1. HILT Therapy-New aspects treating Sport Injuries
Csiki Zoltán, MD
HIRO-MEDICAL
Laser Center
Jászberény- Hungary
2010 Bucuresti

2. SOFT LASER HISTORY 1960 Maimann rubin laser 1962 HeNe laser
1964 Patel Co2 laser
YAG laser
1962 Medical use- Opthalmology
1965 Jako, Pollányi
1967 Mester Endre prof- biostimulation
In Hungary from the early 70’s SOFT lasers
ASA
2004 The born of „HILT”

3. HILT Therapy The evolution of diode lasers to MLS therapy
Az MLS leads to HILT therapy
HILT means a great volume of energy
Ne-YAG laser
1 and 3kW
Wavelength: 1064 nm
HILT W/ cm2
PEAK POWER- microsecond

4. HIRO The New PAIN KILLER
Improoving the benefical effects of the soft lasers, offers a wide range of treatment of the deep tissues: muscles, articular surfaces
Prof.Mester – from the first steps- of tissular biostimulation- to the biostimulational effect regarding cellular and tissue regenerations
/ muscle, neural, cartilage?
- DJD aplicator- only in HIRo 3
ASA CAMPUS / Italy /- study’s, innovation, curses

5. SH1 & HIRO 3
HIRO : 1 and 3 kW

7. SPORT TRAUMATOLOGY Sport Injuries: muscular injuries tendon laesions
articular injuries
meniscal injuries
Tendinitis, tenosynovitis
Oedema, haematomas
Adductor syndrom, instertiopatys,
Jumpers Knee
Overuse injuries
Bursitis, capsulitis, impingement
Regeneration, remodelation?

8. RESULTS Therapy: Acute Injury 850- 1300 J / joint or region
Chronic Pain : J
Therapy Time: min/ region
Therapeutic Success: 4-8 sessions ( 1- 8 )
Combined Therapy:
Shock WAWE: Herz, 1,8-2,4 Bar: Paravertebral and vertebral pathology, Shoulder, Groin Problems
Pulsed Magnetic Field Therapy: paravertebral and Vertebral pathology, articular pathology
Taping: Kynezio Tape/ Cura Tape / 3-4 day from the very beginning!!
Painless treatment for children and junior sportsman

9. ANKLE INJURIES Conservative Treatment: 1 or two ligam. Comp. injured
Rtg negativ, no instability
Beginning of the Treatment: 0-24 hours after injury
Kynezio tape: NO NEED for BRACING
Therapy sessions: 2-3 days
Pailess walking: end of week 1
2-3 week beginning of sport activity
After 3 weeks sport activity in 90%
VAS: end of first week
end of second week:
third week:

10. MUSCULO SKELETAL INJURY
The Injury, the time of examination and the conseccutive aspects: haematoma, decolement will show the Treatment Modality / when, how much? /
Casuistics: football injury- exam. 12 hours – first 48hours ICE and TAPE
From 3rd Day: 850 J / session
2 sessions/ week
After 3 weeks of therapy- beginning of the sport activity
LMWH- for 10 Days 0,3 ml sc nadroparine

11. KNEE PATHOLOGY
5-6 times, 2x weekly Time between sessions 2-5 days Scan fase+ articular points HIRO 3 Base apl+ DJD Head Fibular point- Dermatomic treatment Shall We use Hyaluronic Acid?

12. CONCLUSSIONS
Laser therapy is usefull in almost every painfull syndrom –TRY IT!
The use of Medical Lasers is SAFE, and very
Succesfull
It could be combined with every known Physiotherapeutic Procedure
Minimal Contraindications
Very fast results- good Compliance

13.
THANKS FOR REGARDING