HILT Therapy-New aspects treating Sport Injuries

Csiki Zoltán, MDHIRO-MEDICALLaser Center

Jászberény- Hungary2010 Bucuresti

SOFT LASER HISTORY1960 Maimann rubin laser1962 HeNe laser1964 Patel Co2 laserYAG laser

1962 Medical use- Opthalmology

1965 Jako, Pollányi1967 Mester Endre prof- biostimulation

In Hungary from the early 70’s SOFT lasersASA - 1980 2004 The born of „HILT”

HILT Therapy The evolution of diode lasers to MLS therapyAz MLS leads to HILT therapyHILT means a great volume of energy Ne-YAG laser 1 and 3kWWavelength: 1064 nmHILT 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 3ASA CAMPUS / Italy /- study’s, innovation, curses

SH1 & HIRO 3

HIRO : 1 and 3 kW

SPORT TRAUMATOLOGYSport Injuries: muscular injuries

tendon laesions articular injuries meniscal injuriesTendinitis, tenosynovitisOedema, haematomasAdductor syndrom, instertiopatys,Jumpers KneeOveruse injuriesBursitis, capsulitis, impingementRegeneration, remodelation?

RESULTSTherapy: Acute Injury 850- 1300 J / joint or region Chronic Pain : 650- 850 J

Therapy Time: 10-12 min/ regionTherapeutic 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 pathologyTaping: 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. injuredRtg negativ, no instability Beginning of the Treatment: 0-24 hours after injuryKynezio tape: NO NEED for BRACINGTherapy sessions: 2-3 daysPailess walking: end of week 12-3 week beginning of sport activityAfter 3 weeks sport activity in 90%VAS: end of first week 100- 30 end of second week: 10 third week: 0-5

MUSCULO SKELETAL INJURYThe Injury, the time of

examination and the conseccutive aspects: haematoma, decolement will show the Treatment Modality / when, how much? /

Casuistics: football injury- exam. 12 hours – first 48hours ICE and TAPEFrom 3rd Day: 850 J / session2 sessions/ week

After 3 weeks of therapy- beginning of the sport activity LMWH- for 10 Days 0,3 ml sc nadroparine

KNEE PATHOLOGY5-6 times, 2x weeklyTime between sessions 2-5 daysScan fase+ articular points HIRO 3 Base apl+ DJD HeadFibular 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

www.hiromedical.hu

THANKS FOR REGARDING