Common Physiotherapy Treatment Techniques

 From tears to injuries to bursitis, physical therapists have a unique ability to help the human body evaluate itself and restore its proper function. Armed with extensive experience in sophisticated equipment and knowledge, physical therapists can help diagnose and treat many common ailments and movement disorders. Despite cool toys (laser therapy, anyone?), Your most useful tool for treatment maybe your hands.

Evaluate the first step in the treatment process of any good physical therapist. Therapists are expected to ask detailed questions about how the injury occurred, but some specialists also do the work (the injured area may be the result and not the starting point of poor mobility). According to Dr. Mike Reynolds, a Boston-based Red Sox, and physical therapy therapist, therapists can reduce pain quickly, but it can only be temporary if they don't address the root cause of the problem.

Although patients go to see a therapist for a variety of reasons, low back pain, knee pain, and excessive injuries are among the most common complaints. After extensive research, therapists begin to formulate a treatment plan that usually involves passive techniques (ice, heat, laser treatment, and some electrical stimulation). Reynolds says that manual therapy, which includes several techniques to restore tissue function, such as massage, stretching, and exercise, is the foundation for the evaluation and treatment of injuries. Feel free to jump into activity (or running, swimming, or lifting) immediately. According to Dr. Eugene Babenko, a physical therapist in New York City, the average duration of muscle care (read: bone and muscle injuries) can range from four to six weeks.

Putting the pieces together - treatment

Ready to hit the road to recovery? Before going blind with his local physical therapy office, Gratis consulted with Reynolds and Babenko to discuss the most effective treatment options for a variety of conditions, large and small. Note: The following section covers general evaluations, which are not intended to replace professional medical advice, but will vary on an individual basis.

Manual therapy

The best for any injury

This practical approach distinguishes physical therapists from other healthcare professionals. Although manual therapy prescribes many things, therapists often use simple techniques such as stretching, massage, and strengthening exercises to begin to regain the body in proper movement and mechanics. According to Dr. Reynolds, "Manual therapy is an important way to remove movement restrictions and help patients move better." He cautions that manual therapy should be the backbone of any treatment plan, not methods like ice and electrical stimulation.

Ice

Best for this: inflammatory and inflammatory lesions

Ice is an important component of wound healing. By clogging blood vessels after application, ice is an effective way to reduce and prevent inflammation immediately after the injury. Cold therapy improves manual therapy by making the joint more mobile. Although the most effective protocol is difficult to nail down, applying cold compresses to inflamed areas has been shown to significantly reduce inflammation in soft tissue wounds.

Hot

Best for this: muscle aches and strain injuries.

The application of heat reduces pain and increases mobility after certain injuries, mainly in soft tissues such as muscles, tendons, and ligaments. By making the tissue more flexible, the therapist can greatly expand the affected area. Note: Dr. Reynolds says that heat is only a tool for the therapist to be more effective, which should not be the main focus of the treatment plan.

Ultrasound

Best for connective tissue injuries

By using sound waves (unrecognizable to the human ear) to produce heat deep in the body, ultrasound treatment can help loosen tissues for manual therapy or exercise. How it works: Therapists use a wand (sadly not the magic kind!) To apply sound waves directly, and safely, to the skin. Ultrasound has been shown to increase the speed of tendon healing in our furry counterparts (read: mice), although more studies are needed to show if we have the same.

Low-level laser

Best for muscle or connective tissue injuries

Laser therapy uses specific wavelengths of light to stimulate healing (there is so little under the skin that nothing is felt). In the best case: treatment can help reduce inflammation, muscle fatigue, and pain. It also allows the affected joint to be easily moved for treatment with less discomfort.

Traction

Best for herniated disc

When we stand up, our spine supports our weight recovering from constant back pain, Dr. Reynolds said. Separation of the vertebrae in traction results in more space for the nerves and less compression on the disc cartilage. Some research shows that traction can be effective in reducing pain and improving the quality of life in patients with the herniated pelvic disc. And since it does not go by the sword, it is an effective treatment option for those who cannot recover for a long time.

Functional electrical stimulation

Best for this: restore muscle strength

It's electricity, not really. Electrical stimulation, also known as ESTIM, is a common therapeutic option for restoring muscle function after a traumatic injury. By applying a small non-static electrical stimulus, therapists induce contractions of the muscles, which may be inactive. This can lead to the restoration of proper movement and performance rather than relying solely on exercise. Although ESTIM may not restore mobility in all cases, research shows that ACL and total knee replacement surgery can speed recovery after a few weeks. Additional research confirms that ESTIM is an effective treatment option to restore function in hemiplegic patients (those with paralysis on one side of the body).

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