At our hospital, we provide a medical service within the disciplines of Physical Medicine and Rehabilitation performed all over the world.
Physical Medicine and Rehabilitation
What Is Physical Medicine and Rehabilitation?
Physical Medicine and Rehabilitation is a treatment method applied to patients for the purpose of restoring functional movements that lost due to congenital cause or trauma, disease, old age and injury, using various Electrotherapy, Mechanotherapy and Exercise techniques. It basically refers to treatment performed for diseases of musculoskeletal system using several devices applied externally on the body. The treatment course determined by a physical medicine and rehabilitation physician is applied by the physiotherapists.
When patients suffer from lack of functions in movement system of congenital or accidental cause, rehabilitation aims to improve this condition. The main purpose is to make the patients become independent in their daily routines and increasing their quality of life as much as possible. The Physical Medicine and Rehabilitation is a multidisciplinary treatment determined by an expert.
Treatment program and exercises are planned based on the patients’ individual needs. In addition to electrotherapy, mechanotherapy, traction method, manual therapy and kinesiotherapy can also be practiced.
The followings are performed at our outpatient clinic:
- Trigger Point Injection
- Intraarticular Injections
- PRP Therapy.
Field of Treatment:
- Musculoskeletal System Diseases
- Rheumatic Diseases (such as Rheumatoid Arthritis, Ankylosing Spondylitis, Soft Tissue Rheumatism)
- Acute and Chronic Pain Treatment
- Neck-Low Back Pains
- Loss of Cervical Lordosis
- Spinal Calcification
- Spondylolisthesis
- Lumbar/Cervical Disc Hernia
- Osteoporosis
- Joint Pains
- Strain, Tear in Shoulder, Adhesive Capsulitis (Frozen Shoulder)
- Calcification in Knees, Cartilaginous Damage, Connective Tissue and Meniscal Lesions etc.
- Strain, Calcification in Hip, Bursitis etc.
- Fibromyalgia
- Orthopedic Rehabilitation
- Sport Injuries
- Rehabilitation After Fractures
- Rehabilitation Before/After Prosthesis and Meniscus Surgery
- Neurological Rehabilitation
- Stroke
- Multiple Sclerosis
- Parkinson’s Disease
- Amyotrophic Lateral Sclerosis
- Spinal Muscular Atrophy
- Cerebral Palsy
- Balance Disorders
- Polyneuropathies
- Nerve Compressions
- Facial Paralysis
- Mono/Polyneuropathy Caused by Diabetes
- Wrist, Carpal Tunnel Syndrome
Which Methods Are Practiced in Physical Medicine and Rehabilitation?
- Hotpack - Coldpack Application
- Low - High Frequency Currents
- Ultrasound
- Laser or Magnetic Area
- Traction Methods
- Manual Therapy (Traction-Stretching manually)
- Kinesiotherapy
- Exercise Treatment
The purpose of exercise treatment is both to strengthen the muscles and improve the unhealthy muscles or nerves. An appropriate rehabilitation program should be prepared for patients.
Devices Used:
- Treadmill Devices
- Hand-Arm Robots
- Shoulder Wheel
- Devices That Help to Decrease Limitation in Knees
Who Can Apply to Physical Medicine and Rehabilitation?
Those who suffer from spinal disorders often apply to our outpatient clinic. The spine is a bone column extending from neck to coccyx (tail bone), which consists of neck, back, low back and tail bone. Among other diseases, neck and low back disorders are the most common diseases. One-third of the patients applying to the Department of Physical Medicine and Rehabilitation complain about low back pain. According to statistics in the world, the complaint of low back pain comes in the second place in the labor loss.
How Is The Process of Physical Medicine and Rehabilitation? How Many Sessions Does Physical Therapy Involve?
Physical therapy is a way of treatment applied in sessions. A conventional physical therapy involves 10/20 sessions on average. Based on the patients’ needs, this process may become extended or shorter; however, it is not applied less than 10 sessions as it is an accumulative therapy. Number of treatments and sessions increase in cases of orthopedic rehabilitation and neurological rehabilitation. When a rehabilitation program is planned for a neurological disease such as stroke, multiple sclerosis, facial paralysis or neuropathy, it becomes a process in which sessions involve up to 90 sessions, particularly in neurological rehabilitation.
It is important for patients to regularly come to the treatments. Receiving treatment every day or 2-3 days a week is the standard treatment duration. Duration of sessions vary from 45 to 90 minutes.
This is not a radiotherapy, so does not cause addiction and have no side effects.
What Is the Most Common Pain?
Low back pain is the most common pain as the low back holds two-third of body weight.
Low Back Pain
What Causes Low Back Pain?
- Over-weight
- Misuse of Low Back Muscles
- Sitting in Improper Positions
- Lying Down in Wrong Positions
- Poor Posture
- Trauma
- Work-Related Factors.
Low back pain is described as a symptom rather than a disease. It might be caused by various factors such as very simple muscle spasm, mechanical strain, calcification, dense osteoporosis (bone thinning), herniated disc, dislocation (due to trauma), pains originating from intraabdominal organs (kidney stones and kidney pain etc.), rheumatic diseases, brucellosis, space-occupying tumors, traumas and accidents. After finding out possible causes of the low back pain, a treatment plane is prepared accordingly.
Orthopedic Rehabilitation
What Is Orthopedic Rehabilitation?
It is a treatment method helping patients’ joints restore its functions following cast treatment in cases such as fracture or dislocation. It is also practiced following orthopedic surgeries such as hip, shoulder and knee prosthesis.
Neurological Rehabilitation
What Is Neurological Rehabilitation?
Rehabilitation is required after all kinds of congenital or acquired neurological diseases.
What Are Congenital Neurological Diseases?
- Cerebral Palsy
- Multiple Sclerosis
- Amyotrophic Lateral Sclerosis
- Parkinson’s Disease
- Stroke (Unilateral Paralysis)
- Monoplegia (Facial Paralysis, Wrist Nerve Compressions)
- Nerve Weakness
Lumbar Disc Hernia
What Is Lumbar Disc Hernia?
Increase or flattening in lumbar lordosis causes a tendency for herniated disc. Bulging, rupture or compression of the discs located in between lumbar vertebrae are called lumbar disc hernia.
How Is Lumbar Disc Hernia Treated?
When patients apply to our hospital with complaint of low back pain, they are examined in detailed. Radiological and clinical findings of patients must absolutely be reviewed all together.
The effect of the herniated disc on the compressed nerve is detected with an EMG study. The EMG study reveals whether the herniated disc has damaged the nerve by compression or not. If the nerve is damaged or this condition persists, the only recommendation will be surgery as the nerve tissue cannot regenerate itself. Recovery is also provided with medication treatment and rest in a rate of 97% together with physiotherapy, also called conservative treatment.
Cervical Disc Hernia
Cervical lordosis develops as a result of sitting at the desk for a long time and spasm of cervical muscles caused by stress or lack of sleep. In this way, herniated disc, fibromyalgia and back pain occur.
How Is Cervical Disc Hernia Treated?
The first purpose in treatment of cervical disc hernia is to restore the natural curve of the neck. Your are generally advised to short-term rest and wear neck collar and receive physiotherapy. In this way, cervical and back muscles are attempted to be strengthened.
What Causes Neck Pain?
- Sitting in same position for a long time
- Carrying heavy objects
- Using incorrect bed and pillow
- Stress
It is important to have a regular sleep pattern in treatment of cervical disorders.
With sleep, cervical muscles get rest, and herniated disc or other problems recover very easily in this way.
PRP Therapy
What Is PRP Therapy?
On Which Areas Is the PRP Therapy Applied?
PRP refers to platelet-rich plasma. Our blood consists of plasmas and cells, which are red and white blood cells and thrombocytes. The thrombocytes, on the other hand, are the cells allowing the blood to coagulate in addition to secreting growth and healing factors. With its use in the field of cosmetics, it has started to be used effectively in diseases of musculoskeletal system as its effectiveness is noticed. After drawing blood from patients in amount of 10 to 20 ml, thrombocytes become intense and active with the optimized kits and centrifugal devices. It is isolated from other blood elements and injected into the diseased area. As long as it is performed under hygienic conditions by well-trained professionals, the risk of developing a complication is very rare.
- PRP Therapy is applied for the following diseases:
Intraarticular Areas and Knee Joints - Muscle and Tendon Injuries in Shoulder
- Muscle Injuries in Elbow
- Ankle Injuries
- Heel Spur.
Shoulder Pain
What Is Shoulder Pain?
How Is Shoulder Pain Treated?
The shoulder is a joint located between shallow cavity of scapula and head of upper arm bone. The tissues ensuring the strength and stability of this shallow joint are the muscles and tendons around the shoulder that are injured upon repetitive traumas.
Especially “overhead” activities can cause injuries and tears in the tendons. These injuries particularly increase in the middle-aged patients, which are typically characterized by blunt pain in shoulder, pain upon moving and pain while lying down onto the shoulder.
Patient can quickly recover from shoulder pains with physiotherapy and exercises that provide flexibility and strength.