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Oedema and haematomas occur as a result of bleeding as well as destruction or damage of lymphatic capillaries by trauma (mechanical, surgical etc.). In the acute inflammatory phase of wound debridement, there is also increased phagocytosis and a generally higher need for transport of extracellular protein, blood cells and other particles (exudation). This results in an enormous interstitial increase in the lymphatic load. As a result, post-traumatic oedema develops by overloading the lymph transport system (high volume insufficiency) and backing up in the interstitial space, in spite of increase in the lymphatic flow rate.
Increased resorption of subcutaneous oedema by deep oscillation has been shown in several clinical studies. This can be explained by two hypotheses. One would be that mechanical stimulation at the level of the interstitial ground substance produces mixing of materials to be transported with the lymph, enhances its distribution and thus increases the surface area for resorption. Another would be that mechanical impulses generate deforming forces that act on the collagenous fibre structures of the interstitial space, and these apply tensile forces to the endothelial layer of the initial lymphatic vessels (lymph capillaries and pre-collectors) via anchor filaments. In this way they could open junctions in the endothelial layer for inflow of fluid, and assist the interstitial drainage mechanism.
Video description:
- Post-traumatic oedema formation: Bleeding, increased transport demands, high volume insufficiency, backing-up in interstitial space.
- Deep oscillation assists resorption of oedema: Mixing materials for transport with the lymph, distribution, increasing surface area, tension on endothelial layer of initial lymph vessels (lymphatic capillaries and pre-collectors) via collagenous fibre structures in the interstitial space, opening junctions for fluid inflow, assistance of the interstitial drainage mechanism.
- Transport of lymph together with materials such as various extracellular proteins, blood cells and other particulate material.
- Valves can already be found in the pre-collectors at intervals of 2-3 mm. Transport of lymph is the exclusive function of lymph collectors and the lymph ducts connected with them.
- The lymphatic system contributes to homeostasis by influencing the volume of extracellular fluid, the interstitial protein concentration and the tissue pressure.
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What is Deep Oscillation
Deep Oscillation is a therapeutic approach that utilises electrostatic impulses delivered through specialised handheld applicators to induce resonant vibrations within tissue layers.
This technique offers several potential advantages, including the reduction of pain by promoting relaxation, improved blood circulation, and diminished muscle tension. It may also contribute to lowering inflammation, fostering tissue healing, promoting muscle relaxation, and enhancing lymphatic drainage.
Benefits:
Pain Reduction:
Deep oscillation can help alleviate pain by promoting relaxation, improving blood circulation, and reducing muscle tension.
Inflammation Reduction:
The therapy may assist in reducing inflammation in affected tissues, making it beneficial for conditions associated with swelling and inflammatory responses.
Improved Tissue Healing:
Deep oscillation is believed to enhance the regeneration and healing process of tissues by promoting better blood flow and oxygenation to the targeted areas.
Muscle Relaxation:
The gentle vibrations induced by deep oscillation can lead to muscle relaxation, making it a useful tool in managing muscle spasms and promoting overall muscle well-being.
Enhanced Lymphatic Drainage:
The technique has been suggested to improve lymphatic circulation, potentially aiding in the removal of waste products and toxins from the tissues, and supporting overall detoxification.