CLINICAL CASES

CHRONIC CASE

LMA

WITH A LARGE HEMATOMA

PATIENT:
David C., 35, a professional extreme diver, fell off his bike.

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INITIAL WORKUP:

  • Hematoma covering the entire quadriceps and adductors
  • Knee amplitude:
    – Extension – 5°.
    – Bending 95°.
  • Functional discomfort:
    – Static pain: 3
    – Pain in flexion: 6
    – Impossible to climb the stairs to go diving

FINAL ASSESSMENT AT D+3 :

  • Visible improvement of the hematoma
  • Knee amplitude:
    – 0° Extension
    – Bending 125°.
  • Functional discomfort:
    – Static pain: 1
    – Pain in flexion: 4
    – Climbing the stairs without difficulty. Descent still difficult

combined treatments over 3 days

DAY

GAME READY
ACUPUNCTURE
DRY NEEDLING
BACK4 DRAINAGE
TAPING

DAY

ACUPUNCTURE
BACK4 DRAINAGE
BACK4 PASSIVE AND ACTIVE MOBILIZATION
TAPING

DAY

BACK4 PASSIVE MOBILIZATION
BACK4 ACTIVE WORK

PROTOCOLS

manual work

1- CET – CET

  • Insist on the inguinal fold and the femoral trigone
  • Adapt the intensity to obtain a strong heat

2- RET – RET – Return plate under the back

  • Obtaining a deep diathermy
  • Activate radial Hi-EMS muscle pumping by staying on the motor point

3- RET – CET – Return plate under the back

  • Hi-EMS radial to activate pumping
  • RET boost the CET signal
  • CET for local vascularization
Capture d’écran 2023-04-18 à 16.25.11

active work

2 RET – Quadriceps return plate

  • 3 Body zones with signal triangulation
  • Decrease in pain
  • Fluidification of the joint

PATIENT TESTIMONY

I am doing much better. You can really see that the swelling is going down. Function and range of motion really improve. The Winback treatment helps tremendously with drainage. It’s really helped me speed up my recovery and feel better about getting back into the sport.”

CHRONIC PAIN

CERVICALGIA

PATIENT:
Sabine, 41 years old, cervical pain for years, certainly related to a bad posture at her workstation.

INITIAL WORKUP:

  • Cervical pain that radiates into his right arm
  • Prevents her from sleeping and being operational in her work

FINAL BALANCE:

  • Virtually no pain after just one session

TREATMENT PROTOCOL

STEP

Tissue preparation with double CET

STEP

Pain and soreness relief with RET + Hi-TENS + Hi-EMS

STEP

Manual therapy with double RET bracelets

PATIENT TESTIMONY

“For years, I have had pain in my neck. I was slow to treat myself, which made my condition worse. The pain extended into my right arm and prevented me from sleeping at night and being 100% operational in my job. My time is precious, my work very energy consuming. I did try traditional sessions in other offices, but no results. So, I relied more on medical interventions such as infiltrations and regular medication to try to get relief. Recently, a friend of mine, who also has a very complicated background, was treated with teletherapy and was delighted. I quickly made an appointment to try this new therapy. And then, … MIRACLE! With just one session, the pain went away and I was finally able to sleep without pain and perform 100% at work again. Thank you again Winback for developing this therapy.

ACUTE CASE

INFLAMMATION OF THE HOFFA PACKAGE

PATIENT:
Young woman, 27 years old, inflammation of Hoffa’s bundle that occurred after trying to run 15km during confinement.
Two injections in February and March 2021 followed by physical therapy sessions which consisted of exercises, soft tissue massage and taping. No change in symptoms, the patient saw an athletic therapist who then referred her to Gareth Ziyambi, fitted with Tecar Winback in October 2021.

INITIAL WORKUP:

  • Knee:
    • Amplitude – pain at -5° in extension
    • Bilateral swelling of the fat pad
    • Marked quadriceps shift and moderate weight loss bilaterally
    • Force
      • Quads 30 : D 58% / L 80%.
      • Quads 90 : D 57% / L 60%.
      • Quads 30 : D 58% / L 80%.
      • Gut med: D 71% / G 63%.

FINAL BALANCE:

  • Functional discomfort:
    • Static pain: 4
    • Pain when climbing stairs: 7
    • Pain after sitting and walking: 6
    • Unable to run, do squats, lunges, split squats

TREATMENT PROTOCOL

1- CET

  • Stimulate cellular metabolism
  • Peripheral muscle massage – distal quadriceps

2- RET – Hi-TENS – Hi-RET electrode

  • In-depth work
  • Focused analgesia

3- RET – bracelet

  • Focused analgesia
  • Mobilization of the fat pad

STEP 1

STEP 2

STEP 3

PROGRESS THROUGH THE SESSIONS

SESSION 1

Full knee extension without pain
Pain-free walking for 4 hours
Staircase 3/10 – 2h then 5/10
All this had not happened for 18 months

SESSION 2 – WEEK 1

Full knee extension without pain
Walk without pain for 2 hours
Stairs: no pain – 2/10 the rest of the day then 4/10

SESSION 6 – WEEK 6

Full knee extension without pain
Walk without pain for 3 hours then 2/10
Steps – 2/10
Quadriceps 30 – 105
Quadriceps 90 – 93
Resumption of muscle strengthening and conditioning activities

Other examples of TECAR, Hi-TENS and Hi-EMS treatments

BACK4 treatment – TECOR vs TECAR on the lower limbs

Treatment of basic pathologies (recovery) in TECOR vs. treatment of complex pathologies (muscle injury) in TECAR.

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Treatment in 3 body zones with the BACK4
Discover in this short video how to treat with the BACK4 in 3 body zones with a chain and triangulation set up.
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How to treat capsulitis with BACK4?
Discover the four steps of this capsulitis protocol. What frequencies and modes to set on your BACK4 and the objectives of each step.
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BACK4 TECOR vs. TECAR treatment: rachis pathologies
Treatment of basic pathologies (low back pain) with TECOR vs. treatment of complex pathologies (sciatica) with TECAR.
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