Electrotherapy

Electrotherapy has been drifting in and out of fashion in the physiotherapy world for decades. Old attitudes and poor evidence have shown to be challenged by new emerging research on various electrotherapy practices. Like any therapy - ‘dose’ is hugely important in deciding application methods. A solid understanding of physics and physiology is therefore required to improve cellular activity and promote healing. We use an assortment of ultrasound, electrical stimulation and shock wave therapy on site to augment tissue structure and promote healing. The mechanisms of action are complicated but this is aimed at providing a synopsis of action and typical injuries treated.

Shockwave therapy

Action - Full mechanism is not full understood but current evidence suggests increased cellular activity, reduction of pain and augmented soft tissue structure via inflammatory response.

Typical Injuries - Various tendon injuries such as; plantar fasciiopathy, jumper’s knee, rotator cuff injuries are most common, and can be treated well if calcification has onset.

Ultrasound

Action: - Accelerates haematoma (bruising) break down, increases cellular activity and metabolism, improves scar tissue functional capacity (Tsai et al 2006, Yeung et al 2006)

Typical injuries: - Acute soft tissue trauma (non fracture), Tendon ailments such as plantar fasciiopathy tennis elbow etc.

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