Neurology Clinic by Dr. Soumya Darshan Nayak, MBBS, MD, DM (Neurology), Asst Professor SCB Medical College, Cuttack. Orthopedic Specialist Dr. Jayanta Baidya, MBBS, DNB, Spine & Knee Replacement Surgeon available on every Wednesday at PRAVA CARE, Jajpur Road. For registration, contact 9853191612.
Interferential Therapy (IFT)
IFT uses the transcutaneous application of alternating medium-frequency electrical currents, amplitude modulated at low frequency for therapeutic purposes. Medium frequency currents encounter less resistance than low frequency currents and therefore are more comfortable at the higher intensities necessary for treatment.
The electrical current is applied to the affected area using four electrodes. The four electrodes are placed in such a way that the two currents produced cross each other in the affected area. Where the two currents meet, they actually 'interfere' with each other; hence the name "interferential".
This modality addresses the issues of pain, spasm, and inflammation.
Interferential Therapy (IFT) is helpful these kind of illness :
- Muscle sprain
- Muscle weakness
- Sports injury
- Circulatory disorder
- Stress incontinence
Ultrasound Therapy (UST)
Ultrasound is high frequency sound waves, greater than 20,000 Hz. Therapeutic ultrasound is in the frequency range of 0.9 - 3 MHz.
The utilization of ultrasound has been a 20th century phenomenon. In addition to its use by the military to detect submarines, it was also used in the 1930’s for emulsification, and atomization of particles in a gas. Since then, ultrasound has been used therapeutically for its effects of cavitations, stable and unstable bubble formation and a phenomenon called acoustic streaming or micro streaming.
Ultrasound Therapy is helpful for these kind of illness :
- Ankylosing spondylitis
- Scar tissue
- Keloid tissue
- Joint stiffness
- Plantar fasciitis
- Chronic indurate edema
- Brachial neuritis, lumbago, sciatica intercostals neuritis, varicose ulcers and pressure sores.
Automatic Lumbar & Cervical Traction
Traction today, otherwise known as "spinal decompression therapy", addresses the functional and mechanical aspects of discogenic pain. Traction is a computerized system that will cycle through preprogrammed patterns, ramping up and down the amount of axial decompression allowing for higher levels of spinal traction and disc rehydration.
During spinal decompression therapy, a negative pressure is created within the disc. Because of that negative pressure, disc material that has protruded or herniated can be assisted back within the normal confines of the disc, and permit healing to occur. Pressure is released off of inflamed nerve roots allowing the inflammation to subside.
Automatic Lumbar & Cervical Traction is helpful for these kind of illness :
- Bulging, prolapsed, or herniated discs
- Spinal stenosis
- Facet syndrome
- Degenerative disc disease
- Neck pain
- Pain radiating down the arm
- Pinched nerves
Neuromuscular Electrical Stimulation (NMES)
An NMES system produces an electrical stimulus that, when properly applied, activates specific muscles or muscle groups in patients who will not, or cannot, contract muscles voluntarily. The stimulator produces a mild electrical current that is transmitted through the skin to the motor end plates causing nerve depolarization and subsequent activation of muscle fibres.
- Foot drop
- Bell’s palsy
- Radial nerve injury (wrist drop)
- Median nerve injury (claw hand)
- Erb’s paralysis
- Deltoid & quadriceps inhibition
Transcutaneous Electrical Nerve Stimulation (TENS)
TENS refers to to the transmission of small electrical pulses through the skin to the underlying peripheral nerves. The basic principle behind conventional or high frequency TENS is that large nerve fibres can be selectively stimulated by adjusting the pulse amplitude, pulse width and repetition rate of specially selected wave forms. These large fibres have a lower threshold for stimulation and faster conduction velocity than the small fibres that conduct pain messages. Therefore if they are recruited they can create a gating mechanism that blocks small fibre activity and stops the pain signals from reaching the spinal cord, thus blocking pain.
- Postsurgical pain
- Obstetric pain
- Phantom limb pain
- Sciatic pain
- Periarthritic pain
- Reflex sympathetic dystrophy
- Low backache
- Pain due to scoot tissue
- Cervical spondylosis (with neurological involvement)
Shortwave Diathermy (SWD)
Short Wave diathermy current is a high frequency alternating current. The heat energy obtained from the wave is used for giving relief to the patient. Its frequency is 27,120,000 cycles per second and the wavelength is 11 meter.
Continuous shortwave diathermy is the technique of choice when uniform marked elevation of temperature is required in the deep tissues. This heating can be targeted accurately by using an appropriate applicator positioned correctly. SWD also allows superficial structures to be heated selectively, although for this the various methods of surface heating are usually preferable. Sub-acute or chronic conditions respond best to continuous shortwave diathermy which, when used properly, can be as effective as ultrasound. Acute lesions are better treated with pulsed shortwave diathermy. Continuous shortwave diathermy can help to relieve pain and muscle spasm, resolve inflammatory states and reduce swelling, promote vasodilatation, increase the compliance of connective tissue, increase joint range and decrease joint stiffness.
- Muscular pain and sprain
- Inflammatory pain
- Anti spasmodic action
- Reynaud’s diseases
- Visceral pain
- Automatic dystonia
- Pelvic endometriosis
Other equipments like – Infrared Radiation Therapy, Paraffin Wax Bath,
Continious passive motion (CPM) :
Continuous passive motion (CPM) devices are used during the first phase of rehabilitation following a soft tissue surgical procedure or trauma. The goals of phase 1 rehabilitation are: control post-operative pain, reduce inflammation, provide passive motion in a specific plane of movement, and protect the healing repair or tissue. CPM is carried out by a CPM device, which constantly moves the joint through a controlled range of motion; the exact range is dependent upon the joint, but in most cases the range of motion is increased over time.
CPM is used following various types of reconstructive joint surgery such as knee replacement and ACL reconstruction. Its mechanisms of action for aiding joint recovery are dependent upon what surgery is performed. One mechanism is the movement of synovial fluid to allow for better diffusion of nutrients into damaged cartilage, and diffusion of other materials out; such as blood and metabolic waste products. Another mechanism is the prevention of fibrous scar tissue formation in the joint, which tends to decrease the range of motion for a joint.