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Joint Non-Surgical Therapy

Extracorporeal Shockwave therapy

Actions of extracorporeal shockwave

- This is an advanced form of shockwave therapy for urinary stones. During the procedure, impact energy is precisely delivered to the musculoskeletal system and this treats joint disorders and sports injuries that have not improved by conservative therapies such as physical therapy, medication and herbal treatment, without surgery.
- Extracorporeal shockwave therapy causes physical changes in the cell membrane of the tendon and removes calcareous substances in the tendon. It also promotes revascularization which will increase the blood supply.
- The therapy will make chemical complexes and chemical changes in the treated region in order to reduce pain.
- When low-energy shockwave stimulates the nerves through complex passage, hyper-stimulation analgesia occurs and consequentially inhibits the transmission of pain. The effect is the reason for the minimized pain deterioration during the procedure.

Characteristics of extracorporeal shockwave

- Extracorporeal shockwave Therapy is not secondary care but a fundamental therapy.
- No admission
- No incision
- Non-anesthetic therapy can reduce complications
- Treatment time is short
- Daily life is possible after the treatment
- Almost no side effects

Indications of extracorporeal shockwave



Prolotherapy is a fundamental therapy to treat the cause of pain fundamentally. During the therapy, instead of a temporary pain suppressor, a substance that has a higher osmotic pressure than the ligaments is injected into ligaments in order to regenerate them. As a result, prolotherapy will strengthen weak ligaments and resolve chronic pain.

Once the ligaments are generated, they support the spine firmly like the original healthy spine. So the therapy has beneficial effects on pain relief.
The therapy is simple and has lower risk. However, the precise injection of drugs into the pain region is needed. For ligament-enhancing drugs or other drugs, the dose must be precisely controlled by a proper medicine, depending on the status of the patient.

Therapeutic targets include Lumbar disc herniation, Cervical disc herniation, Ligament pain, Spondylolisthesis, Scoliosis, Spinal Stenosis, Spondylolysis, Frozen shoulder and Joint pain.

Joint Manual therapy

Joint manual therapy can correct the muscles and ligaments around the joints and normalize joint function


For Joint Manual therapy, the joints and ligaments around the joints are manually corrected and the pain is relieved in order to restore the function of the joint.

It is done for pain in the shoulder, elbow, wrist, knee and ankle joints. While gently moving the painful joints, the function of the joints is normalized due to the restoration of the range of joint motion, relaxation of the muscles around the joints and stimulation to the ligaments. Increased range of the joint motion and relaxed muscles can improve blood circulation which results in decreased swelling and pain.