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Specification of treatments

CARBON DIOXIDE THERAPY

Carbon dioxide bath

is a bath in thermal water with a temperature of between 33°C and 35°C saturated with carbon dioxide. Its effect combines that of tub bath and dissolved carbon dioxide. The last one has two main effects: countless water bubbles on the skin's surface and flushed colour of the skin. Carbon dioxide bath improves blood circulation, lowers blood pressure and promotes mental relaxation. Serial applications have adaptive changes in circulatory system

Dry carbon dioxide bath

It is an administration of carbon dioxide gas to the whole body. Patient's body is closed in a sealed plastic bag filled with carbon dioxide. Contrary to the water immersion gas carbon dioxide bath can be used also in conditions in which water bath is not suitable. It increases blood circulation, lowers blood pressure, improves the healing of wounds, affects vasodilatation and directly affects skin receptors. It stimulates production of sexual hormones.

Main indications of carbon dioxide therapy are: ischemic disorder of lower limbs, hypertension, gynaecologic and urologic indications, and sexual dysfunctions.

Contraindications: severe hypertension, heart failure, conditions with hypercapnia (increase of CO2 in blood), severe cerebrovascular diseases.

CO2 insufflations

Hypodermic insufflations of a small amount of carbon dioxide gas: the effect is: analgesic, improvement of the blood circulation and acceleration of healing.

Indication: disorders of blood circulation in limbs, ischemic heart disease, painful degenerative disorders of joints and the spine. Insufflations may be used also for treatment of cellulites.

Contraindications: local inflammation of skin in the area of application, bleeding.

HYDROTHERAPY

Hot spring bath

This is a full immersion tub bath in hot spring of Karlovy Vary. Its effect depends on temperature, hydrostatic pressure and content of minerals. Main effect is on circulatory system, general sedation and favourable influence on gastrointestinal tract.

Contraindications: heart failure, severe hypertension, acute infections, intolerance of thermal stress

Herbal bath

is a bath with various ingredients. Sulphur, peat, herbs, and aromatic oils are usually used. Effect depends on the ingredient and may be relaxation, decrease of muscle tonus, and improvement of joint mobility.

Pearl bath

is a bath in thermal water with a temperature of between 37°C and 38°C. Water is saturated with pressured air. It provides a micro-massage of the skin, improves blood circulation and overall relaxation of the organism.

Limb whirlpool bath

Whirlpool bath is used for improvement of blood circulation especially at ischemic diseas of limbs by pressure changes caused by streaming water. It comes to changes of pressure on soft structure of limbes and therefore to increase of blood flow in the limbs.

Hydroxeur

is an automatic underwater massage. In bath tub there are number of jets so that person in bath can by oneself determine locality and lasting of massage. The effect is general relaxation and light stimulation.

Scottish shower

is a jet shower with alternating water temperature. Treated person stays and jet shower is applied from a distance of three metres. It has stimulating effect.

Kneipp's footbath

It is a part of hydrotherapy which consists in walking in water on pebbles in artificial streamlet. It is used typically for Kneipp's system walking in cold and warm water by rotation. Pebbles on the bottom of this artificial streamlet knead feet; alternating water temperature and exercise improve circulation. (Sebastian Kneipp was a German priest who developed integral system of natural healing which includes hydrotherapy, exercise, fytotherapy, nutrition and spirituality).

Contrast Bath

It is a further method of Kneipps hydrotherapy. A contrast bath consists of two water containers, each large enough to hold two legs. Into one container is poured enough cold water to cover the immersed leg, and the other container is filled with hot water. The cold water may be held at a level of about 10°C to 16°C and the hot water at 38°C to 44°C. The leg or legs are first placed in the hot water for four to six minutes and then at once in the cold water for one to two minutes. For the client to finish treatment with a feeling of comfort, the final immersion should be in the hot water. Contrast baths are used to stimulate local circulation in limbs without obstructive vascular pathology.

Steam bath and sauna

Steam baths, or Sauna, are largely hyperthermic procedures earning a special place in balneology. They are meant for the healthy rather than the sick, their purpose being prevention of disease and physical strengthening. The body tries to increase its heat loss through the skin and lungs. If the environmental temperature exceeds that of the body, the only way to have heat is through sweating. As the cutaneous circulation increases, heat is accepted more readily by the body from the environment. Body temperatures range from 37.6°C/99°F to 40°C/104°F, thus the physiologic changes that occur during the sauna are due to the rise in body temperature and due to the influence of the reflexes of hormonal and nervous systems which attempt to increase the heat loss.
Sauna: Its single and important purpose is:
1. Immediate rise in body temperature
2. Influence on reflexes, hormones, and venous system, which tries to help the body lose heat.

MASSAGE

Classical manual massage

by using massage cream. It improves the blood circulation, increases the absorption of oxygen and nutrients to the body, helps flush out waste materials from the body and relaxes localized muscles under the skin.

Deep muscle massage

refers to the massage technique that focuses on loosening muscle groups and connective tissue called fascia to realign your body and increase the range of motion. The goal of massage therapy is simple: to positively affect the health and well being of the client. Massage improves blood circulation, which helps in recovery of muscle soreness from physical activity. Massage relaxes muscles for an improved range of motion. The muscle relaxation also helps with insomnia.
Contraindication: Massage should not be given to patients with the following physical disorders or conditions: Nausea, vomiting or diarrhoea, fever, broken bones, contagious diseases, open or unhealed sores or wounds, body areas that are inflamed, swollen, varicose veins, recent surgery, severe pain, osteoporosis.

Aromatic massage

This is a massage using aromatic oils. They are highly concentrated extorts that contain vitamins, hormones, antibiotics and antiseptics. When used with massage, or with warm baths, these oils are absorbed through the skin inducing deep relaxation that reduces stress, tension, and muscular aches.

Reflexive massage

Another term for this method is also neuromuscular massage. It affects reflective changes on body surface by disturbances of internal organs. Neuromuscular therapy consists of alternating levels of concentrated pressure on the areas of muscle spasm. The massage therapy pressure is usually applied with the fingers, knuckles, or elbow. Once applied to a muscle spasm, the pressure should not vary for ten to thirty seconds. Neuromuscular therapy can be painful at first, but the pressure of the massage should alleviate the muscle spasm. At this point, it is extremely important to communicate with the massage therapist regarding the pressure - whether the pressure is too much, too little, getting better, getting worse. The therapist should listen and respond accordingly. The massage therapy pressure should never be overly painful. In fact, most people describe the pressure as "good pain". Following a neuromuscular therapy massage, any soreness that presents itself should fade after twenty-four to thirty-six hours. The muscles that were tight should remain noticeably more relaxed for four to fourteen days, depending on stress, activity level, and severity of back pain prior to beginning massage therapy. This massage is to be indicated after medical examination.

Lymphatic massage (manual lymph drainage)

It is special method of massage which reduces lymph oedema by improving circulation to the lymphatic system. It helps to remove waste and bacteria from the system more effectively than passive motion. Lymphatic massage is routine part of treatment in some postoperative conditions.

Pneumatic lymphatic massage

Massage is produced by a device producing peristaltic pressure on legs, thighs, hips and buttocks. It is important to continuously evaluate the client's progress in oedema reduction. Since instrumental compression is limited to peripheral oedema it is often necessary to supplement this treatment format with manual lymph drainage in order to accomplish optimal results.

Vacuum compression therapy with Extremiter device (Vasotrain)

This is automated vacuum compression therapy for treatment of peripheral circulatory disorders. Principle of this method are cyclic changes of the over pressure and under pressure in application cylinder where treated limb is hermetically sealed. The limb is exposed to the controlled effect of hypobaric and hyperbaric atmosphere. Vacuum compressive therapy is usually applied in circulatory disorders (functional, atherosclerotic, in diabetics), in diabetic neuropathy and many other conditions. Using of this therapeutic method needs medical prescription.

Underwater massage

is jet water massage on person in bath tub. This allows better muscle relaxation and enhanced effect of massage. It may be manual or automatic.
Effects: muscle relaxation, improvement of blood circulation, improvement of joint mobility, general relaxation.

Thai massage

Traditional Thai massage increases the body movement, blood and lymph circulation, removes arthrat pains and synostosios, nurses the nervous system and slacks toxins. It supports the mental relaxation and encourages the activity of viscuses.

Japanese Shiatsu massage

Shiatsu (from the Japanese words "shi" and "atsu," meaning "finger pressure") massage treats common psychological and physical complaints by pressing pressure points. It alleviates disorders such as depression, anxiety, nausea, stiffness, headaches, arthritis, cramps, or pulled muscles. Shiatsu massage unifies spiritual, philosophical, and medical aspects of the body. Some westernized massage techniques are combined with the view that energy, qi or chi, circulates along channels called meridians. When freely flowing, chi brings fresh, strong energy and carries away spent energy along with toxins.

Hawaii massage

The principles of this therapy consist in using special Hawaiian techniques, which have high teapeutic and relaxation effect with their rhytmics. Special exotic aroma therapy raise the feeling of calmness and well-being. The massage helps to remove blockades and relieves spasm. It stimulates blood circulation, lymph systém and helps to detox the organism.

LASER THERAPY

Laser (Light Amplification by Stimulated Emission of Radiation.) This is the device that produces a focused beam of light at a defined wavelength that can vaporize tissue. In surgery, lasers can be used to operate on small areas without damaging delicate surrounding tissue. In spa treatment low level laser therapy - therapeutic laser is used. Laser affects the body's metabolic and control functions at two levels: Energy supply, transfer of information.

The main therapeutic utilisation is in: Skin diseases, herpes (herpes simplex labial's, shingles etc.) acne, sty, erythematic, eczema, and inflammation, ulcers, post-treatment of surgery wounds, scar treatment, sunburn, burns, frostbite, spasm, haematoma, oedema, neck/shoulder-syndrome, bad blood circulation.

Contraindications: Active or suspected carcinoma, direct irradiation of the eyes, hyperthyroidism, epilepsy, cognitive difficulties or unreliable patients, increased sensitivity to light, pregnancy.

THERMOTHERAPY

Thermotherapy means application of thermal energy and relates almost all balneotherapeutical procedures. In this meaning it is application of paraffin, Parafango and mud packs.

Parafango

is a mixture of dehydrated "mud" containing healing ingredients such as minerals and converted plants parts, mixed with various paraffin. Parafango retains its temperature of application for nearly 1 1/2 hours. Parafango does not stick to body hair; the person is completely clean after removing the pack. Perspiration cannot penetrate the Parafango mixture.
The Parafango bars are melted, heated and applied to specific portions of the body. Dilation of blood vessels, tissue hyperaemia and increased blood flow are among the most important results. During the treatment the patient experiences deep heat and relaxation. Parafango therapy is the deepest localized heat treatments available, replacing traditional hot packs commonly used.

Mud packs

A bag of warm peat is put on the part of the body to be treated and this involves a slow transfer of heat into the body. The pack is used to treat disorders of musculoskeletal system, problems of the digestive tract.

Paraffin packs

A few layers of melted paraffin spread on the part of the body to be treated. The warmth improves movement in small joints and blood circulation.
Contraindications: impaired circulation, areas of recent bleeding or haemorrhage, lack of local thermal sensation, devitalised tissue e.g. after deep X ray therapy, open wounds, impaired circulation of the part to be treated, malignancy.

ELECTROTHERAPY

Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is a method of electrical stimulation which primarily aims to provide a degree of pain relief (symptomatic) by specifically exciting sensory nerves and thereby stimulating either the pain gate mechanism and/or the opioid system. The different methods of applying TENS relate to these different physiological mechanisms.

Mechanism of Action: The type of stimulation delivered by the TENS unit aims to excite (stimulate) the sensory nerves, and by so doing, activate specific natural pain relief mechanisms.
Contraindications: Patients who do not comprehend the physiotherapist's instructions or who are unable to co-operate, application of the electrodes over the trunk, abdomen or pelvis during pregnancy, patients with a pacemaker, patients who have an allergic response to the electrodes, gel or tape, dermatological conditions e.g. dermatitis, eczema, patients with current or recent bleeding haemorrhage or with compromised circulation.

Shortwave Diathermy

Uses electromagnetic waves of frequency 27,15 MHz. It exists in two forms: as traditional short wave diathermy or pulsed short wave diathermy. The primary effects of pulsed SWD are: absorption of haematoma, reduction of the inflammatory process, stimulation of osteogenesis, improved healing of the peripheral nervous systems.

Contraindications: Areas of poor or deficient thermal skin sensation, metal in the tissues, circulatory compromise or deficit including ischemic tissue, thrombosis and associated conditions, advanced cardiovascular conditions, pacemakers, pregnancy, recent or current haemorrhage, during menstruation, malignancy, tuberculosis, X Ray therapy or other ionizing radiations (in the last 6 months), patients who are unable to cooperate.

Therapeutic Ultrasound

Ultrasound is a form of mechanical energy, not electrical energy and therefore strictly speaking, not really electrotherapy at all. Mechanical vibration at increasing frequencies is known as sound energy. Below about 16Hz, these vibrations are not recognisable as sound, and the normal human sound range is from 16Hz to something approaching 15-20,000 Hz (in children and young adults). Beyond this upper limit, the mechanical vibration is known as ultrasound. The frequencies used in therapy are typically between 1.0 and 3.0 MHz (1MHz = 1 million cycles per second).

The therapeutic effects of US are generally divided into: thermal and non -thermal.
Thermal: In thermal mode, it will be most effective in heating the dense collagenous tissues and will require a relatively high intensity, preferably in continuous mode to achieve this effect.
Non-thermal: The non-thermal effects of US are now attributed primarily to a combination of cavitations, acoustic streaming and micro massage.

The main usages of ultrasound are: entezopathies (e.g. tennis elbow), osteoarthritis, distortions, and inflammations of tendons.
Contraindications: pregnancy, malignancy, tissues in which bleeding is occurring or could reasonably be expected, vascular abnormalities including deep vein thrombosis, emboli and severe atherosclerosis, anaesthetic areas, acute infections, haemophiliacs, application over: the eye, the cardiac area in advanced heart disease, the spinal cord after laminectomy, subcutaneous major nerves, subcutaneous bony protuberances, the gonads.

MAGNET THERAPY

The magneto therapy is non-invasive physiatric method based on effecting of the magnetic field on organism and is a gentle and natural way of treatment. The action of a pulsative magnetic field favourably affects tissues of the human body and increases permeability of cell membranes. This method is successful used for the treatment of much health troubles in present time. Wide extent of the therapeutic applications, convenient use and absence of the by-effect, raise its importance. Contemporaneous clinical practice prefers use for magneto therapy a pulse magnetic field ( PMF ). Effecting of the PMF in human organism excites complicated biophysical processes on molecular, cellular and system level. On the base of many laboratory experiments and clinical experiences as well, it is possible to conclude that the PMF causes these following processes and effects: vasodilatation, analgesic action, anti-inflammatory action, spasmolytical activity, healing acceleration, anti-oedematous activity.

Contraindications for magnet therapy: Pregnancy, pacemaker, hyperthyroidisms, suprarenal gland dysfunction, myasthenia gravis, conditions connected with bleeding (mainly bleeding into the GIT), hypothalamic and hypophyseal dysfunctions, active tuberculosis, acute viral diseases, malignancies (even in anamnesis), psychoses, neurological diseases with seizures, severe mycosis, severe atherosclerosis, menstruation.

INHALATION THERAPY

It means inhalation of curative aerosol through nose or mouth. Pure mineral water or with medicaments is used. Mineral water used for inhalations improves the airways mucosa function, affects anti-inflammatory, liquefies mucus and facilitates expectoration. According to particle size the aerosol acts on upper or lower airways. Medicaments are added to relive severe dyspnoea.

OXYGEN THERAPY

Oxygen therapy is a medical treatment that provides extra oxygen to the tissues of the body through the lungs, a process known as respiration. It is given through a special unit called an oxygen concentrator. This device removes most of another gas, nitrogen, from the air, which makes the oxygen more concentrated. The oxygen is delivered to the person from the oxygen concentrator through nasal plastic tube. A nasal cannula is placed a short distance into each nostril. It is an inhalation of oxygen for 2 hours usually combined with vitamin and mineral drinks and physical exercise. It improves oxygen supply of tissues, their nutrition and physical and mental functions efficiency. It may serve as a prevention of geriatric problems.

Hyperbaric oxygen therapy

It is another form of oxygen therapy. It uses the ability of blood to transport bigger amount of oxygen to the organs at higher static pressure. The client is placed inside a special pressure cabin, it is a big metal barrel with glass windows on the side. The cabin is pressure-proof. The client breaths oxygen under pressure 1,5 x higher than normal static pressure. The therapy is applicable for healing various disorders and diseases.

Indications: ischemic ulcers, diabetic retinopathy, neuropathic ulcers, diabetic gangrene, diabetic ulcers, slowly healing injuries, chronic fatigue syndrom, imrovement of immune system, Crohn diseas, ulcerour colitis.

Contra-indication: acute viral infection, chest injuries, condition after operation of middle and inner ear, epilepsy, hyperthyroiditis.

OTHERS

Bowel Irrigations

Whole bowel irrigation (WBI) cleanses the bowel by the enteric administration of large amounts of mineral water which induces a liquid stool. Irrigation of the large intestine and the removal of deposits from the intestine mucosa are done by a special apparatus, water and belly massage.

Indication: chronic constipation, digestive disorders, flatulence, tiredness, headaches, precaution of large intestine tumours, allergic diseases and immunity disorders, obesity.

Contraindication: acute inflammation of large intestine especially with the formation of ulcers, tumours, congenital defects intestine and intestine narrowing, pregnancy, cardiac failure, bowel perforation, bowel obstruction, clinically significant gastrointestinal haemorrhage.

Mouth irrigations

Mouth irrigations are used for prevention and healing of paradenthosis. It improves blood circulation in gums and increases the resistence of jaw texture.

Biolamp

Is used for regeneration of texture and increasing energy levels of the irradiated cells by so called biostimulation light.

Locomotive therapy

Locomotive therapy mobilizes the whole locomotive apparatus and increases the weighting of cardiovascular systém. The type and intensity depends on the disease of the client.

MEDICAL CONSULTATION

Urology

Consultation with an urologist is focusing on kidney, urinary ducts, bladder and by the men mainly prostate and genitals diseases. The main benefit of the urologic examination is early seizure of the disease, especially tumor diseases of urinary ducts.

Gynecology

Consultation is focusing on diseases of female organs, suppository uterine cancer prevention, detection of viral infection (HPV) and early seizure of other diseases.

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