Indications for electropulse therapy, contraindications and choice of antiarrhythmic drugs. Services and prices Low frequency therapy

Pulse therapy is the most powerful weapon against your illness

It is currently known
that each organ of the human body corresponds to a certain color and vibration frequency. Color has an electromagnetic nature, so it actively interacts with the energy structures of the human body, enhancing or suppressing their vibrations. Changes in the energy structure of a person lead to changes at the physical level, in his body.

Pulse Therapy Method
built on the law of resonant interaction of colors that coincide with the frequency characteristics of human organs. Getting on the retina of the eye, the energy of light is transmitted through the pineal gland to the pineal gland in various structures of the body that need treatment or correction.

The eyes in this case act only as conductors of light impulses. And this is not accidental, since the iris contains projections of all human organs and systems ( Picture 1) Because Since the light beam is the language of communication between the cells of the body, its color scheme helps to restore the energy balance disturbed by the disease.

Picture 1

The modern view of the world is defined as materialistic, and the objects of this world are information systems organized by structured energy. Physical energy has a vibration that takes the form of, for example, electromagnetic waves. Matter also has vibration at the level of atoms or elementary particles - this idea is the basis of quantum physics.

The physical plan is just a compaction of harmonized wave processes that form the basis of the energy-information space. In other words, every object in the Universe (including a person) is a certain combination of waves of various oscillations or vibrations.

Projecting the above on human health, we can draw the following main conclusions:

Conclusion 1 The human body has a wave nature and in essence, strange as it may sound, is light ( Figure 2). Yes, outwardly it looks like a fairly dense matter. But, if our body is divided into separate components, then we will see that it consists of organs, organs - of tissues, tissues - of cells, etc. ( Figure 3).

Conclusion 2 In every cell every second there is a huge number of biochemical reactions, each of which has a certain wave radiation. The radiations of all cells add up, and the radiation of the organ is formed. When the radiations of all organs are added up, the radiation of a person is obtained - this is the total radiation of all the cells of the body.

Figure 2

Figure 3

organs - tissues - cells - molecules - atoms - subatomic particles - waves

Conclusion 3 Separate cells, organs, systems of organisms have special combinations of vibrations of a certain frequency, and, from this point of view, the human body can be compared with the most complex piece of music. The healthy state of the body is characterized by harmonious vibrations, and the diseased state is characterized by "false notes", dissonance.

In other words, in a healthy body, each cell works in a balanced way and radiates a certain "healthy" spectrum of waves into space (harmonious vibrations). The basis of any disease is a violation in the work of the cells of any organ. That is, the cells begin to work differently. They are sick and radiate into space a completely different spectrum of waves (disharmonious vibrations).

Conclusion 4 Therefore, in order to eliminate the disease, it is necessary to eliminate wave disturbances in the cells, bringing their work in line with harmonious vibrations. How it looks is shown in the pictures below. For clarity, instead of photographs of diseased and healthy cells, we used photographs of "sick" and "healthy" water crystals (as is known, about 75% of the body's water is inside cells as part of cellular protoplasm).

Physiotherapy for osteochondrosis complements the main treatment and greatly facilitates the patient's condition. Selectively acting on the painful focus, physiotherapy has practically no undesirable side effects.

This type of therapy does not cause an exacerbation and allows you to reduce the dose of drugs. Due to fewer drugs, the risk of allergies and side effects is reduced.

Physiotherapy procedures:

Normalize metabolism
Improve the condition of organs and tissues
Activate immunity
Activate neurohumoral functions
Stop the pain
Improve microcirculation in the affected area
Have anti-edematous and anti-inflammatory effect
Reduce movement disorders.

Physiotherapy for osteochondrosis, depending on the condition of the patient, is used both in combination and independently. The healing effect on the human body is achieved with the help of a modified form of electrical and mechanical energy and natural factors (light, climate, dirt, water).

Types of physiotherapy in the treatment of osteochondrosis

With osteochondrosis, the following types of physiotherapy are used:

Laser therapy
Detensor - therapy
Electrotherapy
shock wave therapy
Magnetotherapy
Balneotherapy
Vibration exposure (ultrasound therapy, zonal or acupressure vibration massage)
Ultraviolet irradiation (UVI)

UFO

Under the influence of UV radiation, vitamin D is formed in the skin, which helps calcium to be absorbed. The method is carried out with the help of irradiators, which have a bactericidal, anti-inflammatory and some analgesic effect.

With cervical osteochondrosis, UVR physiotherapy is used on the back of the neck and upper part of the shoulder blades, subclavian region, and the outer surface of the shoulder. With thoracic osteochondrosis, they affect the midline of the spine in the sternum. With lumbar - on the lumbosacral region, buttocks, back of the thigh and lower leg.

Before therapy, be sure to check the sensitivity to ultraviolet rays. At the first procedure, the smallest biodoses are prescribed and they are gradually increased with each subsequent session. Usually appoint 10-15 procedures.

Contraindications:

Oncological diseases
Taking drugs whose effect is enhanced by exposure to ultraviolet rays.
Blood diseases.

vibration impact

The method underlies many effective treatments. Due to its effect, the method relieves pain of various localization.

During ultrasound therapy, the body is exposed to high-frequency sounds (from 20,000 Hz or more). This method is combined with drugs for better penetration into the affected tissues.

Contraindications for carrying out:

Oncological diseases
vibration sickness
Dermatitis or skin lesions in the affected area
Mental disorders.

shock wave therapy

The method consists in transmitting an acoustic wave to a painful area of the body. This kind:

Eliminates pain
Improves microcirculation
Improves metabolism.

Detensor therapy

The method consists in stretching the spine with the help of the patient's body weight.

Laser therapy

The method has a healing effect with the help of helium-neon lasers.
Due to the activation of bioelectrical processes in the tissues of the nervous system, laser therapy has the following properties:

Wound healing
Anti-inflammatory
Painkillers

Laser radiation is carried out along the inflamed spinal roots. In osteochondrosis, the impact on the paravertebral zones (paravertebral) of the affected spine is used. The duration of exposure to each zone (spinal root) is no more than 2 minutes. The total session time does not exceed 14 minutes.

Electrotherapy

The method acts with the help of an electric field and current. Under the influence of electric current, heat is generated in the tissues, which contributes to increased local blood circulation. Electrotherapy has the following effects on the body:

Eliminates pain and discomfort
Speeds up healing.

Current treatment is contraindicated in patients who have metal parts and devices in their bodies, pacemakers.

Impulse currents

Impulse currents have a very effective therapeutic effect. Their mechanism of action on the body is determined by the effect on nerve receptors. Low-frequency pulses contribute to the extinction of pain.

Diadynamic therapy (DDT)

DDT is used in the treatment of osteochondrosis by exposure to double continuous or wave current. The current strength increases until a slight vibration is felt at the site of exposure. Sessions are prescribed daily for up to 10 days. Already after the second procedure, acute pains become aching in nature, muscle tension and symptoms of nerve root tension are relieved. A full course of treatment with DDT leads to normalization of muscle tone and increased mobility of the spine.

interference therapy

The method is used for acute pain. The method consists in a rhythmic change in the frequencies of the electric current. The current strength increases until vibration appears in the affected tissues. The procedure lasts up to 15 minutes.

Exposure to sinusoidal modulated currents (SMT)

The frequency of the current and the depth of modulations with this method of physiotherapy is selected depending on the pain syndrome. With each subsequent procedure (as pain decreases), the frequency of modulations is reduced, and the depth is increased.

Transcutaneous electrical neurostimulation (TENS)

TENS uses plate electrodes with hydrophilic pads. Stimulation is achieved by activating the nerves without direct action on the motor structures. Electrodes are applied to the entire area of the paravertebral affected area, to the projection area of the spinal roots. The current strength increases until vibration appears in the affected area. The method is effective in the acute period.

UHF electric field

Electrodes for UHF therapy are installed on the paravertebral zones along the roots. The duration of the procedure is up to 14 minutes, first daily, then every other day and combined with other physiotherapy. Course up to 15 procedures.

Magnetotherapy

Physiotherapy for osteochondrosis includes the use of magnetic therapy. Inductors are located on the affected spine and limb. Magnetic therapy uses continuous mode with magnetic field induction from 28 to 35 mT. The procedure lasts up to 20 minutes, the course is up to 20 procedures daily.

Balneotherapy

Balneotherapy for osteochondrosis consists in the use of mud and mineral waters (local and general baths, pools, showers) for the purpose of treatment and rehabilitation. Mineral substances during the procedure penetrate the skin and act on receptors and nerve centers.

In the treatment with mud (peloidothermia), the effect on the body occurs under the influence of temperature and the chemical composition of the healing mud. Mud is used in the form of applications. Balneotherapy stimulates metabolism, improves blood circulation and relieves inflammation.

Combined methods of physiotherapy

The most commonly prescribed combined methods of physiotherapy of osteochondrosis. For example, with severe pain, diadynamic therapy and electrophoresis (diadynamophoresis) using novocaine are used.

For simultaneous impact on biologically active points, the method of acupuncture is used. Its action is to activate points with acupuncture needles and laser radiation. Mud therapy is often used with electrotherapy (electrophoresis with mud solution, inductothermy with mud, galvanic mud therapy).

Application methods
Current treatment devices
Diseases preventing electric treatment

Treatment of diseases with the help of electric current was practiced even before the invention of current sources, by means of living beings that produce electricity. The ancient Greeks successfully healed paresis and treated tissue diseases using rays that lived near the coast. In modern electrotherapy, treatment with current of various frequencies is in demand and is always popular in the treatment of neuralgia, muscle atrophy and even gynecological diseases.

Ways to use electricity

Physiotherapy has a wide arsenal of methods for restoring health with the help of electricity. There are several directions:

Current treatment devices

For galvanization sessions, the Potok 1 electrotherapy apparatus has become widespread in physiotherapy rooms; it can be used for both electrophoresis and galvanization even at home. The price of the device is a little more than ten thousand rubles.

The Elesculap 2 low-frequency therapy device is more expensive, but also more convenient, it has a modern design, a liquid crystal display and a wide frequency range. This device allows you to generate pulses of various shapes.

The most expensive device "Radius-01FT" is designed for use in medical institutions, but if necessary, it can also be used at home. The device allows you to carry out almost all known effects of electric current on the body, including electric sleep.

Diseases preventing electric treatment

Electrotherapy has quite extensive contraindications, in which the use of electric current for medicinal purposes becomes dangerous. It is impossible to treat pregnant women at any time, and with the following diseases:

Feverish conditions, purulent diseases of the skin and internal organs, acute inflammatory processes.
Intolerance to electric current or medication used for electrophoresis.
Epilepsy.
Heart disease, heart attack or coronary heart disease.
The presence of a pacemaker or other implanted device.
Fractures of bones with multiple fragments.
Any acute convulsive conditions such as renal colic, angina, or surgery.

The doctor prescribing electrotherapy procedures will definitely conduct a complete analysis of the patient's health status and warn him of the possible consequences. That is why it is advisable to take all procedures in a medical institution, and at home it will be safe to use special devices only after consulting a doctor.

Diseases of the joints of the hands: symptoms and treatment of pain

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Perhaps the most common complaint of patients who seek the help of a rheumatologist is pain in the joints of the hands. Such symptoms are so pronounced that they interfere with a person’s professional activities or do not allow him to satisfy his usual household needs at all.

Sometimes the pain syndrome is so excruciating that the patient is not able to dress, comb or eat without help.

It is immediately worth emphasizing that pain in the joints of the hands can be of a different nature. It is the type of discomfort that will become the determining factor during the diagnosis of pathology already at the initial examination of the patient.

Doctors usually divide joint pain into two large groups:

mechanical pain. Occurs during degenerative processes, for example, the disease osteoporosis. It hurts without a feeling of stiffness in movements in the morning, or there is stiffness, but lasts no more than 30 minutes. Pain in a state of complete rest decreases, symptoms of local inflammation are practically absent or they are invisible to the patient;
inflammatory pain. Completely different from mechanical. During the movement it hurts less, morning stiffness lasts more than half an hour. At the same time, in almost 90% of cases there are other symptoms of the inflammatory process: redness of the skin, a decrease in the volume and amplitude of movements.

Why does pain occur?

At the moment, the most common disease that provokes arthralgia is osteoarthritis - a degenerative process in which the destruction of articular cartilage tissue and pathological changes in the articular surfaces of the hands occur.

It is believed that about 7% of people suffer from osteoarthritis accompanied by pain. Much more people suffer from other signs characteristic of this disease, and changes in the body. However, at the time of the medical examination, they may not feel pain.

No less diagnosable disease that causes pain in the joints of the upper limbs is rheumatoid arthritis. The disease is associated with autoimmune failures in the body, because with this form of arthritis, antibodies to one's own tissues arise. Such antibodies damage the structure of the joints, causing an inflammatory process.

With rheumatoid arthritis, the thumbs and distal parts of the hand (located near the fingertips) almost never suffer. All pathological changes and pain are symmetrical, that is, both hands hurt at once.

The classic sign of the disease will be stiffness during movement, the peak of which occurs in the morning after the patient wakes up. This restriction of mobility lasts from half an hour to two hours, and after that the discomfort fades. The problem affects about 1% of the population of our country.

Another cause of pain is the disease gout, and predominantly men are ill. If there is a violation of purines (special substances that come with food and are necessary for creating cells), then the level of uric acid in the blood rises sharply. Urates are actively deposited in the articular tissues, provoking their damage.

The causes of the disease are different. Among the main physicians note:

hereditary predisposition;
excessive consumption of alcoholic beverages;
inadequate diet (addiction to foods rich in purines).

With gout, there is pain, redness in the area of \u200b\u200bthe joints of the hands. Lesions always affect the phalanges of the fingers and the wrist joint. The pathological process includes both one joint and several at the same time.

Inflammation can be observed in acute rheumatic fever, psoriasis (psoriatic arthritis), infectious, traumatic injuries.

As you can see, pain is a symptom of various diseases, each of which provides an individual approach to treatment.

Treatment with drugs

In order to qualitatively and fully fight arthralgia, it is necessary to correctly establish the causes of the pain syndrome. Many diseases differing in the mechanism of their development and causes can lead to one clinical symptom. In other words, the same drug can be completely useless, harmful, or highly effective.

In addition, it should be noted that pain in the hands can be stopped with universal drugs. They work in most cases. This includes drugs of the symptomatic group. They will not be able to help the patient get rid of the disease or prevent its causes, but they will allow you to forget about the pain.

Medicines are widely used:

Indomethacin;
Diclofenac;
Ibuprofen.

These drugs are characterized by a powerful anti-inflammatory and analgesic effect, despite their low cost. However, they also have many side effects on the body. First of all, drugs, especially with prolonged use, provoke an exacerbation of diseases of the digestive system, namely erosion of the stomach, duodenum 12, hepatitis, bleeding.

Nowadays, non-steroidal anti-inflammatory ointments and agents are used to eliminate pain and inflammation in the joints of the hands. Such drugs have a selective effect - the so-called cyclooxygenase-2 inhibitors. These differ from their predecessors in their minimal detrimental effect on the kidneys, intestines and liver.

Non-steroidal anti-inflammatory dot suppress the secretion of biologically active substances that cause inflammation in the tissues of the joints. These include drugs:

Celecoxib;
Nimesil.

To relieve pain caused by autoimmune diseases (rheumatoid arthritis), treatment involves the mandatory use of glucocorticosteroid hormones.

They have a strong anti-inflammatory effect and reduce symptoms in a fairly short time. Sometimes glucocorticosteroids are also used to relieve pain in acute gout or psoriatic arthritis:

Prednisolone;
Dexamethasone;
Metipred.

Treatment will require not only the elimination of symptoms, but also the impact on the causes of the development of diseases of the joints of the hands. In each specific clinical case, the set of drugs will vary.

To reduce discomfort in case of illness and inflammation, expressed weakly and moderately, together with classical therapy, special anti-inflammatory ointments, creams, gels are used. It can be traditional Diclofenac, Finalgon or other means with a distracting, analgesic effect.

If destruction occurs in the large joints of the hands, then hormones (glucocorticosteroid preparations) are injected immediately into the joint cavity. Usually in such cases, injections of Diprospan, Hydrocortisone are practiced.

Physiotherapy treatment

Not only pharmaceutical treatment can be useful for joint diseases and pain. Significantly reduce discomfort and other unpleasant sensations will help:

impulse currents;
ultrasonic irradiation in erythemal dosage;
applications with anti-inflammatory drugs (this can be Dimexide, diluted with water in a ratio of 1 to 1);
electrophoresis with nonsteroidal agents;
phonophoresis with preparations of glucocorticosteroid hormones.

You should know that treatment with physiotherapeutic methods is mainly auxiliary. It is an organic addition to drug therapy, indicated in the form of applications or internally.

Traditional medicine recipes

Alternative medicine knows an uncountable number of methods for getting rid of pain and diseases of the joints. Many patients with articular pathologies note a positive dynamics of the disease almost immediately after applying half a gram of mummy, if it is mixed with 100 grams of natural bee honey. Such a mixture will be an excellent basis for a compress.

Some recipes are based on the warming local and distracting action of certain substances. This should include treatment with steamed leaves of cabbage, burdock and honey.

Healing herbs that relieve inflammation have a good effect on joint diseases and their causes. Leaves are used:

dandelion;
plantain;
nettles;
cranberries.

Sometimes recipes call for the use of the rhizomes of these plants. It is believed that their active substances penetrate the joint, suppress the pathology, reducing its symptoms.

Naturally, such treatment should take place under the close attention of the doctor and with his approval, because some seemingly harmless plants can affect patients in completely different ways. Also, we must not forget that getting rid of the pathologies of the joints and bones should be well thought out and necessarily complex. If the doctor's recommendations are not fully followed or there is no treatment, then in this case there is a high probability of aggravation of the situation and rapid progression of the disease.

Relieves pain and swelling in the joints with arthritis and arthrosis
Restores joints and tissues, effective for osteochondrosis

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Electropulse therapy (EIT) - methods used in the restoration of cardiac arrhythmias. Cardioversion is used in the treatment of atrial fibrillation and paroxysmal tachycardia. Represents the impact on the myocardium with a direct current of great strength.

The discharge is given in a certain phase of the heart rhythm. It differs from safety, because in the first case there is a risk of applying electric shock to the patient in the most vulnerable phase of the cardiac cycle. It is used in case of ventricular fibrillation. These two methods are electropulse therapy, which is indispensable for cardiology.

Indications for electropulse therapy

Patients with ventricular dysfunction (flutter and fibrillation).
With persistent gastric tachycardia. If hemodynamics is disturbed, cardioversion is immediately applied. To further stabilize the patient's condition, drug therapy is used.
People with supraventricular tachycardia. In this case, electropulse therapy is indicated for patients whose condition is rapidly deteriorating or traditional treatment is ineffective.
When atrial fibrillation or flutter is diagnosed, cardioversion is prescribed based on the patient's condition.
EIT is used to treat tachyarrhythmias. However, for patients with this type of disease, reentry is more effective than for people with a disease caused by increased automatism.
Electropulse therapy is indicated for patients with shock, which appeared as a result of tachyarrhythmia and with pulmonary edema.
This type of therapy is indicated for patients with pronounced tachycardia, when more than 150 beats per minute are diagnosed. People with acute myocardial infarction and those who suffer from unstable hemodynamics. EIT is irreplaceable if therapy with antiarrhythmic drugs is contraindicated.

cardioversionDefibrillation is an important and indispensable method by which serious conditions are stabilized.

EIT

To use EIT, the doctor must know about all the patient's diseases that can complicate the condition, about the individual characteristics of the body.

Electropulse therapy: contraindications for conducting

There are cases when this type of therapy is contraindicated. If a patient is diagnosed with atrioventricular blockade, this type of treatment is not used. This applies to people with sick sinus syndrome, with heart defects, if treated with an operative method. If there is no threat to the life of the patient, cardioversion is not applied, as there is a risk of ventricular fibrillation.

It is strictly forbidden to carry out EIT with an overdose of digitalis preparations. When the body is saturated with glycosides, and the level of potassium is lowered due to the use of diuretics, this therapy is not recommended. The low efficiency of the method is observed in the treatment of patients with severe heart failure and cardiomegaly.

How to prepare patients for the procedure

There is no general scheme that doctors adhere to in EIT. If the procedure is scheduled for the patient, it is recommended not to eat for 6-8 hours.

If the patient does not require extreme care, certain drugs are administered, about an hour before the procedure, to create a background concentration. It is strictly contraindicated for such a purpose to administer beta-blockers, which can lead to serious consequences.

When cardioversion or defibrillation is performed on an emergency basis, and a person's life is in danger, doctors do without preparation, as there is no time for this. If possible, do oxygen therapy with 100% humidified oxygen. Correct electrolyte balance and CBS.

If the patient has not lost consciousness, it is necessary to give painkillers and sedatives before the procedure.

If respiratory depression is observed, the patient is injected with analgesics that do not contain narcotic drugs, for example: analgin. Next, a person is introduced into a drug-induced sleep by administering diazepam intravenously, doing it slowly, in a stream, first 5 mg, and then adding 2 mg each until the patient falls asleep. To avoid respiratory depression, drugs with a minimum dose of narcotic drugs are used. Quite often there is a violation of breathing in a patient during the period of falling asleep, so doctors need to be especially careful.

Procedure technique

To begin with, the energy of the discharge is determined, it all depends on the diagnosis and the condition of the patient.

50 J is enough for supraventricular tachycardia, when the heartbeat increases sharply and paroxysmal, the heart rate exceeds 100 beats. The same discharge is used for atrial flutter.
An impulse of 100 J is used for atrial fibrillation - this is one of the varieties of supraventricular tachycardia, there is a randomness of the electronic activity of the atria, the heart rate fluctuates between 350 - 700 per minute. And with ventricular tachycardia, the frequency of contractions of the ventricles exceeds 100 beats per minute. Characterized by a sudden cessation of violations and the same sudden resumption, occurs regularly. Severe and life-threatening cardiac arrhythmias.
200 J is used if the patient has polymorphic tachycardia, a serious violation of the heart rhythm can cause arrhythmic death. Or ventricular fibrillation - a violation of the coordinated work of the heart muscles, in which the main function of the organ is disrupted.

The diagnosis and condition of the patient determines the energy of the discharge

The strength of the first discharge is indicated, if it is ineffective, doctors increase it. The impulse can reach the maximum mark - 360 J.

If the necessary equipment is available, and if the patient's condition allows, synchronization of the electronic discharge is used in a certain phase of the heart rhythm. More precisely, when an R wave appears on the ECG, they immediately give a discharge. This is cardioversion.

In order to minimize the electronic resistance before EIT, the electrodes are placed on the patient's defatted skin using alcohol or other methods. After the electrodes are strongly pressed against the patient's chest, the first discharge is applied. This should be done when the person has taken a deep breath.

When the defibrillation is over, the heart rate is checked, if it is restored, it is necessary to register an ECG in 12 leads, for this, the potential difference between the two electrodes, which are located on the patient's body, is recorded.

Antiarrhythmic drugs and how they are used in EIT

In the case when, after three discharges, the heart rhythm did not recover, and the doctors constantly increased the strength of the impulse, then the fourth maximum is 360 J. It is applied after the administration of an antiarrhythmic drug intravenously, which is prescribed for rhythm disturbances. Thus, the effect that electropulse therapy gave is fixed.

What determines the effectiveness of EIT

Cardioversion-defibrillation is effective and safe if the following work has been done by doctors:

Correct diagnosis.
Preparation of equipment and necessary equipment, all necessary solutions and preparations.
Appropriate patient preparation.
The introduction of the correct painkillers and sedatives.
Compliance with the methodology in which the procedure is carried out taking into account all the rules and norms for the dosage of drugs, with skin degreasing.
Prescribing antiarrhythmic drugs.
Accounting for and compliance with safety regulations.
The technical capabilities of the defibrillator used in the work were checked.

If cardioversion-defibrillation is ineffective, we can talk about incorrect implementation of the technique, incorrect definition of indications for electropulse therapy, a serious condition of the patient, when the electronic balance or CBS are significantly disturbed, in which case correction is required.

When is cardioversion indicated for the treatment of atrial fibrillation in patients?

Position
about the patient's treatment
JSC "Medical Services" Polyclinic No. 6

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Electric currents are widely used in physiotherapy. Changes in their parameters in this case can diametrically affect the mechanisms of action and the observed effects on the body.

High frequency currents in physiotherapy

Currents used for medical purposes are divided into low, medium and high. High-frequency current is determined at a frequency of more than 100,000 hertz.

High frequency currents are generated by special equipment and applied without direct contact with the patient. An exception is the method of local darsonvalization, which uses exposure to high-frequency currents through special electrodes on the body.

Many physiological effects of HF currents are based on the formation of endogenous heat in tissues. High-frequency currents cause small vibrations at the molecular level, resulting in the release of heat. This heat acts at different depths in the tissues, and the effect persists for some time after the procedure is completed.

The use of HF currents in medical practice

The effect of high-frequency currents on the central nervous system is sedative and on the autonomic system - sympatholytic, in general, high-frequency currents have a relaxing effect on the nervous system. The same can be said about their effect on the smooth muscles of the bronchi, where the antispasmodic effect is combined with an anti-inflammatory effect.

HF currents are indicated for pain syndromes with neuralgia, neuritis, sciatica, etc. The analgesic effect is due to an increase in the pain threshold of skin receptors and inhibition of the transmission of pain signals through the nerves.

Procedures with the use of high-frequency currents are effective in slow overgrowth of tissues in wounds, bedsores and trophic diabetes. This mechanism of action is associated with the induction of endogenous vasodilating heat. In spastic conditions such as Buerger's disease or Raynaud's syndrome, HF currents can also relieve some of the symptoms.

In another case, the effect of high frequency currents on blood vessels is tonic and is used in the treatment of varicose veins and hemorrhoids. Sometimes the bactericidal effect of high-frequency currents is used to treat infected wounds. The bactericidal and antimicrobial action of HF currents has indirect mechanisms that increase local blood flow, stimulate and accelerate the phase of the inflammatory process.

Contraindications to the use of all types of currents in medicine are large metal objects in tissues, implanted pacemakers, pregnancy, a tendency to bleeding, and some others.

UHF currents

UHF currents are another group of high frequency currents. They also work on the principle of endogenous heat generation and targeted activation of metabolism in certain tissues. Their action is applied in response to a variety of pathological processes. The time of one procedure is on average 10-15 minutes, and the courses vary in length depending on the result achieved.

Irradiation of the kidney with ultra-high frequency currents in acute and chronic glomerulonephritis has a vasodilating and anti-inflammatory effect, acting on the vessels, and enhances diuresis. On the other hand, adrenal irradiation naturally stimulates the production of corticosteroids and is used in the treatment of certain autoimmune diseases.

The third group of high-frequency currents used in medicine is centimeter high-frequency currents. Microwave waves affect the blood, lymph and parenchymal organs. Centimeter waves have a depleted effect 3-4 centimeters deep into the surface of the body.

The principle of operation of all types of high-frequency currents is associated with the formation of endogenous heat. The latter has a different effect on different organs. The difference between the currents in frequency determines the depth of heat penetration into the body and the preference for treating a certain type of tissue, with more or less water content. Treatment with HF currents must strictly correspond to the type of pathology, location and type of tissue.

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Low frequency currents in physiotherapy

The low frequency current is defined from one to 1000 hertz. Within this range, depending on the frequency, the effects of low-frequency currents are different. Most medical equipment uses low frequency currents with a frequency of 100-150 Hz.

In general, the therapeutic effect of pulsed currents of low frequency can be divided into irritating and suppressive. What will be the effect of such therapy depends mainly on the frequency of the current. Low frequency currents affect electrically excitable structures such as nerves and muscles.

The use of low-frequency currents is carried out by means of electrodes that are placed on injured muscles, a diseased area of the body or another place. In most cases, electrodes are applied to the skin. Perhaps, however, their introduction into the vagina, rectum or implantation in certain muscle groups and the medullary canal, and even in the brain.

The normal process of excitation of nerve and muscle cells is achieved by changing the charge on both sides of the positive and negative electrodes. The application of an electric current with certain characteristics near excitable structures has a stimulating effect on them. The local mode of action of the current is due to a change in the charge of the cell membrane.

The use of low-frequency currents in medicine

Low-frequency currents are used to stimulate muscles with preserved innervation, for example, when, during immobilization after bone fractures, hypotrophy and hypotension (low tone) of muscles develop in the immobilized area. This is because the muscles do not move and are not stimulated by the nerves.

In these cases, an applied low frequency current causes a portion of the muscle fiber to contract, which improves blood circulation and, to a certain extent, helps prevent severe malnutrition. However, to achieve this effect, electrical stimulation must be applied frequently enough.

In other cases, muscle stimulation may be impaired by innervation (paralysis, paresis). It is necessary to reuse low-frequency currents, but with their different physical characteristics. The goal is to stimulate the muscles and restore nerve integrity.

Electrical stimulation can be applied not only to the skeleton, but also in various smooth muscle diseases, such as postoperative atony of the intestine, postpartum atony of the uterus, etc. Another application of this method is the stimulation of the venous wall during varicose veins and hemorrhoids. Contraindications for stimulation with low-frequency currents are pregnancy, pacemakers and some other conditions.

The second main application of low frequency currents is the reduction of pain in neuralgia, myalgia, tendonitis, headaches and other conditions. The most common method is transcutaneous electrical nerve stimulation. With this type of stimulation, there is an effect on specific very sensitive nerve fibers that block the transmission of pain information at the level of the spinal cord. The duration of one session of such therapy is from 10 minutes to 1-2 hours. The most appropriate frequency to achieve an analgesic effect is around 100 Hz.

Denial of responsibility: The information provided in this article on the use of low and high frequency currents in physiotherapy is intended to inform the reader only. It cannot be a substitute for the advice of a health professional.