4.4.6. Physiotherapeutic treatment

In the preoperative period for reduction of an edema of an extremity and sniyozhenija intensity bolevoju a syndrome we prescribe a magnetotherapy to area of the injured foot, an induction 25-40 mtl, duration of procedure for 10 minutes daily.

In the postoperative period since 3 days after operation it is prescribed diadinamicheskis currents № 5-7, and after chrezkostnogo an osteosynthesis by the apparatus of external bracing - local UFO in a suberythema dose for preventive maintenance vosyopalitelnyh the phenomena in the field of spokes.

In immobilizatsionnom the period are shown the general UFO under the basic scheme or solar baths for improvement of a fosforno-calcium exchange.

In postimmobilizatsionnom the period it is prescribed UFO lumbar segmenyotarnoj a zone and a skin of an anteromedial surface of a healthy extremity (two fields on 150 sm²) on 3 - 4 biodoses in 1 2 days by increasing doses. On course of treatment on 4 - 5 irradiations.

At the EXPRESSED painful SYNDROME we USE the Irradiation ІСЛИЙ-the neon laser of continuous action ЛГ-75 to 12 procedures on a course or fonoforez analginum. In the presence of an edema and a lymphostasis warm foot baths from 10 % a solution of sea salt or with bishofntom are useful.

Parafino-ozokeritovye applications it is recommended to prescribe nanosecond earlier than later 25 - 30 days after immobilisation putting off. Temperature 48 - 55°С, dliyotelnost procedures gradually enlarge with 20 till 30 minutes. On a course lecheyonija 15-20 procedures. Earlier appointment of thermal procedures can lead partial rezorbtsii to not strong osteal callositas.

At occurrence of an edema of an extremity after mehanoterapii it is recommended meyostnye the hydrochloric or sulphidic baths (temperature 37 - 38 °s), duration of procedure for 15 minutes daily.