PHYSICAL THERAPY TREATMENT
HEALTH WITH TREATMENT | PHYSIOTHERAPY
Treatment with various forces of nature, or physiotherapy, is one of the oldest areas of medicine. She studies how various natural or artificially created physical factors influence the body and develops methods and means of using them for the treatment and prevention of various diseases. Among the main areas are: • balneotherapy, or hydrotherapy • heat treatment; • treatment by mechanical action; • light therapy; • electrotherapy. The largest number of methods includes electrotherapy. But perhaps the most common is electrophoresis. It occupies a position at the junction of two areas of medicine, such as physiotherapy and drug therapy, since the electric current is used to deliver drugs to the body.
The essence of the method and its advantages
Drug electrophoresis is a treatment method that combines the introduction into the body of certain substances with the effects of direct or alternating electric current. The invention of such a method was promoted by a number of scientific discoveries and inventions of the late 18th, early 19th century, such as a galvanic cell, the theory of electrolytic dissociation and
How effective is this treatment?
To understand what is the effectiveness of electrophoresis, it is important to know what kind of effect it has on the body. It will be comprehensive. The medicinal substance, getting into the subcutaneous tissue, causes a local effect, entering into a reaction of metabolism. Accumulating in a strictly defined area of the body, the active substance forms a so-called depot there, from where it will then slowly spread with the blood or lymph flow, affecting the entire organism as a whole. This effect is called humoral, or systemic. And the electric current itself has a positive effect on the tissues and nervous system. Irritation of skin receptors helps to change many processes occurring in tissues, normalizing them and causing not only positive changes in them, but also the general reaction of the body. If we talk about what specific effects causes electrophoresis, then we can call the following: • helps to reduce the inflammatory process by delivering the drug directly to the damaged tissue or the nidus of inflammation; • sanitizes tissue if inflammation is caused by a microbial infection; • relieves swelling due to the normalization of lymph flow; • relieves pain, and both due to the delivery of the corresponding drug, and due to the reduction of inflammation or edema, which can provoke the appearance of pain; • dilates blood and lymphatic vessels, allowing tissues to get enough nutrients and oxygen, as well as excrete metabolic products; • relieves muscle spasms, including smooth internal organs, ensuring normal blood circulation; • normalizes the function of the endocrine glands. However, the effectiveness of such a procedure as electrophoresis will be uneven in all patients. All this must be taken into account by the physician when prescribing electrophoresis to the patient. There are a number of patterns, the observance of which will make the treatment effective: • the greatest effect is the use of solutions with a low concentration and a high degree of purity; • no more than 10% of the substance applied to the gasket enters the body; • the amount of substance injected directly depends on the amount of electricity passed through the tissue, as well as on the size of the molecules and the charge of the ions; • the older the patient, the less permeable his skin is for medication; • through the mucous membranes enters a greater amount of ions than through the skin; • Not all skin areas are suitable for electrophoresis.
Can this procedure be harmful
As with any medical manipulation, electrophoresis may be harmful if non-compliance with contraindications to its use or violation of the procedure technique. In order to avoid such a situation, you need to follow the instructions of the doctor and follow all his recommendations. Of course, electrophoresis will be harmful and even dangerous in the following diseases and conditions: • any malignant neoplasms, regardless of their location; • renal and heart failure; • acute illness, inflammatory or purulent; • elevated body temperature or fever; • some mental illnesses; • bronchial asthma; • skin diseases such as eczema and dermatitis; • atherosclerosis, hypertension and some other vascular pathologies; • tendency to bleeding; • violation of blood clotting; • sores, abrasions, or other skin lesions at the treatment sites; • change in skin sensitivity. The number of contraindications for electrophoresis also include pregnancy and the period of menstruation. But sometimes this procedure does not bring harm, but rather serves to prevent premature birth or relieve severe pain. But the decision about whether to prescribe electrophoresis in such a situation is decided only by the doctor, relying on the full information about the patient’s health. For pregnant women, there are additional contraindications for electrophoresis: • nausea and vomiting caused by toxicosis; • fetal obstructive condition • kidney disease; • high risk of bleeding; • eclampsia.
What leads to non-compliance with the procedure
No matter how safe physiotherapy is, do not forget that the electric current, even such a weak one, which uses medicinal electrophoresis, is a rather dangerous phenomenon. And non-observance of security measures and recommendations on conducting a session can lead to sad consequences. One of them is a burn from electrophoresis. One of the reasons for its occurrence is the contact of the skin directly with the electrode. In order to prevent such damage, special pads are used. They are made of several layers of hydrophilic material, most often using white flannel for this purpose. The size of the gasket must be larger than the surface of the electrode. It should protrude beyond its edges not less than a centimeter. The purpose of such a gasket is not only to prevent burns, but also to reduce the resistance of the skin, to ensure the best contact between it and the electrode. The pad is moistened with a solution of the drug or distilled water, depending on how the procedure is performed, and placed on the skin. The fluid must be warm to cause the pores to expand. After that, it is the electrode. When applying the electrode it is necessary to carefully monitor that it does not protrude beyond the edges of the gasket and does not touch the skin. When conducting electrophoresis, it is necessary to control the strength of the current and the sensations experienced by the patient. Slight tingling is allowed, but you can not bring to a burning sensation and pain. This may be the second cause of burns. If such sensations appear, it is necessary to turn off the current and find out the reason for the appearance of such a strong reaction.
Other causes of a negative reaction
As a rule, the side effects that occur after the procedure are associated with the individual intolerance of the administered drug substance or electric current. This should be reported to the doctor in advance, otherwise the harm from such a procedure will be much greater than the expected benefits. An allergic reaction to the drug can be quite serious. Intolerance to the electric eye is most often manifested in the appearance of a skin rash. Sometimes the presence of such a reaction is detected after the procedure. In this case, you need to stop the sessions and choose another method of treatment. In young children, electrophoresis can cause various reactions, including it may become more nervous, irritable, and begin to cry. This may be due not so much to the procedure itself, as in an unfamiliar frightening situation. But in any case, when such a reaction appears, it is better to consult a doctor about the advisability of further procedures. Sometimes electrophoresis can cause pain after the procedure. But such a phenomenon, too, is usually associated with drug intolerance. Or with the exacerbation of the disease, which can be triggered by the procedure. In such a case, consultation with a doctor is also necessary. In general, despite these individual manifestations, electrophoresis is one of the safest and least traumatic methods of treating and preventing many diseases, injuries and developmental pathologies. To minimize any possible adverse effects, you should follow the recommendations of the doctor, the rules for safe handling of electrical appliances and hygiene requirements.