Acute and chronic muscle aches and pain
CONSULT TREATMENT PROTOCOL

ANATOMICAL AREAS



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GLOSSARY OF DISEASES

NameTissueType of pathologies
Acute and chronic muscle aches and pain Muscle Pain management
Acute and chronic cervical and lumbar pain Muscle Idiopathic cervical and low back pain
Acute and chronic soft tissue wounds Skin Wounds
Adhesive capsulitis Joint Capsulitis
Calcifying tendinitis of the shoulder Tendons Tendinopathy
Cellulite Skin Cellulite
Chronic distal biceps tendinopathy Tendons Tendinopathy
Chronic proximal hamstring tendinopathy Tendons Tendinopathy
Diseases secondary to trigger points and myofascial Pain Muscle Myofascial pain syndrome
Golfer’s elbow Tendons Tendinopathy
Greater trochanteric pain syndrome Tendons Tendinopathy
Insertional Achilles tendinopathy Tendons Tendinopathy
Knee osteoarthritis Joint Osteoarthritis
Medial tibial stress syndrome Tendons Tendinopathy
Mid-body Achilles tendinopathy Tendons Tendinopathy
Osgood-Schlatter disease Bone Disturbance of musculoskeletal development
Patella tip syndrome Tendons Tendinopathy
Plantar fasciopathy Tendons Tendinopathy
Primary and secondary lymphedema Skin Lymphedema
Primary long bicipital tenosynovitis Tendons Tendinitis
Proliferative connective tissue disorders Connective tissue Fibrosis
Spasticity Central nervous system Cerebral palsy and stroke
Stress fractures Bone Fracture
Subacromial pain syndrome Tendons Tendinopathy
Superficial nonunions Bone Fracture
Tennis elbow Tendons Tendinopathy
Trigger points Muscle Myofascial pain syndrome
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MORE INFORMATION

The most common causes of muscle pain are tension, stress, overuse and minor injuries.

According to Müller-Wohlfahrt et al. (Muscle Injuries in Sports; Thieme, 2013) these conditions are summarized as overexertation-related muscle disorders (Type 1), a subgroup of the functional muscle disorders, and comprise fatigue-induced muscle disorders (Type 1a) and delayed-onset muscle soreness (Type 1b). These disorders must be carefully differentiated from structural muscle injury (Type 3 and 4), comprising partial muscle tears (Type 3) and subtotal/complete muscle tear or tendinous avulsion (Type 4), as well as from direct muscle injuries comprising contusion and laceration.

Prevention comprises warm-up before exercise and stretching when muscles are warmed up; treatment options comprise ice and heat (to increase blood flow to the painful area) as well as nonsteroidal anti-inflammatory drugs (NSAID).

CLINICAL EVIDENCE


Clinical trials confirming the effectiveness and safety of radial shock wave therapy (RSWT®) using the Swiss DolorClast® for acute and chronic muscle aches and pain with no pathological correlate of injuries are currently underway. Preliminary evidence indicating that RSWT® is effective and safe in the treatment of acute and chronic muscle aches and pain with no pathological correlate of injuries is based on anecdotal reports by many users of RSWT®.

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TREATMENT PROTOCOL

Number of treatment sessions 3 to 5
Interval between two sessions 1 week
Air pressure Evo Blue® 2.5 to 4 bar
Air pressure Power+ 2 to 4 bar
Impulses 2,000 to 3,000 on the muscle
Frequency 8Hz to 12Hz
Applicator 15 mm or 36 mm
Skin pressure Light to moderate

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