. Focused. It has the highest excess pressure. It focuses on a specific point.

Each unit, regardless of the shock wave generator should contain:

1. Metal housing.
2. Control panel.
3. A system for ultrasound guidance.
4. The emitter wavelength. He walks with a beam that focuses the wave. Its diameter - from 3 to 11 mm.

Brands devices that are used for therapy in the Russian Federation:

1. "Medolit". Producer - Russia.
2. «ESWT ShocK-Med». Major suppliers - United Kingdom, Czech Republic.

Technique of shock wave therapy

Shock-wave therapy, indications for which are numerous, is carrying out a technique that allows you to take full benefit from the procedure without harm to health. Most often therapy is performed on an outpatient basis, under the supervision of a physiotherapist.

To him for a session should bring all the results of examinations (X-ray, ultrasound, MRI), a card with the diagnosis that the specialist can determine the intensity of the area and the impact.

How is the procedure:

1. On the skin in the area of ​​special gel is applied. It will provide better cross impulse to the tissues.
2. Specialist connects the device and leads to the desired location.
3. The wave propagates in the affected area. It penetrates the skin by about 40 mm.

Interesting fact: 1 session will reduce pain by 10%. But this is not enough - you need to take the full course.

The first sessions may be accompanied by unpleasant pain. The next day, a place that has undergone a wave will hurt like after a workout in the gym. This is normal. Procedure 3 To a body gets used to the impact pulse. The skin may redden after the procedure due to increased blood flow.

duration

One procedure lasts 15-10 minutes. The next session is conducted in 3-7 days, depending on destination specialist physiotherapist.

Used in cosmetics

Shock-wave therapy, indications for which you can see above, is used not only in medicine but also in Cosmetology.

What will shock wave therapy:

1. Stretch marks and scars.
2. Cellulite, "orange peel".
   
3. Spider veins.
4. Wounds after liposuction.
5. Reduced firmness and elasticity of the skin.
6. Because of the excess weight increased body volume in different areas (stomach, breasts, thighs).

Benefit from UHT in cosmetology:

1. Improved circulation.
2. Getting rid of the fibrous tissue.
3. The skin becomes more elastic.
4. Regenerates skin cells.
5. Increase metabolism, because it split fat cells.
6. Pathology of the skin disappears, it is updated and becomes healthy, the scars shrink.

100% will result from carrying out the shock-wave therapy in conjunction with the following factors:

1. The transition to proper nutrition. To get rid of body fat, bring the skin in order and keep the body in good shape, you need to eat - diet should include fruits, vegetables, meat. Exclude from the diet is necessary: ​​fried; smoked; sugar; harmful additives.
2. Active lifestyle. Physical activity accelerates metabolism, and body fat scatters.
   
3. For extra impact cellulite good helpers will be wrapping procedures and manual massage.

Treatment of heel spurs shock-wave therapy

Shock wave therapy (evidence available for the treatment of plantar fasciitis) is carried out in a complex only. Treatment includes treatment with medicines, wearing special insoles and heel cushions and physiotherapy treatments.

Shock wave therapy in 90% of cases brings a lot of positive results in the treatment of heel spurs. Calibration is done at all stages of the disease.

UHT help break a spike formed in the leg due to accumulation of bone-salt cells. When properly selected intensity of the unit to only that area without affecting healthy tissue.

Effect after the Fasciitis at:

1. Decrease in pain.
2. Destruction of salt concentrations, by means of which formed itself "Spur".
3. Metabolism is improved.
4. Toxins.
5. It eliminates spasms in this area.

How is the procedure:

1. The procedure is prescribed orthopedic surgeon after conducting diagnostics (x-rays, blood coagulation, sometimes appoints MRI).
2. The patient lies down on the couch.
3. On the heels of applied gel for better conductivity.
4. Physiotherapist correctly sets the device to the waves were in the right place and with the right intensity.

Perhaps the feeling of slight discomfort during the session. When the complex treatment effect will be noticeable at 3 session.

How to increase the effect of the procedure:

1. During the course ensure peace footsteps. You do not need a lot of walking exercise, which require the involvement of the lower extremities.
2. Treatment and rehabilitation exercises to help speed up the treatment. They should prescribe orthopedic surgeon.
3. It should be used to walk heel cushions and special orthotics.
4. At home it is allowed to do the bath for the feet, which are based on herbs (sage, mint, chamomile).

Cellulite and UHT

To understand how the shock wave therapy for cellulite, it is necessary to clarify what is cellulite, as it appears. Cellulite - mostly women's disease, because the woman's body is arranged in the continuation of the species. Therefore, they have a greater amount of fat deposits (ie 11-15% more), to provide the energy and nutrient supply to the child and his mother during pregnancy.

Fat cells normally constitute 0.5 mm and cellulite reach 1 mm.

Wrong size of cells in cellulite upsets the balance of energy flow, they become more united in the obese group. The formation of fibrous tissue. Deteriorating power cells, the flow of blood. Because of this, the image of "orange peel". UHT waves are able to penetrate deep into the tissue, break down fat cells, relax the tissue fibers that surround them.

How it works:

1. Pulse penetrates into the skin.
2. Destroys fat cell membrane.
3. Accumulation of fat go into the extracellular space, and then enter the blood vessels and blood.

UHT in Urology

The most frequent disease urological character - prostatitis is nonbacterial form.

How the shock wave on the prostate:

1. Cleavage of stagnant processes due to improved blood flow - it rises up to 100 times.
2. Elimination of pain even during the sessions.
3. It improves metabolism, the formation and growth of new microvessel.
4. Calcifications, which are in the prostate, under the influence of impact pulses are destroyed. After that they go out of the body naturally.
5. It is going to get rid of the growths fibrosis. They can provoke pain for many years.

Pros:

1. Treatment without surgery.
2. Recovery of potency in this way helps to avoid side effects from the gastrointestinal tract, as happens when taking medication.
3. High efficiency.

How long should sessions UHT

Shock-wave therapy, indications for which are described above, will yield positive results only during the course. How many sessions include 1 course?

Depending on the complexity and severity of the disease, doctors prescribe an individual schedule for. On average, it amounts to 5 treatments. Between sessions should be a break in at least 3 days. It enables the body to recover, to get rid of waste that are fixed UHT. In more severe cases, appoint 7-8 sessions.

Disease	how many sessions
Heel spur	8 sessions, 5 days interval between them
osteochondrosis	5-7 procedures a break from 5 to 10 days between them
"Bone" on the inner side of the foot	3-5 treatments, the interval - 3 days
arthrosis	At least 8 sessions, the interval between them - 5 days
erectile dysfunction	6-9 sessions, rest in between - 5 days
cellulitis	5-6 sessions, break - 3 days

How often do UHT

You can not spend sessions daily, so between each visit to the physiotherapist there is a break, which can last from 3 to 10 days.

It hurts you?

At first, the sessions may be accompanied by unpleasant sensation of pain due to the fact that the exposed area activated processes for regeneration and healing. It is also possible pain from the shock waves themselves. They are like an electric shock. Many patients in the reviews say it is about a pain, especially at the site of localization issues.

The following sessions will no longer be so painful. By the end of the body eventually gets used to the momentum.

In order to reduce the pain, you need to contact with a physiotherapist. If concerned about severe pain - no need to tolerate it, you need to inform the specialist about the problem. Also, doctors are advised not to focus on the site of the impact shock wave therapy, think about something else in the session, and breathe deeply.

Contraindications

Contraindications to be divided into 2 groups:

1. Temporary.
2. Permanent.

By the temporary prohibition to conduct UHT include:

1. The period of childbearing, lactation.
2. Childhood and adolescence. UHT is permitted to carry out after 18 years.
3. Diseases of infectious nature.
4. If there was a musculoskeletal system deformity.

For a permanent ban include:

1. Technical.
2. Symptomatic.

Specifications:

1. UHT affects the spine.
2. If you are using UHT electromagnetic device, it is forbidden to carry out the procedure in the presence of a pacemaker.

symptomatic:

1. Oncological diseases.
2. Poor blood clotting.
   
3. Malfunction of the heart rate, blood pressure.
4. Diabetes.
5. CNS diseases.

Side effects

The emergence of side effects often depends on the individual and the impact impulse.

Side effects:

1. During the course - increased pain. This depends on the force supplied pulses and the patient's susceptibility. About 5% of patients experience an increase in pain.
2. the occurrence of hematomas. Is manifested if patient's skin is sensitive enough if it fragile vessels. Observed in 3% of patients.
3. skin redness after the session. The most frequent side effects. It passes through the 2 hour. Observed in 11% of patients.

The cost of UHT treatments

The possibility of such a procedure is, in almost all hospitals with physiotherapy treatments. After the start of the application in cosmetics, such procedures are carried out in specialized salons.

What determines the cost of the procedure:

1. Explored by the number of zones.
2. How qualified physiotherapist.
3. In what kind of clinic is the procedure.
4. From what disease held a course on how it runs.
5. Make and type of equipment.

The doctor at the hospital can only recommend carrying out this procedure, since it is not included in the list of free procedures.

Estimated cost - from 1000 rubles per 1 anatomical area.

Anatomical zone in cosmetology and medicine are described in the table below:

medical	Cosmetology
Foot - 1 zone. Back - 1,5 zone. Thigh - 1 zone. Brush - 1 zone. Shoulder - 1 zone. Buttocks - 1 zone. Drumstick - 1 zone. Forearm - 1 zone.	Brush - 1,5 zone. Drumstick - 1,5 zone. Foot - 1,5 zone. Shoulder - 1,5 zone. Buttocks - 1,5 zone. Back - 3,5 zone. Forearm - 1,5 zone. Thigh - 1,5 zone.

The method of shock-wave therapy has established itself as an effective procedure that has a lot of indications for use. A positive result is seen in most cases. But also therapy has a number of contraindications, therefore before the procedure is necessary to pass all the necessary Survey and consult with a doctor (general practitioner, orthopedic surgeon, urologist, depending on Problems).

Registration of the article: Lozinski Oleg

Video of shock wave therapy

The concept of shock-wave therapy is performed: