Complaints & connections · borters.ch
The best-studied movement therapy — first choice for very many complaints.
Also known as: physiotherapy · physical therapy
Open in the tool — with search and all the links →This compilation is for information and replaces neither medical diagnosis nor treatment. If you have symptoms, see a doctor.
Physiotherapy combines targeted movement, exercises and manual techniques. The idea behind it: to help muscles, joints and nerves work well together again and regain their function. It is often used as support after injuries, operations or for movement-related concerns, and is adapted step by step to the person.
Both work with the hands but set different emphases: here exercise and function over time, there mobilisation and short thrusts at joints. In the recommendations they stand side by side.
The hour at the practice shows what to do; the effect arises in the days between. Three to four short sessions a week beat one long one at the weekend.
Not “less pain”, but: one flight of stairs without holding on, twenty minutes sitting, the arm up to the shelf. That is how progress shows — and how its absence shows too.
Earlier operations, osteoporosis, blood thinning, disc problems, dizziness, heart trouble, a pregnancy. This information changes the choice of techniques and exercises.
A pull that stays bearable during the exercise and fades within an hour is usual. Pain that lasts overnight or is stronger the next day means: one step back.
A series usually comprises nine sessions. After about six something should have moved — otherwise a conversation about a different approach beats a silent extension.
A prescription usually covers six to nine sessions; with tendon and muscle problems the gain in strength and load capacity shows after six to twelve weeks, because tendons remodel more slowly than muscle. What is practised at home between appointments accounts, in reviews, for a larger part of the result than the session itself. After a joint replacement the biggest progress falls in the first three months, then slows until about a year.
What the therapy does is dose the load: it gives the tissue just enough stimulus to adapt, and not so much that it is overwhelmed. What it does not do: undo the damage — a torn tendon does not knit through exercise, and cartilage does not rebuild. It changes what the surroundings can do. The session alone is not enough: in reviews, the practice between appointments carries the larger part of the result.
A soreness after new exercises is to be expected and fades within one to two days. It is a sign of loading, not of damage.
Pain that lasts overnight, is stronger the next day or radiates into a leg or an arm. Then the load is taken back one step — not stopped altogether.
Dizziness when getting up quickly from the mat, especially with low blood pressure or under blood pressure drugs. Getting up slowly over the side usually solves it.
New numbness, increasing weakness, fever, constant pain at night or a swelling with warmth. That belongs looked at first, before training continues.
No value measures the therapy. This one does explain why someone is out of breath immediately during an exercise — and then the load is adapted rather than increased.
A raised sugar delays the healing of tendons and wounds. That explains slow courses otherwise blamed on the exercises.
No blood value measures this treatment. The values listed here stand for caution — they change the approach when they are abnormal.
A drop in circulation with pallor, sweating and nausea occurs almost only on an empty stomach and while sitting. A small bite beforehand and being treated lying down takes the ground from it.
Having drunk enough lessens dizziness and headache afterwards. That water flushes something out afterwards is a description and not a demonstrated effect — it is sensible anyway.
When a treatment works on muscles, tendons or fascia, the recovery needs building material. That holds for every method that concerns the moving apparatus.
Anyone who quickly gets dizzy at every treatment often has an empty iron store. That is no reason against the method, but a pointer worth taking along.
Strength training without enough protein builds little. 20–40 g after the session and 1.2–1.6 g per kilogram a day overall is the frame reckoned with in rehabilitation — with reduced kidney function it does not apply.
With a low level muscle strength is measurably lower and the fall rate higher. Measured and replaced if deficient — the effect shows over months, not weeks.
3–5 g a day is the best-studied supplement for building strength there is — in older people and in rehabilitation too, together with training. Without training it does little, and the first kilos are water in the muscle cell.
Clearly effective with proven deficiency, useless without. Take only with a documented deficiency — excess is harmful.
Strength training raises IGF-1 in the muscle itself — where it is needed, and without changing the blood level. That is the reason movement works where a capsule achieves nothing.
The working muscle is itself a hormone-producing organ — it releases messengers that act on fat tissue, bone and brain. That is the cleanest answer to why movement works so broadly.
Loading builds bone, and bone answers with a hormone of its own. This is why strength training in osteoporosis works where the training happens — bone grows only under pull and pressure, not from calcium alone.
Building strength needs a stimulus and building material. 20–25 g protein in the hours after the session is the studied frame — rather 30–40 g in older age, since muscle responds less well.
With a proven deficiency correction measurably improves strength and balance, especially in older people. Without deficiency no added benefit shows.
For most musculoskeletal complaints exercise therapy is the best-evidenced approach — for some even on a par with surgery. The amount counts: frequently and over weeks.
Listed values: 73 · 146 · 584 Hz