ischeal bursitis

[alasaar]

Hi there
I would like to advice you to try using Laser as I have found it very useful. However if the patient not responding for 4 to 5 sessions I believe you need to ask the pt to see her doctor or GP to have local Non steroidal anti-inflammatory Injection.
wish you the best
take care

[Canuck Physio]

Let us not rule out that biomechanically, posture and movement patterns may contribute to altered sling patterns, or altered joint spread across joints that may exacerbate the conditions/situation.

What is the theory behind laser in bursitis?

[Physio Dace]

I know there is weak evidence for U/S in general but clinically I have got quite good results treating other bursa such as G troch (unsure if its bursa or gmed tendon etc) and ITB.

My application varies from classical recommendations, however. I aim for light to moderate symptom reproduction during the application and adjust intensity as accommodation/sensitisation occurs. I typically use the highest intensity tolerable and long Rx times (10-15min) and usually keep it on continuous but may flick to I/T if symptoms build. Don't ask me why it works; I could speculate numerous neurophysiological effects that all lack sufficient evidence. Perhaps the lack of evidence for U/S stems from very conservative dosage parameters studies in research - I was taught this approach by a clinician with over 40 years exp and it seems to work. Though I haven't used it on an ischial bursitis/area pain.

[linbin]

hi
science could not able to explain pain efficiently.new concepts are suggested based on the understanding during various time periods
pain gate
neuromatrix
biopsychosocial

so its difficult to find out the mechanisms behind analgesic effects of physical therapy modalities and manual therapy