Electrotherapy can be a useful modality to help relieve pain; swelling ; speed tissue repair and soften scar tissue.
This can then allow strengthening of muscle and tendon tissue when previously inhibited and repair of ligamentous or muscle tissue rather than scar tissue.After clinical assessment and using the best evidence based practice I am able to treat using electrotherapy with a number of different modalities:
Ultrasound involves using high frequency sound waves to treat mainly muscle tears; ligamentous injuries and scar tissue.
It causes acoustic streaming and pumps protein into the cells important for healing; it increases the cell permeability at cell membrane level important for reducing tissue swelling and softens scar tissue important if peripheral nerve endings are meshed in the scar which is quite often found post operatively eg following arthroscopic procedures or open repair of joints.
Lesley says "I do not use this on tendons as there is little evidence this is effective unless there is a tenosynovitis with swelling or the bursa under the tendon is swollen, or at the musculo tendinous junction, or frank scar tissue between the tendon and the sheath".
Tendons need to be dealt with by releasing tight muscles and increase their length and build up the tendons by initially eccentric strength work and making them strong springs.
Transcutaneous Electrical Nerve Stimulation TENS
Transcutaneous Electrical Nerve Stimulation TENS produces pain relief by inhibiting the pain receptors to the brain. This is important as pain makes swelling and swelling makes pain. Pain also may lead to poor postures to relieve pain; inhibition of muscles and also contractures.
Interferential therapy a is method of stimulating smooth musclecontraction and hence blood flow and also pain relief.
Neuro Muscular Electrical Stimulators
Neuro Muscular Electrical Stimulators is - used when the muscle is so inhibited it cannot effectively contract on its own and applied possibly after surgery, but as early as possible an exercise programme needs to be implemented.
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