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HILT Therapy-New aspects treating Sport Injuries. Csiki Zoltán, MD HIRO-MEDICAL Laser Center Jászberény- Hungary 2010 Bucuresti. SOFT LASER HISTORY. 1960 Maimann rubin laser 1962 HeNe laser 1964 Patel Co2 laser YAG laser 1962 Medical use- Opthalmology 1965 Jako, Pollányi
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HILT Therapy-New aspects treating Sport Injuries Csiki Zoltán, MD HIRO-MEDICAL Laser Center Jászberény- Hungary 2010 Bucuresti
SOFT LASER HISTORY 1960 Maimann rubin laser 1962 HeNe laser 1964 Patel Co2 laser YAG laser 1962 Medical use- Opthalmology 1965 Jako, Pollányi 1967 Mester Endre prof- biostimulation In Hungary from the early 70’s SOFT lasers ASA - 1980 2004 The born of „HILT”
HILT Therapy The evolution of diode lasers to MLS therapy Az MLS leads to HILT therapy HILT means a great volume of energy Ne-YAG laser 1 and 3kW Wavelength: 1064 nm HILT 15.000 W/ cm2 PEAK POWER- microsecond
HIRO The New PAIN KILLER Improoving the benefical effects of the soft lasers, offers a wide range of treatment of the deep tissues: muscles, articular surfaces Prof.Mester – from the first steps- of tissular biostimulation- to the biostimulational effect regarding cellular and tissue regenerations / muscle, neural, cartilage? - DJD aplicator- only in HIRo 3 ASA CAMPUS / Italy /- study’s, innovation, curses
SH1 & HIRO 3 HIRO : 1 and 3 kW
SPORT TRAUMATOLOGY Sport Injuries: muscular injuries tendon laesions articular injuries meniscal injuries Tendinitis, tenosynovitis Oedema, haematomas Adductor syndrom, instertiopatys, Jumpers Knee Overuse injuries Bursitis, capsulitis, impingement Regeneration, remodelation?
RESULTS Therapy: Acute Injury 850- 1300 J / joint or region Chronic Pain : 650- 850 J Therapy Time: 10-12 min/ region Therapeutic Success: 4-8 sessions ( 1- 8 ) Combined Therapy: Shock WAWE: 8-10 Herz, 1,8-2,4 Bar: Paravertebral and vertebral pathology, Shoulder, Groin Problems Pulsed Magnetic Field Therapy: paravertebral and Vertebral pathology, articular pathology Taping: Kynezio Tape/ Cura Tape / 3-4 day from the very beginning!! Painless treatment for children and junior sportsman
ANKLE INJURIES Conservative Treatment: 1 or two ligam. Comp. injured Rtg negativ, no instability Beginning of the Treatment: 0-24 hours after injury Kynezio tape: NO NEED for BRACING Therapy sessions: 2-3 days Pailess walking: end of week 1 2-3 week beginning of sport activity After 3 weeks sport activity in 90% VAS: end of first week 100- 30 end of second week: 10 third week: 0-5
MUSCULO SKELETAL INJURY The Injury, thetime of examination and theconseccutiveaspects: haematoma, decolementwill show theTreatmentModality / when, howmuch? / Casuistics: footballinjury-exam. 12 hours – first 48hours ICE and TAPE From 3rd Day: 850 J / session 2 sessions/ week After 3 weeks of therapy-beginningofthe sport activity LMWH- for 10 Days 0,3 ml scnadroparine
KNEE PATHOLOGY 5-6 times, 2x weekly Time between sessions 2-5 days Scan fase+ articular points HIRO 3 Base apl+ DJD Head Fibular point- Dermatomic treatment Shall We use Hyaluronic Acid?
CONCLUSSIONS • Laser therapy is usefull in almost every painfull syndrom –TRY IT! • The use of Medical Lasers is SAFE, and very • Succesfull • It could be combined with every known Physiotherapeutic Procedure • Minimal Contraindications • Very fast results- good Compliance
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