İSTANBUL MEDIKAL TERMAL

ORTOPEDİK K REHABİLİTASYON

Tedaviyi takiben hastaların kas ve eklemlerinde oluşan sertliği ortadan kaldırmak ve hastanın eski haline dönmesi için medikal veya cerrahi tedavi gerektiren kas iskelet sistemi problemlerinde uygulanan rehabilitasyon tedavisini ifade eder.

Ortopedik Rehabilitasyon hangi rahatsızlıklarda yapılır?

• İltica tendiniti

• Yemek ve ayak bileği kırıkları

•Amputation

•Arthroplasty

• Bankart lezyonları (Tekrarlayan Omuz Çıkıkları)

•Bel fıtığı

• Bel kayması

• Boyun fıtığı

• Cam bebek kemiği hastalığı

• Dar omurga kanalı sendromu (Spinalstenoz)

• De quervaintendinitis

• Dirsekte sinir sıkışması (Kubital tünel sendromu)

• Patella kırıkları

•Congenital Short Stature, nanism

•Frozen shoulder

•Posture and gait disorders

•Flat foot (Pes planus)

•Hand and wrist cysts (ganglion)

•Hallux valgus

• Hip impingement syndrome (femoroasetabularimpingement)

•Winged scapula

•Carpal tunnel syndrome

•Bone loss (osteoporosis)

•Kyphosis

•Cubital tunnel syndrome

•Lateral epicondylitis (Tennis elbow)

•Meniscus disorders

•Osteoid osteoma

•Osteomalacia

•Osteosarcoma

•Scoliosis

•Spinabifida

•Spinal muscular atrophy (SMA)

•Spinal palsy

•Heel spur (plantarfasciitis)

-NEUROLOGIC REHABILITATION

It is applied in cases in which peripheral and central nerve systems are damaged.

Neurologic rehabilitation should definitely be applied in neurologic diseases such as paraplegia that emerges as a result of traumas, infections, structural deformations, stroke revealed due to the circulation problem.

In which disorders neurologic rehabilitation is performed?

•Stroke (Hemiplegia)

• Multiple Sclerosis (MS)

• Amyotrophic Lateral Sclerosis (ALS)

•Cerebralpalsy

•Guillain-Barre” Syndrome

• Muscular Dystrophy

• Parkinson

•Balance Disorders

-PEDIATRIC REHABILITATION

It is also called child rehabilitation. It is performed in order to minimize the physiological, anatomical and environmental limitations of children with restrictions or insufficiencies.

In which disorders pediatric rehabilitation is performed?

• Cerebral palsy

• Spinabifida

• Spinal injuries

• Musculoskeletal diseases

• Head traumas

• Gait disorders

• Spasticity treatment

• Brachial plexus injuries

-HAND REHABILITATION

Hand rehabilitation or hand therapy is not limited only with hand. It is a treatment approach which presents the physiotherapy and rehabilitation of the wrist, that of the elbow and that of the shoulder in a scientific framework.

In which disorders hand rehabilitation is performed?

·  Soft tissue injuries occurred in hand due to the accident or due to the impact

·  Soft tissue (tendon-chorda) cut

·  Nerve cut

·  Burn

·  Bone loss

·  Fracture and after the fracture surgery

·  Arthritis (Calcification and rheumatic diseases)

·  Cartilage injury and after the cartilage surgery

·  Individuals whose hand functions are affected due to the neurologic diseases such as stroke, Parkinson, Multiple Sclerosis

·  After the hand surgery

·  After the occupational accident

·  Painful situations related with the musculoskeletal system.

·  Connective tissue and tendon diseases and after their surgeries.

·  After the Lengthening Surgery (Ilizarov).

·  After the Nerve Impingement syndromes such as Carpal Tunnel and Cubital Tunnel.

·  Kienböck Disease.

·  Lunatum Avascular Necrosis.

·  Brachial plexus injury and after its surgery.

·  After the Muscle Transfer surgery.

·  After TriangularFibrocartilage Complex (TFCC) injury or tearing.

·  Guillain-Barré Syndrome.

-OTHER THERAPIES and APPLICATIONS

--ELECTROTHERAPY

---ELECTRICAL CURRENTS

It takes part among the methods used in the pain treatment. The application is in the form of the stimulation of the nerves being close to the skin surface by means of the electrical signals.

TENS treatment is applied by means of small portable instruments that usually works with batteries.

TENS instruments are extremely safe and it application is based on the stimulation of the nerve tissue being close to the skin surface by means of the electrodes being attached on the skin.

---VACUUM INTERFERENTIAL

In the use of Interferential currents, low-frequency stimulating currents within the body are administrated without the problem of overcoming skin resistance. Interferential currents lead to ionic changes by influencing directly on the muscles and on the nerves. It stimulates lymphatic system. In the application of vacuum, mechanical stimulus makes massage effect; therefore, low-frequency current and mechanical stimulus increase their effects reciprocally together. Since the interferential currents take place within the body, it is not dangerous for patients. Since the current changes the direction continuously, there is no danger for burns. So, the loss of sense in the skin does not cause any obstacle when compared other currents. The dosage administrated into the deeper tissues is measurable.

---ULTRASOUND

Ultrasound is usually known with its use in medical imaging. The ultrasound waves used for imaging purpose is referred as “ultrasonography” or briefly as USG. The ultrasound energy can be utilized for the therapeutic purposes. Ultrasound therapy is one the mostly used treatment method in physical therapy. It reveals heating effect in deeper tissue and it ensures relaxing. At the same time it is used very often in many treatments also through its stimulating effect.

---PNEUMATIC COMPRESSION

Its therapeutic effect arises by speeding up the lymphatic and venous circulation. Apart from this application, its massage effect has a characteristic of reducing/relieving the pains. It is commonly used in the treatment of pain, varicose and edema.

--PELOIDOTHERAPY:

It is the procedure of applying the peloid (mud with thermal mineral) in various temperatures by the physician in terms of the purpose of the treatment and with respect to body regions.

The regions where the mud is applied; as it can be applied knee, shoulder, dorsum, neck, waist, foot, more than one region can be treated with mud according to the purpose of the treatment. In some diseases, mud application can be done to whole body. Applied temperature degrees; hot 40 to 45 Celsius degrees; warm, 35 to 40 Celsius degrees, cold 30 to 35 Celsius degrees.

--COMPLEMENTARY DEGREES

---PRP (PlateletRichPlasma), namely Thrombocyte-Rich Plasma is a method used to stimulate and regulate healing in many areas of the medicine applied through the special kits being prepared from his or her own blood of the patient.

In which situations PRP is applied?

• Knee-joint calcification / knee-joint wearing (osteoarthritis).

• Meniscus tearing in knee.

• Anterior cruciate ligament and medial cruciate ligament injuries in the knee.

• Early-age cartilage wearing.

• Chronic tendinitis of the shoulder joint.

• Heel spur (PlantarFasciitis).

• Tendinitis of wrist.

• Tennis Elbow.

• Fracture healing problems (Non-union of fracture).

• In the treatment of stress fractures in sportsmen.

• Medial and lateral collateral ligaments of the ankle.

In which situations PRP is not applied?

·  In those with clothing disorders.

·  In those with lower thrombocyte numbers.

·  In those with infection in the region to be treated.

·  In inflammatory diseases.

·  In chronic hepatic diseases.

·  In those using blood thinning agents such as heparin or warfarin.

·  In those having known major malignant disease.

What is the benefits of PRP?

· It reduces pains.

·  It slows down joint calcification.

·  It improves joint functions.

·  In enables the damaged tissues to repair itself.

·  It is a natural and safe method.

·  Since the own serum of the patient is used, there is no allergy problem.

--- OZONE THERAPY

Ozone is a form of oxygen that very high energy. Ozone is colorless in room temperature having characteristic smell and it is a gas which can be felt after the stormy weather, in higher altitudes or on the seaside.

In İstanbul Medikal Termal; it is applied in three different manners such as Major Ozone, Local Ozone and Rectal Ozone.

Since it accelerates the cell regeneration, Ozone treatment which nowadays provides successful results Diabetes Mellitus, Hypertension and Chronic Hepatitis, is a more effective treatment compared to classical physical treatment methods (heat, cold, electric currents, sound waves etc.) which are usually applied in disorders such as joint pains, calcifications, neck and disc hernias and fibromyalgia.

Particularly when a treatment combined with acupuncture is followed, pains are reduced in shorter times and persistent healing can be ensured.  By means of this treatment, cartilage tissues located in the joints start more quickly to a healing process, blood circulation accelerates, and unhealthy cells begin to a healing process with the recovering enzymes released by the cells.

In which situations Ozone Therapy is applied?

• In strengthening the immune system in cancer patients.

•In eliminating symptoms such as pain and insensibility occurring in circulation problems in foot and legs such as Reynaud phenomenon, Burger disease.

• In recovering the wounds seen in Diabetes patients and in hindering the weight gain related with diabetes again

•In rheumatic diseases

•In Chronic Obstructive Pulmonary Disease, asthma and allergic disorders

•In stress, fatigue, sleep problems

•In burns and injuries

•In viral disorders originating from hepatitis, Herpes, Zona, and HIV

•In the treatment of disc hernia

•In application for anti-aging purposes

---NEURAL THERAPY

It is a medical method applied in the diagnosis and the treatment of the diseases originating from the autonomous nerve system. Functional disorders of the autonomous nerve system underlie many diseases which cannot be treated by the classical treatment methods.

In the majority of the patients in which surgical intervention is performed and in those using medications, impairing areas can be found. Therefore, these areas should be searched in many painful syndrome being related with the autonomous nerve system.

The treatment effect lasts longer that the expected effect of the anesthesia and the repeated treatments ensure healing by discarding the effect of the impairing area.

Neural therapy is used in the treatment of which diseases?

• Neck, dorsum and waist pains

•Neck and disc hernias

•Knee, hip, shoulder pains

• Ankylosing spondylitis, fibromyalgia

•Rheumatic diseases

•Circulation impairment in legs

•Facial paralysis (Facial Palsy), trigeminal neuralgia

---CLINIC AROMATHERAPY:

Aromatherapy is the use of essential oils via the administration through the respiratory tract or through the skin for the purpose of prevention, relieving the symptoms and that of treatment in the diseases, in the infections and in various disorders.

Clinic hydrotherapy is the use of essential oils and hydrolats for the medical and patient-care purpose in a hospital or in a clinic.

Here, we can mention for either aromatic medicine or the use of this medicine as a complementary method in the hospital service. It comprises scientific though, standardization and systematic approaches.

In our facility, Clinic Aromatherapy is applied in the form of Muscle-Energy Technique Application and in that of Clinic Aromatherapy Bath.

In which situations Clinic Aromatherapy can be applied?

• Fibromyalgia

•Fatigue

•Muscle strain

•Sleep Disorders

•Stress management

---ACUPUNCTURE

It is a complementary treatment which can be used in the treatment of many diseases and which has a history of thousands of years.  According to the acupuncture method which its use has become common in recent years in our country, diseases emerge because of the impairment of the energy balance in the body. It is aimed to establish again the energy balance by inserting needles on the points determined as acupuncture points and it is claimed that the diseases are treated via this method.

Acupuncture which is accepted nowadays by the scientific medicine takes its place among the complementary medicine category.

Migraine and pain treatment, hypertension, depression and sleepless are among the common areas of use.

*HYDROTHERAPY

It is the procedure of use of the healing of water in physical treatment. Hydrotherapy is indispensable in all developed rehabilitation programs.

Water with thermos-mineral used in hydrotherapy applications only in our facility in Turkey is a treatment method increasing the exercise capacity and ensuring the development of the muscles and that of the heart and the circulation system due to the fact that it is twelve-fold resistive feature compared to air and with its buoyancy.

In which rehabilitations hydrotherapy is used?

It is extremely effective mainly in disc and neck hernia, in fibromyalgia, in diffuse body pain, in hip and knee pain, in sport injuries, in rehabilitation following the knee and hip surgeries and in neurologic rehabilitation (stroke and paralysis).

-WHAT IS IN-WATER EXERCISE?

Nowadays, In-water exercises have become an important part of the physical treatment. Water decreases the weight of the patient in increasing ratio with respect to the water depth and the buoyancy prevents the loads on the joints and it facilitates the joints to perform the active exercises without forcing.

Water pressure decreases edema and it helps the blood to return to the heart. The viscosity of water provides resistance in all active movements and it helps to strengthen the muscles.

Furthermore, water decreases the risk of injury during the rehabilitation program, it relaxes the muscles and it relieves the patient.

Exercises in different positions can be performed to patients in in-water exercises. Moreover, in-water exercises increases cardiac capacity and balance coordination.

--WHAT IS THE WAIST AND NECK TRACTION?

In the treatments performed in our traction pools which are first and unique in Turkey, the patients are taken into the water with thermos-minerals the weights are attached to the feet for the patients for the waist and to the arms of the patients for the neck. By this means, traction procedure is performed with traction tools.

or which disorders Waist-Neck Traction is applied?

• Cervical disc hernia (Neck hernia)

• Lumbar disc hernia (Waist hernia)

• Scoliosis (Curvatures of spine)

• Fibromyalgia

• Neck pain

• Dorsum pain

• Waist pain

• Straightening of cervical spine

*NUTRITION

Teknolojinin tecrübe ile birleştirildiği Inbody 120 ile detaylı vücut analizi (Vücut Kitle İndeksi, Ödem, Protein ve Mineral Miktarı, Metabolizma Hızı, Bölgesel ve Genel Kas-Yağ Oranları) yapıldıktan sonra kişiye özel beslenme programı ve Tedavi gören tüm misafirlerimiz için mutfağımızda konusunda uzman diyetisyenimiz tarafından ihtiyaca ve yaşam tarzına uygun olarak titizlikle hazırlanmaktadır.

Diyetisyenimizle yapılan düzenli görüşmeler ve eğitimler, hastalarımız tesisimizden ayrıldıktan sonra bile beslenme şeklinin sürdürülebilir olmasını sağlamaktadır.