A pain and inflammation therapy aims to facilitate movement and improve coordination of muscles and joints. Non-drug measures include therapeutic exercise, heat, cold, electrical stimulation train in the cervical spine, massage and acupuncture. The methods are used in many diseases of muscles, tendons and ligaments (indications for non-drug pain treatments). The doctor should write the following:

(Pain) A pain and inflammation therapy aims to facilitate movement and improve coordination of muscles and joints. Non-drug measures include therapeutic exercise, heat, cold, electrical stimulation train in the cervical spine, massage and acupuncture. The methods are used in many diseases of muscles, tendons and ligaments (indications for non-drug pain treatments). The doctor should write the following: Diagnostic type of treatment (eg, ultrasound, hot pack.) Place of application (such as right shoulder, lumbar spine.) Frequency (eg, once a day, every other day.) Period (eg. B., 10 days, 1 week) indications for non-drug treatments for pain therapy indications heat (eg., infrared heat, hot packs, paraffin, hydrotherapy) arthralgia arthritis (various forms) back pain fibromyalgia muscle spasms myalgia neuralgia sprains strains Sehnenscheidenentzün dung whiplash ultrasonic bone injuries bursitis complex regional pain syndrome contractures osteoarthritis tendinitis cold inflammation (acute) lower back pain (acute) muscle spasm pain syndrome traumatic pain Transcutaneous Electrical Nerve Stimulation (TENS) musculoskeletal pain neuralgia Peripheral arterial occlusive disease Cervical train pain associated with herniated neck pain (ch ronisch) by cervical spondylosis torticollis whiplash massage amputation arthritis * Bruises bursitis * cancer (certain types) Cerebral palsy * Tense tissue fibromyalgia syndrome Fibrositis * fractures hemiplegia * joint injury low back pain * Multiple Sclerosis neuritis * paraplegia * periarthritis * Peripheral nerve injury quadriplegia * Sprain originating acupuncture pain (chronic) musculoskeletal injuries at a glance inflammatory and degenerative arthritis * massage should be considered. Acupuncture is used with other treatments. Heat The application of heat leads to a temporary relief in subacute and chronic traumatic or inflammatory diseases such. As sprains, strains, fibrositis, tenosynovitis, muscle cramps, myositis, back pain, whiplash, in various forms of arthritis, arthralgia and neuralgia. Heat increases blood flow and the extensibility of connective tissue, reduces joint stiffness, pain and muscle spasms and contributes to the improvement of inflammation, edema and an exudate. The heat application may be superficial (infrared heat, hot packs, paraffin, hydrotherapy) or go deeper (ultrasound). Intensity and duration of physiological effects depend on the tissue temperature, the speed of temperature increase and the treated area above all. Infrared heat is by a lamp, usually 20 minutes per day, applied. Contraindications are each advanced heart disease, peripheral vascular disease, decrease in skin sensitivity (especially in terms of temperature and pain) as well as pronounced hepatic or renal insufficiency. To avoid burns, one must exercise caution. Heat packs are filled with silica gel cushions of cotton; they are heated in the water or in the microwave and then placed on the skin. They must not be too hot. By wrapping the pad in a plurality of layers of towels skin burns can be prevented. The contraindications are the same as for the infrared light. In a paraffin bath the affected surface in liquid wax (heated to 49 ° C) is dipped or coated therewith. The heat can be obtained by allowing wrapping the affected area for 20 minutes in towels. Paraffin is mostly used for small joints, typically by a hand immersed or a knee or elbow is coated with it. Paraffin should not be applied to open wounds or used in patients with allergy paraffin. A paraffin bath is especially useful in arthritis of the fingers. To improve wound healing hydrotherapy can be used. Running hot water stimulates circulation and purifies burns and wounds. The treatment usually takes place in a Hubbard Basin (a large, purpose-built hot tub); the water is heated to 35.5 to 37.7 ° C. Complete immersion in water with a temperature of 37.7 to 40 ° C can contribute to muscle relaxation and relieve pain. Hydrotherapy is especially helpful in Gelenkbeübungen. Under shortwave diathermy is meant a therapeutic heating of tissue by means of a high-frequency oscillating electromagnetic field, either short waves or microwaves. However, these methods are not superior to simpler forms of heat application and are now rarely used. In ultrasonic high frequency sound waves are used to deep (4-10 cm) to penetrate into the tissue; its effect is thermally, mechanically, chemically and biologically. It is indicated for tendinitis, bursitis, contractures, osteoarthritis, with bone injuries and complex regional pain syndromes. Ultrasound should not be applied to ischemic tissue, also not to treat hemorrhagic diathesis or cancer in anesthetized areas or in areas with acute infection and. It also should not be applied to the eyes, brain, spinal cord, ears, heart, reproductive organs, brachial plexus or-healing bone. Cold The choice between the application of heat and cold often falls empirically. If heat does not continue, cold is applied. However, for an acute injury or acute pain cold seems to be better than heat. Cold can help reduce muscle spasms, myofascial or traumatic pain, acute lumbago or acute inflammation to relieve, it may also bring about a local anesthetic to some extent. Cold is used mostly during the first few hours or the day after the injury, according to them is rare in the physical therapy used. Refrigeration can be applied locally by means of an ice pack, a cooling element or by volatile liquids such. As ethyl or cold sprays that bring their cooling effect by evaporation. The spread of cold on the skin depends on the thickness of the epidermis, the subcutaneous fat and muscles, the water content of the tissue and the blood circulation. One must be careful to avoid tissue destruction or hypothermia. Cold should not be applied to poorly perfused areas. Electrostimulation The transcutaneous electrical nerve stimulation (TENS) uses a weak flow of current lower oscillation frequency to resolve pain. Patients feel a light tingling sensation without increased muscle tension. Depending on the severity of pain stimulation can be done several times a day between 20 minutes and a few several hours. Often, patients are instructed to use the TENS device, so they can determine when a treatment itself. Since arrhythmias can be caused by TENS, it is contraindicated in patients with advanced heart disease of whatever type or with a pacemaker. It should also not be applied near the eyes. Cervical train cervical train is often indicated for chronic neck pain due to cervical spondylosis, a herniated disc, a whiplash injury or torticollis. Vertical train (in patients in a sitting position) is more effective than the horizontal (to patients lying in bed). Most effective is an intermittent, rhythmic, attached by means of an automatically driven device train of 7.5-10 kg. The best results are obtained when the train is applied at an inclination of the neck of 15-20 °. Here, hyperextension of the neck should be avoided, as this could be reinforced in the Intervertebralforamina a nerve root compression. The extension treatment is usually combined with other methods of physical therapy, including exercises and manual stretching. Massage through massage can mobilized gathered, tissue, alleviating pain, and a swelling and induration in connection with trauma, z. As a fracture, joint injury, sprain, a strain, a bruise or a peripheral nerve injury can be reduced. A massage should cerebral palsy, various cancers and amputation are considered low back pain, arthritis, periarthritis, bursitis, neuritis, fibromyalgia, hemiplegia, paraplegia, quadriplegia, multiple sclerosis as well. Massage should not be used to treat an infection or thrombophlebitis. It is not recommended for patients with severe allergies, because it can release histamine in the body only a licensed or medical masseur should make massages to treat an injury. Acupuncture Thin needles are inserted through the skin at specific body locations, often far from the site of the pain (acupuncture). An acupuncture is sometimes used along with other treatment approaches for chronic and acute pain.

Health Life Media Team

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