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7.1.20 Sudeck´s dystrophy
Definition:
Goal
of
treatment:
Favourable
combinations:
7.1.21 Tendovaginitis
Definition:
Goal
of
treatment:
Favourable
combinations:
PHYSIOTHERM-S
Fracture disorder, healing decompensation; Dystrophy refers to a dystrophic
alteration of the extremities occurring especially after fractures and operations.
Slow, careful improvement of the metabolism of the extremity. Prevention of
atrophy and stiffness of joints.
At the beginning, ice and ice immersion baths and carefully executed physical
therapy exercises. Ultrasonic therapy, cryotherapy, electrotherapy, exercises in
water bath below the pain threshold
Heat therapy – short-wave
(only chronic afflictions: stage 3 and 4)
Mode
Applicator
Location of treatment
Electrode-skin distance
Duration of treatment
Treatment dosage
Treatment interval
Important!
Inflammation of tendon and sheath
Painful grating or chafing of the affected tendon after overstraining or dull
trauma
Inflammation stop, pain relief, free movement function
Ultrasonic therapy, electrotherapy (iontophoresis), immobilization. In acute phase
cryotherapy can be attempted. Physical therapy with stretching exercises.
Rubbing with ointment containing heparin or NSAID can be attempted.
Heat therapy – short-wave (not in acute phase)
Mode
Applicator
Location of treatment
Electrode-skin distance
Duration of treatment
Treatment dosage
Treatment interval
Continuous mode
diode, diplode
Segmental, local: after a few treatments according to the
subjective feeling of the patient
Active: 1 cm
3 min – 6 min
Dosage: 1 – 2
3 times per week
Heat therapy only if bearable and never in acute phase!
Continuous mode
Plate electrodes / rubber electrodes / diode
Above the inflammation on both sides of the lower arm
Active: 1 cm – 2 cm
(small plate electrode)
10 min – 15 min
Dosage: 2 – 3
Daily
Indications
10 – 12 treatments
Passive: large rubber electrode
under the arm / hand
15 – 20 treatments
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