Physical Therapy

Physical therapy is a branch of physical medicine that deals with the application of mechanical, chemical and thermal agents in the prevention, diagnosis and treatment of certain conditions or diseases.
This is a treatment method for problems that limit movement and make daily tasks and activities difficult. We alleviate pain and improve the locomotor system's function by using it.
Objectives of physical therapy:
- improving the functions of individual organs
- prevention of disability as a result of illness or injury
- reduction of physical incapacity
- establishing optimal functional and working capacity.
Some of the tasks of physical therapy are:
- reduction or elimination of pain
- improving local circulation and metabolism
-tissue repair and regeneration
- increased soft tissue elasticity
- regeneration of damaged nerves
- increased weakened muscle strength and improved coordination of movements.
1. Physical therapy for spine degenerative diseases (cervical, thoracic, lumbar pain syndrome, discopathy, disc herniation, radiculopathy, sciatica, spondylosis, dysarthrosis).
2. Inflammatory disease physical therapy (rheumatoid arthritis, ankylosing spondylitis, extra-articular rheumatism, gout, sinusitis ...)
3. Sports injury physical therapy (soft tissue injuries, contusions, distortions, luxations, hematomas, injuries of the joint capsule, muscles and tendon apparatus, injuries of the shoulder elbow and wrist, pelvic hip and knee injuries, ankle injury, Achilles tendon injury, bursitis, tendinitis, myalgia, muscle rupture).
4. Physical therapy for inflammation of tendons and ligaments (tendinitis, tendovaginitis, epicondylitis, periarthritis)
5. Physical therapy for a variety of etiologies of pain (migraine, neuropathy, radiculopathy, painful spinal syndromes, postoperative pain, painful skin scars)
6. Physical therapy for postoperative and post-traumatic conditions (injuries of the neck, chest, abdomen and back, ankylosis, arthrosis, Sudeck’s disease, fracture)
7. Nerve damage physical therapy (paresis, paralysis, spasticity in central deprivation)

Physical Therapy Therapeutic Procedures Used in "Master Fizikal"

Laser light is the stimulated emission of electromagnetic radiation from a spectrum of non-ionizing radiation.It is a highly focused monochromatic (infrared, visible, or ultraviolet) light beam.
Low-power lasers are used in physical medicine to produce a bio stimulating effect without causing thermal or morphological changes in the irradiated tissue.

The laser's therapeutic properties are as follows:
- strong analgesic action (against pain)
- anti-inflammatory and anti-edematous action (reduces inflammation and swelling)
- expressive bio stimulating effect (tissue regeneration)
Indications for the use of laser therapy are:
- Lumbar and cervical pain syndrome
- Discus hernia?
- Injuries to muscles, tendons, ligaments
- Bell's palsy, facial paresis
- Bursitis, tendinitis
- Carpal and tarsal tunnel syndrome, etc.
During pregnancy, laser physical therapy is not advised. Laser beams should not be used to treat malignant tumors or to illuminate the eye.

Shock Wave Therapy is a new therapeutic technology with numerous medically proven benefits. We treat chronic pain in the shoulders, back, heels, and elbows using this therapeutic method. The shock wave is an acoustic wave with extremely high output energy that can be used to treat localized musculoskeletal pathologies in a non-invasive manner.
Shockwave therapy is used in the following situations:
-Shoulder pain
-Tennis elbow
-Pelvic and hip pain
- Jumper’s knee
- Back pain
-Bone thickening
-Achillodynia – bolna stanja Ahilove tetive
-Calcification in the ligament, tendon, muscle
-Heel thorn
-Regeneration of muscle and connective tissue
Shock waves with a high concentration of energy used by Shock Wave therapy act on the tissue in a way that causes the medical effects of accelerated recovery and growth of tissue and damaged cells, analgesia, and restores mobility in the joint and movement. These processes act simultaneously and are used to treat chronic, subacute, and acute conditions.

Salus Talent is a one-of-a-kind transcutaneous magnetic stimulation therapeutic device. It is a novel method of treating neuromusculoskeletal problems that employs a very strong magnetic field of up to 3T.Magnet therapy is a non-invasive, safe method of using a magnetic field to treat patients. It hastens the natural healing process and provides a natural method of pain relief. Biological effects:
It stimulates deeper layers of muscles and nerves because a strong magnetic field penetrates all tissues, even bones, and mobilizes all structures. Resolves neurological issues such as peripheral nerve damage, degenerative muscles, atrophy...
Advantages of Salus Talent therapy:
-Analgesic effect with endorphin production (50-60% less pain after the first therapy),
-Regulation of the sympathetic and parasympathetic autonomic nervous system,
-Increased leukocyte production,
-Increased collagen production,
-Anti-inflammatory effect,
-Faster bone healing,
-Short duration of treatment,
-Positive experience of the patient without pain.
Indications for the use of Salus Talent:
-pain in the lumbar part of the spine
-pain in the cervical spine (cervical pain)
-peripheral nerve disorders

TECAR therapy, i.e., diathermy with capacitive and resistive modes of operation, is performed through applicators or electrodes, which bring energy directly where therapeutic action is needed. A gradual increase in tissue temperature accelerates the body's natural mechanisms in the affected area, acting on: inflammatory process, edema, and pain;
TECAR therapy can be used on its own, but it is more commonly used in conjunction with other types of physical therapy.It is especially beneficial as a warm-up for kinesitherapy, which is the application of exercises to conditions such as:
-introductory therapy before spinal decompression therapy
-muscular hypertonia
-regeneration and muscle relaxation
-posttraumatic disorders
-acute and chronic pain
-treatment of sports injuries.
In general, we use this type of therapy when there is increased muscle tone, whether due to overload (for example, after some sports-intensive activities) or when there are various problems at the lumbar or cervical spine level that also cause tension.
Also in cases of various painful conditions, particularly chronic ones, when there are degenerative changes in the joints, particularly those located deeper (e.g., the hip joint), and during the rehabilitation of various injuries.
The effects of Tecar therapy are especially noticeable in cases of partial muscle ruptures, which are one of the most common injuries suffered by athletes, both professional and recreational.

Because of its dual action, mechanical and thermal, ultrasound therapy is a very effective type of physical therapy in the treatment of many pathological conditions of the nervous and musculoskeletal systems.
Ultrasound therapy improves microcirculation, induces tissue relaxation, and accelerates metabolism. Resorption of inflammatory mediators occurs as a result, and pain in the treated area is reduced.
The application lasts 5-10 minutes, depending on the condition. Ultrasound therapy has a shorter duration in acute conditions.
Ultrasound is used in the following conditions:
-Syndrome of cervical and lumbar pain
-Chronic degenerative diseases
-Bursitis, tendinitis, capsulitis, epicondylitis, tendovaginitis, antenitis
-Ligament injuries
-Sore and stiff shoulder
-Radial and ulnar epicondylitis (Tennis elbow).

TECAR therapy, i.e., diathermy with capacitive and resistive modes of operation, is performed through applicators or electrodes, which bring energy directly to where therapeutic action is needed. A gradual increase in tissue temperature accelerates the body's natural mechanisms in the affected area, acting on the inflammatory process, edema, and pain. Ultrasound therapy is not used for acute and fresh inflammation, any condition in which causing hyperemia would be unnecessary or harmful, or prone to bleeding. With the help of ultrasound, drugs can be applied through the skin to the target part of the body, and this procedure is called sonophoresis.

Cryoultrasoundis an innovative electro-medical device that combines two complementary therapeutic techniques: cryotherapy and ultrasound therapy. The cryo effect eliminates ultrasound's thermal effects, allowing it to be used in acute injuries and inflammatory processes.
Cryoultrasound causes a strong analgesic and anti-inflammatory effect on the treated tissue. It speeds up the rehabilitation process and the patient's recovery
During the therapy, ultrasound with a high power of more than 2 w / cm2 is used, and it can reach a power of up to 2.8 w / cm2.
Simultaneously, the temperature drops to -3 degrees Celsius.
It is used for conditions such as recent injuries, tendinitis, and tendinopathy and can be applied dynamically or statically.
-Helps in the healing process
-Breaks cycles of pain, cramps and inactivity and speeds up the recovery
-Relieves pain. 

Lymphatic drainage is used in physical therapy. It is a detoxification and tissue regeneration technique. This treatment primarily stimulates lymph circulation, improves venous circulation, and detoxifies the body. Furthermore, this treatment influences our bodies to become stronger and healthier, to cleanse the body of toxins, and to lose weight.
Lymphatic drainage is a vital therapeutic procedure that stimulates lymph circulation, improves venous circulation, and detoxifies the body. It also helps with nutrition and tissue regeneration, as well as removing excess fluid and strengthening the immune system.
Drainage increases lymph and blood flow, causes vasodilation with histamine release, causes local hyperemia, increases elasticity and improves the appearance of the skin, speeds up metabolism, and leads to general relaxation and sedation.
Indications for the use of lymphatic drainage:
-Post-operative lymphatic obstruction
-Varicose veins prevention and treatment
-Carpal tunnel syndrome (before and after surgery)
-Reynolds syndrome
-Neuropathy, neuralgia
-Chronic edema
-Tenalgia - "tennis elbow", "jumper’s knee"
-Cellulite - reduction, fat absorption
-Care after liposuction
-Tissue regeneration-burns, scars
-Heavy legs syndrome


InterX therapy is a uniqueneurostimulation technology that reduces pain and inflammation while improving nerve function.InterX is the only electrostimulation system that displays a numerical value on the display when in contact with the skin, indicating to the therapist exactly where the body has the greatest capacity to receive stimulation. This reading indicates to the therapist which part of the body to concentrate on in order to generate healing.Initial treatment is often not the one in the area of greatest pain.

The goal of therapy is to:
-reduce pain (acute and chronic)
-increase range of motion
-reduce edema
-Improved tissue healing and a faster return to locomotor system functionality.

Deep electrostatic oscillatory field therapy is a game-changing breakthrough in the electromedical sciences. Using electrostatic attraction and release, electrostatic impulses produce a pleasant, biologically effective oscillation on the treated tissue.
Deep oscillation therapy is used in medical rehabilitation for:
-sports injuries
-recovery after training
-tissue damage caused by excessive physical exertion
-muscle pain
-sprains, inflammation and swelling
Clinically proven physiological effects of the Deep oscillator: 
-Great efficiency in reducing pain 
-Effect against inflammation 
-Successful reduction of edema (swelling) 
-Accelerate the wound healing process 
-Anti-fibrotic effect 
-Enhancement of trophism and tissue nutrition 
-Reduction of redness 
Improving tissue elasticity.

The ERGON technique is an innovative IASTM therapeutic approach for the treatment of neuromuscular skeletal pathologies that combines static and dynamic fascia and soft tissue manipulation with a specialized clinical tool. The Ergon technique has the following advantages: effective treatment and treatment of neuromuscular pathologies and diseases; simultaneous reduction and reduction of muscle pain; treatment of spasms (muscle and fascia stiffness); functional improvement and increased range of motion; posture correction.

Kinesiotape is an elastic therapeutic tape that is used to treat muscles, tendons, and ligaments. The following are the basic functions and effects of kinesio taping:
-Improved muscle function: For example, after a muscle rupture, the fluid that forms in the intercellular space increases pressure, pain, swelling, and muscle tone.
-Improving fluid circulation in the body: for example, when tissues are damaged, fluids are spilled in a specific area, causing an inflammatory reaction.
-Reduced pain: Applying the tape stimulates the stimulation of mechanoceptors on the skin. The resulting signals reach the spinal cord via mechanoceptors, activate control cells in the brainstem, and thus reduce the intensity of pain in the brain.
-Supporting joint function: Different kinesio taping settings affect muscle tone andcorrect inequalities and asymmetries, thus creating balance in muscle groups.

Bioenergy massage is performed using a Bioenergy massager, a high-tech device developed in accordance with the principles and knowledge of traditional Chinese medicine about energy channels, meridians, and internal organs.
BEM (Bioenergy Massager) is a device that can effectively help improve the general condition of the body, prevent the development ofhyperthyroidism, relieve pain, regulate the internal secretion system, improve sleep quality, improve the spine, increase sexual function, slow aging, and achieve an anti-aging cosmetic effect. This method is painless and safe, as it does not require tablets or injections. The device is made up of a main unit as well as special gloves. They are currently cleansed and replenished with the original Chi energy in them thanks to a special therapeutic effect on energy channels and biologically active points. Uninterrupted Chi circulation improves blood circulation and increases bioenergy levels in the body.Main actions of Bioenergy Massager:
removal of toxins; purification of blood; improved blood circulation; improved metabolism;increased cellular activity, strengthening immunity, self-healing of the body;regulation of the autonomic nervous system, improving sleep quality; eliminating edema; relieving edema, relieving pain, strengthening bones and muscles; regulating endocrine system, cosmetic effect, weight loss.
What can be accomplished in a single procedure: removal of toxins from pathogenic factors (wind, cold, humidity, heat); equivalent to 10 massage sessions; equivalent to 45 minutes of lymph detoxification; equivalent to 1 hour of cleansing energy channels of the whole body; fat loss is equivalent to running 6 kilometers; equivalent to three whitening and moisturizing body procedures; equivalent to 3-hour anion intake; equivalent to 500 bench repetitions; equivalent to 36 million times cell movement; equivalent to removing 4.1 grams of toxins from internal organs.


Electrotherapy is the application of an electric current to achieve a therapeutic effect on the patient's body. 
Electrotherapy has found use in medicine as a result of the discovery of the beneficial effects of electricity on the structures of the muscular and nervous systems. 
Electrotherapy achieves the following:
-heat effect that affects the expansion of blood vessels and improves circulation
-analgesic effect - by stimulating nerve fibers to transmit pain
-increase in muscle mass
-stimulation of damaged nerve fibers and anti-edematous effect.
Types of electrotherapy 
Different types of currents are used in physical therapy. We will only mention a few of them that we frequently use.
a) Interferential Current Therapy (IFC) or "cross-currents"
Interference currents, also known as "cross-currents," are named after the interference effect that occurs in tissue when two independent circuits intersect. A strong therapeutic effect on the tissue occurs where these two circuits intersect. This type of electrotherapy is used in:
degenerative and rheumatic diseases, trauma, sprains, sprains, fractures, sports injuries, paresis and paralysis, cervical and lumbar syndrome.
The benefit of using interference currents is that they can be used in areas of the body where the patient has metal implants, such as an artificial hip or knee.
b) Electrotherapy with galvanic currents
c) Electrotherapy with diadynamic currents
d) Electrotherapy with TENS
TENS, which stands for transcutaneous electro-nerve stimulation, is based on electroanalgesia, which is the stimulation of nerve fibers to transmit pain. This method reduces pain in the treated area and, as a result, the use of analgesic drugs. It treats all types of orthopedic, rheumatological, and neurological pain.
It is used for: acute and chronic pain caused by various pathological processes
rheumatic diseases,
trauma, orthopedic diseases (pain in the hip, knee, elbow, shoulder), neurology, oncological diseases.
 e) Electrostimulation of muscles
Electrostimulation is the application of a current stimulus of a specific intensity, frequency, and duration to cause muscle contraction in paretic or atrophied muscles that are unable to function due to injury. Electrostimulation in various forms is also used to improve physical ability in healthy people.
f) Electrophoresis
Electrophoresis is the process of introducing drugs into the body by passing a constant direct current through the skin. Electrophoresis allows the drug to reach the site of injury or inflammation as quickly as possible. This results in a high concentration of the drug, a prolonged effect of the drug, and the formation of depots. When the drug is applied through the skin to the sore spot, it is most commonly used for neck and back pain.

Prolotherapy is a therapy that can help repair ligaments. It is also known as regenerative injection therapy or proliferation therapy.
This treatment is intended for injured joints and connective tissue.It is also used to treat conditions such as arthritis, concussions, and degenerative disc disease. Prolotherapy can be used to treat a variety of body parts, including your back, neck, knees, shoulders, hips, chest, and arms.
The entire concept of action is based on inducing an inflammatory cascade in the body in order to reabsorb unhealthy tissue, such as degenerative fibroblasts in injured tendons, and regenerate new, healthy connective tissue.
Prolotherapy is a method that involves repeated injections of irritants into tendon, ligament, and osteoatritic structures that are clinically manifested by looseness, reduced traction, and patient pain, in order to trigger an inflammatory soft tissue response that will theoretically lead to regeneration and strengthening of these structures and reduce patient pain, by causing an increase in growth factors, which then act on fibroblasts, followed byfibroblastic hyperplasia and all this allows the creation and formation of newly formed collagen.

Medislipper is a technologically innovative device that is one-of-a-kind and designed specifically for muscle training and joint rehabilitation in traumatology, sports medicine, and neurological fields. In all hypomobility conditions, it allows for effective recovery of proprioception, tibio-tarsal articulation, and range of motion.
Medislipper is an excellent auxiliary tool for physiotherapy and post-traumatic joint training, particularly after:
-Distortive trauma involving the capsular ligaments
-Articular and muscular contusions
-Muscular sprains