ESWT - Extracorporeal shock wave therapy high energy "Dr. Alin Popescu
ESWT or extracorporeal shock wave therapy or electro-wave therapy was originally minecraft texture packs used and continues to be used successfully in urology - in lithotripsy extracorporeal. Since 1980 started to be used in orthopedic pathology in recent years is given increasing importance in the recovery and physical medicine, so expanding indications for ESWT in musculoskeletal pathology and abarticulare. In this type of pathology, the use ESWT has a peculiarity, namely: transmission radial / spherical energy ballistic mechanical shock, unlike the sharp bevel transmission used for lithotripsy.
The shock waves have a traumatic effect treatment, they microcavitatia made in the form of small bubbles which generate minecraft texture packs cavitation in the tunnel and vascular endothelial membranes, making their permeability. Thus at this level but stimulates microcirculation and microangiogeneza with regenerative and healing effects lesion. It appears that ESWT effects to induce subcellular and molecular level, thus explains the antifibrotic effects and the ossicles.
Biological effects: - analgesic effects by lowering short fiber transmission selective demyelinating neuropeptide release. - Role of proinflammatory effects in tissue healing - neovascularization and antifibrotic effects - toxic free radical release and apoptosis inducers, especially the role osteoblast ossification.
The side effects of the method is non-invasive and painless method but can occur following side effects: - pain during and immediately after application - muscle spasms, minecraft texture packs tension and cramps - sensitivity problems: hyperaesthesia, paraesthesia - joint swelling (48 hours) - sweating, pallor, dizziness, tremor. minecraft texture packs
Indications for application of ESWT abarticulare pathology and musculoskeletal indications application of shock waves are: - scapular-humeral periarthritis shoulder pain, with or without tendinitis limestone periartita coxofemoral - algoneurodistrofia bipolar (shoulder-hand syndrome) - inflammation of the epicondyle - localized inflammatory collagen (Dupuytren) - Plantar fasciitis / osteophytosis calcaneeana, periosteum - overload syndrome iliotibial tract - points miofascilae - activated gonarthrosis - lombosacralgie with contractures / retracturi, osteonecrosis dissecans, osteonecrosis, aseptic - veno-lymphatic insufficiency by overloading (athletes)
Contraindications are: - Children minecraft texture packs in the growth, especially growth cartilage minecraft texture packs from them - pregnancy - history of plantar fascial ligament rupture - the implanted minecraft texture packs metal - tumor disease, minecraft texture packs especially malignant bone tumors especially - diabetic polyneuropathy - application in the thoracic, vascular or nerve regions, especially cervical vertebrae - the application in the chest, air leakage hollow organs: lungs, intestine - blood clotting, bleeding disorders minecraft texture packs - acute inflammation or infection, infected pseudoarthrosis - thrombophlebitis - lack of breaks of at least 5 days before minecraft texture packs application in patients taking anticoagulants or NSAIDs - lack of a break of at least 6 weeks before ESWT in patients treated with anti-inflammatory steroids - or uncooperative patients with dementia syndromes, neurotic pathology
Particular Methods of application include the advantages that this method owns it and that it is a noninvasive method that does not cause pain. Depending on musculoskeletal pathology for applying energy method is used where low or high density and number of different sessions. Apply gel as a medium of contact between the applicator and the painful skin.
For example minecraft texture packs plantar fasciitis with or without osteophyte calcaneean with simpotme painful than 6 months, which does not respond to conservative treatment, Food and Drug Administration recommends the use of shock waves. 2000 shock is applied once a week, three weeks in a row, at a pressure of 2.5 bar and a frequency of 10 Hz, indicating that in all this time will be given anti-inflammatory treatment. Studies have shown that the application of ESWT in plantar fasciitis has a failure rate of 10%. ESWT represents alternative to surgery due to the benefits it brings and low risk of ESWT procedure Lisa proposes as an alternative to surgery due to lower benefits and risks of the procedure and Brotzman consider using shock waves in plantar fasciitis particularly useful because in practice gave optimal results in over 80% at long-term follow but that does not have side effects compared with surgery (p arch collapse
ESWT or extracorporeal shock wave therapy or electro-wave therapy was originally minecraft texture packs used and continues to be used successfully in urology - in lithotripsy extracorporeal. Since 1980 started to be used in orthopedic pathology in recent years is given increasing importance in the recovery and physical medicine, so expanding indications for ESWT in musculoskeletal pathology and abarticulare. In this type of pathology, the use ESWT has a peculiarity, namely: transmission radial / spherical energy ballistic mechanical shock, unlike the sharp bevel transmission used for lithotripsy.
The shock waves have a traumatic effect treatment, they microcavitatia made in the form of small bubbles which generate minecraft texture packs cavitation in the tunnel and vascular endothelial membranes, making their permeability. Thus at this level but stimulates microcirculation and microangiogeneza with regenerative and healing effects lesion. It appears that ESWT effects to induce subcellular and molecular level, thus explains the antifibrotic effects and the ossicles.
Biological effects: - analgesic effects by lowering short fiber transmission selective demyelinating neuropeptide release. - Role of proinflammatory effects in tissue healing - neovascularization and antifibrotic effects - toxic free radical release and apoptosis inducers, especially the role osteoblast ossification.
The side effects of the method is non-invasive and painless method but can occur following side effects: - pain during and immediately after application - muscle spasms, minecraft texture packs tension and cramps - sensitivity problems: hyperaesthesia, paraesthesia - joint swelling (48 hours) - sweating, pallor, dizziness, tremor. minecraft texture packs
Indications for application of ESWT abarticulare pathology and musculoskeletal indications application of shock waves are: - scapular-humeral periarthritis shoulder pain, with or without tendinitis limestone periartita coxofemoral - algoneurodistrofia bipolar (shoulder-hand syndrome) - inflammation of the epicondyle - localized inflammatory collagen (Dupuytren) - Plantar fasciitis / osteophytosis calcaneeana, periosteum - overload syndrome iliotibial tract - points miofascilae - activated gonarthrosis - lombosacralgie with contractures / retracturi, osteonecrosis dissecans, osteonecrosis, aseptic - veno-lymphatic insufficiency by overloading (athletes)
Contraindications are: - Children minecraft texture packs in the growth, especially growth cartilage minecraft texture packs from them - pregnancy - history of plantar fascial ligament rupture - the implanted minecraft texture packs metal - tumor disease, minecraft texture packs especially malignant bone tumors especially - diabetic polyneuropathy - application in the thoracic, vascular or nerve regions, especially cervical vertebrae - the application in the chest, air leakage hollow organs: lungs, intestine - blood clotting, bleeding disorders minecraft texture packs - acute inflammation or infection, infected pseudoarthrosis - thrombophlebitis - lack of breaks of at least 5 days before minecraft texture packs application in patients taking anticoagulants or NSAIDs - lack of a break of at least 6 weeks before ESWT in patients treated with anti-inflammatory steroids - or uncooperative patients with dementia syndromes, neurotic pathology
Particular Methods of application include the advantages that this method owns it and that it is a noninvasive method that does not cause pain. Depending on musculoskeletal pathology for applying energy method is used where low or high density and number of different sessions. Apply gel as a medium of contact between the applicator and the painful skin.
For example minecraft texture packs plantar fasciitis with or without osteophyte calcaneean with simpotme painful than 6 months, which does not respond to conservative treatment, Food and Drug Administration recommends the use of shock waves. 2000 shock is applied once a week, three weeks in a row, at a pressure of 2.5 bar and a frequency of 10 Hz, indicating that in all this time will be given anti-inflammatory treatment. Studies have shown that the application of ESWT in plantar fasciitis has a failure rate of 10%. ESWT represents alternative to surgery due to the benefits it brings and low risk of ESWT procedure Lisa proposes as an alternative to surgery due to lower benefits and risks of the procedure and Brotzman consider using shock waves in plantar fasciitis particularly useful because in practice gave optimal results in over 80% at long-term follow but that does not have side effects compared with surgery (p arch collapse
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