General indications of medical treatments are:

Mechanism of action:

the medicinal water of Sóstó has a medicinal effect for chronic musculoskeletal diseases, proven with a double-blind experiment. Based on its chemical composition, it is water containing sodium chloride (table salt), hydrogen carbonate and iodine-bromine. A characteristic feature of salt water is that it adheres strongly to the skin, thereby exerting a strong anti-inflammatory and immune system strengthening effect. Due to its exfoliating effect, it is also recommended for dermatological diseases.
In addition to the above-described effects of the inorganic mineral composition, the physical properties of water are beneficial to the human body and can be well utilized in medicine. - thanks to its liquid state, it surrounds the body sunk into water from all sides. Water flow stimulates the skin.
- due to hydrostatic pressure, the circulating blood volume increases within the blood vessels. Thanks to the water pressure on the body, the blood becomes pumped back into the circulation from the veins of the skin, the subcutaneous tissues and the superficial muscles, so the amounts of blood supplied to the arterial system per minute by the hearth, the so called cardiac output will increase. However, neither the heart rate, nor the blood pressure increases, and, what is more, according to experience, blood pressure becomes reduced. In the rehabilitation of heart patients, this effect of immersion in water is used.

Urine excretion is also exacerbated, resulting in diuretic effects.
- because of buoyancy, some movements become easier
- the water of a temperature of 34-36 degrees of Celsius is felt warm. Hot water relaxes the muscles, and increases the blood supply to the skin and muscles

Treatment process:

the recommended time to stay in the pool with medicinal water is: 20 minutes, which can be repeated after a short rest period.

Important contraindications:

see also the general contraindications

Mechanism of action:

we perform the treatment with mud originating from the depth of Lake Hévíz. The mud from Hévíz is a mixed-type medicinal mud mostly from herbal origin, containing organic and inorganic substances. We distinguish between physical, chemical and physiological effects of mud.
As a result of the warm mud, the muscles relax and the extensibility of tissues rich in collagen (e.g. tendons, muscles, joints) increases. Express vasodilation occurs, which has a metabolism enhancing effect, thereby relieving pain.

The activity of cells involved in the functioning of the immune system increases, thus it has an anti-inflammatory effect.
Mud has an osmotic effect - this means that it draws the fat and moisture content of its environment. Thanks to this, the excess moisture, accumulated in joints can be easily removed.

Important contraindications:

see also the general contraindications

Mechanism of action:

the weight bath is a procedure based on underwater pulling. The development of the method is associated with the name of Károly Moll, Hungarian doctor. During the treatment performed in pleasantly warm medicinal water, as a result of the tensile force on the spine, the musculature and the ligament system adjacent to the spinal column becomes relaxed, thus it is suitable for treating vertebral abrasions, minor intervertebral disc herniations, intervertebral disc diverticulitis, as well as for stretching of hip or knee joints accompanied by movement. Biomechanical studies have been used to calculate the tensile force of the different sections of the spine and the large joints of the lower limbs.

Treatment process:

the weight bath treatment is performed in thermal water of indifferent temperature, in a specially designed pool. At the point of suspension, the foot of the patient does not reach the ground to hang without support. With a gradually increasing duration, the treatment lasts for up to 15 minutes. Suspension can be made at the neck or under the armpit. In case of armpit support, the weight can be increased gradually, which can be achieved with weights hung on the belts placed above the waist or the ankles, in a weight of 1.5-9 kg per limb. The weight must always be hung under the area to be stretched. For pulling at the neck, the own weight of the patient less the buoyant force is sufficient, but weights can be used also in this case.

Important contraindications:

in addition to the general contraindications of taking a medical bath, vertebral slip, intervertebral disc herniation - post-operative condition, severe osteoporosis, tumor in the vertebral body, inflammation of the vertebral column or the presence of glaucoma.

Mechanism of action:

carbonic acid causes redness, vasodilation and irritates the skin’s warm-sensing receptors, making us feel the water 2-4 degrees warmer. Due to vasodilation, the amount of circulating blood increases (in addition to superficial blood vessels, the coronary arteries of the hearth expand, as well), thereby increasing the rate of metabolism. In addition to this, the micromassage effect of the carbonic acid bubbles floating to the skin surface is also validated.

Treatment process:

Sunk into a medical bathtub, the treatment takes place in a water of a temperature around 32 degrees. The height of the water does not exceed the height of the heart. The treatment time should be gradually increased from 5 minutes to a maximum of 15 minutes.

Indication:

for cardiovascular diseases, diabetic patients, or the treatment of the complicated vasoconstriction of smokers.

Important contraindications:

see also the general contraindications.

Mechanism of action:

the massage is a mechanical stimulus for the skin, the subcutaneous connective tissue and the muscles. The circulation increases in the muscle and lymphatic circulation increases, as well. Through local and reflexive remote effect, it improves blood circulation and relieves pain. A well performed massage is one of the best regenerators of our skin through loosening the outer layer of the skin, the epithelium. In the area affected, redness indicates that congestion has occurred. It has muscle relaxant and isotonic effects.

Contraindications:

the general contraindications to medical baths, local skin lesions (skin damage, skin disease), varicose veins, haemophilia. Caution should be exercised when taking anticoagulants

Mechanism of action:

the underwater jet massage treatment is a combination of mechanotherapy and hydrotherapy. Its beneficial physiological effect is mainly caused by the massaging and pressing effect of the water jet. The underwater jet massage pushes the skin, and after the pressure is over, reactive congestion occurs. Some literature data suggest that at the currently treated point, 81.5% increase in blood flow may occur. Improved local blood supply also increases metabolism. The mechanical effect also affects the lymphatic circulation, eliminating lymphoedema. Another important biological effect is the improvement of muscle tone. As a result of these effects, it is a pain relieving procedure.

Important contraindications:

see also the general contraindications

Underwater gymnastics is run by qualified physiotherapists in pleasant temperature water. Movement in the water affects the various parts of the motion system, and also the circularoty, respiratory and nervous systems. Its scope of application and the types of exercises is very diverse; it can be used to increase the range of motion, to increase muscle strength, strength and endurance, to improve coordination, to increase circulation and to improve general condition. It can be a useful addition to dry exercises. Duration: 25 minutes.

Important contraindications:

see also the general contraindications.

Mechanism of action:

the galvanic current has pain relieving, anti-inflammatory and vasodilatory effects. It improves the driving ability of nerves. It causes local congestion, resulting in reddening of the skin.
It is used in musculoskeletal diseases, primarily for pain relief and to increase blood circulation in superficial blood vessels.

Important contraindications:

see also the general contraindications.

Mechanism of action:

in case of Nemec’s mid-frequency treatment, two intermittent circuits create interference currents. The frequency value of crossed circuits is between 4000 and 4250 Hz.
At a frequency of 4000 Hz, the resistance of the skin decreases, so deeper tissues can be stimuated, as well.
Another advantage of interference circuits is that they are less irritating to the sensory receptors in the skin, and therefore they do not cause any discomfort or leave redness.

Important contraindications:

see also the general contraindications.

Treatment process:

ultrasound is the sound over the 16000 Hz frequency range. Therapeutic ultrasound has been used for medical purposes for nearly 70 years. Its applicability is enabled by its physical, chemical and biological effects.

Physical effects:

- micromassage effect (the ultrasound as a mechanical stimulus makes tissues vibrate)
- heat effect (the absorbed energy becomes transformed into heat)

Biochemical effects:

medicaments can be passed through the skin into the body (a non-steroidal ointment)
The biological response develops as a result of these. They result in vasodilation and increase in local blood circulation, and they heat and relact the area affected. It has an excellent pain relieving and muscle relaxant effect. It increases the oxygen supply of the area treated, thereby improving the healing process. It is extremely effective in distributing painful muscle nodules.

Important contraindications:

see also the general contraindications.

A procedure for treating small joints of the hand and the foot.

Mechanism of action:

The development of the laser beam is associated with the name of Maiman. It is a particularly special form of light.
Its characteristics are:
- monochromatic: single-wavelength light, with no wavelength range
- coherent: the photons involved in the radiation are in the same phase with each other
- has a high power density

The penetrating laser beams interact with the cells or the molecules within the cells. The excitation of photosensitive molecules within the cells by light stimulates biochemical processes, thanks to the bioregulative effect of which, the below biological and clinical effects occur.

Biological effects

- it stimulates cell regeneration (the damaged cellular metabolism is restored, while not affecting healthy cellular activity)
- it stimulates the vasculature, improves capillary dilation, thereby improving microcirculation
- vascular reinforcement
- anti-inflammatory effect (regeneration accelerates, inflammation is delimited, the pain and swelling decreases, the impaired function improves significantly already after the first treatments)
- stimulation of the immune system (after the soft laser irradiation, the number and activity of immune cells is demonstrably increased)

Clinical effects:

- it has a pain relieving effect
- it reduces inflammation
- it reduces muscle tension
- it improves tissue circulation, thereby reducing edema
- it increases metabolism
- it increases tissue regeneration
- it has antibacterial effect

Important contraindications:

see also the general contraindications.

Physical therapy is a special movement therapy, which aims to restore the ability to move by means of the exercises determined by the physical therapist, and if this is not possible, to adapt to the changed state. Physical therapy can be divided into active and passive procedures. The active parts of physical therapy are: the guided active movement and the dictation-driven movement. Its aim is to improve muscle strength, to relax and improve movement coordination. As a passive part of physical therapy, the patient relaxes the moved body part and the control is made by the treatment provider.
As a result of cure-like application of physical therapy, muscle strength enhancement, movement coordination and balance improvement, and - in addition to the improvement of endurance - circulation enhancement can be achieved.
The duration of this kind of physical therapy is 30 minutes.

During the examination performed based on the McKenzie method, the McKenzie therapeutist (qualified physiotherapies) has special postures and movements repeated by the patient.

Application areas of the McKenzie method are:

- Spinal disc herniation
- Spinal disc diverticulitis
- Pain radiating into the arm or foot
- Numbness of the arm, palm, thigh, leg or foot
- Waist-, back- and neck pain due to improper posture
- Waist-, back- and neck pain due to contraction, scarring or adhesion

Contraindications:

- Canalis stenosis
- Spondylolisis
- Spondylolistesis
- Central hernia
- Ruptured hernia
- While taking painkillers
- Directly after surgery or trauma
- Local edema, cyst, hematoma
- Degenerative diseases of the spine that result in tissue transformation (e.g. SPA, Scheuermann)
- High degree of osteoporosis
- Cancerous diseases of the spine

The application of carbon dioxide as a refrigerant in cryotherapy procedures has a therapeutic effect, which is manifested in the following:

- analgesia due to high levels of endorphin release
- reduction of inflammatory processes
- reduction of muscle tone
- edema reduction
- improvement of the clinical and movement state of the patient due to the increased mobility of the cooled joints and increasing muscle strength.

Treatment process:

making the body part to be treated free, the patient receives the treatment while holding the nozzle at a suitable distance. Its duration is 3 minutes on average, which may be influenced by the following factors:
- the size of the chilled surface – the more surfaces must be cooled, the longer the process lasts (a procedure can last for up to 12 minutes, and in case of 4 surfaces, all surfaces can be treated for 3 minutes)
- the muscle of a particular body part. The more muscle, the longer the procedure.
- the fat layer of the patient. The thicker the fat layer, the longer the procedure.

As a result of the treatment, the skin is temporarily whitened and the treatment may be accompanied by blunt pain.

Indication:

chronic spine diseases of abrasive character (various stages of intervertebral disc degeneration, in the status afer intervertebral disc herniation surgery) and limb joint disorders (shoulder, elbow, wrist, hip, knee, ankle arthrosis)
non-active stage of inflammatory joint and spinal disorders,
muscle aches, pains caused by muscle cramp
the disease of muscles and ligaments, jerks
inflammation of the sciatic nerve
dissolution of rigid limb joints after fracture
for faster regeneration after fracture and bruising
it allows for the non-invasive treatment (i.e. without intervention) of the vascular network (spider angioma)

Main contraindications:

see also the general contraindications, or sensitivity to cold, certain circulatory disorders, significant anaemia, severe polyneuropathy, emotional distress, autoimmune vascular diseases, Raynaud’s syndrome.

The shock wave therapy device produces mechanical energy by using compressed air, and it makes more than 600 small hits per minute on the area to be treated. According to the laws of mechanics, if the wave reaches a hard material, it achieves a crushing effect. We use this impact of the shock wave to the most extent.

Biological effect of the shock wave:

if absorbed by the tissues, it has a cellular effect by increasing the permeability of the cell membrane and stimulating cell division
expansion of blood vessels in the tendons and muscles, improvement of blood circulation in the given place
due to congestion, factors reducing inflammation become concentrated
stimulation of bone healing
collagen production support

As a result of these listed biological responses, physiologically the following changes occur:
- reduction of inflammation
- pain relief
- improvement of lymphatic circulation and metabolism
- muscle relaxant effect
- solubilization of lime deposition

The shock waves trigger the body’s own healing mechanisms. The treatment terminates the real cause of pain, and thanks to it the injured tissues become gradually regenerated, and the calcification that becomes deposited during the inflammatory reaction of the joints is gradually absorbed. The advantage of this form of treatment is that is is very effective, fast and non-invasive, i.e. without the need of surgical intervention.

Treatment procedure:

the patient is lying on the treatment bed in a comfortable position, making the body part to be treated free. Ultrasound gel is applied on the area to be treated and the treatment is performed with massaging movements. With regard to the fact that there is a strong mechanical impact on the body surface, it can cause discomfort, which can be mitigated by changing the strength. Over time, the extent of this decreases. The duration of the treatment can be measured in minutes, and the required number of strokes can be given in 5 minutes, the time of which may vary from person to person. Its application takes place in a cure-like manner, and according to experience, at least treatments are needed, but 10-15 occasions are not uncommon either.

Indication:

usually it is recommended for such contumacious chronic musculoskeletal diseases that do not respond to other treatments, when the possibility of surgical intervention is already occurred, such as:
- calcaneus spur
- Achilles tendonitis,
- golf elbow,
- epicondylitis,
- frozen shoulder,
- sports injuries,
- Carpel tunnel syndrom,
- plantar fascitis - aponeurosis plantaris

Contraindication:

varicose veins in the given area, thrombosis, blood disorder and the use of anticoagulants, venous insufficiency, acute inflammation, pregnancy, growing cartilage (in case of a child), for 6 weeks after therapeutic radiography, use of steroids in the preceding 6 weeks, fever, flu, tumor, proliferative disorder in the area treated, TBC, pacemaker, stent implantation, ulcerated skin, diabetic foot.