Most musculoskeletal injuries are non-surgical, so anything but fractures can be treated in our specialist outpatient clinic, including nerve pain diagnostics.

The first thing a pain specialist will do is better understand your pain. Pain treatment is effective only if the diagnosis is correct.

A specialist in physical medicine and rehabilitation best understands where the pain is coming from and what is the best way to treat it.

He will offer the most minimally invasive and most conservative options for pain relief, regardless of whether it originates from:

• back and neck;
• the shoulders;
• the knees;
• the hips;
• the elbows;
• the feet and ankles or
• the palms.

Functional diagnostics of the organism

A unique computer complex that is successfully used in more than 33 medical facilities around the world.

Evaluation of a qualitative and quantitative index for: level of adaptation abilities and risk for organic diseases.

AMSAT consists of:

• measuring device,
• 6 electrodes (feet, palms and frontal sinus),
• computer and
• software.

The entire diagnostic procedure takes between 30 seconds and 3 minutes.

A completely individual approach, optimization of medical treatments for each patient, physiological deviations from the norm, clinically relevant diagnoses with more than 80% accuracy, as well as monitoring the effectiveness and results of treatments.

Magnetic therapy is the application of a constant and variable low-frequency magnetic field for therapeutic purposes. It is a safe, non-invasive form of treatment, which is useful for acute or chronic diseases, in order to reduce pain and improve blood circulation.

It acts to increase the partial pressure of oxygen, which is especially important in tissues that are nourished by diffusion such as the disc – disc herniations.

It can also be applied to implants made of different materials (metal, ceramic).

• Stimulates the formation of callus – after fractures, but it can also be given during the stage of wearing a cast;
• Osteoporosis – strengthens the bone;
• Regeneration of peripheral nerves;
• Tissue regeneration – wound healing;
• Anti-inflammatory and pain-relieving effect;
• Myorelaxant action – can relieve muscle tension;
• Antirheumatic action – reduces swelling;
• Accelerates the healing process;
• It strengthens the immune system.

Ultrasound therapy consists of applying the physical and biophysical action of ultrasound energy for treatment. Ultrasound therapy uses the property of piezo crystals to vibrate when connected to a source of electric current. Ultrasound therapy has the ability to act in depth, so it can increase the temperature in a tissue depth of 3-5cm, without heating the skin or subcutaneous tissue.

Ultrasound causes vasodilatation (expansion of blood vessels), improves tissue trophicity, hyperemia (better blood circulation), better resorption of decayed products from chemical processes in tissues. It also affects the biosynthesis of proteins as an important part of the immune system.

It acts on the pain itself, reducing it, resorbing swellings, stimulating the creation of callus in fractures, reducing muscle spasm, helping to heal tissues, especially tendons.

• Mechanical action – micromassage of tissues at the cellular and subcellular level.
• Thermal action – increasing the temperature of the local tissue being treated.
• Sonophoresis – local introduction of drugs using this method into the treated tissues.
• Subaqua application – underwater application.

This therapy includes different types of electrical current modalities. By using them we get different effects and results in treatment.

1. Galvanic (direct current) current – increases the conductivity and excitability of nerves and has an analgesic (pain-relieving) effect. It is used for tissue regeneration, reduction of swelling and better resorption;
2. Hydrogalvanic current – applied under water;
3. Electrophoresis – introduction of drugs into the body with the help of direct current (direct current);
4. Diadynamic currents – analgesic (pain-killing) effect, dilation of blood vessels, improves trophic (tissue nutrition), relief of muscle spasms. Muscles with normal innervation are stimulated;
5. Interfering (medium-frequency) currents – analgesic (pain reliever), anti-edematous effect (anti-swelling), improve tissue nutrition, help to create callus in fractures;
6. TENS – Transcutaneous Electrical Nerve Stimulation;
7. Electrostimulation of denervated muscles.

Application of interference currents with vacuum electrodes, where the action of the vacuum is combined with the action of the interference currents.

Laser therapy has a dual mechanism of action. On the one hand, a local effect on the tissue in the form of metabolic changes, and on the other hand, the occurrence of reflex reactions due to the action of afferent structures or a response to metabolic changes in the tissue.

• Analgesic action – reduction of pain;
• Anti-edematous – reduction of swelling;
• Regeneration of tissues – in diseases, damages and scars;
• Anti-inflammatory action.

The application can be in several ways: over the site of the pathological change, on trigger points and over the reflex zones. Duration of application can be from 3 to 15 minutes – average length of therapy is 10 days to 15 days, with repetition in 1 to 3 months (if necessary).

Magnetotherapy, sonotherapy, electrotherapy and laser therapy.

In our clinic, kinesitherapy is performed exclusively individually by an experienced physiotherapist under the supervision of a doctor.

Individual exercises for children (scoliosis, kyphosis, brachial plexus paresis and torticollis – crooked neck)

Individual exercises with a physiotherapist:

• after bone fractures
• soft tissue injuries (muscle tear, tendon and ligament injury)
• arthroscopic joint operations,
• after application of joint endoprostheses, as well as
• rehabilitation in neurological, rheumatological and other diseases in which there is a limitation in the range of movements.

Types of exercises:

• active exercises;
• actively assisted exercises;
• passively assisted exercises and
• passive exercises of different duration, starting from 30 minutes.
• Corrective gymnastics;
• Exercises to increase joint mobility;
• Muscle strengthening exercises;
• Balance exercises;
• Stretching exercises.

Massage is a general term for pressing, rubbing and manipulating the skin, muscles, tendons and ligaments. Massage can range from light stroking to deep pressure.

There are many different types of massage, including the common ones:

• Swedish massage. This is a gentle form of massage that uses long strokes, kneading, deep circular motions, vibration and tapping. It helps you feel relaxed and energetic.
• Deep massage. This massage technique uses slower, firmer pressures aimed at deeper layers of muscle and connective tissue. It is mostly used for muscle damage due to injuries.
• Sports massage. This is similar to Swedish massage, but is intended for people involved in sports activities to help prevent or treat injuries.
• Trigger point massage. This massage focuses on areas with tight muscle fibers, which can occur after injuries or overexertion.

Spinal correction massage that can be combined with stretching of the spine by adjusting an angle of up to 45 degrees on the device itself, which uses the patient’s own weight.

This device also contains infrared rays that reach a temperature of 65 degrees Celsius, which additionally works to relax the muscles for easier correction.

Works for:

• reduction of swelling;
• pain reduction;
• relieving muscle spasms.

Temperature changes of just a few degrees improve nerve conduction, improve blood flow and collagen elasticity. For example, by heating the hands to 45 degrees, the stiffness of the hands is reduced by 20%.

Medical paraffin is most often used. Paraffin from the outside increases the temperature by 7.5 degrees, and inside (intra-articular) by 1.7.

Hydrotherapy with the external application of water is the most ancient therapy. The action of the water is thermal, mechanical, and in the case of mineral waters, depending on the type of mineralization of the water, it is also chemical.

The action of hydrotherapy works on

• musculoskeletal;
• neurological;
• rheumatological;
• respiratory and
• urogenital diseases.

Under ultrasound monitoring.

Nerve blocks are used therapeutically to treat chronic pain or acute pain

It is most often used to block pain that occurs due to pressure on a nerve from a herniated disc. That pain can manifest itself as pain in a part of the spine as well as pain along the length of the limbs.

Blocks in headaches / migraines.

Patients with advanced osteoarthritis of the knee and cartilage thickness below 50% or who have received knee injections without success are candidates for a genicular nerve block.

A genicular nerve block is a procedure in which the nerves around the knee are anesthetized (“blocked”) with a local anesthetic injected through small needles.

The procedure is performed under ultrasound guidance.

This procedure is based on the theory that blocking nerves in the painful area can relieve pain and restore some function.

A well-known approach in physical therapy, designed to stimulate the body’s proprioceptive senses, improve muscle activation and improve motor performance. This technique is particularly useful in neurorehabilitation, helping patients recovering from strokes, traumatic brain injuries and other neurological conditions to regain function and mobility.