EXERCISE THERAPY
Exercise therapy is
a form of chiropractic treatment used to help manage pain, rehabilitate damaged soft tissues such as muscles, ligament and
tendons, and restore normal range of motion and function.
Such therapy has been shown to alleviate pain, improve overall
muscle strength and range of motion, improve balance, as well avoid further deterioration of muscle tissues. The overall goal
of an exercise therapy program is to promote healing and prevent further damage and injury to your body's musculoskeletal
system. Exercises programs also help in minimizing scar tissue formation following an injury or surgery.
Most exercise programs
are designed to improve cardiovascular conditioning and bolster your strength. Many exercises involve flexing and extending
specific parts of the body.
As a patient, you play a pivotal role in the outcome of any therapeutic exercise program. Your dedication
to following the steps outlined in the program will go a long way in ensuring its success.
MODALITIES USED:
ULTRASOUND
THERAPY
Therapeutic ultrasound
uses heated sound waves and applies the energy to soft tissues and joints. The fast-moving waves essentially massage soft
tissues effortlessly, and in most cases, painlessly.
Therapeutic ultrasound:
Alleviates muscle spasms
Reduces inflammation and swelling
Improves range of motion
Helps increase blood flow
Lowers pain and stiffness Therapeutic ultrasound is typically applied using a small, hand-held wand. Therapeutic ultrasound is often
used as one method to treat lower back pain. It is not used to treat acute inflammatory conditions or in patients who have
had a laminectomy.
ELECTROTHERAPY
Because the body's nerves are electrical conductors,
medical professionals have long held that stimulating nerve endings with small electrical current can produce beneficial results.
The theory behind electrotherapy as part of chiropractic care is that such stimulation to affected
nerves and muscles encourages the body to release pain-killing chemicals, such as opiates and endorphins, and blocks pain
signals from being transmitted to the brain.
Electrotherapy is a pain management technique, and as
such, is part of an overall chiropractic treatment regimen. Electrotherapy is usually involved in the early treatment stages,
especially right after an injury. Ice and heat therapy may be combined with electrotherapy to boost its pain-killing powers.
Electrotherapy normally involves placing small adhesive pads on the skin at various points on the
body. Electrotherapy is generally not painful. The adhesive pads may cause a minor skin irritation after being removed, and
in some instances, patients may feel a mild stinging after therapy.
Common types
of electrotherapy include:
- Galvanic
stimulation (GS) - High voltage pulsed galvanic stimulation has been used in acute low back pain to reduce muscle spasm and
soft tissue edema (swelling). It is commonly used despite the lack of hard scientific evidence for its efficacy. Its effect
on muscle spasm and pain is felt to occur by its counter-irritant effect, effect on nerve conduction, and a reduction in muscle
contractility.
- Transcutaneous Electrical
Nerve Stimulation (TENS) - This is the most common type of electrical stimulation used today. TENS therapy is normally used
to treat chronic, or long-term pain in the lower back. Small electrodes are placed inside an elastic-type belt worn around
the lumbar region. Percutaneous electrical nerve stimulation (PENS), an enhanced and newer type of pain management therapy,
makes use of very thin needles (much like those in acupuncture), which are inserted in the lower back by the chiropractor.
Small, battery-powered TENS units also are available for use at home, work, or other activities. The patient is able to control
the level and frequency of stimulation, and self-administer impulses during episodes of pain.
- Interferential current (IFC) - This is a kind of TENS therapy
in which high-frequency electrical impulses are introduced deep into the tissues near the center of the pain.