Physical medicine and rehabilitation treats congenital or acquired muscle, nervous and skeletal system problems, as well as movement limitations that occur due to neurological, orthopedic diseases, mechanical problems, trauma, pain, dysfunctions that develop after surgeries and many other diseases. It is a branch of expertise that deals with diagnosis, treatment and preventive methods. The specialty of physical medicine and rehabilitation is very open to new developments in medicine in the context of the disease issues it is related to. Today, with the developing technology and innovations in the field of medicine, traditional and complementary medicine methods are used as widely as physical therapy agents (hot-cold applications, electrical treatments, deep heaters such as ultrasound, laser, exercise applications, etc.) in musculoskeletal system pathologies. Methods such as neural therapy, Prp injections, ozone therapy, manual therapy, dry needling, kinesiotaping (taping), mesotherapy, trigger point injections, intra-articular injection applications have recently strengthened the hand of us physicians in treatment by using them alone or together in suitable patients. There is no need for surgical treatment in most diseases; This may be attributed to the development and widespread use of new treatments. Soft tissue rheumatism such as myofascial pain syndrome, fibromyalgia, osteoarthritis (calcification), joint pain (shoulder, elbow, wrist, fingers, hip, sacroiliac joint, knee, ankle), athlete injuries, waist and neck pathologies, rheumatic diseases (Rheumatoid It can be applied in diseases such as arthritis, Ankylosing spondylitis), nerve compression, tendon strains.
Neuraltherapy: Local anesthetic and serum are applied to the areas stimulated by nerve fibers in order to repair the impaired functions of the body and provide pain control. It is the application of physiological mixtures by needle. Headaches, all musculoskeletal system pains, persistent neck and waist pains, neck and waist herniations, fibromyalgia syndrome, nerve compression, calcification and tendon injuries are among the diseases that fall within the scope of application. Although 1-2 sessions per week vary depending on the patient and the disease, a total of 5-10 sessions should be performed.
PRP (Platelet-rich plasma): PRP treatment k It is a method prepared from the patient's own blood and used in many areas of medicine to stimulate healing and regulate this stimulation. 8-20cc of the patient's own blood is taken into a special tube, and the healing cells and substances obtained from this blood by special separation methods are applied to the diseased area with a needle. It is frequently used as a method to support treatment and accelerate healing, especially in joint arthritis, tendon strains, sports injuries, after orthopedic surgeries and many other painful diseases. Generally, two or three applications are made, once a month or once every 15 days. The frequency and number of sessions are determined taking into account the patient's disease and clinical condition.
Ozone therapy: Ozone is a colorless, unstable gas with a unique odor, consisting of 3 oxygen atoms. The ozone-oxygen mixture produced by the ozone generator can be applied to the body with different methods, strengthens the immune system and ensures the removal of harmful compounds from the body. It can be used in metabolic diseases such as diabetes mellitus, hypertension, high cholesterol, as well as rheumatic diseases with chronic pain, arthritis, waist and neck joint pain, and sports injuries. It can be administered through blood, intramuscularly, or can also be used in intra-articular applications. In ozone therapy, a cure of 12 sessions in total is performed, twice a week. Afterwards, 1 application per month is performed to maintain well-being.
Mesotherapy: Mesotherapy is a treatment method used for cosmetic purposes as well as pain treatment. Mesotherapy material is obtained by diluting and mixing different drugs in lower than normal doses. This material is applied to the middle layer of the skin in painful areas using very fine diameter needles and special methods. It can be applied directly to the painful area by specialist physicians in cases such as waist and neck pain, joint pain, sports injuries, arthritis, tendon and meniscus problems. The number of sessions may vary depending on the condition of the disease; In acute cases such as sports injuries, 2 sessions may be sufficient, whereas in chronic cases, 6-8 sessions of treatment can be performed. knows.
Kinesiotaping: It is the application of special elastic bands on the skin with unique techniques. These patches can stay on the skin for 4-7 days. Tapes can also be applied to form layers on top of each other depending on location, and the cutting method, application direction and area may vary depending on different purposes. Kinesiotaping theoretically lifts the skin, increases the space between the skin and the muscles, and relieves the pressure in the area. It can be used as a supportive treatment to other treatments in many musculoskeletal system diseases. Multiple applications can be done once a week.
Intra-articular injections: Intra-articular injection treatment is used for arthritis or rheumatic diseases, etc. It is a treatment method that can be performed by entering the joint with special techniques because one or more joints are affected as a result. With this method, substances such as drugs (steroids, hyaluronic acid, local anesthetics, etc.), PRP, CGF, ozone can be used. Depending on the condition of the disease, injections can be repeated or single applications can be made. These injections can be applied to small joints in the knee, shoulder, hip, elbow, sacroiliac, hand or foot when necessary.
Trigger Point injection: Trigger points are hard knot points in the muscles, which can also be called "touches" among the public. These are generally the places where muscle pain begins and increases. It may occur more than once in a muscle or at a single point. They are caused by myofascial pain, trauma, repetitive muscle activities and poor posture. Although they are often seen in the neck and back area, these trigger points can occur in all muscle structures of the body. Pain due to trigger points can be very severe at times. Trigger point injection is performed by carefully injecting a low dose of local anesthetic into the trigger point. The main purpose is to reduce the activity of the trigger point where muscle spasm originates. Although one-time applications are sufficient, sessions can be repeated depending on the condition of the disease.
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