Treatment and rehabilitation

Rehabilitation of patients with rheumatic diseases

1. Mulligan - uz tekst

Inflammatory and degenerative rheumatic diseases (osteoarthritis) are very present in population, worldwide. A wide variety of clinical presentations and mainly unknown cause and development path for rheumatic diseases, all are the reasons for existence of various classifications of this group of diseases. Most commonly, rheumatic diseases are classified as it follows:

1. inflammatory rheumatic diseases

2. osteoarthritis (degenerative rheumatic diseases)

3. soft tissues rheumatic diseases

4. rare diseases and para-rheumatic diseases

Rehabilitation services for the patients with rheumatism and osteoarthritis are available to in- and out-patients, depending on the clinical presentation, the evaluation of the multidisciplinary team and patient’s preference.

In the process of rehabilitation, the medical teams are following the international standards in physical medicine, rehabilitation, rheumatology and orthopedic surgery. In both diagnostic and treatment   teams combine the modern medical technology and healing properties of thermo mineral water and peloide of Slatina Spa.

Thermo mineral water is used in hydrotherapy in forms of local baths, baths in individual tubs and in pools. The other types of hydrotherapy, such as underwater massage and galvanic baths are also available. The complete rehabilitation teams and well developed specialized rehabilitation programs make the comprehensive rehabilitation and holistic approach to patients possible.

The physical therapy includes: therapeutic exercises, manual therapy, proprioceptive neuromuscular facilitation, various types of current, magneto therapy, laser therapy. The passive mechanical intermittent traction is available and prescribed in patients with spine osteoarthritis, with or without slipped disc.

The most common inflammatory rheumatic disease is the rheumatoid arthritis.

Osteoarthritis of the peripheral joints such as hip and knee joints and spine (spondylosis and spondylarthrosis) are the inevitable consequence of the aging and overuse. Soft tissues rheumatism includes processes on tendons, fascia, burses and may be adjacent to inflammatory and degenerative diseases, but also can develop as the consequence of the overuse syndromes.

In osteoarthritis and soft tissue rheumatism the main treatment is physical medicine and rehabilitation. In inflammatory rheumatism rehabilitation is carried out in remission phase while in the acute phase priority focus in on the pharmacotherapy and some rehabilitation procedures.

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