For most lesions, 3 times/week is sufficient frequency : usually 15' per session ; we start the first session with 10'. In some chronic lesions the duration of treatment will reach 20'. If more than one spot has to be treated (e.g. achilles tendinitis), it will be 10' per localization.
There are two exceptions where a different strategy is used : the medial collateral ligament of the knee and the lateral ankle ligaments. Here, the deep friction is given
in a progressive way. The details will be discussed in the appropriate sections.
If the structure is too tender on palpation, the interval between the sessions is prolonged ; the duration and the intensity of the deep friction do not change.
The treatment can be ended when the patient is symptomfree and the functional examination has become negative ; remaining local tenderness on palpation can be ignored.
Exception : quadriceps and hamstrings muscle bellies ; To avoid recurrences, the treatment has to be continued for another week after full clinical recovery.
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Invest in Efficient Knowledge |
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Contact : Steven De Coninck, MSc PT |
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E-mail: info@etgom.be |
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Tel.: ++32 475 730 911 |
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© European Teaching Group of Orthopaedic Medicine 2010 |
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