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April 23–28, 2016

ESPRM 2016 presentation & workshop
Estoril-Lisbon, Portugal

Workshop and presentation by Prof. Elena Illeva MD and Efthimios Kouloulas MD.

This year’s 20th annual European Congress of Physical and Rehabilitation Medicine (ESPRM) featured presentations and workshops by a number of professionals of the field introducing both new and well-established treatment modalities.

Efthimios Kouloulas, MD and Prof. Elena Illeva MD were two speakers talking about the effects of Shockwave therapy and demonstrating its use in practice. In their presentation on the topic „Shockwave Therapy in Physical and Rehabilitation Medicine“, Dr. Kouloulas and Prof. Illeva highlighted the prompt analgesic and anti-inflammatory effects of the Shockwave therapy and showed these benefits on the example of ulnar epicondylitis including a clinical case and practical demonstration on a volunteer from the ESPRM participants.

Below you can take a look at photos from the presentation and the submitted abstract for ESPRM 2016 by Dr. Kouloulas.

Efthimios Kouloulas MD and Prof. Elena Illeva MD present the benefits of the BTL Shockwave therapy




Kouloulas Efthimios
2nd Neurosurgery Department
University of Athens

Physiatrist, Senior Fellow of the European Board PMR
Larissa, Greece

Historically, the foundation of physical medicine and rehabilitation training has provided the capabilities to optimize non-operative treatments of a variety of musculoskeletal conditions, including acute and chronic muscle, tendon, ligament, and cartilage disorders. Traditional treatment of sports injuries includes use of the PRICE principle, NSAID, physical therapy modalities and corticosteroid injections in conjunction with specific rehabilitation exercises.

Modern rehabilitation medicine is propelled by newfound knowledge aimed at offering solutions for an increasingly aging population afflicted by chronic debilitating, degenerative conditions. Considered a core component of future health care, the rollout of regenerative medicine underscores a paradigm shift in patient management targeted at restoring physiologic function and restituting normative impact. Regenerative interventions, known as regenerative medicine, including platelet-rich plasma injections and mesenchymal stem cells, recently have been used to treat chronic tendinopathies because of the potential of these interventions to facilitate tissue healing. Evidence for their efficacy in a variety of sports injuries has emerged as well as the role physiatrists should have in the inevitable growth of regenerative medicine applications.

Extracorporeal Shock Wave Therapy (ESWT) is a form of “mechanotherapy”, that gained the field of musculo-skeletal diseases as orthotripsy (mainly tendinopathies and bone regenerative disorders) and Regenerative Medicine as well. Although some details are still under study, it is known that SW are able to relief pain, as well to positively regulate inflammation (probably as immunomodulator), to induce neoangiogenesis and stem cells activities, thus improving tissue regeneration and healing. ESWT can be nowadays considered an effective, safe, versatile, repeatable, noninvasive therapy in regenerative medicine, in all cases where fibroblast activity and the interaction with connective tissue can be positively influenced. Encompassing a growing multidisciplinary domain, the emergent era of “regenerative rehabilitation” brings radical innovations at the forefront of healthcare blueprints.

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