Therapy physiotherapy

Medical non-pharmaceutical therapy of soft tissue rheumatism includes general and local rest, often physiotherapy, occupational therapy, and early mobilization. The pharmaceutical therapy of soft tissue rheumatism comprises analgesics and NSAIDs, the latter when inflammatory components are present. 

Alter short-term therapy (some weeks), in CF patients with mild to moderate stable pulmonary disease, inhalation of rhDNase in combination with other CF therapies (eg., bronchodilators, pancreatic enzymes, chest physiotherapy) improves the lung function [64.70-72], The rhDNase therapy is also associated with significant improvements in general well-being, cough frequency, and congestion [71,72],... 

Mrs KR should be advised to try and lose weight. She may wish to discuss the possibility of physiotherapy treatment with her GP. Patients should be encouraged to exercise gently and that exercise should include local muscle stretching and general aerobic exercise. The use of heat and cold therapy may help, as may ultrasound. Some patients may find a TENS (transcutaneous electrical nerve stimulation) machine is helpful. 

The patient s priority is relief of joint pain, swelling and stiffness. In addition to providing symptomatic relief, the doctor must avoid the long-term effects of inadequately treated joint inflanunation, which leads to joint failure requiring multiple orthopaedic operations. There is no cure for arthritis (except septic arthritis), and the available drugs are sometimes poorly tolerated. Many patients with arthritis turn to complementary therapies which may interact with conventional drugs. Successful treatment of arthritis usually requires a multidisciplinary approach with physiotherapy, occupational therapy and adjustment on the part of the patient all being important. 

General measures are important and include the encouragement of regular physical activity and specific help such as physiotherapy, speech therapy and occupational therapy. 

Respiratory symptoms are obstruction of bronchioles with viscous mucus and recurrent infection. Respiratory infections require intensive antibiotic therapy and together with lung damage are the commonest causes of death in people with cystic fibrosis. Viscous secretion is treated with vigorous physiotherapy and the use of mucolytics. 

Therapeutic modalities which have been applied to pelvic congestion syndrome include psychotherapy, physiotherapy, analgesia alone, pharmacologic ovarian suppression, surgery, and embolization. Critical comparison of treatment outcomes between different therapies is difficult, if not impossible. Not only are a wide variety of therapeutic endpoints described, but diagnostic criteria are different (or not described at all) in virtually every study. 

Therefore, the muscles are especially trained during and after disk herniation to protect the backbone and to prevent the patient from further complaints and pain. Before a disk herniation can be treated, however, the symptoms have to be examined. In three-quarters of the cases the disk herniation can be treated with physiotherapy, medication and targeted exercises together with specialists. The physiotherapist also uses electrostimulation therapy, called transcutaneous electrical nerve stimulation. 

Neuromuscular electrical stimulation therapy is a health treatment that is often used in the physiotherapy. This therapy can be applied in different situations and manners. It is very effective and relatively pleasant for the patient and can achieve active pain relief for those with circulatory disorders and/or vegetative disorders. 

At this stage the greater cooperativeness of the child allowed specific treatments, such as physiotherapy and language therapy which were practised twice a week. 

In addition to the resourced provision rooms, there are specially equipped facilities for the small number of students who receive physiotherapy and speech therapy, but it is felt by the SENCO and other staff that there is insufficient support for children with therapy needs. In addition, the school has to cope with a lack of dedicated space that would be required for the development of a wider range of provision for example, there is a shortage of small teaching rooms, inadequate resources for the visually impaired and insufficient storage space for speciahst equipment. 

As problems centered around inter-agency co-operation and the funding of services adjacent to education (such as speech therapy and physiotherapy) there are issues here to be resolved concerning the financing of a set of devolved services. Substantial multidisciplinary co-operation is required at not only professional level but, perhaps more importantly, at administrative and pohcy-making levels. 

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