Distal Radius Fracture Healing Enhanced with Deep Oscillation

A good friend wrote to PhysioPod in the midst of the COVID-19 lockdown with news "I've been in the wars!"

 

23rd June 2020:

Been in the wars Mary!  Fell over in the shower, dislocated and fractured my wrist in three places. At AE they manipulated and put in cast, but a week later the bones had moved, so they manipulated it again, put it into a new cast and so far it's ok,  they said if not for Covid19 they may have done an internal fixation. So on Thursday I'm back to make sure it hasn't moved again... Pain has been horrible. It's my right hand, just got to take it steady. Sleeping has been terrible due to the pins and needles. Anyway I'm sure it will settle down. I just feel very emotional about it all.

25th June 2020:

Went to hospital today, said it was still lined up and were happy to leave in plaster and not pin. Going back in 3 weeks. He said once off it would be stiff and only probably regain 80 percent,  which freaked me out a bit but.... surely physio will help?

16th July 2020:

Plaster has been removed but movement is very limited. I can make a claw with my fingers but cannot bend much. It's worse than I thought but I fell on it quite badly. Hospital sending some exercise sheets out, meanwhile got to keep wiggling. 

29th July 2020:

Thank you so much for coming and treating me with Deep Oscillation Mary, it felt great and cannot believe the colour difference from before and after, it looks so much healthier. Couldn't believe I could lay it flat too. Very excited to start using the machine. It is so soothing too.

30th July 2020:

AM: Treated today with 5cm oscillator head, can stretch my fingers straighter. PM daughter massaged me with the vinyl gloves, she enjoyed doing it.

31st July 2020:

Fingers a little tender today, think I was pressing too hard with the applicator! I know you said I don't need as it goes down 8cm!  I think I'm of the 'no pain, no gain' brigade! ;-) I'll swop to a lighter touch tomorrow.

3rd August 2020

Well, the machine gives great relief. by night hand seems puffy but then when I wake up it looks good. During the day, it can fluctuate in look/pain but there's the oddest look in my fingers, as if slightly water logged and blue/white colour. 

4th August 2020

Saw a hand and wrist specialist who said he was confident that with lots of hand therapy I would see the hand working again. I will have to regain flexibility in wrist but it was the fingers that needed the action. I told him I was using Deep Oscillation and he said that was good and certainly wouldn't harm anything. I have a feeling that by using the machine, which is doing a great job it will get the circulation going.

5th August 2020:

The hand therapist rang today from Newark and asked me go Friday. Think this will be good too. I will keep doing my fingers with deep oscillation as it was really nice today at the 100 Hz you suggested and I could do my exercises easily after.

7th August 2020: 

Saw hand therapist today, it was really good to go and see her, she explained it very well and when we got to the massage part in order to try and relieve the swelling all I could think of was the machine. She says swelling is normal though and got to treat with a wet tea towel that's been in freezer and wrap it around. Deep oscillation massage then exercise.

8th August 2020:

My fingers are more bendy, so combining massage and sheet exercises working well.  Sleeping improved too.

16th August 2020

Thanks for today Mary, you and Julie been amazing and kind. Hand feels great and bendy after Julie's hour treatment.

30th August 2020:

I'm doing great, feel like I have turned a corner this week. 

15th October 2020:

I saw the hand therapist today, she was pleased with my progress and said she agreed that deep oscillation would have helped reduce swelling and improve circulation - it certainly enabled me to complete the exercises which I struggled to do without the oscillation first.

20th October 2020

Together with hand therapy and finger exercises the arm and hand have responded well. A full fist can be made with improved partial rotation of wrist. The pain and swelling in the hand, which caused the most discomfort was really helped with the daily DO treatment.

A maintained rigorous daily exercise routine will see the hand regain use and strength. It will take a while as informed by the consultant, but the use of the DO machine has definitely aided my recovery.

Many thanks to you both for your fantastic support and encouragement. Your positivity and genuine care for the wellbeing of your clients is truly commendable. Thank you for everything, especially putting yourselves out in these difficult times.

 

Mrs M.

 

 

 

 

 

 

 

 

 

 

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More information about DEEP OSCILLATION®

 

DEEP OSCILLATION® therapy can be used with gloved hands as massage to another person or applicators,  applicators also enable self-management of sporting and occupational injuries, early post operatively for pain, swelling and bruising, improving mobility and promoting a dynamic wound healing.  For lymphoedema and lipoedema (where appropriate), for acute and chronic scar tissue and hardened fibrosis.

 

  • DEEP OSCILLATION® gets to the core of the problem, non invasively and gently, saving the clinicians hands
  • Permeating an 8cm tissue depth - see diagram
  • Intermittent, patented, electrostatic, electromechanical therapy (not electrical stimulation)
  • Safe over implanted pins and plates
  • No heat

layers

 

DEEP OSCILLATION®, developed by Physiomed Elektromedizin in Germany is an internationally patented therapeutic design which utilizes the forces of pulsed electrostatic attraction and friction to provoke oscillations, which act deeply on the tissues of the body from the epidermis down through the conjunctive and adipose layers and into the muscles. Hernandez Tapanes et al (2010) were able to prove, by diagnostic ultrasound, penetration of the oscillations up to an 8cm depth (see diagram).