Underwater Waist – Neck Traction, PRP, Ozone therapy

Rehabilitation like traction aims to maximize the physical, mental, social and professional potential of a person with congenital physiological or anatomical deficiency. The purpose of rehabilitation is to give the individual as much independence as possible in his or her daily life. Where the competent doctor performs a thorough examination of the patient before starting treatment to determine the patient’s health and physiological condition and the result of the examination conducted by the physiotherapist and rehabilitation, the program of physical therapy and rehabilitation is carried out as required. In this program, during this treatment physical therapy tools, exercises, manual therapy, massage therapy, and other intra-joint injections where the doctor determines the methods to be used during rehabilitation and changes if necessary. During rehabilitation, the causes of the disease are explained to the patient and precautions are taken to avoid deterioration of the patient’s condition and to ensure full access to treatment.

Treatments used in rehabilitation programs:

There is a wide range of treatments used in the rehabilitation process whether patients or victims of different accidents and each type of treatment has a specific area or specific conditions to be treated and through specialized experts can determine an integrated program to suit the situation of each patient and the most important of these treatments:

Underwater Waist – Neck Traction

It is a treatment used to extend elastic tissues and spinal joints. Tensile is provided using the patient’s body weight or with additional weights. Such actions have no mechanical effect on the sections of the spine. It improves the interaction of vertebral joints, muscle relaxation and increases the range of movement and functional flexibility of the spine. In addition, tensile stimulates dietary metabolism, adjusts blood circulation and removes pressure from nerve and vascular components.

As practice has shown, underwater spinal traction gives a very high therapeutic effect, compared to other physical therapy methods. At the same time, tensile is considered a low-load procedure and may be recommended for many patients.

Types of underwater Traction

Traction is performed in two main ways, horizontally and vertically. In the case of horizontal stretching, the patient is lying on his chest, fastened with a fixed belt, and is provided with weights by a connected cable. It is hung on the edge of the water basin, providing load on the spine. Initially the weight is excessive, and is gradually lost and by the end of the session it has reached the optimal weight which is the body weight after the end of the session the patient wears a compression corset, which should be worn for a few hours to maximize the effect of the session.

In the case of vertical extension of the spine, the patient is in a slanted or reclining position, and the procedure is often performed depending on his body weight as the vertical method is considered more moderate.

Underwater Traction properties

Underwater traction combines spinal tension with the effect of warm mineral water on the patient. The latter ensures the reduction of the tension of the planned muscles, thanks to vertebral holes and increased distance between the vertebrae by the effect of tension. In addition, vascular spasm is resolved and improves blood flow to the spine,

Why do people resort to Traction?

The treatment of traction aims to treat diseases of the musculoskeletal system first and foremost. With help in eliminating contractions and deformities of joint surfaces and bone fragments. In addition, it is used in the treatment of the following conditions:

  • Degenerative discs (disc)
  • Scoliosis
  • Deformation of vertebrae
  • Inflammatory spine syndromes
  • Vertebral fractures
  • Osteoporosis

Platelet-rich plasma (PRP)

What is platelet-rich plasma (PRP)?

PRP is a concentrated platelet-derived from the plasma part of a person’s blood. While platelets are widely known to play a major role in coagulation processes, their use in the treatment of tendon disease is due to the abundance of enzymes and growth factors associated with the healing process.  The problem with tendons is that they have a lack of blood supply, which means that it is difficult for these tissues to get the nutrients needed to stimulate repair of the affected tissues. PRP injections provide growth and healing factors to the affected site of tendon tissue, which is difficult for the body to deliver due to the lack of blood flow to these areas.  These injections can treat many injuries such as sprained knee lateral ligament or cartilage deterioration, such as knee arthritis. Injections can also treat infections, which is why patients are often given restrictions on initial activity.

The entire PRP procedure takes 30 minutes or so to make the entire PRP. During PRP injections, a blood sample is taken from the patient’s arm and the blood is placed in a special tube and then placed in a centrifuge. The centrifuge will separate the blood into different components.

There is a layer that forms when the tube is placed in the centrifuge. That layer has platelets. The layer containing platelets and other larger cells (stem cells) can then be removed. This platelet layer will then be injected into the affected joint, tendon or ligament. Depending on the area being injected, an ultrasound device can be used to guide the needle to its correct position.

The risk of PRP injection is very low because the patient is only injected with his or her blood. Usually no medications are added to PRP injections.

PRP injections in the knee, shoulder or elbow usually produce a mild swelling and very little pain and PRP injections into muscles or tendons may cause a little more pain than joint injections. This discomfort or pain may last 2-3 days or more.

How are PRP injections prepared?

During prp injection, platelets are collected and injected into the damaged or infected area.

 Platelet function is affected by certain medications. It is therefore advisable to consult your cardiologist or primary care physician before undergoing this treatment.

Aspirin, motorin, naprosein, naproxen and diclofenac interfere with platelet function and are expected to reduce the response to PRP injections. Therefore, you should refrain from taking aspirin or other anti-inflammatories for one week before injection and two weeks after the injection.

Cases that can be treated with PRP injections

Tendon injuries: Tendons are thick solid ligaments of tissues that bind muscles to bones. They are usually slow to heal after being injured. Doctors use PRP injections to treat chronic tendon problems, such as tennis elbow, ankle tendonitis or patella tendon pain in the knee.

Acute injuries: Doctors used PRP injections to treat severe sports injuries, such as malignancies or sprained knee.

Accelerated postoperative healing: Sometimes doctors use POSTOPERATIVE PRP injections to repair a torn tendon (such as a rotating shoulder tendon) or ligaments (such as anterior cruciate ligament or).

Osteoporosis: Doctors injected PRP into the knees of osteoporosis patients. A 2015 study found that PRP injections were more effective than injecting hyaluronic acid (a traditional treatment) to treat arthritis. However, the experiment was a small group of 160 people, so larger experiments are needed to be crucial.

What are the possible side effects of PRP?

Since PRP injections involve injecting a substance into the skin, there are potential side effects. PRP is a subjective treatment, which means that it contains substances that come directly from the patient’s body and do not come from an external source which reduces the risk of allergic reactions that can occur from the injection of other drugs, such as cortisone or hyaluronic acid. However, there are risks of injection itself, including:

  • Infection
  • Nerve injuries
  • Pain at the injection site
  • Tissue damage

Therefore, you should discuss these potential risks with your doctor and know what steps your doctor will take to reduce these risks.

How long is the healing time for PRP injections?

When PRP is injected after injury, your doctor may recommend resting the affected area. However, these recommendations are more relevant to infection and less related to PRP injections. Most people can continue their daily activities after using these injections.

Since PRP injections are intended to promote healing or growth, an immediate difference may not be observed after receiving injections. However, within several weeks or months, the patient may notice that the area is healed faster than expected if he did not receive PRP injections.

Ozone therapy

Ozone therapy is one of the areas of modern medicine nowadays and is based on ozone, a colorless gas consisting of three oxygen atoms. Some researchers believe that ozone has therapeutic effects and treatment has been studied and used for more than 150 years. Ozone gas is found in the stratosphere. Its primary purpose is to protect the Earth from the ultraviolet rays of the sun, which mostly absorb.

In medicine, ozone therapy is used to disinfect and treat conditions by cleaning the surrounding area, increasing the rate of oxygen that enters and the effectiveness of cells, and activating the immune system. The use of gas as a medical treatment is unusual, so there are special techniques that are used. Ozone can also be toxic when inhaled.


Ozone therapy has been found to be beneficial in several ways in medicine. When it was first used more than 150 years ago, it proved to be able to cleanse and treat diseases.

During World War I, ozone technology not only demonstrated its ability to cleanse wounds but was also able to aid blood flow and produce anti-inflammatory effects. Later, it was found to be a useful treatment for people suffering from HIV before the availability of pharmaceutical drugs.

Ozone is used today to treat:

  • Injured wounds
  • Circulatory disorders
  • Aging disorders
  • Macular degeneration
  • Viral diseases
  • Rheumatism and arthritis
  • Cancer
  • SARS
  • Aids

Although ozone is a gas, advances in technology mean that it can be used in several different forms and methods, including:

  • Ozone-treated olive oil can be applied directly to the body
  • Bloating is a risky treatment where ozone is inflated in the rectum
  • Ozone-treated water improves brain function, fights bacteria, and accelerates healing.
  • Injections, which are often used in dentistry
  • Self-treatment, where blood is drawn and mixed with ozone, and returned to the bloodstream
  • Gas bath or sauna

Through previous techniques, ozone can disrupt bacteria, viruses, fungi and parasites, stimulate the immune system to speed up healing, improve blood circulation by cleaning arteries and veins, controlling the secretion of hormones and enzymes, its ability to fight infections, reduce pain, stop bleeding, improve brain and memory function, reduce the risk of complications from diabetes, and help reduce stroke damage, arrhythmia or heart rhythm.

Side effects

Those considering ozone treatment should discuss the risks and potential benefits with their doctor.

The side effects of ozone therapy may vary depending on the type of treatment a person is undergoing.

Ozone should not be inhaled under any circumstances. If it enters the mouth, nose or eyes, it may burn and cause coughing, nausea, vomiting or headaches. Severe exposure can lead to respiratory complications.

However, other treatment methods can also have side effects, as identified by the American Center for Biomedicine.

One of the main side effects that people receiving ozone treatment can define is known as the Herxheimer reaction. It can make an individual suffer from flu-like symptoms and make them feel bad in the short term.

If ozone therapy is administered using rectal bloating, a person may experience mild discomfort, muscle tension and feeling as if he or she needs to pass the gas. These side effects are temporary.

Positive side effects include:

  • Nails and hair grow longer and stronger
  • A person’s sense of energy
  • Sleep becomes easier