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All Journal MNJ (Malang Neurology Journal) Cermin Dunia Kedokteran Smart Society: Community Service and Empowerment Journal

Tandiyo, Desy Kurniawati

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Author-ID : 1169733

Humanities Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Penatalaksanaan Kedokteran Fisik dan Rehabilitasi Tennis Elbow Tandiyo, Desy Kurniawati
Cermin Dunia Kedokteran Vol 41, No 5 (2014): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Tennis elbow atau epikondilitis lateral merupakan kasus nyeri siku bagian lateral. Penatalaksanaan Kedokteran Fisik dan Rehabilitasi bertujuan mengatasi inflamasi; mempercepat penyembuhan; mengurangi overuse; dan memperbaiki fleksibilitas, kekuatan dan ketahanan jaringan lunak. Penatalaksanaan dengan cara tidak melakukan aktivitas yang memprovokasi, analgesik, modalitas fisik dan pembidaian. Modalitas fisik berupa cryotherapy, TENS (Transcutaneous Electrical Nerve Stimulation), ultrasound dan phonophoresis, Extracorporeal Shock-Wave Therapy (ESWT) dan Light Amplification by Stimulated Emission of Radiation (LASER) kekuatan rendah. Terapi latihan dengan pembebanan progresif ekstensor pergelangan tangan. Dengan penatalaksanaan yang baik, pasien dapat kembali bekerja atau berolahraga dengan modifikasi beban dan latihan khusus. Intervensi penting lainnya berupa modifikasi tempat kerja, edukasi dan latihan postur.Tennis elbow or lateral epicondylitis is the most common presentation of lateral elbow pain. The goals of Physical Medicine and Rehabilitation treatment are to control the inflammation; to reduce overuse; and to improve soft-tissue flexibility, strength and endurance. Treatment involves discontinuation of provocative activities, analgesics, physical modalities and bracing. Physical modalities include cryotherapy; TENS (Transcutaneous Electrical Nerve Stimulation); ultrasound and phonophoresis; Extracorporeal Shock-Wave Therapy (ESWT); and Low Level Light Amplification by Stimulated Emission of Radiation (LASER). Therapeutic exercise include progressive loading of the wrist extensors. With proper treatment, patients can return to activities with modification. Workstation modifications, education, and postural retraining are important interventions.Â

ESWT (Extracorporeal Shock Wave Therapy) untuk Calcaneal Spur Tandiyo, Desy Kurniawati
Cermin Dunia Kedokteran Vol 42, No 12 (2015): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Nyeri tumit ditandai nyeri pada tumit bagian inferior atau posterior yang diperparah dengan posisi tubuh weight bearing, bersifat progresif dan ditemukan spur pada 50% kasus. Terapi modalitas yang biasa diberikan antara lain terapi dingin, terapi panas, iontophoresis, dan TENS (Transcutaneous Electrical Nerve Stimulation). ESWT (Extracorporeal Shock Wave Therapy) adalah terapi menggunakan shock wave (gelombang kejut) dengan impuls tekanan mikrodetik; tergantung energi yang digunakan dapat mengurangi nyeri dan fragmentasi deposit kalsifikasi, sehingga dapat dipertimbangkan sebagai alternatif penanganan nyeri tumit dengan spur.Painful heel is characterised by severe pain in the inferior or posterior aspect of the heel, aggravated by weight bearing, progressively worsening, with evidence of spur in about 50% of cases. Treatment modalities for painful heel are usually cold therapy, heat therapy, iontophoresis, and TENS (Transcutaneous Electrical Nerve Stimulation). ESWT (Extracorporeal Shock Wave Therapy) is based on the use of shock wave with microsecond pressure impulses, depending on the energy used, to reduce pain and fragmentation of calcific deposits. ESWT can be used as an alternative therapy for painful heel with calcaneal spur.

Co-Authors Ari Probandari Budianto, Pepi Modesty, Kyra Sitepu, Brigitta Ellycia

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