Physiotherapy in gynecology is one of the common treatments. After diagnosis, the doctor has the task to determine the treatment regimen and choose the necessary course of physiotherapy. Physiotherapy in gynecological practice can be performed superficially (physical factor affects the skin in the pelvis), intravaginally, or transrectally (through the rectum). Superficial and intracavitary techniques are used independently or in combination with each other.
In gynecology, “internal” physiotherapy is considered more effective because when they are performed, the closest contact between the organ and the influencing factor is achieved.
When carrying out physiotherapeutic procedures it is necessary to consider the period of a menstrual cycle of women. Since the procedures in the preovulatory (10-12 days), ovulatory and post-ovulatory period may be accompanied by pain and menstrual irregularities, it is recommended to start the manipulation after menstruation (5-7 days of the cycle). Sometimes this rule can be ignored if there are urgent indications for therapy.
The following methods of physiotherapeutic treatment are most often used in gynecology:
- magnetic therapy on the BTL device. Magnet physiotherapy in gynecology is used to treat inflammatory diseases of a woman’s reproductive system. When exposed to a magnetic field, anti-edema and anti-inflammatory effects are achieved by improving blood circulation and stimulating immune cells. Very often magnetic therapy is used in the early postoperative period;
- ultrasound therapy. Ultrasound waves, affecting cells and tissues, stimulate their metabolic activity, which is accompanied by heat production. The local increase in temperature promotes softening of adhesions, improvement of blood supply, anesthesia. Physiotherapy is used in the treatment of chronic bartholinitis, adnexitis, salpingo-oophoritis, adhesions in the fallopian tubes. Ultrasound also stimulates the hormonal activity of the ovaries, which leads to its use in menstrual disorders ;
- vibrating massage. Gynecological Vibro massage improves lymph circulation and blood supply in the pelvic organs, which leads to the elimination of congestion and increased metabolism. Due to Vibro massage strengthens the musculoskeletal system of the uterus and pelvic floor, so the manipulation is used for anomalies in the location of the female genitals (lowering, bending, prolapse);
- phonophoresis. The mechanism of action of phonophoresis is the delivery of drugs directly to the lesion using ultrasound waves. Due to this, the active substance of the drug acts locally and the development of systemic side effects is minimized. Most often with phonophoresis antibiotics, anti-inflammatory drugs, vitamins are used. The method is used for chronic inflammatory processes of gynecological organs, mastitis, infertility, menstrual disorders;
- electrophoresis. The essence of the method is similar to phonophoresis, but as a “transporter” of drugs is an electric current.
Physiotherapy in urology
Physiotherapy to solve intimate problems in men is an integral part of a full treatment. The use of physiotherapy in urology allows to fight the manifestations of diseases, restore full sexual activity, to prevent the development of complications. The most modern and effective are hardware methods of physiotherapy treatment:
- BTL system. The use of ultrasound, magnetic-laser action on the focus of the disease in combination with phonophoresis and electrophoresis of drugs can successfully treat chronic prostatitis, erectile dysfunction, premature ejaculation, prostate adenoma ;
- device “Mustang 2000”. With this device, it is possible to combine the affected organs with laser radiation and a magnetic field. Due to the stimulating effect of physical factors on immune cells, the anti-inflammatory and analgesic effect of the procedure is achieved, and the improvement of blood supply leads to easier access of drugs to the source of the disease and anti-edematous effect of the procedure. The device is used in the treatment of prostatitis, premature ejaculation ;
- rod system “ABM” is used to reduce congestion in the tissues of the prostate by removing excess secretion from the ducts of the prostate and improve blood supply to the pelvis. Photostimulation additionally stimulates the recovery of damaged tissues of the body;
- the device “LAN core”. During physiotherapy, this device affects the penis with local pressure below atmospheric. Due to this, the blood supply to the body is improved and the erection is restored ;
- shock wave therapy. It is used to treat erectile dysfunction of vascular origin. The procedure stimulates the formation of new vessels in the tissues of the penis, due to which the blood circulation in the body increases. The advantage of this method is the absence of side effects on the body.
Physiotherapy in trichology
One of the methods of treatment of diseases of the scalp and hair is a laser comb “HairMax LaserComb”. The device affects the affected areas with low-intensity laser radiation, thereby improving the blood supply and nutrition of skin cells and hair structures. Laser exposure enhances hair growth and has a positive effect on their condition and density.
Physiotherapy in dermatology
For the treatment of skin diseases, dermatologists often use physiotherapy. Most often in the treatment of dermatological diseases are used:
- magnetic laser therapy on the BTL device. This method is used in combination to treat eczema, dermatitis of various origins, acne, rosacea, purulent skin lesions, herpes zoster, seborrhea ;
- electrophoresis and phonophoresis. This physiotherapy improves the absorption of drugs, due to which they reach deeper layers of the skin. Due to the use of electrophoresis and phonophoresis, it is possible to achieve the fastest recovery from dermatitis, viral skin diseases, eczema, seborrhea;
- phototherapy. Ultraviolet radiation is used as a physical factor during phototherapy. It locally affects the upper layer of the skin, normalizes cell division, and stimulates the anti-inflammatory effect of the immune system. The procedure is used for psoriasis, eczema, atopic dermatitis, itchy skin, rosacea, seborrhea.
Phototherapy for psoriasis
Psoriasis is a chronic dermatological disease characterized by accelerated division of epidermal cells and an inflammatory process in the skin, accompanied by the formation of papules and plaques on the patient’s body. The disease is incurable, but with the right approach to treatment can achieve long-term remission. One of the most effective treatments for psoriasis is phototherapy.
Phototherapy has several varieties that differ in the wavelength emitted by the device. Narrowband phototherapy is most often used for psoriasis. During this procedure, a narrow range of rays affects only the epidermis, where the pathological changes in the disease are directly concentrated. Ultraviolet has an anti-inflammatory effect and inhibits excessive cell division of the epidermis.
Phototherapy has a minimal range of side effects and contraindications. However, only a dermatologist can evaluate the phototype of the skin and select the required course and radiation power after consultation, examination and diagnosis.
Thus, physiotherapy is an integral part of the treatment of many diseases. The use of physiotherapy as a component of complex therapy can significantly accelerate the healing process and achieve long-term remission.