The participation of a physiotherapist in restoring the patient’s health

The goal of physiotherapeutic measures is to restore as fully as possible the motor functions of the body lost due to illness, surgery or injury. It is important to set goals at the very beginning of physical therapy interventions. An individual rehabilitation program is drawn up for each patient. Initially, a global goal is set, the achievement of which is divided into stages. The goal of each stage is already quite narrow and relatively easy to achieve. During the recovery process, the rehabilitation physician, physiotherapist and patient jointly plan the next stage.

Israeli physiotherapists are specialists with a 4-year, and often 6-year, university education. At the same time, they constantly improve and update their knowledge and skills in relevant courses.

In the process of physiotherapeutic treatment, lost functions can be fully or partially restored, which improves the quality of life for both the patient and his relatives.

Physiotherapy achieves its goals in two ways:

• Direct restoration of skills or mobility. This can be achieved through targeted training.
• Adaptive restoration of lost functions using adaptive technologies. Selection of necessary devices and training of patients in their use.

In the process of physiotherapy, the following deficiencies in motor-motor and other functions are eliminated:

• weakness in the back
• weakness in the cervical region, lower back, pelvis
• weakened control over limb functions, coordination of movement, balance position
• spastic muscle condition
• limited joint mobility
• sensory disturbance
• swelling of the skin

Restoration of independent motor activity

One of the most important goals of physical therapy in Israel is to restore the patient’s ability to move independently and self-care. The physiotherapist helps the patient break down each movement into separate components, from which, using appropriate techniques, a single movement is restored.

Modern techniques and extensive experience allow specialists to achieve impressive results even when rehabilitating patients with severe motor impairment.

• Bobath therapy is a form of therapeutic exercise that focuses on the affected area. The purpose of the procedures is to teach the patient how to correctly perform certain movements, while maintaining their maximum physiology.
• Proprioceptive neuromuscular facilitation (PNF). This type of physiotherapy uses special equipment. The goal of the procedure is to increase muscle mobility by stimulating the neuromuscular system and updating physiological movement patterns stored in the central nervous system.
• Exercises to control your sphincters. A special set of exercises to strengthen and develop the muscles of the pelvic area, allowing the patient to learn how to control physiological functions.
• Fascial therapy technique - impact on certain points of connective tissue, etc.

The success of rehabilitation largely depends on the degree of participation of the patient himself, on his tolerance to pain, on his perseverance and independent work, positive emotional attitude, and support from loved ones.

 

The Reut Center offers flexible rehabilitation programs for patients with various disabilities. Many techniques are exclusively used only in our center.

Source: https://reuth-mc.org/reabilitacionnaya-terapiya/fizioterapiya

Medical rehabilitation: types and methods. Individual rehabilitation program. Medical rehabilitation for drug addicts:

Medical rehabilitation is a complex of preventive and therapeutic measures aimed at the maximum possible and rapid restoration of the patient’s abilities that were lost as a result of the disease.

Medical rehabilitation plays a very important role. This can be especially said about the field of neurosurgery, where a patient after a serious illness has to restore even the simplest essential abilities and skills.

Medical rehabilitation is necessary for a recovering person to restore his muscle strength, as well as to prevent complications or recurrence of the disease.

Of course, modern medicine uses the latest technologies, as well as the skill and experience of specialists, to save what is most precious to a person - his life. However, it is worth understanding that even the highest quality and most exquisite work of a surgeon is not capable of completely restoring the patient’s previous condition. This is why there is a system of medical rehabilitation.

Definition of the concept

The term "rehabilitation" is of Latin origin. It is made up of two words - re, which means restoration, and habilis, which means ability. In general, this term is translated as restoration of ability (or properties).

The role of medical rehabilitation is to restore the patient’s health, his functional state, as well as the body’s performance impaired by injuries, diseases, social, chemical or physical factors.

WHO presents rehabilitation as a process that aims to provide assistance to the disabled and sick, which is necessary for such patients to achieve possible mental, physical social, economic and professional fullness. This definition quite fully reflects the comprehensive nature of the measures taken.

Medical direction

Medical rehabilitation is designed to restore the patient's health through the use of a variety of means. These activities are recognized as the therapeutic aspect of the activity.

The goal of this set of measures is the maximum possible restoration of those physiological functions of the body that were impaired as a result of the disease. Sometimes, with some severe pathologies, this task becomes impossible.

In such cases, it is necessary to develop compensatory and replacement functions of the body.

The range of measures used by medical rehabilitation includes:

• - surgical and conservative treatment; - drug therapy; - therapeutic nutrition; - balneo- and climatotherapy; - physical therapy;
• - physiotherapy and other methods used not only inpatient, but also on outpatient basis.
• All medical measures are a mandatory component of rehabilitation.

Psychotherapeutic aspect

After an illness, it is important for the patient to correct his mental state.

In addition, it is necessary to form a rational attitude in a person towards the treatment process, towards medical recommendations, as well as towards the implementation of a full range of all rehabilitation measures.

To do this, it is important to create all the conditions that would allow patients to successfully undergo psychological adaptation to the life situation that they have after suffering from the disease.

Professional aspect

Rehabilitation of disabled people will require resolving issues about their employment and determining their ability to work. If necessary, professional retraining or training is possible.

This type of rehabilitation involves the use of a set of measures designed to restore theoretical knowledge and practical skills in the main specialty, bringing them to the level of skills and knowledge required to carry out professional activities already mastered by a person.

Socio-economic aspect

A patient who has suffered from a serious illness needs to regain economic independence. This will allow the patient to feel like a socially complete person.

Such rehabilitation is restoration, and if impossible, the creation of a new position in the family and team, which is acceptable for a particular person. Such tasks are called upon to be solved not only by healthcare institutions, but also by social security organizations.

A complex approach

Based on the foregoing, it becomes clear that medical rehabilitation is a multifaceted process aimed at restoring the patient’s health, as well as his reintegration into social and work life.

It is not only a set of exercises that the doctor recommends to his patient upon discharge, and also not just a course of physical therapy carried out at the end of the period spent in the hospital. Rehabilitation is understood as a whole range of measures, which is carried out by doctors in various fields.

These are massage therapists and physiotherapists, psychologists and occupational therapists, speech therapists, etc.

It is worth keeping in mind that a patient’s recovery after an illness and his rehabilitation are completely different concepts. After all, in addition to eliminating pathology, it is important for a person to restore social status and performance. In other words, to return him to a full life not only in society, but also in the family, and also to prevent the likelihood of relapse.

That is why medical rehabilitation is such a multifaceted term, which refers to the restoration of the psychological and physical status of people who have lost their abilities as a result of injury or serious illness.

Individual approach

The current state of the healthcare sector allows us to carry out measures included in the complex of measures for the rehabilitation of the patient in doses. At the same time, for each specific person, a different speed and intensity of classes can be set.

An individual rehabilitation program consists of prescribing certain exercises. For example, after neurosurgical operations they should be aimed at restoring movements.

In cases of speech impairment, a speech therapist treats patients, as if teaching them to speak again. If a person has a certain specialty, an occupational therapist helps the patient restore their skills.

Sometimes a doctor has to help a person acquire other professional abilities that are most suitable for him.

Thus, an individual rehabilitation program, which includes a whole range of measures, allows the patient to recover not partially, but completely. This gives him the opportunity to become a full-fledged member of society.

Types of rehabilitation

Complex measures for the recovery of patients, depending on the scope of their application, are classified as follows:

1. Orthopedic. They are carried out after injuries, as well as surgical interventions for pathologies of the musculoskeletal system, fractures, postural disorders and malformations of the spinal column.

2. Neurosurgical and neurological. These are very serious types of rehabilitation, in which various specialists are involved - physiotherapists and neurologists, psychiatrists and psychologists, occupational therapists, speech therapists and others. Such rehabilitation takes place after injuries and surgery in the nervous system, with paralysis, paresis and strokes,

3. Cardiological. Such rehabilitation is carried out after the patient has suffered an acute heart attack, as well as for pathologies of the blood vessels and heart.

Indications for restoration measures

1. Rehabilitation of disabled people and patients who have suffered serious illnesses is designed to:
2. - accelerate the regeneration of muscles during their atrophy associated with prolonged physical inactivity, which will give strength and tone to the limb; - restore the full range of motion in the joints after fractures; - accelerate the regeneration of cartilage tissue; - improve the trophism of tissues of various organs and bones; - increase mobility in case of adhesions in the abdominal cavity after abdominal surgery; - increase the general tone of the patient and improve his psycho-emotional state; - relieve pain and swelling that occurs after joint injuries;
3. - restore physical activity lost as a result of stroke, paralysis and paresis, as well as sprains, bruises, fractures and injuries.

It is worth keeping in mind that the means of medical rehabilitation that exist today are designed to stimulate the patient’s body’s own capabilities. Thus, modern equipment and physical exercises make it possible to stimulate general and local immunity, accelerate regenerative processes in tissues, and also restore lymph and blood circulation.

Main stages

There are two periods in medical rehabilitation. This is sick leave and post-sick leave. In this case, there are the following stages of medical rehabilitation:

1. Inpatient or sick leave. It starts directly at the healthcare facility. Here, after establishing a diagnosis, the doctor prescribes an individual program for the patient. It includes surgical or therapeutic treatments.

The goal of this rehabilitation program is to eliminate or reduce the activity of the existing pathological process, as well as to take measures to prevent complications and develop permanent or temporary compensation to restore the functions of systems or organs that are affected by the disease.

At the end of this period, the patient’s condition is monitored, which allows for further correction of recovery measures.

2. Polyclinic, or sanatorium-rehabilitation. This stage begins after the patient has been discharged from the hospital. Patients are sent to medical rehabilitation institutions (sanatoriums, centers) or undergo the necessary course in a clinic.

At this stage, the doctor uses the entire range of means to help restore physical functions. The patient is also prepared for work. At this stage, disabled people master the special devices necessary for self-care. After completion of the second stage, the patient is subject to a comprehensive examination.

As a result, experts give an opinion regarding the patient’s functional capabilities and his readiness to work. After this, the person either returns to his workplace or gets a job in a specialty that requires less physical and mental stress.

In cases where residual anatomical defects and functional impairments still remain significant, the patient is offered retraining.

3. Dispensary. After the stages of medical rehabilitation described above have been completed, the health care institution at the place of residence establishes control over the patient. The main goal of such an event is to support the patient, as well as to help improve his physical well-being and performance throughout his life.

Methods and methods of rehabilitation used

Measures taken to restore lost body functions are applied depending on the disease suffered. Today, the following methods of medical rehabilitation exist:

1. Kinesitherapy. This is a method that allows the use of movement in rehabilitation. Kinesitherapy is physical therapy. In this case, medical rehabilitation and sports medicine find close interaction. After all, kinesitherapy is prescribed in cases of various dysfunctions of the musculoskeletal system.

This method has proven itself well for arthrosis and rheumatism, spinal injuries and static paralysis. Thanks to isometric exercises, the problem of muscle atrophy resulting from pathologies of the musculoskeletal system is solved. The main goal of this method is to stop the progression of the existing disease.

If the patient is sent to a medical rehabilitation center, he will certainly be prescribed similar treatment. At the same time, the specialists of the institution will select the most suitable exercises for a particular person, which will restore the mobility of the diseased joint, and will also teach them. Later the patient will be able to perform all these tasks independently.

2. Physiotherapy. This method of rehabilitation measures is the treatment of pathologies using infrared rays and light, electric current and heat. All this allows you to significantly speed up the recovery process.

Physiotherapeutic methods include massage, as well as water procedures performed in baths with medicinal substances and massage showers. Mud baths can also provide a fairly good effect.

All these and many other procedures are provided to the required extent by the Medical Rehabilitation Center.

The main advantage of physiotherapeutic methods is the absence of the use of medications. Consequently, the patient does not risk drug dependence, an allergic reaction and many side effects.

3. Daily work.

Some patients who require rehabilitation are sometimes forced to relearn some movements, because sometimes they are not able to use even the most common household items for their needs.

In such cases, a specialist in social and labor adaptation works with patients. He shows the patient how he can prepare food, eat and work independently.

4. Speech therapy. After strokes, traumatic brain injuries, meningitis and other diseases, partial impairment of speech and memory may occur. And here patients cannot do without a speech therapist. Patients with a removed larynx will also need the help of this specialist. They are taught sign language.

5. Help from a psychologist. It is especially needed in cases where medical rehabilitation of drug addicts and alcoholics is required. The problem of such patients is associated with a painful desire, and the desire to recover, as a rule, is absent.

Medical rehabilitation of drug addicts and alcoholics requires the establishment of strict control over them. Otherwise, rapid progression of the disease is possible. Consultations with psychologists in such cases are required not only by those who suffer from addiction. Their family members also need them.

6. Recovery after accidents. This is labor rehabilitation. It is carried out after an accident or when an occupational disease occurs.

7. Preventive course. Rehabilitation medical centers use a fairly wide range of treatment methods. This can be inhalations, mineral baths, etc.

Manual therapy can provide good results in restoring the body. This procedure is nothing more than a massage.

When a specialist performs manipulations, tissue trophism improves, the range of joint movements is restored or increased. Massage allows you to fight contractures and strengthen the muscles of the body.

As for young patients, pediatricians refer them to a children's medical rehabilitation center. Experienced and qualified specialists work in such institutions to restore the health of the little citizens of our country.

Source: https://www.syl.ru/article/322866/meditsinskaya-reabilitatsiya-vidyi-i-metodyi-individualnaya-programma-reabilitatsii-meditsinskaya-reabilitatsiya-narkozavisimyih

When is it necessary to consult a physiotherapist?

Dear patients of the Spine Clinic of Dr. Razumovsky, we met with the physiotherapist Elena Mikhailovna Sukhenko, she has been working at the Clinic for almost six years, her total experience as a physiotherapist is more than 25 years. Patients often ask the same questions: “When do you need a consultation with a physiotherapist?”, “How is an appointment with a physiotherapist?”, “What treatment methods does a physiotherapist use?” Therefore, Elena Mikhailovna chose the time to answer these and other questions.

— Elena Mikhailovna, when do you need a consultation with a physiotherapist?

— It’s a fairly common case when a doctor, for example, a neurologist or an orthopedic surgeon, refers you to a physiotherapist for consultation. In this case, the task of the physiotherapist is to select and carry out the optimal course of treatment.

An equally common case is when patients come directly to a physiotherapist with various complaints. Then the physiotherapist independently establishes a diagnosis and selects the optimal course of treatment.

Consultation with a physiotherapist is especially important in the treatment of diseases of the musculoskeletal system, for example: osteochondrosis of the cervical, thoracic, lumbar spine, arthritis, arthrosis and other diseases.

— How does a consultation with a physiotherapist proceed?

— Any consultation with a doctor begins with a questioning of the patient; this is common practice. Often patients already have test results - they must be shown to the doctor during consultation. You should also tell your physiotherapist about any medications you are taking or have taken recently.

Then the physiotherapist conducts an examination, during which he determines the causes of certain disorders and establishes a diagnosis.

In some cases, additional tests may be required to make a final diagnosis, for example, ultrasound, radiography , blood tests, urinalysis, etc.

 I would like to draw your attention to the fact that physiotherapy, like many other treatment methods, has contraindications, so the selection of treatment methods can only be carried out by a qualified physiotherapist. Moreover, throughout the course of treatment, the doctor must monitor the patient’s condition; sometimes treatment adjustments are required.

— Each treatment method has its pros and cons. What are the benefits of physiotherapy treatments?

- There are several of them. It is very important that physiotherapy, as a rule, does not have a negative effect on other organs and tissues. This method has no drug dependence and no effect on drug withdrawal. Typically, the course of treatment consists of 5-10 procedures, which give a quick effect.

In addition, most physiotherapeutic methods are painless and have virtually no side effects. Physiotherapy is often the main method of treating diseases, for example, diseases of the musculoskeletal system.

Separately, I would like to note that the course of physiotherapy is selected individually; different types of physiotherapy and their combinations are effective for each patient.

— Elena Mikhailovna, tell us about some of the most “popular” and modern methods of physiotherapy?

— One of the effective treatment methods is interstitial electrical stimulation (ITES), which has proven itself in the treatment of pain in the joints and spine. The procedure is prescribed for arthrosis, arthritis, osteochondrosis, and intervertebral hernia.

  The procedure uses disposable electrode needles, which are inserted into the tissue in the area requiring treatment, and a therapeutic current passes through this conductor.

The result will not be long in coming: pain goes away, local blood circulation improves, metabolic processes in cartilage and bone tissue improve.

- Very interesting, Elena Mikhailovna, what else?

- UVT. Shock wave therapy. It is used to treat pain in the back and joints, heel spurs, arthrosis, and epicondylitis.

This method is based on the impact of shock-acoustic waves of a given infrasonic frequency on the affected human tissue.

A huge advantage of the shock wave therapy method is the reduction or complete elimination of medications, and in some cases, an alternative to surgical treatment. The effectiveness of the method is 85-90%.

— Yes, quite recently you spoke in detail about shock wave therapy, tell us about another modern method of treatment.

— Okay, I’ll tell you about carboxytherapy. This is a safe and effective method, the essence of which is the subcutaneous targeted supply of carbon dioxide to the back or joints.

Prescribed for the treatment of arthrosis, osteochondrosis, intervertebral hernia, ankylosing spondylitis, etc. More than 80% of the Clinic’s patients note significant improvements: reduction or complete removal of pain, increased mobility and relaxation of spasmed muscles.

 Carboxytherapy does not provide instant relief, but after several sessions the pain goes away.

— A few parting words, Elena Mikhailovna, finally! 

— Our Spine Clinic of Dr. Razumovsky employs highly qualified physiotherapists with extensive experience. The clinic is equipped with all the necessary equipment to conduct a variety of physical therapy methods, which allows us to select the optimal treatment methods for each patient.

• — Thank you for the interesting conversation!
• - Thank you, be healthy!
• You can make an appointment with a physiotherapist by calling (812) 649-03-03 or through the Clinic’s website.

Make an appointment with a 5% discount

Source: https://medklinika.spb.ru/o-kompanii/stati/kogda-nuzhna-konsultaciya-vracha-fizio

Questions for a physiotherapist

Physiotherapy is treatment by physical factors without the use of drugs or surgical interventions. This is one of the softest and safest directions with scientifically proven effectiveness. Here, natural factors (sunlight, heat, water, therapeutic mud) and hardware (magnetic radiation, electric current) are used.

Discoveries in the field of physiotherapy have found wide application in rehabilitation (restorative) medicine and as support for primary therapy.

A physiotherapist must know how the human body works, how pathological processes affect it and how their influence can be reduced by non-drug methods. To obtain a diploma, basic medical education and residency are required. Those with higher medical education undergo accelerated retraining.

Despite the apparent simplicity and recognized safety of the procedures, they require knowledge of anatomy, physiology, and pathology. The higher the therapeutic effect, the easier it is to cause harm if you deviate from the technique or violate safety precautions.

Therefore, doctors spend six years at universities, mastering the specifics of using physiotherapeutic techniques in surgery, cardiology, gynecology, pediatrics, cosmetology and other areas, and then improve their qualifications at courses, conferences and independently.

To imagine the level of training of a physiotherapist, let us remember that, among other disciplines, they necessarily study pharmacology - the science of drugs, their effects on the body, indications and contraindications.

Why do they need this? To calculate the effect adjusted for the medications the patient is taking and to avoid complications (sudden changes in pressure, skin reactions, etc.). Thus, we see that the horizons of a physiotherapist are broad enough to deal with even complex cases.

We will return to a detailed description of competencies, but for now let’s talk about when to make an appointment.

When should you contact this specialist?

If you need physical therapy after an illness or injury, you will most likely be referred to it by your doctor. But if you seem to be healthy at the moment, but feel the need to support your body, perhaps physiotherapy is exactly what will help.

Treatment with physical methods is widely used in pediatrics. If you were often sick as a child, you have probably been in an office where you were warmed up with ultraviolet lamps - this was physiotherapy, or more precisely, one of its areas - phototherapy or phototherapy. Pediatricians love physiotherapy for its gentle, gentle effect, which allows them to be prescribed even to infants.

Visit a physiotherapy room if:

• you often catch colds;
• can't recover from an old injury or surgery;
• have recently suffered a serious illness;
• you get tired quickly, feel weak and apathetic;
• experience pain in bones and joints;
• suffer from migraines, headaches;
• There is a constant high level of stress around you.

What ailments does it treat?

The list of indications for physiotherapy is very wide. It is difficult to find diseases that are incompatible with a course of auxiliary physiotherapy (but they exist, more on that below). An approximate and incomplete list of diagnoses with which people come for an appointment looks like this:

• ENT diseases (sinusitis, sinusitis, tonsillitis);
• diseases of the respiratory system (asthma, tuberculosis, acute respiratory infections and acute respiratory viral infections)
• neurological problems (migraines, neuroses, damage to the brain and spinal cord, VSD, stress);
• various gynecological and urological pathologies, including congenital ones;
• damage to the musculoskeletal system;
• birth injuries in children;
• rehabilitation period.

What is the responsibility of a physiotherapist?

The main task that this specialist helps to solve is the restoration of health through manual (manual), natural and artificial (hardware) influence. We have already talked about the breadth of knowledge of a certified specialist above, and now let’s go through specific competencies:

• clarification of the diagnosis;
• selection and prescription of physiotherapy;
• determining the duration and number of sessions and the required intensity;
• if necessary, referral to a sanatorium or resort;
• work on physiotherapy equipment;
• administrative management of staff (nurses);
• maintaining documentation (medical history, issuing referrals, etc.).

The list is incomplete and is provided for general information. In practice, much depends on the experience of a particular person - he can specialize in neurological, pediatric, cosmetology, gynecology, and this will determine the depth of his competence in each individual case.

Let us also clarify that you should not confuse a doctor and junior medical staff - nurses. The nurse's job is to prepare the patient and perform the procedure. She does not make a diagnosis, does not select a procedure or determine its duration, in these matters she is guided by medical prescriptions.

In general, the field of activity is close to rehabilitation science and has many points of contact. However, the scope of application of physiotherapy is not limited to the recovery period and is actively used to enhance the effect of medications, reduce their side effects, support the body between courses of medications, prepare for treatment and prevent complications.

How is an appointment with a physiotherapist?

As a rule, patients come to an appointment with a ready-made conclusion from the treating specialist, and the physiotherapist’s task is to choose the most effective and gentle method of recovery or support. He does not make diagnoses; he works with those that have already been made.

This determines the specifics of the initial examination. Most likely, most of the necessary data will already be in your medical history, and the doctor will be able to limit himself to a number of clarifying questions.

At your appointment, you should take your medical record, the results of your latest tests and examinations, and prepare a list of complaints. Be prepared to answer questions about your personal and family history. If you have experience with physical therapy, say so.

Visual inspection, palpation, and percussion are also sometimes used. As a rule, the examination does not cause any discomfort and takes no more than 20 minutes.

PHYSIOTHERAPIST: WHAT TREATMENT METHODS DOES HE USE?

• Exercise therapy (physical therapy)
• cryotherapy (cold baths);
• phototherapy (light and sun baths, ultraviolet irradiation);
• hydrotherapy;
• laser therapy;
• magnetic therapy;
• ultrasound therapy;
• diadynamic therapy (electrical shock);
• manual therapy and osteopathy;
• massage.

Recommendations from a physiotherapist

The basic principle that must be observed for the fastest and most complete recovery: consult a doctor and follow his recommendations. Despite the gentle and gentle effect, with an illiterate approach you can harm yourself and others.

Today, exercise therapy courses are available to everyone in printed and electronic form. Some equipment can be purchased at a pharmacy or even secondhand.

On the one hand, this is convenient - you don’t need to waste time and money visiting a clinic or medical center, on the other hand, without knowing the specifics of your disease, you can only aggravate the situation.

In addition, there are contraindications to physiotherapy (we will touch on them below).

To prevent injuries and illnesses and speed up the recovery period:

• strengthen the immune system, especially in the autumn-winter period;
• provide yourself with adequate rest, especially with a busy schedule;
• eat balanced and timely meals;
• practice adequate physical activity;
• undergo routine medical examinations and do not delay your visit if alarming symptoms appear.

CONTRAINDICATIONS:

• serious condition;
• severe exhaustion;
• systemic blood diseases (severe anemia, hemoblastosis, leukemia);
• hypertension at the third stage;
• epilepsy;
• temperature above 37.5 C;
• cardiac pathologies accompanied by rhythm disturbances (arrhythmia, extrasystole);
• oncology;
• psychical deviations;
• presence of a pacemaker.

Physiotherapy procedures are not prescribed in the acute phase of the disease, with some cardiac diagnoses and with individual intolerance to the operating factors.

What tests need to be taken?

As a rule, nothing special is required. If necessary, you may be referred to:

• general blood analysis;
• Analysis of urine;
• CT;
• MRI;
• X-ray;
• results of examination by specialized specialists (endocrinologist, neurologist, andrologist or gynecologist).

Let us remind you that all prescribed examinations and tests are designed to help you choose the optimal scheme of procedures. A physiotherapist, as a rule, does not perform diagnostics.

History of physiotherapy

Natural factors have been used by people since ancient times. Researchers note that the healing effects of sunlight, heat, and mud are also known to animals. At first, observations were unsystematic and prehistoric “patients” mainly self-medicated, guided by subjective sensations: whether the pain had subsided or not.

With the development of culture, medical knowledge developed and generalized.

In Ancient Egypt, Greece, China, Japan, and India, doctors recommended that their patients take sea and sun baths, gargle with sea water, visit hot springs, and make compresses with heated sand. Massage and manual therapy techniques were improved.

In China, acupuncture (reflexology) was actively used.

In Rome, they preferred hydrotherapy (in the famous Roman baths, the effect of baths could be complemented by massage), as well as the prototype of modern electrophoresis - the application of “electric” fish (for example, eels), which was considered a particularly good remedy for gout and pain syndromes of various localizations. In Byzantium and Rus' they were treated with ant bites, turning to this original method for osteochondrosis and attacks of rheumatism.

Thus, by the beginning of the 18th century, science and technology had at their disposal a huge amount of knowledge and observations, which, being critically analyzed, formed the basis of modern physiotherapy. Since that time, new hardware technologies (electrophoresis, UHF) began to develop, and old ones began to receive strict scientific justification and developed methodology.

Today, in the recommendations of a physiotherapist, directions for modern high-tech procedures are side by side with advice to change the climate, to undergo treatment in the waters - the same ones that were given to patients a hundred or two hundred years ago. This is modern physiotherapy - a synthesis of science and tradition, tested by time and evidence-based medicine.

Source: https://questions.gooddoc.ru/fizioterapevtu/

Physiotherapist appointment

The doctor's consultation

Make an appointment

A physiotherapist is a specialist whose competence includes eliminating pathologies by influencing the body with physical factors.

Also, to improve health and restore lost functions, the doctor uses exercise therapy and manual therapy. Physiotherapists at the Mama Papa Ya clinic have extensive practical experience and the necessary knowledge.

By contacting us, you can cope with existing problems and restore your own health.

Advantages of our clinic

An appointment with a physiotherapist at the Mama Papa Ya clinic takes place in a comfortable environment. You can relax and feel the pleasant effect of physical methods on your body, which helps restore lost functions. We use the latest equipment, which allows us to directly influence problem areas and eliminate existing ailments.

Consultation with a physiotherapist in Moscow in our clinic is provided daily, regardless of weekends. The specialist will conduct an examination and prescribe the necessary treatment.

Features of treatment by a physiotherapist

A consultation with a physiotherapist begins with studying the medical history, clarifying the patient’s complaints and establishing the presence of conditions that are contraindications to certain procedures.

Additionally, diagnostic methods may be required - ultrasound, CT, MRI.

The data obtained make it possible to establish the cause of the disease as clearly as possible and contribute to its elimination using physical influences.

An examination by a physiotherapist is necessary for the following conditions:

• dysfunction of the musculoskeletal system: post-traumatic complications, joint inflammation, rheumatism, radiculitis, spinal curvature;
• pathologies of the nervous system: constant stress, headaches, neuralgia, sleep disorders;
• cardiovascular diseases: varicose veins, heart pathologies;
• urological problems;
• dysfunction of the sexual sphere: disorders of potency, menstrual cycle, inflammatory processes, in preparation for IVF;
• decreased immunity;
• frequent colds, runny nose, sore throats, sinusitis;
• renal colic;
• anemia, overweight;
• dermatological diseases.

To restore the body, the following methods are prescribed:

• Ultrasound therapy.
• Exposure to electric current, cold and heat.
• Physiotherapy.
• Massage.
• Manual techniques.
• Cavitation.
• Acupuncture.

An examination by a physiotherapist in our clinic in Moscow is carried out in comfortable conditions. After making a diagnosis, the doctor individually determines which procedure is necessary in this case.

Make an appointment with a physiotherapist

If you need the services of a specialist or want to ask questions, you can make an appointment on our website or by contacting the clinic directly. You can also order a call back, after which a manager will contact you.

A consultation with a physiotherapist is carried out at a time convenient for you, you no longer need to sit in line and wait for an appointment. The price of diagnosis and treatment depends on the pathological condition and the physiotherapeutic methods used.

Timely consultation with a doctor will allow you to avoid serious complications.

The doctor carefully examined my husband, prescribed an ECG and made a preliminary diagnosis. She gave recommendations on our situation and ordered additional examination. No comments so far. Financial agreements have been met.

I really liked Dr. Vlasova. Pleasant and sweet woman, a good specialist. I received an answer to all my questions, the doctor gave me a lot of good advice. I was more than satisfied with the visit.

We visited the “Mama Papa Ya” Clinic with our child. A consultation with a pediatric cardiologist was needed. I liked the clinic. Good service, doctors. There was no queue, everything was the same price.

I really liked the clinic. Helpful staff. I had an appointment with gynecologist E.A. Mikhailova. I was satisfied, there are more such doctors. Thank you!!!

I removed a lump from Alina Sergeevna, the operation was great! Many thanks to her for her sensitive attention and approach to every detail.

Today I was treated at the clinic, I was satisfied with the staff, as well as the gynecologist. Everyone treats patients with respect and attention. Many thanks to them and continued prosperity.

The Mama Papa Ya clinic in Lyubertsy is very good. The team is friendly and responsive. I recommend this clinic to all my friends. Thanks to all doctors and administrators. I wish the clinic prosperity and many adequate clients.

Today I had a mole removed on my face from dermatologist I.A. Kodareva. The doctor is very neat! Correct! Thanks a lot! Administrator Yulia Borshchevskaya is friendly and accurately fulfills her duties.

I liked the first visit. They examined me carefully, prescribed additional examinations, and gave me good recommendations. I will continue treatment further; I liked the conditions at the clinic.

Good clinic, good doctor! Raisa Vasilievna can clearly and clearly explain what the problem is. If something is wrong, she speaks about everything directly, not in a veiled way, as other doctors sometimes do. I don’t regret that I ended up with her.

Cost of services

Initial appointment (examination, consultation) with a physiotherapist RUB 1,650. Repeated appointment (examination, consultation) with a physiotherapist RUB 1,650. Amplipulse phonotherapy 2 fields900 rub. ILBI (intravascular laser irradiation of blood) - 1 session 1200 rub. ILBI (intravascular laser irradiation of blood) - 5 sessions 4,750 rub. ILBI (intravascular laser irradiation of blood) - 10 sessions9000 rub. Darsonvalization (1 zone) 450 rub. Darsonvalization (2 zones) 650 rub. Darsonvalization (3 zones)850 rub. Laser therapy 1 point550 rub. Laser therapy 2 points750 rub. Laser therapy 3 points950 rub. Laser therapy 4 points1050 rub. Laser therapy 5 points1150 rub. Laser therapy 6 points1250 rub. Magnetic therapy, 1 field 370 rub. Magnetic therapy, 2 fields550 rub. Magnetic therapy, 3 points and more750 rub. Magnetic heat therapy, 2 fields 500 rub. Magnetophoresis 2 fields1000 rub. Magnetoinfralaser therapy 2 points1100 rub. Combined electrotherapy (CMT phoresis of drugs) 2 fields 900 rub. Combined electrotherapy (CMT phoresis of drugs) 3 fields 1050 rub. SMT (sinusoidally modulated currents) 1 field 550 rub. SMT (sinusoidally modulated currents) 2 fields 800 rub. SMT (sinusoidally modulated currents) 3 fields 1050 rub. Ultrasound therapy 1 field550 rub. Ultrasound therapy 2 fields800 rub. Ultrasound therapy 3-4 fields1000 rub. UFO (ultraviolet irradiation) 1 field 300 rub. UFO (ultraviolet irradiation) 2 fields450 rub. UFO (ultraviolet irradiation) 3 fields600 rub. Phonophoresis 3-4 fields 1000 rub. Electrophoresis 1 field440 rub. Electrophoresis 2 fields740 rub. Electrical stimulation 1 field550 rub. Electrical stimulation 2 fields800 rub. SMV therapy 1 field 400 rub. SMV therapy 2 fields600 rub. Ultraviolet irradiation of blood - 1 session 1200 rub. UHF therapy 1 field 550 rub. UHF therapy 2 fields 750 rub.

Source: https://mpya.ru/fizioterapiya/priem-fizioterapevta

Physiotherapy and rehabilitation

Rehabilitation or restorative treatment is a branch of medicine that is aimed at restoring or at least maintaining impaired body functions or adapting to disability. It is about regaining the ability to work or cope with daily activities. The treatment team includes a rehabilitation doctor, physiotherapist, speech therapist, specialist. teacher, psychologist, active therapist, therapeutic massage specialist, nurse and patient. The goal of rehabilitation is to eliminate all or part of the limitations in function so that the patient can cope better in life and work. Physiotherapy is a method of restoring physical health related to the field of rehabilitation treatment. Physiotherapy is part of rehabilitation treatment, the goal of which is to fully or partially restore the patient’s physical health through exercise, replacement therapy, massage and physical factors (electrotherapy, as well as heat and cold treatment). Also, the goals of physical therapy are to prevent possible damage to health, maintain and improve joint mobility, increase the strength of weakened muscles, restore and compensate for lost functions, and relieve pain. A physical therapist is a rehabilitation treatment specialist who restores or maintains a client's impaired ability to move or do something. Children and infants are usually treated by a pediatric physiotherapist who has undergone special training for this purpose. Physical therapy planning begins with determining the need for physical therapy and ends with creating a rehabilitation plan that has a specific end goal. Physiotherapy planning occurs jointly with the physician/client, the client's family, or with specialists from other disciplines. With the help of physiotherapy, it is desirable to achieve the goals specified in the rehabilitation plan.

Physiotherapy focuses on improving the function of the musculoskeletal system and other organ systems.

Physiotherapy uses tests and techniques such as physiotherapeutic assessment, passive and active physical exercises, stretching, massage, electrotherapy, heat, cold and water treatments, manual therapy, guiding the patient to perform correct movements, individual fitting of aids, replacement therapy, physiotherapy consultation, kinesio taping, ergonomics and exercise consultation. People may see physical therapists for the following health problems: back pain, neck pain, headaches, joint pain, overuse pain, muscle tension, sports injuries, and post-surgical recovery (restoring joint mobility and muscle strength). Physiotherapists also advise clients on ergonomics and how to create an exercise plan.

Below is a brief overview of the most commonly used concepts that a patient may encounter during rehabilitation and physical therapy services:

In the case of OMT physical therapy (orthopedic physical therapy), physical therapists undergo many years of training.

OMT physiotherapy is suitable for the treatment of symptoms and diseases of the musculoskeletal system.

For treatment, both physical methods (electrotherapy, ultrasound, heat and cold treatment), physical exercises and stretching exercises, and manual therapy are used.

Physiotherapy is suitable for alleviating the symptoms of various musculoskeletal problems. Physical therapy aims to improve and maintain muscle strength and joint mobility.

Physical therapists also help people recover from complications from heart attack and stroke, or recover from surgery or injury. Physical therapy can also help with the problem of urinary incontinence.

Physiotherapists, in turn, can advise on ergonomics, that is, working conditions and problems with work overload, as well as teach exercises and conduct group classes to work with problems of imbalance and dizziness.

The effects of acupuncture or acupuncture on back pain have been well studied, as back pain is the most common reason when a patient consults an acupuncturist.

Indications for acupuncture also include, for example, headaches, muscle pain in various parts of the body, joint pain and stress. Acupuncture was found to have beneficial effects for chronic pain, but not for acute pain.

A type of acupuncture, Dry Needling is an acupuncture technique that draws on modern neuroscience to help release severe muscle tension and release intramuscular trigger points . This procedure is mainly performed by specially trained physical therapists.

Massage is one of the oldest treatment methods that helps cope with stress, relieve muscle tension, and improve lymph and blood circulation.

Various types of massage include various techniques on the client’s soft tissues, when pressure and vibration of different strengths are combined, various impact techniques are used, and additional aids are used. Massage techniques can be roughly divided into Eastern and Western schools.

Types of Western massage include classic massage, aroma massage, segmental massage, anti-cellulite massage, lymphatic drainage massage. Types of oriental massage include shiatsu massage and Thai massage.

Lymphotherapy or lymphatic drainage massage is performed using gentle, superficial movements.

The purpose of the massage is to stimulate the lymphatic system and accelerate the flow of lymph, which helps relieve swelling.

In case of severe edema, complex treatment of edema is used - lymphatic drainage massage, compression treatment and gymnastics. Lymphatic drainage massage is also suitable for pregnant women and children.

Kinesio taping uses special stretchable cotton tapes with an acrylic thermoactive coating. Kinesio taping fixes and stabilizes joints and muscles, improves blood circulation, accelerates lymphatic and metabolic processes.

Kinesio tape allows you to perform movements without restrictions already during the recovery process, and also significantly speeds up the recovery process itself.

• • Physiotherapy is a part of rehabilitation treatment that is based on exercise, positional therapy, massage and physical treatment methods (cold or heat therapy, magnetic field or electrical impulses). The goal of physiotherapy is to prevent diseases, maintain or restore mobility of joints or muscles, restore or compensate for impaired functions, and relieve pain. Physiotherapy is indicated for a variety of pain, muscle or joint problems, as well as to maintain fitness, prevent injury and speed up recovery from injury. Properly selected physiotherapeutic procedures can improve the patient’s general condition and alleviate the local problem.
  • Physiotherapy is a part of rehabilitation treatment that is based on exercise, positional therapy, massage and physical treatment methods (cold or heat therapy, magnetic field or electrical impulses). The goal of physiotherapy is to prevent diseases, maintain or restore mobility of joints or muscles, restore or compensate for impaired functions, and relieve pain. Physiotherapy is indicated for a variety of pain, muscle or joint problems, as well as to maintain fitness, prevent injury and speed up recovery from injury. Properly selected physiotherapeutic procedures can improve the patient’s general condition and alleviate the local problem.
  • Physiotherapy is a part of rehabilitation treatment that is based on exercise, positional therapy, massage and physical treatment methods (cold or heat therapy, magnetic field or electrical impulses). The goal of physiotherapy is to prevent diseases, maintain or restore mobility of joints or muscles, restore or compensate for impaired functions, and relieve pain. Physiotherapy is indicated for a variety of pain, muscle or joint problems, as well as to maintain fitness, prevent injury and speed up recovery from injury. Properly selected physiotherapeutic procedures can improve the patient’s general condition and alleviate the local problem.
  • OMT, or orthopedic manual therapy, is a system of treatment procedures performed by a trained physical therapist. The system contains manual techniques: direct impact on joints with various techniques to improve mobility, impact on muscles with special soft tissue therapy techniques, stretching with the help of a therapist, and much more. OMT provides relief from musculoskeletal problems (such as pain) and some symptoms related to the nervous system.
  • OMT, or orthopedic manual therapy, is a system of treatment procedures performed by a trained physical therapist. The system contains manual techniques: direct impact on joints with various techniques to improve mobility, impact on muscles with special soft tissue therapy techniques, stretching with the help of a therapist, and much more. OMT provides relief from musculoskeletal problems (such as pain) and some symptoms related to the nervous system.
  • OMT, or orthopedic manual therapy, is a system of treatment procedures performed by a trained physical therapist. The system contains manual techniques: direct impact on joints with various techniques to improve mobility, impact on muscles with special soft tissue therapy techniques, stretching with the help of a therapist, and much more. OMT provides relief from musculoskeletal problems (such as pain) and some symptoms related to the nervous system.
• • Massage is one of the most ancient treatment methods that helps relieve stress, relieve muscle tension, and improve lymph and blood circulation. Different types of massage include different soft tissue therapy techniques - combinations of pressure and vibration of varying strengths, impact techniques, and the use of additional devices.
  • Massage is one of the most ancient treatment methods that helps relieve stress, relieve muscle tension, and improve lymph and blood circulation. Different types of massage include different soft tissue therapy techniques - combinations of pressure and vibration of varying strengths, impact techniques, and the use of additional devices.
• • Acupuncture or acupuncture is a part of traditional Chinese medicine. During the acupuncture procedure, bioactive points of the body are activated or suppressed by introducing thin needles. The purpose of the procedure is to restore balance to the body as a whole in order to alleviate various health-related complaints. Indications for acupuncture include, for example, headaches, muscle pain, joint pain, stress, etc. Dry Needling an acupuncture technique that uses modern neuroscience to help relieve tight muscle tension and release intramuscular trigger points. Dry needling is generally performed only by specially trained physiotherapists.
  • Acupuncture or acupuncture is a part of traditional Chinese medicine. During the acupuncture procedure, bioactive points of the body are activated or suppressed by introducing thin needles. The purpose of the procedure is to restore balance to the body as a whole in order to alleviate various health-related complaints. Indications for acupuncture include, for example, headaches, muscle pain, joint pain, stress, etc. Dry Needling an acupuncture technique that uses modern neuroscience to help relieve tight muscle tension and release intramuscular trigger points. Dry needling is generally performed only by specially trained physiotherapists.
  • Acupuncture or acupuncture is a part of traditional Chinese medicine. During the acupuncture procedure, bioactive points of the body are activated or suppressed by introducing thin needles. The purpose of the procedure is to restore balance to the body as a whole in order to alleviate various health-related complaints. Indications for acupuncture include, for example, headaches, muscle pain, joint pain, stress, etc. Dry Needling an acupuncture technique that uses modern neuroscience to help relieve tight muscle tension and release intramuscular trigger points. Dry needling is generally performed only by specially trained physiotherapists.
• • Osteopathy is a manual therapy technique that helps relieve acute and chronic pain associated with the musculoskeletal system. In general terms, osteopathy is similar to other types of manual medicine - such as manual therapy, OMT, chiropractic - the diagnosis and treatment logic are similar. An osteopath helps improve joint and back mobility, posture, and relieve tension. Osteopathy is suitable for people of any age, from children to the elderly.
  • Osteopathy is a manual therapy technique that helps relieve acute and chronic pain associated with the musculoskeletal system. In general terms, osteopathy is similar to other types of manual medicine - such as manual therapy, OMT, chiropractic - the diagnosis and treatment logic are similar. An osteopath helps improve joint and back mobility, posture, and relieve tension. Osteopathy is suitable for people of any age, from children to the elderly.
  • Osteopathy is a manual therapy technique that helps relieve acute and chronic pain associated with the musculoskeletal system. In general terms, osteopathy is similar to other types of manual medicine - such as manual therapy, OMT, chiropractic - the diagnosis and treatment logic are similar. An osteopath helps improve joint and back mobility, posture, and relieve tension. Osteopathy is suitable for people of any age, from children to the elderly.
• • Lymphotherapy is a gentle, manual massage aimed at relieving swelling. This massage stimulates the outflow of lymphatic fluid in the lymphatic tract. For large edema, complex treatment of edema is used - lymphomassage, compression treatment and exercises. Lymphomassage is also suitable for pregnant women and children.
  • Lymphotherapy is a gentle, manual massage aimed at relieving swelling. This massage stimulates the outflow of lymphatic fluid in the lymphatic tract. For large edema, complex treatment of edema is used - lymphomassage, compression treatment and exercises. Lymphomassage is also suitable for pregnant women and children.
  • Lymphotherapy is a gentle, manual massage aimed at relieving swelling. This massage stimulates the outflow of lymphatic fluid in the lymphatic tract. For large edema, complex treatment of edema is used - lymphomassage, compression treatment and exercises. Lymphomassage is also suitable for pregnant women and children.
• • A speech therapist is a specialist with higher education who deals with the correction of speech disorders and related psychological disorders. A speech therapist helps correct oral and written speech, develop communication and understanding skills. Speech therapists also deal with speech and swallowing disorders caused by complications of the disease or another reason. Speech therapists are involved in the rehabilitation of hearing-impaired and deaf children. At the initial appointment, the speech therapist assesses the severity of the problem, studies the patient’s background and draws up a plan for speech therapy rehabilitation.

Source: https://medihub.org/ru/vse-uslugi/fizioterapiya-sport/fizioterapiya-i-reabilitatsiya