Physical Medicine, Rheumatology and Rehabilitation
By rehabilitation we mean the restoration of the patient to his best ability, physical and vocational after trauma or disease . This branch usually deals with locomotive problems related to bones, joints ,muscles, tendons and nerves.
The Most Commonly Encountered Problems:
Evaluation of the Patients:
· There is no one to one relationship between the physical impairment and the disability so, the function is our goal.
The patient should be evaluated in four phases:
· Phase 1 History taking, physical examination, daily activity assessment and laboratory data.
· Phase 2 Identification of special problem list.
· Phase 3 Description of specific treatment program either (physical or medical) for each.
· Phase 4 Reevaluation of the program at the end of treatment.
The Goal of Treatment Protocol is:
Different Modalities and Exercises Included in the Treatment Program:
Short Notes on the Different Medical Modalities:
Used in nerve injuries, muscle reduction, muscle strengthen and / or to decrease pain.
They activate the excitable tissue whether nerves, innervated muscles and denervated muscles. Types: Galvanic, faradic, interferential, Russian, dynamic and Tens.
Used in arthritic condition; tendonitis, sprain, strains and stiffness
Note: Heating modalities increase blood flow, decrease pain, and Increase tissue elasticity.
Benefits of Laser Therapy :
· Increase collagen synthesis useful for tissue healing
· Increase Permeability of cell membrane
· Increase level of prostaglandins causing an increase in cellular ATP which is useful for pain relief