Health clinic

Duration: 10 min / 30 min

Price: 35 lei / 100 lei

A good definition of therapeutic massage is as follows: medical massage is done with the intention of improving the condition or pathology that has been diagnosed by a physician and uses a variety of modalities or procedures that focus on the treatment of the diagnosed condition. The following are considered to be therapeutic massage disciplines: lymphatic drainage, neuromuscular therapy, therapeutic massage, relaxing massage, toning massage.

Therapeutic massage is one of the most effective and popular forms of alternative therapies used in the treatment of muscle pain, and is necessary for everyone at some point. Therapeutic massage aims to eliminate and decongest pain trigger points, relax muscles and solve circulatory problems. It consists of manual processing of soft tissues with the aim of stimulating blood circulation, lymph circulation and muscle relaxation. Different techniques are used depending on the goals of each treatment and the condition to be treated.

Benefits of therapeutic massage

Therapeutic massage intervenes directly on pain, having a considerable analgesic effect because it relaxes the muscles. With the kneading, vibration and friction movements used in therapeutic massage, blood circulation is stimulated, allowing the body to deliver more oxygen and nutrients to vital tissues and organs.

In addition, during therapeutic massage, the secretion of endorphins, a “happiness” hormone that reduces stress in the body, is stimulated.

Therapeutic massage indications

therapeutic massage at home

• Injuries to soft tissues on the surface of the body: contusions, haematomas, stretches/ruptures of peripheral circulatory and nerve branches, etc., which, if not treated properly and in time, delay the resumption of normal activity and sometimes leave sequelae that more or less hamper subsequent activity.
• Injuries to muscles and tendons: strains, partial or total tears, tears at the level of insertions, contusions, chronic inflammatory disorders, which, apart from being very painful and giving a greater or lesser degree of functional impotence, if not treated in time lead to the development of sequelae that are more difficult to recover: atrophies, atonias, contractures, paresis, etc.
• Bone lesions: status post complete or incomplete, closed or open, simple or complicated fractures, with or without displacement of bone fragments, which bring with them circulatory and trophic disorders, with subsequent implications in the functionality of the affected segment.
• Joint injuries: sprains, dislocations, meniscus injuries, which, if not properly treated, can lead to the onset of severe stiffness and ankylosis, to serious disturbances of trophicity and implicit tonicity of the periarticular elements, to the onset and rapid evolution of degenerative processes.
• Peripheral nerve injuries: from simple stretching (elongation) to their rupture/dissection, causing disorders of sensitivity, trophicity, motility (hypo-, hyper- or anaesthesia, muscle contractures, hypertonia, circulatory changes: cyanosis, oedema, atrophy, etc.).
• Organic disorders: functional mainly, but also morphological/structural, as a valuable adjuvant to enhance the effects of other therapeutic measures applied.

Frequency

A therapeutic massage session can last between 15 and 30 minutes depending on the affected areas. Our recommendation, as specialists in medical rehabilitation and special motor skills, is that you see massage not just as a way to feel good and pampered, but a way in which your overall health can be improved.

When we talk about therapeutic massage, it can be done whenever there are muscle problems, without any restraint. As a treatment cure for people with locomotor disorders, a minimum of 10-12 sessions of therapeutic massage are required. A minimum of 2-3 sessions per week is recommended in order to relax the muscles and see rapid improvements.

Duration: 40 min

Price: 100 lei

Kinesitherapy is one of the most important stages of medical recovery, it aims to restore or improve physical mobility, posture and balance, muscle toning, venous and lymphatic drainage, increase exercise capacity, prophylaxis for various spinal disorders, osteoporosis prophylaxis, falls prophylaxis for the elderly through specific physical exercises, adapted to the patient and performed in the presence of the therapist. It is aimed at a wide range of conditions, but can also be performed by healthy people for fitness or body maintenance. All this is complemented by modern equipment, which is always being updated to keep up with the latest technology.

In other words, it is a therapy through movement, the etymology of the word having a Greek origin (kinetos – mobile, therapeia – treatment).

Kinesiology therapy is applied in numerous pathologies from acute (accidents, trauma, orthopaedic surgery) to chronic (degenerative, neurological, neuromuscular, respiratory diseases, etc.). Pregnancy is also supported by specific physiotherapy programmes that help the pregnant woman to give birth safely and recover postpartum.

The physiotherapy sessions generally last 50 minutes and are carried out under the close supervision of the specialist who records the daily progress and adapts the exercise programme to the patient’s progress.

Objectives of physiotherapy

In establishing the exercise programme, it is essential that the specialist sets specific goals in collaboration with the patient.

The main objectives of physiotherapy are:

• correcting and maintaining posture and body alignment;
• increase muscle strength and endurance;
• increase muscle mass;
• improving joint mobility;
• increased coordination and balance;
• improving effort capacity;
• cardio-respiratory recovery;
• increased physical and mental comfort;
• relaxation;
• maintaining an active life.

As in any field, kinesiology has some principles that must be respected in all circumstances. These consist of:

• The “primum non nocere” principle (“first do no harm”)
• The principle of pain-free physiotherapy.
• Effort grading rule.

When is physiotherapy necessary?

Physiotherapy may be needed whenever a movement problem limits a person’s daily activities. Therefore, doctors often recommend physiotherapy to patients with the following problems:

• orthopaedic conditions – aimed at post-mobilisation recovery (sprain, strain or fracture), recovery after orthopaedic surgery, tendon and ligament lengthening, total or partial meniscectomy tendon ruptures,
• rheumatological conditions – coxarthrosis, gonarthrosis, rheumatoid arthritis, ankylopoietic spondylitis, scapulohumeral periarthritis, lumbosciatica, disc disease, herniated disc or cervical spondylosis;
• spinal deficiencies – kyphosis, scoliosis, lordosis, kyphoscoliosis or combinations of these conditions, altered posture;
• neurological disorders – paresis, paralysis (hemiparesis, paraparesis, paraplegia, hemiplegia, tetraplegia, facial paresis, etc.), Parkinson’s disease or muscular dystrophies (muscle atrophy or hypotrophy);
• respiratory tract diseases;
• cardiovascular disease;
• endocrine-metabolic disorders;
• gynecological-abdominal disorders, pregnancy;
• congenital or acquired static disorders of the lower limbs, e.g. congenital dislocation of the hip, genu valgum or varum, flatfoot, etc.
• muscle injuries, muscle dystrophies, sports injuries
• fatigue, chronic stress, depression

What benefits does physiotherapy bring you?

• Reduces or eliminates pain. Therapeutic exercises and manual therapy techniques such as joint and soft tissue mobilisation can help relieve pain and restore muscle and joint function to reduce pain.
• Improves mobility. By customising an individual care plan, any activity important to an individual’s life can be practiced and adapted to ensure maximum performance and safety.
• Prevents or aids recovery after a sports injury.
• Improves balance and prevents falls.
• Avoids or optimises the results of surgery.
• Helps you manage diabetes and circulation. As part of an overall diabetes management plan, exercise can help control blood sugar effectively. Physical therapists can also help educate these patients on proper foot care to prevent further problems in the future.
• Managing age-related issues . As people age, they may develop arthritis or osteoporosis or need to improve/maintain joint functionality.
• Physiotherapists are experts in helping patients recover from joint replacements (prostheses) and in the conservative management of joint or osteoporotic conditions.
• Managing heart and lung disease.
• Physiotherapy can help both in rehabilitation after a heart attack and in managing daily activities in patients with ischaemic heart disease. For lung problems, physiotherapy can improve the quality of life by strengthening, conditioning and improving breathing exercises, as well as clearing the lungs by removing bronchial secretions.
• Women’s health management and other conditions. Women have specific health issues, such as pregnancy and postpartum care, and benefit from appropriate KT programmes.
• In addition, KT can provide specialized treatment for: bowel incontinence, breast cancer, constipation, fibromyalgia, lymphedema, male pelvic health, pelvic pain and urinary incontinence.

Paediatric physiotherapy

The child is not a miniature adult. It must be specifically assessed and treated, which requires both a good knowledge of the child’s condition and an excellent mastery of age-specific medical rehabilitation and recovery techniques.

Correct assessment of the child from the first days after birth can reveal genetic, orthopaedic, neurological or pulmonary disorders, which, if diagnosed early, can benefit from both specialist treatment and physiotherapy, with a high potential for recovery.

The child’s psychomotor development provides information about the delay due to the lack of certain acquisitions and sets the priorities for kinetic therapy treatment with respect to an intellectual and motor chronology close to normal.

Physiotherapy in children can be prophylactic, rehabilitative or corrective.

What are the objectives of paediatric physiotherapy sessions?

• head position control
• normalization of muscle tone
• improved joint mobility
• educating static and dynamic balance
• improving posture
• harmonious physical development
• laterality development
• development of coordination
• educating sphincter control
• respiratory retraining

Indications of physiotherapy in children and adolescents

Kinesiotherapy has multiple applications in paediatrics and is carried out through specific programmes depending on the pathology and age, with the aim of preventing or treating various conditions.

• Congenital varus-equinus clubfoot (condition requiring treatment from the first days of life)
• Obstetric brachial plexus palsy (complication following a laborious birth)
• Congenital hip dislocation, etc.

• developmental delays
• various forms of cerebral palsy/ paresis or motor impairment due to cerebral cause
• genetic disorders
• orthopaedic conditions or disabilities
• heart and lung disease
• birth defects (such as spina bifida)
• effects of exposure to drugs or alcohol in utero
• severe physical trauma
• limb malformations
• muscle diseases (myopathies, muscular dystrophies)
• spinal deformities (kyphosis, scoliosis, lordosis or combinations)
• positional torticollis
• post-fracture/post-traumatic sequelae
• arthrogryposis

Adolescent conditions

The most common conditions requiring physiotherapy are:

• Spinal static disorders (scoliosis, kyphosis)
• Traumatic injuries, sports injuries and post-traumatic sequelae
• Paralysis, paresis, muscular dystrophies and after-effects

Duration: 15 min – 60 min

Price: 100 lei

Hydrokinetotherapy is a method of medical rehabilitation done for therapeutic purposes in water and is complementary to physiotherapy, thus speeding up the desired results. The method is used for a wider range of conditions.

The fact that the exercises are performed in water contributes to better mobility of the exerciser. In water, the human body is lighter, which makes gymnastic movements easier for the patient to perform. Joints are also less stressed when gymnastics is performed in water.

By reducing gravity, the body weighs less, the baby moves more easily and does not need to support its own body weight as on land, so hydrokinetic therapy is also suitable for babies who have not yet learned to stand up. Needless to say, in addition to the aspects of rehabilitation therapy, aquatic education of children in the first months and years of life is very important for a beautiful and harmonious development. Exercises should only be performed under the guidance and supervision of qualified medical personnel.

Indications of Hydrokinetotherapy

• Delay in neuromotor development
• Increased joint mobility and muscle strength in post-traumatic conditions
• Increased joint mobility and muscle strength in rheumatic diseases
• Correction of vicious postures and axis deviations of the spine (kyphosis, scoliosis, etc.)
• Metabolic diseases (obesity in adults and children and its complications)
• Genetic syndromes (Down, Turner, etc.) and autism
• Gait re-education
• Peripheral circulatory problems
• Osteoporosis
• Congenital or acquired deformities of the lower limbs (talus valgus, varus equinus, genu varum, genu valgum, etc.)
• Central neurological disorders (paresis, hemiparesis, etc.) and peripheral neurological disorders (radiculopathy, brachial plexus palsies).
• Sprains, dislocations, fractures or recovery from surgery

Benefits of Hydrokinetotherapy

• Development of correct postural attitudes achieved by stimulating balance in the aquatic environment
• Increased joint mobility and coordination of movements
• Strengthening the respiratory and cardiovascular system
• Global toning in hypotonic toddlers
• Correction of secondary compensatory deficiencies
• Neuromotor and mental stimulation
• Lengthening of shortened muscles and shortening of lengthened muscles
• Restoring normal function of an affected limb in orthopaedic conditions by increasing joint mobility and muscle tone
• Reduces spasticity in children with neurological disorders (hemiparesis, paraparesis) and facilitates movement patterns
• Positive results in metabolic disorders such as rickets, obesity, osteoporosis, but also in genetic syndromes or autism.

The duration of a session varies from 15 minutes to one hour. Exercises performed using this therapeutic method are of several types, and some may require the use of auxiliary objects such as rubber cords.

Price: 70 lei

Through TECAR therapy we succeed in stimulating the energy inside the tissues with the help of heat, with the aim of activating the body’s natural healing and recovery processes.

This therapy has anti-inflammatory and analgesic effects and is one of the most modern and effective non-invasive treatments available today.

What is TECAR therapy?

Capacitive and Resistive Energy Transfer (TECAR) is performed with a high-frequency current device that is invisible to the patient, which enters the tissue and is converted into heat.

The device works with two electrodes and a conductive cream. A negative electrode is placed on the opposite side of the targeted anatomical area, forming a connection with an active electrode, which is moved by the therapist in circular movements over the treated area. The sensation perceived by the patient during therapy is a pleasant, warm sensation, similar to that of a massage. The effect is fast – from the first session, the pain is considerably reduced.

Using different frequencies, the therapist works on the superficial and deep structures. During therapy, the body uses its own energy to activate the regeneration mechanisms in tissues and muscles, resulting in healing.

This energy produces
mechanical effects
(better conduction of blood flow),
chemical-biological
(acceleration of the metabolism of damaged cells) and
thermal
(heat production).

TECAR therapy can be used alone or combined with other complementary therapies or exercises. On average, a treatment of 10 sessions with daily frequency is indicated.

Biological effects

The high-frequency current used in this therapy has two mechanisms of action:

• Production of energy (energy effect) at the level of the intracellular and extracellular structures, converting ADP into ATP
• Heat production (thermal effect) by enhancing ionic interaction

These two main effects cause the following changes at tissue level:

• Increased cellular metabolism due to increased intracellular temperature (van’t Hoff’s law)
• Improved membrane balance of all cells under the electrode (adipocytes, fibroblasts, osteoblasts, etc.)
• Repolarisation of cells, with a return to physiological -70mV membrane potential
• Transition of the extracellular matrix from gel (pathological) to fluid (physiological) state
• Vasodilation in the arterial territory, with an increased influx of oxygen and nutrients at the cellular level
• Improved venous and lymphatic flow to remove cellular catabolic products.

TECAR therapy is useful in the treatment of several conditions:

• Sprains/fractures
• Muscle tears
• Pre- and post-operative treatment in ligamentoplasty, prosthesis and osteosynthesis
• Post-operative treatment in arthroscopy
• Bone or ligament trauma, in inflammatory processes at the muscle-tendon junction
• Post-traumatic conditions, where therapy has analgesic, anti-inflammatory and anti-dematous effects
• Chronic conditions or post-traumatic sequelae
• Reducing and preventing sports injuries
• Eliminate pain.

Price: 25 lei

Diathermy is a prescribed treatment for muscle and joint disorders. There are several types of diathermy. Shortwave uses a high-frequency electric current to stimulate heat generation in the body’s tissues. Heat can help with various processes including: increasing blood flow, relieving pain, improving tissue mobility.

This type of therapy can be applied in two ways: pulsed energy waves and continuous waves.

In terms of the pulsatile mode of shortwave therapy, the focus is on the thermal effect with improvement of trophism and thus the vascular system.

Continuous mode has predominantly local thermal effects, which leads to: improved cellular metabolism, stimulated circulation, reduced muscle spasm, increased mobility.

Short waves have caloric effects deep in the tissues without causing skin damage, do not cause neuromuscular excitation, have no electrolytic and electrochemical action. They produce heat energy and heat the affected area deeply.

The caloric effect has the following physiological repercussions:
– on metabolism: increases oxygen and tissue nutrient requirements, increases metabolism. Normal doses stimulate metabolism in treated areas;
– on the circulation: it activates the circulation by producing active hyperemia through direct local action, reflex action (release of vasoactive substances) and general vasodilatation, with the side effect of lowering blood pressure (in general applications);
– on the nervous system has a sedative effect in applications on the cephalic region;
– in the peripheral nervous system at the correct dosage increases excitability, conduction velocity, decreases reobase and shortens chronaxia
– on muscles and decreases muscle tone by relaxing antagonists. In local applications this is explained by increasing local circulation, and in cephalic applications by acting on the hypothalamus;
– increases the body’s immunity.

Therapeutic effects on

• nervous system – analgesic, sedative for the central nervous system; increases excitability in the vegetative nervous system
• muscle tone – decreases muscle tone (myorelaxant, antispasmodic), improves muscle microcirculation
• immune system – increases the body’s immunological capacity.
• Metabolism – which it activates through the hyperemiant effect

Shortwave therapy is recommended in:

• gonarthrosis, spondylosis, ankylosing spondylitis
• bursitis, tendonitis, tenosynovitis, scapulohumeral periarthritis
• post-traumatic sequelae, sprains, muscle injuries
• neuralgia, neuromyalgia (Arnold-type neuralgia, cervical-brachial neuralgia, intercostal neuralgia, lumbosacral neuralgia, etc.), sequelae in various stages secondary to neuritis, paresis and paralysis
• Multiple sclerosis, polio sequelae, peripheral sequelae (post myelitis and meningitis)
• frostbite, Raynaud’s syndrome, in the early stages of peripheral arteriopathies of the limbs
• chronic bronchitis, post pleurisy sequelae, pleuritis, bronchial asthma
• oesophageal, gastro-duodenal and intestinal spasms, chronic constipation
• prostatitis
• metanexitis and parameritis, amenorrhoea or secondary infertility
• sinusitis , rhinitis , pharyngitis , laryngitis
• boils, pansarias and hydrosadenitis

Price: 25 lei

LASER is an acronym for “Light Amplification by Stimulated Emission of Radiation”.

This is electromagnetic radiation with wavelengths between 100 nanometres and 2 millimetres. Depending on the intensity of the LASER radiation, both the biological effects and their medical, diagnostic or therapeutic indications vary.

LASER light penetrates 8-15 mm into human tissue, but most of it is absorbed in the first 4 mm. Although it seems superficial, it should be noted that the chemical processes initiated can mediate physiological effects at a deeper level. The effect is photochemical (similar to photosynthesis in plants) and not thermal, heating.

Physiological effects

The short-term effects are to reduce pain intensity by stimulating the production and release of beta-endorphins and to improve local blood flow, manifested by an increase in local temperature. The short-term effect is significant in 5-10% of cases, during or after the end of the initial treatment session, but is not as important as the long-term effect.

Long-term or cumulative effects are increased cellular energy by stimulating ATP (adenosine triphosphate) synthesis and improved cellular metabolism, faster healing of damaged tissues due to increased protein and DNA production leading to increased rate of cell replication and due to stimulation of macrophages, fibroblasts and other cells; in addition, it regulates cell membrane potential, essential in ion transfer: Na, Cl and K. Also in the category of long-term effects of LASER therapy are better nerve conduction, facilitated by high levels of serotonin and acetylcholine, reduced scar tissue through increased collagen synthesis and increased blood flow to the affected area – angiogenesis (formation of new blood vessels), which brings more blood to the injured area.

In addition, laser therapy promotes the body’s natural healing processes, increases resistance to infection by stimulating the immune response and facilitates lymphatic drainage, reducing oedema.

BIOLOGICAL EFFECTS OF LASERS

High Intensity Laser Therapy has a powerful effect on human tissue. The most important clinical effects
are:

• Anti-inflammatory effect
• Biostimulation effect
• Analgesic/analgesic effect
• Healing effect of the palg
• Anti-oedema effect
• Vasodilator effect

All these effects are based on proven mechanisms known to have a positive effect:

• Accelerating microcirculation
• Activation of the Melzack “gate control” mechanism – inhibition of pain perception
• Increased intracellular activity in several enzymes, especially in the Krebs cycle
• Increased oxygen circulation, improved glucose utilization
• Stimulation of DNA synthesis (via phytohemagglutinin stimulation)
• Increased fibroblast activity (in the case of keloid scars, these fibroblasts are able to resorb fibrin)
• Phagocytosis activation
• Activation of the Na/K pump at the membrane level
• Activation of metabolic processes at the cellular niche: partly by Na/K pump and impairment of Ca transport, partly by direct activation of the mitochondrial system
• Local changes in important mediators – inflammatory (histamines, prostaglandins) or e.g. endorphins

Conditions treated with LASER therapy

• Arthritis (osteoarthritis, rheumatoid arthritis)
• Cervical, thoracic, lumbar spine pain (spondylosis, lumbago, kyphosis, scoliosis, lumbosis, herniated discs)
• Joint pain
• Carpal tunnel syndrome
• Fibromyalgia (characterized by diffuse pain and tenderness in muscles and soft tissue)
• Tendonitis, Enthesitis, Myoenthesitis, Epicondylitis
• Plantar fasciitis (heel pain)
• Muscle strains/breaks, sprains, segmental overstrains
• Neuralgia
• Sinusitis and allergic rhinitis
• Varicose ulcers
• First and I degree burns
• Acne, skin diseases, eczema
• Post-stroke sequelae (stroke)

Therapeutic indications of athermal lasers

• traumatology:
  fractures, muscle tears, constituted muscle hematomas, posttraumatic calcar myositis, sprains, dislocations, posttraumatic tendonitis, burns
• dermatology:
  Acneiform dermatitis, eczema, herpes simplex, herpes zoster, psoriasis, varicose ulcers, scabs, plagues
• soft tissue injuries
• ENT:
  tonsillitis, pharyngitis, sinusitis, tinnitus, otitis
• dentistry:
  gingivitis, peridontitis, dental neuralgia, aphthous stomatitis
• rheumatology:
  rheumatoid arthritis, ankylosing spondylitis, arthrosis, tendonitis, bursitis
• abarticular rheumatism:
  tendonitis, bursitis, periarthritis, myoglobinitis, fasciitis
• degenerative rheumatism:
  arthroses with various locations
• neurology:
  trigeminal neuralgia, paresis, neuritis
• open wounds:
  treatment of ulcers, scabs, wounds (often a group probe is used to cover the area to be treated, laser power usually up to 2 ^J/cm2; for treatment of wound edges (periphery), single probes are used, laser power up to 4 ^J/cm2
• pain:
  Practical evidence shows that laser therapy has a more direct effect on nerve conduction, which will lead to pain reduction as a more direct effect of this therapy.

ADVANTAGES OF LASER TREATMENT

• Highly targeted application to the defined therapeutic area and deep into the tissue
• Strong analgesic effect without the need for pharmacotherapy
• The possibility of preventing surgery and associated risks
• Extremely positive clinical results with long-lasting effect

Price: 70 lei

LASER is an acronym for “Light Amplification by Stimulated Emission of Radiation”.

This is electromagnetic radiation with wavelengths between 100 nanometres and 2 millimetres. Depending on the intensity of the LASER radiation, both the biological effects and their medical, diagnostic or therapeutic indications vary.

LASER light penetrates 8-15 mm into human tissue, but most of it is absorbed in the first 4 mm. Although it seems superficial, it should be noted that the chemical processes initiated can mediate physiological effects at a deeper level. The effect is photochemical (similar to photosynthesis in plants) and not thermal, heating.

Physiological effects

The short-term effects are to reduce pain intensity by stimulating the production and release of beta-endorphins and to improve local blood flow, manifested by an increase in local temperature. The short-term effect is significant in 5-10% of cases, during or after the end of the initial treatment session, but is not as important as the long-term effect.

Long-term or cumulative effects are increased cellular energy by stimulating ATP (adenosine triphosphate) synthesis and improved cellular metabolism, faster healing of damaged tissues due to increased protein and DNA production leading to increased rate of cell replication and due to stimulation of macrophages, fibroblasts and other cells; in addition, it regulates cell membrane potential, essential in ion transfer: Na, Cl and K. Also in the category of long-term effects of LASER therapy are better nerve conduction, facilitated by high levels of serotonin and acetylcholine, reduced scar tissue through increased collagen synthesis and increased blood flow to the affected area – angiogenesis (formation of new blood vessels), which brings more blood to the injured area.

In addition, laser therapy promotes the body’s natural healing processes, increases resistance to infection by stimulating the immune response and facilitates lymphatic drainage, reducing oedema.

BIOLOGICAL EFFECTS OF LASERS

High Intensity Laser Therapy has a powerful effect on human tissue. The most important clinical effects
are:

• Anti-inflammatory effect
• Biostimulation effect
• Analgesic/analgesic effect
• Healing effect of the palg
• Anti-oedema effect
• Vasodilator effect

All these effects are based on proven mechanisms known to have a positive effect:

• Accelerating microcirculation
• Activation of the Melzack “gate control” mechanism – inhibition of pain perception
• Increased intracellular activity in several enzymes, especially in the Krebs cycle
• Increased oxygen circulation, improved glucose utilization
• Stimulation of DNA synthesis (via phytohemagglutinin stimulation)
• Increased fibroblast activity (in the case of keloid scars, these fibroblasts are able to resorb fibrin)
• Phagocytosis activation
• Activation of the Na/K pump at the membrane level
• Activation of metabolic processes at the cellular niche: partly by Na/K pump and impairment of Ca transport, partly by direct activation of the mitochondrial system
• Local changes in important mediators – inflammatory (histamines, prostaglandins) or e.g. endorphins

Conditions treated with LASER therapy

• Arthritis (osteoarthritis, rheumatoid arthritis)
• Cervical, thoracic, lumbar spine pain (spondylosis, lumbago, kyphosis, scoliosis, lumbosis, herniated discs)
• Joint pain
• Carpal tunnel syndrome
• Fibromyalgia (characterized by diffuse pain and tenderness in muscles and soft tissue)
• Tendonitis, Enthesitis, Myoenthesitis, Epicondylitis
• Plantar fasciitis (heel pain)
• Muscle strains/breaks, sprains, segmental overstrains
• Neuralgia
• Sinusitis and allergic rhinitis
• Varicose ulcers
• First and I degree burns
• Acne, skin diseases, eczema
• Post-stroke sequelae (stroke)

Therapeutic indications of athermal lasers

• traumatology:
  fractures, muscle tears, constituted muscle hematomas, posttraumatic calcar myositis, sprains, dislocations, posttraumatic tendonitis, burns
• dermatology:
  Acneiform dermatitis, eczema, herpes simplex, herpes zoster, psoriasis, varicose ulcers, scabs, plagues
• soft tissue injuries
• ENT:
  tonsillitis, pharyngitis, sinusitis, tinnitus, otitis
• dentistry:
  gingivitis, peridontitis, dental neuralgia, aphthous stomatitis
• rheumatology:
  rheumatoid arthritis, ankylosing spondylitis, arthrosis, tendonitis, bursitis
• abarticular rheumatism:
  tendonitis, bursitis, periarthritis, myoglobinitis, fasciitis
• degenerative rheumatism:
  arthroses with various locations
• neurology:
  trigeminal neuralgia, paresis, neuritis
• open wounds:
  treatment of ulcers, scabs, wounds (often a group probe is used to cover the area to be treated, laser power usually up to 2 ^J/cm2; for treatment of wound edges (periphery), single probes are used, laser power up to 4 ^J/cm2
• pain:
  Practical evidence shows that laser therapy has a more direct effect on nerve conduction, which will lead to pain reduction as a more direct effect of this therapy.

ADVANTAGES OF LASER TREATMENT

• Highly targeted application to the defined therapeutic area and deep into the tissue
• Strong analgesic effect without the need for pharmacotherapy
• The possibility of preventing surgery and associated risks
• Extremely positive clinical results with long-lasting effect

Price: 70 lei

Also called ‘pain therapy’, shockwave therapy (SHOCKWAVE) uses shockwaves to treat chronic or acute conditions of the muscles, tendons, ligaments and joints.

The name “pain therapy” is due to the fast-acting analgesic effect, with results visible in some cases even after the first session.

What is Shockwave Therapy?

A shock wave is a temporary pressure disturbance that propagates rapidly, three-dimensionally, through space. In fact, there is a sudden (within nanoseconds) pressure stress and increase, plus cavitations, as a result of the negative phase of wave propagation after the initial positive phase.

For example, for bone fractures or cracks, the direct shock wave and indirect cavitational effect causes microscopic haematoma and cell destruction in the treated focus, followed immediately by the healthy reaction of stimulating the formation of new bone tissue.

Through the pressure they exert on the treated tissues, the shock waves
increase cell permeability, stimulate microcirculation and cell metabolism, collagen production, and thus stimulate healing as well as the dissolution of micro-deposited limescale in various soft tissues
– it is recalled that the original “destination” of use was lithotripsy, in urology.

How does Shockwave therapy work?

The mode of action is determined by the fact that shock waves are sound waves with specific physical characteristics, including non-linearity, high pressure followed by low amplitude in a short time.

This is how the positive and negative phases of the wave are produced.
Positive phase
causes direct mechanical forces, while
negative phase
generates cavitations and gas bubbles that subsequently implode at high speeds, generating a second shock wave.

Compared to ultrasound, the peak pressure of shock waves is about 1000 times that of ultrasound.

With an 80% success rate in eliminating chronic pain and stimulating local circulation, “pain therapy” determines:

• increased production of collagen and dispersion of “substance P” which mediates pain
  so significantly decreases PAIN
• recovery of inflamed tissues
• increased muscle and joint mobility
• revascularisation of injured areas
  – leading to rapid healing, as occurs at the tendon-bone junction

As a result of these effects, shockwave therapy is recommended in:

• muscle contractions
• epicondylitis
• tendonitis (e.g. Achilles tendonitis)
• plantar fasciitis
• calcanean spur
• various calcium deposits in joints, periarticular soft tissues
• retractile capsulitis (“frozen shoulder”)
• avascular necrosis of the femoral head
• Unconsolidated long bone fractures after estimated mean time (prevention of pseudarthrosis formation)
• Rapid healing of fractures
• Medial tibial stress syndrome (shin splint)
• Trochanteric bursitis, (hip bursitis)
• back pain
• Sinovite
• Dupuytren’s disease (contracture of the palmar aponeurosis)
• muscle hematoma
• hip or knee arthritis sacroiliitis
• pain after trauma or surgery, etc.

What are the benefits of shockwave therapy?

Compared to conventional therapies, patients treated with Shockwave Therapy enjoy the following advantages:

• short duration of treatment
• reduced pain and increased mobility
• improving blood circulation in muscles and tendons
• dissolution of calcic bromides
• improved metabolism and microcirculation
• reduction of tissue tension
• analgesic effect

Price: 20 lei

Transcutaneous electrical nerve stimulation can treat painful conditions at any stage of the disease which do not respond to other indicated therapeutic methods (pharmacological, electrical), or which are contradictory to other physical therapeutic means.

Price: 20 lei

Interferential currents have a stimulating action on skeletal muscles, stimulating effect on hypotonic smooth muscles, analgesic action, vasomotor action with hyperemic effect, decontracting-morelaxant, trophic effects. They have a multitude of physiological actions that explain and motivate therapeutic indications.

Price: 20 lei

With Trabert currents, a genuine electro-massage is achieved through powerful vibrations of the muscle masses.

Price: 20 lei

Galvanic currents are indicated in algic processes, various traumatic and post-traumatic conditions, peripheral arterial circulatory disorders, in hemiplegia. It is applied in the form of simple electroplating with plate electrodes, ion electroplating, four-cell galvanic bath and general galvanic bath (Stanger bath).

The galvanic bath technique combines the effects of the galvanic current with the beneficial effects of hot water, analgesic, vasodilator, myorelaxant, elasticizing, sedative; having at the same time the possibility of including a much larger area of the body in the treatment.

Price: 20 lei

Characteristics of electric current used in therapy

Electrotherapy uses electric current to achieve physiological and therapeutic effects on the human body. The human body, like other living organisms, is a class I conductor, where the electric charge carriers are ions. The electric current is characterised by a certain intensity and a certain voltage: it will flow through the body, which in turn will resist the current.

At the cellular level, the electric current represents a stimulus which, if it exceeds the threshold of cell membrane excitability in terms of duration and intensity, triggers depolarisation of the membrane, causing a response at the substrate level, depending on the type of cell excited: contraction, nerve impulse, variation in circulatory flow, secretion, etc.

Electric current is of two types: direct current and alternating current.

Biological effects of electrotherapy

electrotherapy electrotherapy

• pain reliever (blocking pain transmission)
• ionizing (facilitates transcutaneous penetration of chemicals and tissue migration of ions)
• excito-motor (induces contraction independently of the person’s will)
• vasodilator, nutritive
• Antidematous, resorptive effect, due to improved circulation in all vascular territories (arterial, capillary, and consequently venous);
  – Analgesic effect, resulting from the activation of multiple mechanisms (circulatory, metabolic and nerovs both locally – receptors – and regionally – nerve tracts);
  – Correction of local neuro-vegetative disorders, particularly by circulatory and metabolic mechanism.

Forms of electrotherapy

• electrotherapy electrotherapy
• Galvanic Current
• Low-frequency electric current (Träbert, TENS, diadynamic, rectangular, electrostimulation)
• Medium-frequency electric current (interference)
• High-frequency electric current (shortwave, microwave)

General indications of electrotherapy

Electrotherapy, through its various forms of application, is useful in all types of pathology:

• chronic rheumatic diseases (inflammatory or degenerative)
• degenerative diseases of the spine and associated syndromes (including lumbosciatica)
• degenerative and/or post-traumatic joint diseases of the girdles and limbs;
• rheumatic diseases of the joints (muscles, tendons, fascia, synovium, etc.);
• peripheral nerve diseases (neuralgia, neuritis, polyneuritis, traumatic injuries and their sequelae);
• central motor neuron lesions – hemiplegia, paraplegia;

Adapted electrical procedures are very useful as an associated therapy in the treatment of complications of chronic diseases of the circulatory, respiratory, (veno-lymphatic insufficiency, respiratory insufficiency, chronic bronchopneumopathies, bronchial asthma, etc.). In these circumstances, electrical procedures are useful both in the basic treatment of these disorders and when these disorders accompany other locomotor system disorders that are indicated for physical-kinetic recovery.

Price: 20 lei

Diadynamic currents are indicated in locomotor disorders, post-traumatic conditions, rheumatic diseases, peripheral circulatory disorders.

Price: 20 lei

Ultrasound therapy is very famous, as it has been used since the 1940s and is useful to cure some muscle and tissue related diseases.

Physiological effect of therapeutic ultrasound

They are classified as
thermal and non-thermal effects.

Thermal effect

The thermal effect or warming effect in deep tissues is its most important physiological effect. Helps heal tissue damage that lies deeper by improving blood supply throughout the region.

During the application of therapeutic ultrasound using an ultrasound therapy machine, the energy carried by an ultrasound beam is attenuated (energy loss) as it passes through the tissue. Energy loss is due to beam scattering and absorption. Energy scattered from the beam can be absorbed elsewhere in the tissue.Mechanical effect
– The vibration produced by the apparatus is transmitted from near to near, the molecules being set in motion at a frequency equal to that of the apparatus transmitter.

Cavitational effect
– Is the production of voids within the fluid being flowed through. In therapy we must avoid this property.

Diffusion effect
– Represents an increase in the permeability of the cell membrane.

Ultrasound benefits

Analgesic effect
– The analgesic effect is in fact a consequence of all the other cumulative components of ultrasound and because the other components are effective then analgesia will also occur. Directly speaking, analgesia is produced by the heat energy released with the ultrasound, and this heat energy will be absorbed by the ganglia and nerve endings which will no longer transmit the sensation of pain.

Metabolic effect
– The metabolic effect is perhaps the most extensive component of ultrasound therapy, namely that ultrasound will trigger a large release of mast cells, which will produce excess histamines. These histamines are mainly used in allergic reactions to blunt the aggressive effect on the antigen and make the action against the antigen more effective.

Myorelaxant effect
– Myorelaxant effect means reduction of muscle spasms. In the case of muscle pain, this is also caused by constant extra tension in the skeletal muscles which are kept under pressure and where there is a series of involuntary contractions which cause pain.

Bone-rebuilding effect
– In fractures, bone fissures or other osteo-articular pathologies such as synovitis, osteo-tendinitis. In the case of bone tissue, it has a specific reaction to these ultrasounds because at low ultrasound doses, it will form a series of young bone cells with a modelling role, called osteophytes, which is the reaction to bone heating.

Benefits of ultrasound therapy

Ultrasound therapy indications

• improving the healing rate of certain soft tissues.
• Increasing the level of blood flow to an affected area to speed up the resolution time of the inflammatory process.
• Stimulates the production of collagen (the main protein in tendons and ligaments) during tissue healing.
• Common lesions treated with ultrasound
• Tendonitis
• Osteoarthritis
• Ligament and tendon injuries

Conditions treated by ultrasound therapy

• Diseases of periarticular tissues, joints and muscles
• Post-traumatic conditions after concussion, dislocation, fracture,
• bursitis/capsulitis/tendinitis
• Peripheral nerve diseases – neuropathy, radiculopathy
• Circulatory disorders – Raynaud’s syndrome, Buerger’s disease, Sudeck’s dystrophy, oedema
• Skin conditions ( scar tissue )
• Dupuytren’s disease

Price: 20 lei

Magnetotherapy is one of the oldest methods of treatment that was used in ancient Asia, ancient Egypt and ancient China, for which a certain type of ore, magnetite, was used.

Magnetotherapy (magnetic field therapy) is a method of treating inflammatory conditions and reducing associated pain by the action of a pulsed or static magnetic field on various parts of the body. Electromagnetic fields are generated by low-frequency currents (50 or 100 Hz).

How does magnetotherapy work?

The magnets penetrate deep into the tissues creating a magnetic field that allows for improved immune system function and the body’s healing capabilities. Among the benefits of magnetotherapy we can list: decrease joint and periarticular inflammation, decrease muscle contractures, relieve pain, increase joint mobility, improve cellular and vascular permeability, activate blood circulation, increase resistance to algic stimulus.

Magnetotherapy can be applied in continuous form, with a sedative effect, or in interrupted form, rhythmic or without any rhythm, with a general stimulating effect.

Benefits of magnetotherapy

The latest findings on the body’s physiological response to the electromagnetic field explain a number of effects of magnetotherapy:

• analgesic effect
• The analgesic effect of magnetotherapy is explained by the increased secretion of endogenous opioids produced by the myorelaxation, anti-inflammatory and oedema-reducing effect and may also have an impact on presynaptic inhibition of nociceptor signals in the dorsal medullary horns. The analgesic effect of magnetotherapy applies to all painful muscle conditions as well as joint etiology. It is often used to treat insomnia, migraines, atherosclerosis, poor memory and conditions after head injuries.
• Anxiolytic
• The pulsed magnetic field also improves the brain’s ability to carry oxygen, improving blood microcirculation and neurological processes, reducing anxiety. Magnetotherapy has a calming, relaxing and prostaglandin-stimulating effect, which helps to alleviate the harmful effects of stress.
• anti-inflammatory effect
• The anti-inflammatory effect is induced by increased phagocytosis of neutrophils and increased production of superoxide. This mechanism explains the initially controversial action of the magnetic field in the temporary deterioration of rheumatic conditions during the first two or three exposures, when inflammatory symptoms are intensified by increased superoxide production.
• trophic effect
• The magnetic field accelerates skeletal and soft tissue healing. It is produced by better blood circulation in the exposed area and by irritation of the cytoplasmic membranes. This activates the metabolic chain, the key point of which is the change in the cÂMP/cGMP ratio. Accelerated healing, especially of the skeleton, is described in detail in the literature (Chvojka, 1993, 2000).
• myorelaxation and spasmolytic effect
• Increased blood circulation to the area improves the flushing of acid metabolites that cause painful irritation.
• vasodilation effect
• This effect is produced by Ca2+ ion reflux which causes relaxation of vascular muscle tone and precapillary sphincters. The vagus nerve is also directly influenced by the increased metabolic activity of cells in the exposed area leading to an increased number of prostacyclins.
• anti-edema effect
• This result is due to the anti-inflammatory effect of the magnet and improved blood circulation.

Therapeutic indications

• Rheumatic diseases – chronic degenerative rheumatism (polyarthrosis, spondylosis, gonarthrosis or coxarthrosis), abarticular rheumatism (tendonitis, tenosynovitis, bursitis, myositis, retractile scars), chronic inflammatory rheumatism (rheumatoid arthritis, ankylosing spondylitis, Reiter’s syndrome, psoriatic arthropathy, enteropathic arthropathies)
• Post-traumatic sequelae – wounds, contusions, muscle hematomas, sprains, conditions after musculotendinous tears, post-fracture sequelae, fracture strengthening
• Neuropsychological disorders – neurovegetative neuroses and dystonia, organic disorders of the nervous system (spastic syndrome, hemiplegia, Parkinson’s, paraplegia, excito-motor syndromes, motor disability)
• Cardiovascular diseases – functional peripheral vascular diseases (Raynaud’s syndrome, acrocyanosis), organic peripheral vascular diseases (thrombangiitis obliterans, atherosclerosis obliterans and arteriopathy), cerebral atherosclerosis,
• Respiratory diseases – bronchial asthma, chronic asthmatic bronchitis, spastic tracheobronchitis, neurotic asthma
• Digestive diseases – peptic ulcer, chronic gastritis, chronic non-specific enterocolopathy, irritable bowel syndrome, biliary dyskinesias
• Endocrine disorders – insulin-independent diabetes mellitus and osteoporosis
• Gynaecological conditions – functional dysmenorrhoea, functional menstrual disorders (hypermenorrhoea, functional menometrorrhagia, hypo or oligomenorrhoea), chronic non-specific metroanexitis, chronic non-specific cervicitis, menopausal disorders and perimenopause.