Krankengymnastic am Gerät

Medical rehabilitation training – effective and gentle on the joints

What is medical rehabilitation training?

Medical rehabilitation training is generally used after injuries and operations to restore mobility and treat diseased areas of the musculoskeletal system. Targeted training units are used to improve strength, mobility and endurance in the long term. The specially developed medical build-up training for therapeutic purposes is considered part of rehabilitation treatment and is often accompanied by a doctor.

For whom is medical rehabilitation training recommended?

In general, medical rehabilitation training is prescribed by a doctor after an injury or operation on the musculoskeletal system. However, it can also be used for persistent pain in the joints or back. The physiotherapist draws up an individual training plan tailored to the problem area and person. Medical rehabilitation training is also suitable for the prevention of painful muscle tension and resulting damage to the spine.

What is trained in medical rehabilitation training?

Depending on the type of training, medical rehabilitation training trains balance, coordination and posture, strength, flexibility, speed or endurance. The essential components of the medical rehabilitation training are: mobilisation and mobility training, strength and stabilization training, coordination training, endurance and cardiovascular training.

What equipment is used for medical rehabilitation training?

The medical rehabilitation training uses training equipment that is easy on the joints and yet highly effective, while putting optimal strain on the muscles and joints. Additionally, computer-controlled training devices such as the Power Plate or EMS allow a targeted training of the deep muscles and can be used, for example, for muscle building before an operation.

In our practice for physiotherapy we offer medical rehabilitation training for therapeutic purposes. Do you have any questions or would you like to arrange an appointment? Call us, we will be happy to assist you!

Yours Michael Boettcher

DSC02467

Dry needling – treating pain with needles

In our private practice for physiotherapy, we use healing techniques to bring your body into balance in a natural way and free you from pain. Today we would like to introduce the application of Dry Needling to you.

Dry Needling is a form of trigger point therapy in which mainly myofascial points and fasciae are treated. Similar to Chinese acupuncture, Dry Needling uses sterile acupuncture needles to address trigger points in the muscle or musculoskeletal system to release tension and relieve pain. There are two forms of dry needling: intramuscular stimulation (IMS) and superficial dry needling.

In intramuscular stimulation, a sterile needle is inserted directly into the trigger point. This process initially triggers a tension reaction in the muscle, which is often perceived as beneficial. By placing the needles in the myofascial trigger point, the oxygen supply is stimulated and the blood flow in the affected muscle groups is improved. If the tense area shows inflammation or adhesions, these are inhibited by the dry needling application or disappear completely.

In the superficial treatment of pain in the musculoskeletal system, the dry needle is placed diagonally above the trigger point with a puncture depth of 3-4 mm under the skin. This is where the central nervous system comes into play. The superficial puncture triggers various mechanisms in the brain and spinal cord that contribute to pain relief and healing of the affected area.

Which Dry Needling technique is the right one for you depends on many factors, which we will clarify in advance in an anamnesis consultation.

 

Yours Michael Boettcher

equipment

Homeoffice – risks and side effects

Due to the ongoing pandemic, more and more people are being forced to work from home, but not everyone has an ergonomic workplace available. People often work at the kitchen table or on the sofa and often lack the time or motivation for compensatory movement after work or during breaks. Especially in the dark season, when it is already dark outside after work, many people find it difficult to get enthusiastic about exercise and sports. Instead, they make themselves comfortable on the sofa with a bag of chips.

From a medical point of view, these factors can in the long term promote physical complaints such as tension in the neck and shoulder area and headaches or lead to pathological obesity and associated chronic cardiovascular diseases. Furthermore, lack of exercise and an ergonomically inappropriate sitting position can increase the potential for musculoskeletal disorders. Through a prophylactic posture, the respiratory muscles tense up, breathing becomes shallower, we feel tired and exhausted and have difficulty concentrating.

Anyone who wants to prevent this should therefore provide for compensatory exercise in their free time. True to the motto “if you rest, you rust”, even small units of one hour per week can provide sufficient mobilization and relaxation. In our practice for physiotherapy and personal training, we offer not only classic physiotherapeutic applications but also an extensive portfolio of holistic training with a focus on joint-sparing movement sequences and medical muscle building.

We recognize and treat dysfunctions so that you can work in your home office in a relaxed and pain-free manner. Say goodbye to pain and make an appointment today.

Your Michael Boettcher Continue Reading

64020818-AE2B-450D-AC61-B2E636289477

Massage – using pressure against pain

Many of our patients come to our practice with muscle tension and pain resulting from it. Massages can help in this case. It is not without reason that massages are among the oldest known therapeutic treatments: The pressure on or rubbing over the tense area influences the tense condition of the muscles and fasciae, promotes blood circulation and relieves pain.

In our practice for physiotherapy we offer the following massage techniques:

  • Traditional massage: relaxes muscles, improves blood circulation, stimulates metabolism, relieves pain, improves posture and helps restore physical balance
  • Leg massage for runners: Improves performance and efficiency, prevents fatigue injuries, increases running speed, reduces muscle soreness after the run and accelerates recovery time and regeneration
  • Fascial massage: loosens the fasciae (connective tissue) so that the body is not pulled into a bad posture, reduces pulling and radiating pain, improves mobility, reduces muscle tension, positively influences the musculoskeletal system
  • Lymphatic drainage: Helps to remove swelling and water retention, improves mobility by reducing joint swelling, reduces recurrent spinal blockages, activates the autonomic nervous system, promotes regeneration

Conclusion: Massages can be helpful for a variety of muscle or joint pains and in the best case are performed by a trained physiotherapist. With the help of these techniques we can free you from pain, treat or prevent injuries and correct your posture – for a life full of mobility and without pain.

Yours Michael Boettcher

Kettlebells

Kettlebells – dynamic and advanced training

Kettlebells – or dumbbells – have been used as “round weights” for training since the end of the 19th century. Kettlebell training is highly effective: it involves training the entire body and promotes stability, mobility, strength and coordination. At the same time the cardiovascular system is stimulated and effective fat burning is achieved. In order to achieve optimal results, we use Kettlebells as part of the personal training in our practice in addition to other modern sports equipment.

Always in use – the body core

Training with Kettlebells addresses several fitness components simultaneously: strength, endurance, flexibility, speed and coordination can be trained with just one exercise.
Because most Kettlebells exercises involve complex movements that address entire muscle groups simultaneously, coordination and mobility are important components of Kettlebell training. Lighter dumbbells, which allow more repetitions, are also suitable for endurance and cardio training. Even though each exercise has a different focus – shoulders, arms, legs or back – the center of the body is trained each time.

The ideal whole-body training device

In contrast to training with other weights, the Kettlebell has the center of gravity of the training weight outside the hand. This means that the torso-stabilizing muscles always work with it. In addition, the dynamic exercises increase the condition and stimulate fat burning. Therefore the ball weight is also suitable for training units in HIIT or TABATA style. The goal of training with the ball weight is above all to build up functional strength, explosive power and stability and to strengthen the cardiovascular system as well as tendons and ligaments.

Convince yourself of the versatility of the ball barbells in individual or group training. Call us and arrange a free trial lesson!

Yours Michael Boettcher

Heilpraktik banner

Neck pain – causes and treatment options

The most common cause of neck pain is tension in the neck/shoulder area. These are usually caused by monotonous movements or an incorrect sitting position at the workplace. Especially in the home office, people do not pay attention to their sitting position, because not everyone has a fully equipped workroom. People often work at the kitchen table or on the sofa, which can lead to permanent incorrect strain on the spine and thus to pain.

What types of neck pain are known to occur?

If the pain is caused by tension that is not based on injury or pathologically changes in the vertebral bodies, it is called non-specific pain. Those are often caused by lack of movement, incorrect sitting posture in an office chair, shallow breathing or overweight. If the pain is the result of an injury or surgery, it is considered to be a specific pain, since the cause can be precisely determined: We adopt a relieving posture and the body tries to avoid movement and the pain that comes with it.

What other factors can contribute to neck pain?

Tension in the neck and shoulder area and resultant muscle hardening can also be favored by the following factors: monotonous movement patterns at work, shallow breathing, psychological factors such as stress and anxiety, posture problems or insufficiently trained neck muscles. The joints are stressed incorrectly or too much, we feel uncomfortable, flabby and have pain. The diaphragm remains largely inactive, the respiratory muscles are put under much greater strain, the muscles in the neck tense up and pain occurs.

How can neck pain be treated?

In our physiotherapy practice we offer various treatment options for neck pain. Starting with classic physiotherapeutic applications such as massages and manual therapy, dry needling, functional training, muscle building in the neck and shoulder area or physiotherapy on the machine. We accelerate the healing process and restore the mobility and stability of your musculoskeletal system so that you can live permanently pain-free and without tension.

Yours Michael Boettcher