Together with the careful clinical evaluation and the optimum knowledge of the functional anatomy of the areas examined, the ultrasound guidance is extremely useful, allowing real-time observation of the positioning of the needles during infiltration manoeuvres, avoiding contact and damage of the nerve and vascular structures, often intimately associated with the treated structures and obtaining optimal results in the treatment.

At Linde Physiotherapy we perform, among others, Electrolysis and Neuromodulation.

 

ELECTROLYSIS

Percutaneous Electrolysis is an invasive physiotherapy technique that consists in the echogenic application of a galvanic current through an acupuncture needle that produces a local inflammatory process allowing the phagocytosis and repair of the affected soft tissue (tendon, ligament, muscle, etc.). Galvanic electric current and the mechanical stimulus of the needle itself constitute physical agents, common in the therapeutic field of physiotherapy.

The Ultrasound-guided application supports the use of a radiological guidance system, which allows the injury to be precisely reached. Even if the location of the injury is obvious, it is advisable to use a guiding system (ultrasound-graphic, in this case), to guarantee a reliable and valid treatment.

What are the benefits compared to other treatments?

• It is a local treatment at the site of the injury. With the help of ultrasound, it is applied directly on the altered and/or degenerated tissue.
• It manages to repair the affected tissue and is able to start a new process of collagen tissue proliferation that is unstructured in these processes.
• Modifications in the structure and mechanobiological behaviour of soft tissue are immediate and in real-time.
• Effectiveness is extremely high (around 80%) compared to conventional physiotherapy treatments (ultrasound, laser, Cyriax technique, diacutaneous fibrolisis, shock waves, etc.) or medical (drugs, infiltrations or surgery).
• The chances of relapses are very low.
• Recently, all these affects have already been demonstrated in degenerative processes such as tendinitis of the patellar tendon (Valera F, Minaya F, 2009), epicondylitis (epicondylalgias, tennis elbow…), (F, Sánchez JM, 2010, 2012; Minaya F, Valera F, 2013, 2014), pubalgias and plantar fasciitis (Sánchez JM, Valera F, Minaya F, 2011).

 

NEUROMODULATION

Neuromodulation consists in returning to the Peripheral Nervous System its ability to transmit the nerve impulse and, therefore, the ability to normalise the parameters that regulate the nerve related to the muscular, articular, visceral, vascular, etc. function, through the application of low frenquency TENS in the perineural area of the nerve guided by needles using ECG.