As with back pain each of the possible contributing factors need to be examined and included in the treatment plan as appropriate (Kent et al 2005). This means that instead of lumping groups of symptoms together (e.g. rotator cuff symptoms) it has been suggested to split and recognise factors that cause laxity, impingement and/or lesion and provide treatment as the clinician sees fit. So far:
Bone regeneration can be accelerated in osteotomies made 3.5–4.5 cm distal to the head of the fibula in dogs. A voltage field was induced in the fibula by inductively coupling pulsed electromagnetic fields of low frequency and strength directly to the bone across the skin. Not only did the stimulated osteotomies heal faster than control osteotomies but the regenerated bone was also more highly organized and stronger than control regenerated bone, even though the mass of callus formed was less than in controls. This method has been used to successfully treat tibial pseudoarthroses in young patients. Pseudoarthrosis is a rare, local bone dysplasia that has a very low probability of correction by conventional techniques. Pulsed electromagnetic fields have also been used as a noninvasive postoperative treatment for lumbar vertebral fusion.
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