Accelerated healing of wounds

From a historical point of view, healing wounds was a significant health issue. The precursors of nowadays surgeons were called barber „surgeons”. Meanwhile in the past, people were threatened by the emergence of a wound especially during a hunt or in a combat, today there is a various range of situations where people end up with disrupted skin integrity. Fairly significant is the category of wounds emerging chronically as a result of “civilizational” diseases (diabetes, venous ischemia). If the wound is healed through a primary manner, it is not necessary to deal with it any further, because you won't know about the wound in 7-10 days. If there are complications (healing per secundam), the wound is healing slowly, the defect is deepening or there is an effort to eliminate the occurred scar. Focused shock wave is in such cases one of the most effective methods.

WHAT IS THE PLANAR SHOCK WAVE?

It is a physical therapy functioning on the principle of the electromagnetic induction. All the energy is emerging from the machine, and it is accumulating in the acoustic lens, during the application the energy is permeating deep into the tissue. In the area where the shockwaves are impacting the tissue, there is a significant acceleration of biochemical processes responsible for repair of the disrupted tissue.

In order to heal wounds on the surface of the body we use in FYZIOklinika special type of applicator - it is the so called Planar shock wave. The energy flow is not so sharply concentrated into one point as it is by focused shock wave, and it is directed directly on the surface of the body. The result of this reality is the performance which is two times higher as opposed to the classical focused shock wave. Therefore the planar shock wave is ideal for healing of badly recovering wounds.

 

WHAT HAPPENS IN THE TISSUES AFTER THE APPLICATION?

  • Accelerated substance exchange - effective supply of oxygen and outlet of catabolites from metabolism

  • Accelerated growth of new smaller (capillaries) vessels - that has a big significance during healing of the leg ulcers and diabetic gangrenes

  • Antibacterial and anti-inflammatory effect

  • Analgesic (lowering pain) effect

  • Stimulation of stem cells responsible for regeneration of the tissues

Hojení rány

INDICATIONS

  • Unhealed acutely emerged wounds - for example complicated inflammatory processes (healing per secundam)

  • Uncomplicated wounds by which we want to minimize the resulting scar

  • Burns

  • Diabetic gangrene

  • Diabetic ulcers

  • Non-diabetic ulcer (ischemic)

Galery of pictures

WHY GET A TREATMENT WITH PLANAR SHOCK WAVE?

  • Formation of scar: the occurred scar is not supplied with neither blood or lymphatic vessels. The flow of the lymph and blood is therefore changing, and the blood supply is lowered in the area of the affected tissue. If the scar is close to the lymphatic nodes, it can lead to permanent swelling. A firm scar then restricts mobility of the skin and increases the tension in soft tissues, for example after operation of joints or muscles.

  • Focused shock wave significantly lowers the time of healing by complicated wounds.

    • Accelerated healing burn wounds minimizes the formation of a scar, Increases the elasticity of the tissue, lowers the sensitivity of the scar, and generally softens the resulting scar. By non-complicated cases is a possibility that the healing will overlap the phase of forming a scab, Which eliminates the formation of esthetic defects occurring during the etc…

    • Accelerated healing by cut or surgical wounds causes minimization in formation of scar tissue. The scar tissue is less elastic, restricts mobility of certain layers of soft tissues beneath the scar, it can restrict the function of the internal organs in case the scar is significant in the area of abdominal or thoracic cavity (for example after appendectomy, laparoscopic surgery etc.)

  • Stimulating the growth of new vessels (revascularization) affects higher blood circulation in the area of the wound, which prevents the necrosis of the disrupted tissue as a result of lack of oxygen and nutrients (ischemia).

  • Significant acceleration of wound closure by burn wounds leads to more aesthetic appearance. The tissue stays moist, and granulation tissue appears, which also helps to establish new blood vessels, nerves into the multiplication of the original tissue (cutaneous), so the scar does not occur or its formation is very restricted.

  • Without the need to use anesthesia


CONTRAINDICATIONS

  • Malignant tumor disease

  • Using medicaments for thinning the blood


PROCESS OF THE THERAPY

  1. Consultation with the therapist

  2. Measuring the defect and photo documentation

  3. Applying the healing technology of the Planar shock wave

  4. Changing the bandage (type of material is chosen according to the wish of the client - see lower)


LENGTH OF THE TREATMENT PROCESS

Due to the wide range of individual defects, it is not possible to standardize how many treatments will be needed.

  • For easier and fresh wounds with big significance in speed of closure of the wound, it is possible to choose the initiation of healing in 2 sessions (first immediately after the injury, and second within 48 hours.). After starting the process, you can stop with the treatment and leave the wound to heal natural way.

  • By complicated acute wounds, 3 - 5 applications are usually typical frequency of application 1 - 2 x/week. (you can request accelerated initiation of healing process, and it is possible to start the first 2 to 3 applications within two day period).

  • By chronic types of wounds (ischemic leg ulcers, diabetic wounds) you should count with cca. 20 applications during outpatient treatment 1x/week.


PRICE OF THE SERVICE

The example of the price of one smaller burn in size of 15 cm2, or a unhealed cut wound (the wound has to be stitched up) within the length of 15 cm: 1 600 Czk

Part of the price is also:

  • Application of the most modern technology Planar shock wave (application is 2 times more efficient than focused shock wave).

  • Changing the bandage with a high quality sterile covering based on tulle gras dressing with paraffin oil

In case you will decide to add the covering with antibacterial bandage with silver, which will amend to the protection the healing process against the bacteriologic infection, you will be charged with the price of this material according to the quantity of used material. Typical surcharge for a wound/burn to the size of 15cm2 is 100 Czk.

The price of treatment for bigger wounds is determined individually on the basis of the actual condition of the wound.

For example, one treatment in the size of cca. 50 cm2 with basic bandage will cost you 2 000 Czk.

If you have a more serious wound and you would like to keep the same bandage material (for example by extensive leg ulcers), you can bring your own bandage recommended by your doctor.

THE PRICE FOR SERVICE BY MORE COMPLICATED WOUNDS

In case you have a more complicated wound, and you will decide for a treatment with planar shock wave (above 10 treatments), we will elaborate an individual offer of treatment with significant quantity discount + we can also come to agreement how we could reduce the price of the bandage materials.

The service is not covered by health insurance.

Source: LOHRER, Heinz, GERDESMEYER, Ludger. Multidisciplinary medical applications: Shock wave therapy in practice. Level10 Buchverlag Daniela Bamberg, Heilbronn, Německo. ISBN 978-3-9816095-0-9

Note: The effects of the shock wave treatment may differ according to the individual dispositions of the client, character of the surface injury and ability of the client to keep the post-therapeutic regimen, which have been conveyed within the entry examination. Detailed backgrounds, or medical studies proving healing effects of the shock wave therapy can be reviewed at FYZIOklinika headquarters.