The musculoskeletal system, including bones, muscles, tendons, cartilage structures, and ligaments, is involved in performing even a single step. Various injuries or ailments can disrupt the smooth functioning of the entire locomotor system. Traumatologist-orthopedist Ruslan Nikolaevich Tokmakov from “Open Clinic” explained to the “Rambler” portal the feasibility of restoring joint mobility, eliminating pain, and who exactly needs the recovery process. Who is indicated for recovery treatment The musculoskeletal system can be affected by diseases such as arthritis or osteoporosis, but in most cases, problems arise due to static loads and habitual movement patterns. As a rule, we are talking about complex pathologies that, over time, involve surrounding tissues in the destructive process. Thus, bones, joints, and ligaments can suffer simultaneously. The manifestations of ailments are diverse: pain syndrome, limited mobility, swelling, skin color change in the affected area, reduced range of motion. In young people, such problems can be the result of traumatic injuries or surgical interventions on bones and ligaments. But regardless of the initial cause, rehabilitation is mandatory for all patients complaining of disorders in the functioning of the musculoskeletal system. “Recovery measures should start at the earliest stages, immediately after an injury or surgery. They contribute to restoring joint functionality, muscle strength, and normal quality of life. Furthermore, rehabilitation is beneficial in the treatment of musculoskeletal diseases and serves as a preventive measure against complications in chronic pathologies affecting the musculoskeletal system.” The idea that prolonged complete rest should be provided upon the appearance of pain or discomfort during movement is a misconception. Muscles begin to atrophy after just two days without adequate motor load, and joints lose mobility and begin to ache more intensely. Therefore, movement acts as one of the fundamental principles of treatment and rehabilitation of the locomotor system. The American College of Physicians ranks non-pharmacological methods as a priority in combating chronic pain, and the European League Against Rheumatism recommends physical activity for patients with osteoarthritis and inflammatory joint diseases. Physiotherapy. This is treatment using electric current, magnetic field, laser, ultrasound, air/light/heat exposure. It is used in the initial stages after injuries, surgeries, or diseases; it helps reduce pathological inflammation and improve tissue trophism. Therapeutic exercise (LFC). Includes a set of exercises or classes aimed at stretching muscle fibers. This helps relieve spasm and create conditions for the correct “switching on” of the muscles. LFC also increases muscle tone, improving the flexibility of tendons and ligaments. It is usually prescribed in the absence of acute pain. Acupuncture. This is exclusively an auxiliary method. During an exacerbation, the body directs anti-inflammatory mediators to the focus of pathology, which can worsen swelling. Acupuncture, by acting on the body, blocks the conduction of unwanted impulses, which brings some pain relief. Manual therapy and massage. These are manual manipulations that help eliminate pain and restore mobility in the joint articulations. These techniques are used to improve blood and lymph microcirculation. Such approaches help reduce pathological tension in muscles and ligaments, ensuring the inflow of fresh blood with its own anti-inflammatory components. Injection techniques. The introduction of preparations with amino acids is aimed at reducing inflammation, stopping chondrocyte death, and activating chondroblasts (cells responsible for cartilage tissue). Hyaluronic acid is introduced to improve cartilage nutrition, facilitate movement, and relieve pain. Steroids are sometimes used to relieve pronounced inflammatory processes. Duration of the recovery course From several weeks to several months. In rare, advanced cases, more time may be required. “The key role here is played by the patient’s own dedication, as well as strict adherence to the specialist’s recommendations. Some people require regular maintenance courses to preserve the achieved result,” notes traumatologist Dr. Ruslan Nikolaevich Tokmakov. The recovery program is structured into several phases: Early stage. At this point in time, the main task is to relieve pain and swelling. It is necessary to prevent any complications. This phase usually takes several days. Main stage. Gradually, the focus shifts to restoring the range of motion and joint elasticity, strengthening the muscles, and increasing overall endurance. “Over the course of 2–3 months, a full range of motion is restored. Rehabilitation helps ‘retrain’ the muscles for correct engagement during motor acts,” comments Dr. Ruslan Tokmakov. Late stage. By the time the program is completed, the person gains full control over their movements and can return to their usual level of activity. This usually occurs within an interval of 3 to 6 months. The Essence Recovery treatment of the musculoskeletal system may be required after injuries or the development of diseases affecting the musculoskeletal system. The goal of such treatment is to restore joint mobility, strengthen the muscle corset, and eliminate pain syndrome. Various techniques are used: physiotherapy, therapeutic exercise, acupuncture, manual techniques, massage, and injections. A comprehensive approach is most often used. The duration of rehabilitation varies from several weeks to months, largely depending on the specific diagnosis and the needs of the particular patient.
About the Author
