冲击波治疗骨肌疾病.pptxVIP

让疼痛远离我和我的家人冲击波治疗仪

手柄表面，高能流密度surface,highED0,35mJ/mm2深度，低能流密度depth,lowED探头Transmitter在组织中传播spreadsinthetissueED:能流密度ED:energyfluxdensity有效治疗范围

RadialExtension

绝对禁忌症ABSOLUTECONTRAINDICATIONS妊娠Pregnancy血栓症thrombosis血凝固紊乱（血友病）coagulationdisorders(haemophilia)肿瘤疾病tumourdiseases急性炎症acuteinflammation目标治疗区脓肿pusfocusinthetargetarea

相对禁忌症RELATIVECONTRAINDICATIONSuseofanticoagulants,especiallymarcumar(vitaminkantagonist)抗凝血剂使用者，特别是苯丙香豆素（维生素K拮抗剂）polyneuropathyincaseofdiabetesmellitus有多发性神经病的糖尿病cortisonetherapyupto6weeksbeforefirstESWTtreatment可的松治疗结束六周后才能使用体外冲击波治疗rheumaticdisease风湿性疾病

肿胀swelling变红reddening血肿haematomas瘀点petechiae灼伤般疼痛感painlikesunburn治疗初期病情恶化firstworsening副作用SIDEEFFECTS

冲击波治疗的益处BenefitsofShockWaveTreatmenthecomplianceisverygood治疗依从性好thepatientscanfeelfirsteffectsdirectlyafterthetreatment治疗后病人能直接感受到第一疗效painrelief/reductionafterafewtreatingsessions几次治疗后，疼痛即得到缓解/减轻treatmentofcomplexsymptoms/indicationspossible能治疗复杂症状及相关适应症

treatmentofconnectivetissue治疗结缔组织activationoflymphaticsystem活化淋巴系统treatmentoflargeareaspossible大面积治疗effectsonthenervoussystem(gatecontrol,painmemory?)冲击波治疗的益处

BenefitsofShockWaveTreatment作用于神经系统（门控制、疼痛记忆）

经典适应症CLASSICINDICATIONS

经典适应症ClassicIndicationsCalcifictendonitis/shoulderpain钙化性肌腱炎/肩痛Achillodynia跟腱痛Plantarfasciitis足底筋膜炎Ulnarhumeralepicondylitis

肱骨内上踝炎Tibialstresssyndrome胫骨压力症候群Radialhumeralepicondylitis

肱骨外上髁炎Trochanterictendonitis

转子肌腱炎Patellartendonitis髌腱炎

治疗方法PROTOCOL查找主要痛点和其他痛点lookforthemainandotherpainpoints与病人密切交谈closedialoguewiththepatient生物反馈biofeedback2000次发散式冲击波radialshocks2000多数学派的治疗方法protocolofthemoststudies 传统派oldschool新派：联合疗法，治疗扳机点new:combinedtherapy,triggerpoints

治疗方法PROTOCOL治疗间隔：5-7天interval 5–7days

治疗次数：3-5次sessions 3–5

最晚在第5次治疗后进入休息期breaklatestafter5thsession

钙化肌腱炎/肩痛Calcifictendonitis/Shoulderpain前期超声或X线定位/决定治疗区域与深度Preliminaryultrasoundor

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