tecar therapy, tens and ems CASE STUDIES
Discover acute and chronic pathologies treated with multifrequency (TECAR, HI-TENS, HI-EMS). In these 3 case studies, you will discover how to integrate tecar therapy, Tens, and EMS currents in your practice and the results of combining them at the same time.
CLINICAL CASES
CHRONIC CASE
LMA
WITH A LARGE HEMATOMA
PATIENT:
David C., 35, a professional extreme diver, fell off his bike.

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
TAPING
DAY
ACUPUNCTURE
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

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. Function and range of motion really improve. 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
- 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 THERAPY, Hi-TENS and Hi-EMS CASE STUDIES OR 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.