Physiotherapy and Rehabilitation
Some physical function losses occur in systems such as musculoskeletal, cardiovascular and nervous systems. In such cases, it is necessary to apply to a physical therapy and rehabilitation centre at the first opportunity. When a physical and functional disorder appears in our body for any reason, physical therapy and rehabilitation support will be needed.
We can say that physical therapy and rehabilitation stands out as an extremely important speciality in the field of medicine. Thanks to the various physical therapy and rehabilitation methods applied, it is possible to obtain successful results in many musculoskeletal diseases. Thanks to physical therapy and rehabilitation methods, it will be possible to combat the pain that disrupts the patient’s daily quality of life.
The Department of Physical Therapy and Rehabilitation is a unit consisting of experienced specialist physicians and physiotherapists who provide restoration of people who have lost movement and function due to illness or injury.
The aim of the treatment is to eliminate the disorder that occurs as a result of different diseases and injuries and the situation that causes the patient’s quality of life to decrease, to increase the potential for independent movement, and to relieve existing pain and complaints. In addition, modern rehabilitation techniques are applied by the specialist physical therapy and rehabilitation physician to eliminate the limitation of movement in patients after injuries and injuries that occur during sports activities.
In Which Diseases Is Physical Therapy and Rehabilitation Applied?
It is an important issue in which area physical therapy and rehabilitation will be performed. There must be necessary conditions for a patient to undergo physical therapy. Accordingly, the areas in which physical therapy methods should be performed are listed below.
- Orthopaedic diseases (both for traumatic and non-traumatic reasons)
- In muscle and joint diseases of acute and chronic nature
- In all kinds of degenerative, rheumatic disorders in joints and bones,
- In all kinds of metabolic diseases affecting the elements of the movement system
- In sports injuries
- Treatment approaches to prevent musculoskeletal diseases
- Heart lung problems (Cardiac and Pulmonary Rehabilitation)
How are Physiotherapy Applications?
Physical therapy is needed after any functional deficiencies that occur physically. Because the patient’s quality of life begins to decline day by day. A clear diagnosis of the disease is the first step. Then, a comprehensive treatment programme is started to be applied by physical therapy and rehabilitation specialists.
For this purpose, physicians and physiotherapists working with physiotherapists plan which of certain procedures such as heat, light, water agents, electrotherapy, hydrotherapy, massage, exercise methods and manual therapy will be required. Sometimes more than one method is applied at the same time. Physiotherapy and rehabilitation applications are carried out in sessions. Sometimes these can even be done twice a day. The total duration of treatment should not be less than 20 sessions.
In many patients, outpatient treatments can sometimes be performed by hospitalisation, sometimes at the patient’s home (see Home Physiotherapy Applications).
APPLICATIONS IN OUR PHYSICAL THERAPY AND REHABILITATION DEPARTMENT:
- INFRARED RADIATION
- HOT PACKS
- PARAFFIN – TREATMENT
- ULTRAVIOLET RADIATION
- LASER BEAMS
- ULTRASOUND TREATMENT
- SHORTWAVE AND RADAR
- SPINAL TRACTION
- COLD TREATMENT
- MAGNETIC FIELD
- LYMPH DRAINAGE
1- INFRARED RADIATION
Mechanism of action: It should not be forgotten that the effect of infrared rays on the body is not only temperature, but also a biological effect starting with this. These can be summarised as vasodilatation in the area of application, stimulation of peripheral nerve endings, excretion of accumulated toxins through sweating and kidneys and increase in the ability of problematic tissues to repair themselves.
DISEASES IT IS USED FOR: Infrarjuice can be applied outside the joints and except for the very painful and flaming initial periods of non-inflammatory joint rheumatism. It is possible to get very effective results after traumas such as falls, bumps, accidents and in periods of calcification that do not show exacerbation, in painful spasms of the muscles. In various spinal diseases, especially lumbar and cervical hernia, we apply infrared therapy either alone or in combination with other treatment procedures and usually before them. In addition, we use infrared rays to relax the muscles and joints of the patient before a treatment such as massage, traction, manipulation and to prepare them for other treatments.
AREAS NOT TO BE USED: It should not be applied on infected and open wounds, on bodies that react to heat, in very high blood pressure and heart diseases, on cancerous areas, on patients with local sensory defects and vascular circulation disorders.
APPLICATION METHOD: Devices producing infrared rays should be at least 30-40 cm away from the patient during application. Being uncomfortable with the heat given for treatment, excessive sweating or, on the contrary, being at a level not to be felt at all indicates a mistake. It is ideal for patients to feel a pleasant sweet warmth at this time. The treatment time should be between 15-25 minutes and if the environment is not suitable after the application, the patient should be protected by covering. The application can be 15-20 times on average in sessions.
2- HOT PACKS
Hot packs of various shapes containing infrared are widely used in physical therapy. In the past, hot rubber packs called thermophores were used for treatment. Now, some plastic or waterproof fabric bags filled with silicate gel are used. The chemical substance inside ensures that the heat is retained for a long time. These hot packs, like infusion lamps, have their effect on more superficial tissues. Nevertheless, they help to control the pain, relax the muscles and relax the patients considerably. More efficient results are obtained when performed before some physical therapy applications (traction, exercise, massage, etc.).
AREAS WHERE IT IS USED: Since this process is not different from infrared rays, the areas of use and prohibited areas are the same.
APPLICATION METHOD: Application time is between 10-30 minutes. The total number of sessions can be 15-20 times. In addition, this package left on the skin is covered with a towel and it is aimed to continue the hot application for a longer time without decreasing. Undoubtedly, unbearable temperatures can cause some burns on the skin and disruption of treatment, so they should be avoided.
3- PARAFFIN TREATMENT
Heated water cannot maintain its current temperature for a very long time. For this reason, we use paraffin, a substance that can maintain its temperature for a longer period of time, in treatment. For centuries, this or similar heated substances that maintain their temperature have been used for therapeutic purposes. Sometimes the effectiveness is increased by adding different substances. Fango applications (artificial mud) and natural mud therapy are also effective in similar ways.
Mechanism of action: The therapeutic effect of paraffin heat is not different from other hot applications. It is a treatment that increases the circulation at the cell level, thus allowing the tissues to regenerate themselves.
METHOD OF APPLICATION: In this treatment, which is made by immersing tissues such as hands and feet in a container filled with this substance, which becomes molten with heat, it is necessary to wrap it with a glove to preserve the heat generated in this treatment.
DISEASES IT IS USED FOR: The disease we prefer paraffin in the treatment is the disease of calcification (Heberdan Arthrosis) found in the fingers of the hands. Apart from this, non-inflammatory joint, muscle and connective tissue rheumatisms in the hand and foot are the diseases in which paraffin treatment is successfully applied. Paraffin applied in the form of application is preferred for treatments to be performed in larger areas or to prepare the patient for other physical therapies to be performed afterwards.
AREAS NOT TO BE USED: Paraffin should not be applied during active periods of inflammatory joint rheumatism. It is also not used for open wounds, tumours and some vascular diseases.
4- ULTRAVIOLET RADIATION
In general, the sun is a source of ultraviolet radiation. Although the electromagnetic wavelength we use in our treatment is slightly different, the basic functions are completely similar. Since the beneficial effects of the sun’s rays on the human organism have been observed centuries ago, it was only after long studies that it became clear how to artificially reproduce these effects under non-existent conditions. As a result of the proverb “The sun does not enter the house where the doctor does not enter”, it has found a wide application area not only for therapeutic purposes but also for artificial sunbathing in countries that lack this opportunity.
Mechanism of action: The ability of these rays to penetrate through the body is very limited. This passage of no more than a few millimetres cannot overcome even the slightest obstacle. It cannot pass through fabric, paper or even glass. Therefore, the sun coming through the glass has no therapeutic value. It is only the heat of the sun that passes through the window panes. Ultraviolet rays coming to the skin initiate some photochemical events. When it encounters the precursor of vitamin D, it converts it into vitamin D, which is essential for the body. Undoubtedly, the long duration of this process can cause serious harm rather than benefit.
Although pigmentation (colour change) in the skin tissue during ultraviolet is an undesirable result, there are many people who have ultraviolet applications only for this purpose, that is, for tanning. Apart from this, UV rays provide important contributions in increasing the number and activity of some blood cells, killing the microbes in the environment and activating the immune system.
DISEASES IT IS USED FOR: Ultraviolet is the treatment of choice in diseases related to calcium and bone metabolism. UV therapy is used in osteoporosis (bone resorption), rickets in children and Paget’s disease. In psoriasis, special ultraviolet-producing devices (PUVA) are a leading form of treatment.
It is preferred in convalescence periods of various chronic diseases, some arthritis and rheumatism, and some rare skin diseases. Ultraviolet is very successful in some nerve end disorders, stubborn sciatica, wounds that do not close and pressure sores caused by lying in bed for a long time by applying high doses but locally. It is used to sterilise the environment in operating theatres and to clean drinking water. Its use for tanning is the most common.
AREAS NOT TO BE USED: Active pulmonary tuberculosis, severe kidney, liver and heart failure, overactive thyroid gland, lupus erythematosus (progressive connective tissue rheumatism), uncontrolled diabetes and some different skin diseases should avoid ultraviolet. In addition, those who take certain medications for therapeutic purposes (during gold treatment) should be prohibited from ultraviolet rays, in other words, from walking under the sun’s rays.
METHOD OF APPLICATION: In every patient who will use ultraviolet rays for therapeutic purposes, the tolerance to ultraviolet radiation must be measured before the application. Only then a healthy study can be carried out. The initial treatment time is increased every day and reached to the desired level in 10 days. The number of treatments can be 10 to 20 times on average. During the treatment, care should be taken to ensure that the application area is bare and as dry as possible.
6- ULTRASOUND TREATMENT
Ultrasound is a treatment that creates heat during the vibration of the sound waves it generates and produces both heat-related and biological effects. The cellular activation that occurs after the application of ultrasound, especially in blood cells, initiates a metabolic acceleration that will cause the vessels to dilate themselves and increase immunity locally. Thus, it not only increases oxidation at the cellular level, but also increases vascular circulation and accelerates the process of self-repair of diseased tissues. By acting on the nerve endings, it minimises various problems that disturb the patient by causing less perception of pain, relaxation of the muscles and more efficient functioning of tissues and organs that previously had nutritional difficulties for various reasons. The fact that it can pass through other tissues faster and concentrate on bones expands the treatment areas for them.
DISEASES IT IS USED FOR: We can say that it is mainly applied in various muscle and joint diseases. Fibromyalgia, painful muscle spasms, deformities in tissues after trauma or surgery, various joint calcifications and a rheumatism called Dupuytren’s Contracture occurring in the hand are used effectively. It is also preferred in periods when rheumatism is not inflamed, Sudeck’s atrophy (a progressive disease that causes bone and muscle resorption that usually starts after tightened plasters) in various disorders in nerve tissues (neuritis, neuropathy, etc.). Patients with various spinal diseases, especially lumbar and cervical hernia, and especially patients with ankylosing spondylitis, called bamboo disease, benefit greatly from ultrasound.
AREAS NOT TO BE USED: Ultrasound is not applied on vascular circulation disorders in the legs, acute and inflammatory periods of rheumatism and calcification, open and infected wounds, cancerous tissues. It is necessary to avoid applying ultrasound around some internal organs.
METHOD OF APPLICATION: Ultrasound devices have heads to transmit this power. These increasingly smaller and more capable heads are manually moved over the problematic tissues by the therapist. During the application, we use erasable gels to ensure the ideal communication of sound waves between the diseased tissues. Sometimes, due to the difficulty of application in tissues such as fingers and toes, we perform ultrasound in these areas in a container filled with water. Treatment time varies between 8-15 minutes each time. The physician determines the duration and intensity of the current, the place to be applied and the way the head is circulated. The total number of sessions is 15-20 times on average.
7- SHORT WAVE AND RADAR THERAPY (DEEP DIATHERMY)
For this purpose, two different treatments with different wavelengths but similar application methods are performed. Found in the early 20th century by Tesla and d’Arsonval, this application has been further developed over time and has become an effective physical therapy application. The electromagnetic waves obtained are applied to the desired tissue in special heads. It is almost applied to many parts of the body.
Short wave diathermy: The most important feature of this treatment with a wavelength of 6-11 metres and a frequency of 30-50 megacycles is that it can bypass many tissues and concentrate on deeper tissues. It has thermal effects depending on the heat generated in the environment during the application and also biological effects independent of the effect of heat. With the increase in heat, there is an increase in the self-repair capacity of the tissues whose nutrition is impaired by the expansion of small capillary vessels. In this way, treatment of many diseases is possible.
Radar (microwave) diathermy: It is an electro-magnetic treatment method with a very short wavelength (12-69 cm). Although it is used where the other method is used, its effect is relatively more on the surface tissues.
DISEASES IT IS USED FOR: Diathermy gives useful results in the treatment of some chronic inflammations. For this reason, chronic sinusitis, ovarian inflammation in women, chronic prostatitis, such as short-wave treatments give promising results in diseases that resist despite the treatments. Very effective results are obtained in the treatment of all kinds of calcification and non-inflammatory rheumatism.
AREAS NOT TO BE USED: Acute inflammatory diseases, bacterial infections, tuberculosis and cancerous tissues. It should not be applied on open wounds, sensory defects, vascular occlusions.
APPLICATION METHOD: Radar application cannot be done over plaster. The application site should not be wet. In addition, in both diathermy methods, the surrounding metal objects should be removed during the application. Duration is 10-20 minutes and the number of sessions is 15-20 times. Electrodes are selected according to the painful area of the patient.
Different types of electric currents are used for therapeutic purposes. Although many current types used in the past have been abandoned, new currents are successfully applied to patients for physical therapy. With each passing day, a more effective current form or the combined use of current forms is in question. Electric currents are preferred according to the type of disease, the location and size of the problem in the patient.
a) Galvano-faradi-diyadinami currents: Starting in 1789 with an experiment conducted by Galvani, this adventure, which reveals the effect of electric currents on living things, has continued to the present day by developing day by day. The first currents used in treatment are non-oscillating currents characterised as direct current. For many years, very large batteries were used for this purpose, but over time, these currents were developed and these currents were obtained with city drafts. Galvanic currents, which produce a reaction manifested by redness (hyperaemia) at the site of application, have been widely used since the 1920s.
Although its use is somewhat limited today, it is still used in some nerve endings disorders, Sudeck’s and Raynaud’s disease, which are diseases in which bones and vessels are affected, and chronic rheumatism. Baths made by giving galvanic current into special baths filled with water have long been used as one of the most distinguished treatments, especially in cases of extreme fatigue and common skin and joint disorders. By throwing some chemicals into the water and inserting organs such as hands and feet into it, if necessary, treatments are carried out by placing sponges dissolved in chemicals and soaked sponges on problematic areas.
Faraday’s researches on the effects of electric current in 1831 resulted in the discovery of Faradic current, a current known by his own name. It has attracted attention for many years as an effective method in the solution of problems caused by a recent trauma in the tissues, especially in the re-operation of a muscle that has been immobilised for any reason. Again, if the current was given and movement was provided, it was decided whether the event was paralysed or not.
b) Diadynamic currents are a combination of oscillating currents that emerged towards the end of the 30s. It remained on the agenda as one of the effective treatment methods for many years. Nowadays, combined electrotherapy applications including different types of currents are performed. In our hospital, we use such treatment tools which are examples of the latest technology.
c) Interference vacuum therapy: Currents obtained by mixing electric currents with different oscillations (frequency) are called interference currents. This current, which has been used successfully since the 40s, is especially preferred in the treatment of tissues with impaired nutrition and especially muscles. It has been widely used in polio epidemics and is still used as an elite treatment today with its muscle and nerve stimulant and pain relieving properties. In addition to the current application, a separate and strong activity can be obtained with the effect of massage in the tissues with the vacuum device placed in the application heads.
d) Tens Currents: This current, which emerged at the end of the 70s, has become one of the most popular currents among all other currents today. If the dose of TENS currents, which manifests itself in the form of vibration, is slightly increased, it causes movements in the form of contraction and relaxation in the muscles.
DISEASES IT IS USED FOR: It is a treatment method used in all painful diseases regardless of the cause. It gives very positive results in calcification and rheumatism, diseases around the spine (hernias).
APPLICATION METHOD: It is a special electric current given to the problematic areas or the area fed by a certain nerve with the help of electrodes placed on bare skin. There are various types. This method is usually applied for 30-60 minutes and 10-15 sessions per day. With the application, it shows its effect by secreting a morphine-like hormone called endorphin in the body.
9- SPINAL TRACTION
Traction therapy is a method of removing some problematic compressed tissues, especially vertebrae, from each other by using special devices in some spinal diseases. In some cases, this procedure is even performed manually. In painful acute cases that cannot come to the clinic for treatment, a traction procedure that can open the vertebrae between the vertebrae can be performed with simple roller devices in the patient’s bed.
Mechanism of action: The disc between the vertebrae is displaced and presses on the nerves. In order to eliminate this compression, traction therapy is prescribed in addition to rest and corset treatment. In fact, it is more important to reduce the local oedema in the tissues and to relieve the pressure on the nerves by relaxing the muscles and ligaments that are highly strained with spasm and pain. In other words, the effectiveness of the treatment is ensured by the fatigue of the muscles, especially the muscles, with traction and their natural release at the end of this.
DISEASES IN WHICH IT IS USED: Spinal traction is a form of treatment used in some spinal disorders with compression. These include lumbar or cervical hernia, spinal slippage (stable spondylolisthesis), calcifications that cause various compression in this region, traction treatment is performed in muscle spasms in the neck or waist region.
AREAS NOT TO BE USED: Inflammation of the cartilage tissue (disc) in the spine and between the vertebrae, tumours in the bone or spinal cord, advanced bone resorption (osteoporosis), some lung and heart problems and aortic aneurysm, traction cannot be performed in pregnancy.
METHOD OF APPLICATION: In applications performed with the device, this pulling process can be either continuous or at certain intervals. In the meantime, it is possible to adjust the forces and durations during the pulling and releasing of the device at desired levels. In order to perform an effective traction during the application, corsets should be tied to the waist and chest and these should be pulled in opposite directions. The duration and force of traction are determined individually for each patient. During traction for the cervical spine, the patient can be in a lying or sitting position.
10- COLD TREATMENT
Since it has been proven that “cold applications” are beneficial in some rheumatic diseases and arthritis, there has been an increasing interest in cold treatments.
A-COLD PACKS: The application is usually between 5-15 minutes. The desired cold treatment can be performed with towels soaked in cold water, cooled bags, ice wrapped in a towel or cold packs that maintain their coldness for a very long time.
B- CRYOTHERAPY: As well as direct cold treatments, this process can also be performed with technological tools. The advantage of this is that although the patient does not feel the cold down to -15 degrees, the function of cooling deeper tissues that cannot be achieved in ice applications can be achieved with cryotherapy. Cryotherapy is a good treatment option in cases of rheumatism and calcification with swelling and warmth in the joints. Cryotherapy is especially preferred for swelling and pain after sportive accidents.
11- MAGNETIC FIELD THERAPY
High-voltage lines, television, computers, microwaves, mobile phones and all kinds of technological household and work tools cause magnetic pollution called electrosmog. As a result, serious changes begin in the human organism and many problems called “diseases of the modern age” arise in some bodies that lack energy.
- Sleep problems
- Tension and pain around the cervical and lumbar spine
- Chronic fatigue syndrome
- Menstrual irregularities
- Skin problems
- State of nervousness (anxiety)
- Sexual problems
- Deficiency in the body’s immune systems
It takes one minute for a blood cell leaving the lung to complete its task and return. When blood cells have sufficient bio-electric potential, they repel each other and move separately within the vessels without sticking to each other. When the fluidity of the blood and the speed of blood flow increase, oxygen can easily reach the most distant cells. However, insufficient fluid intake, sedentary life, nutritional errors and extra magnetic pollution artificially created around us reduce the blood flow rate by sticking red blood cells to each other and stacking them on top of each other like coins. In this situation, the red blood cells cannot be easily separated from each other and the amount of oxygen transported gradually decreases. If the cells are exposed to less oxygen, they produce problems similar to the symptoms of an engine running on insufficient fuel. In contrast to cells whose metabolism is functioning normally, the acidic waste materials, which are produced in greater quantities, cannot be excreted as much as they should and begin to accumulate. This causes the problem to increase even more. Here are two treatment methods that will have positive effects on impaired blood cells.
One is ozone therapy and the other is magnetic field therapy. The fluidity of blood cells under magnetic field therapy increases and the circulation of vital substances required by the cells accelerates. Thus, the body increases its self-healing capacity naturally. Because the body can cope with all problems under normal conditions.
Magnetic field therapy increases the activation of bone cells. The existing contractions in the muscles decrease and there is an increase in the cells that defend the body. Thus, expansion of the vessels that are narrowed and provide their functions with difficulty, and positive developments in the chemical reactions that carry out the metabolism in the body begin.
USE OF MAGNETIC POWER IN MEDICINE
It is possible to obtain magnetic power from special devices made to produce magnetic power under clinical use conditions, as well as from some metal particles that have bio-magnet properties that we call magnets and applied externally to the body. These parts can either be in the form of jewellery prepared for ornamental purposes or adapted to the bed, pillow, body clothes used in daily life.
MAGNETIC FIELD THERAPY
Clinical type magnetic therapy is undoubtedly the most important example of medical magnetic field applications. One of the most superior features of the application is that it creates a “magnetic field” in rhythmic fluctuations, just like a pulse. The more effective pulsative magnetic field can more easily enable the cell membrane to recapture its natural rhythmic movement. Magnetic field therapy with rhythmic character enables the resumption of many biological processes at the level of systems that fulfil the functions of molecular, cellular and organs in the human organism. It should not be forgotten that magnetic field therapy is not an application given to the body from outside, just like ozone therapy, but it is a treatment to increase the self-repair ability of our organism.
PURPOSES OF MAGNETIC FIELD THERAPY:
Although magnetic therapy aims to eliminate many diseases or complaints, we can list the main aims of using it in treatment as follows.
- To regulate the decreased energy level in the body
- Reduce stress and overcome depression, if any
- Eliminating pain or functional deficiencies caused by various reasons
DISEASES IN WHICH MAGNETIC FIELD THERAPY IS USED
- Sleep disorders, forgetfulness
- Acceleration of fracture union and treatment of non-healing fractures
- Arthritis (knee, hip and waist) and sciatica cases
- Some rheumatisms (soft tissue and inflammatory joint rheumatisms = arthritis)
- Migraine headaches and trigeminal neuralgia “severe painful facial tics”
- Tinnitus and chronic dizziness problems
- Menstrual irregularities and painful menstruation in women
- Treatment of postmenopausal symptoms
- Elimination of oedema, pain and movement problems after falls and bumps
- Movement problems after orthopaedic surgeries
- Fibromyalgia (intense muscle pain)
- Skin diseases and allergies
- Chronic fatigue syndrome (live funeral syndrome)
- Bamboo disease (progressive rheumatism of the spine = Ankylosing Spondylitis)
- For anti-aging purposes
- Advanced hypertension not responding to drugs
- As supportive treatment in excess weight with metabolic syndrome
- In the solution of sexual problems developing due to contemporary environmental problems
- Increasing the performance of athletes
- Accelerating the healing of non-healing wounds and strengthening immunity
- Digestive and respiratory disorders (gastritis, colitis, indigestion, asthma, COPD, etc.)as additional treatment in the solution
- Advanced varicose veins or related wounds on the legs
- ENT diseases (sinusitis and tonsillitis)
APPLICATION METHOD: All metal objects such as rings, bracelets, watches etc. should be removed before starting the application. Magnetic application is performed for an average of 10 sessions and 12-25 minutes depending on the type of disease. Again, it is necessary to make sure that the patient is not sweaty during the application.
12- LYMPHATIC DRAINAGE (LYMPHEDEMA) TREATMENT
Normally, the blood sent through the arteries in the body is collected back through the veins. However, for various reasons, this return may not be fully achieved. For this reason, some return circulation disorders, especially varicose veins, occur. Devices that perform this process in accordance with the natural flow have been developed. These devices, which work in accordance with the heart and pulse rhythm, lead to the removal of vascular problems that have arisen. These devices have been used in treatment for 40 years.
DISEASES THEY ARE USED FOR:
Diseases that cause oedema in the feet, lymphoedema, filebitis, varicose veins, and arterial vein occlusions should be successfully treated with these devices, which can be adjusted from patient to patient and in parallel with the problems of the affected vein.
AREAS NOT TO BE USED: Acute inflammatory conditions in the veins, open wounds and infections on the skin, severe painful periods, very advanced diseases are not recommended.
APPLICATION METHOD: Special sleeves are wrapped around the legs. The operation is started with automatic commands given to the device connected to the patient lying down. Application time may take 20-40 minutes. The number of applications can be between 10-20 times.
13 - MASSAGE THERAPY
Massage is very useful for aching joints and spasmodic muscles. In some patients, the physician may recommend massage in addition to physiotherapy methods. If you are having a massage anywhere on your own, you should definitely share this with your physician. Because sometimes massage can lead to negative results rather than positive ones. The incompetence of the person performing the massage as well as the fact that massage is unfavourable in some diseases may play a role here.
PHYSICAL THERAPY FOLLOW-UP AND TREATMENT
Patients who apply to our Physical Therapy and Rehabilitation Polyclinic are evaluated by the Physical Therapy and Rehabilitation Physician and a treatment programme suitable for the individual’s disease is planned. The treatment programme is applied by trained physical therapy and rehabilitation personnel under the supervision of a physician.
Some Diseases Followed and Treated in Pendik Regional Hospital Physiotherapy Unit
- Joint pains (shoulder, elbow, wrist, hip, knee, ankle pains)
- Spinal pain (neck, back and lower back pain)
- Curvature of the spine (scoliosis)
- Neck / waist straightening and posture disorders (Posture disorders)
- Rehabilitation programmes for office workers
- Soft tissue rheumatisms:
- Myofascial pain syndrome
- Neck and lumbar hernias
- Rehabilitation after hernia surgery
- Waist slips
- Rheumatic Diseases (Inflammatory Rheumatisms) :
- Rheumatoid Arthritis
- Ankylosing Spondylitis and other Spondyloarthropathies
- Connective Tissue Diseases
- Joint problems due to psoriasis
- Joint problems due to Behcet’s Disease
- Joint problems due to gout
- Rehabilitation of burn patients
- Orthopaedic Rehabilitation:
- Meniscus and ligament tears
- Treatment of pain and stiffness after prosthesis and meniscus surgeries
- Treatment of pain and stiffness after fracture
- Joint arthritis (osteoarthritis)
- Treatment of sports injuries
- Neurological Rehabilitation
- Rehabilitation of paralysis (stroke)
- Rehabilitation of cerebral palsy
- Rehabilitation of patients with spinal cord/brain surgery
- Rehabilitation of polio
- Multiple Sclerosis rehabilitation
- Parkinson’s Disease rehabilitation
- Rehabilitation of other gait and balance disorders
- Treatment of nerve injuries
- Ozone Therapy
- Neural Therapy
- Intra-articular injections (Ozone, Prolotherapy)
- Dry needle treatment
- Trigger point injections (Ozone, Neural, Prolotherapy)
- Kinesiotape (pain band) applications
- Mesotherapy applications