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Short wave diathermy (SWD) is a therapeutic modality that uses high-frequency electromagnetic energy to generate deep heat in body tissues, promoting healing and pain relief. It operates through both thermal and non-thermal mechanisms, with indications including musculoskeletal conditions like arthritis and muscle spasms, while contraindications involve conditions such as cancer and the presence of metal implants. Proper application and safety precautions are essential to avoid risks such as burns and interference with medical devices.
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Gal Short Wave Diathermy
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sucha curent is passed through the body, there is no disconvfort and no muscle contraction
Thecrentisevenlyaltemating: therefore, thee a na danger of chemical burs. The intensity
ofthe curent can be great enough t p direct heat he Hates, silt
ctor. The term diathermy mean
INSTRUMENTS
1. Timer
2, Intensity knobs /power.
Disk
APPLICATION (Fig. 242, Plate 3)
Tis method is the
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used at all. A separate electric field is set up under each electra the lines of force
adiatng from the electro. This may be used in superficial sons, eg. treatment of
the ey.
5. Gable metho: A cable is wound around the limbs, This method is out
INDICATIONS
+ Ontoonthtis
‘CONTRAINDICATIONS
1. Hemorrhage: The heating of tise by short wave causes dilation of blood vessels 0 i
should net be employed
2. Ven leis: These condi
the use of
ot wave to the
3s conten
sel, a8 the inereased flv of blood may cist
ny It should not be applied to the abomen and pelvis
in lisue: May be contraindicated d
5. Loss of sensation: Dithermy should not be applied where there is ass of sensation
6 Tumors It should not be applied over malignant growth,
Uses
1. Increased metabolism,
2. Increased blood flow
3, Sedative effec
4. Fallin b
5. Sweat glands activity
pressure
DANGERS
1, thuens: Heat burns can be cased dite to overheating
2. Impeved blood ow: Ifthe blood flow is impaired then burns eocur.
4. Metal implant inthe tse cases concentration of cle
5. Functioning of pacemakers of the heart willbe alte
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In subject area: Nursing and Health Professions
Short wave diathermy (SWD) Is defined as a deep-heating thermal
modality that utilizes short wave electromagnetic energy (10 to 100
MHz) to Increase tissue temperature. It Is regulated by the Federal
Communications Commission, which has allocated specific
frequencies for medical use.
Al generated definition based on: Physical Rehabilitation of the Injured athlete
(Fourth Edition), 2012
How useful is this definition? yy yy ty
On this page v
Chapters and Articles
You might find these chapters and articles relevant to this topic.
Chapter
The Physiologic Effects of Therapeutic Heat
2009, Pain Review
Steven D. Waldman MD, JD
Short Wave Diathermy
Short wave diathermy utilizes electromagnetic radio waves to.
convert energy to deep heat. As with ultrasound, short wave
diathermy is thought to exert its therapeutic effects by both
thermal and nonthermal mechanisms. The primary nonthermal
mechanism associated with the use of therapeutic short wave
diathermy occurs via vibration induction of tissue molecules
when exposed to radio waves. By changing the characteristics of
the shortwave applicator, the clinician can target the specific
type of tissue he or she wants to heat. By using]
annlicstar that manarstnc 9 mamnaticntiey indies11:32 @ word
On this page
2009, Pain Review
Steven D. Waldman MD, JD
Short Wave Diathermy
Short wave diathermy utilizes electromagnetic radio waves to
convert energy to deep heat. As with ultrasound, short wave
diathermy is thought to exert its therapeutic effects by both
thermal and nonthermal mechanisms. The primary nonthermal
mechanism associated with the use of therapeutic short wave
diathermy occurs via vibration induction of tissue molecules
when exposed to radio waves. By changing the characteristics of
the shortwave applicator, the clinician can target the specific
type of tissue he or she wants to heat. By using an inductive
applicator that generates a magnetically induced eddy of radio
wave currents in the tissues, selective heating of water-rich
tissues such as muscle can be obtained. By using a capacity
coupled applicator that generates heat via generation of an
electrical field, selective heating of water poor tissues such as
subcutaneous fat and adjacent soft tissues can be accomplished.
With either type of short wave diathermy, metal must be
avoided, so the patient must remove all jewelry and treatment
must be carried out on a nonconductive treatment table, such as
one made of wood, Furthermore, implanted pacemakers, spinal
cord stimulators, surgical implants, and copper-containing IUDs
should never be expased to short wave diathermy, to avoid
excessive heating and thermal injury. Indications for short wave
diathermy mirror those listed for ultrasound, although the
ability to heat subcutaneous fat and adjacent soft tissues not
reached by superficial heat modalities and less well heated by
ultrasound may lead the clinician to choose short wave
diathermy to treat painful conditions and other pathologic
processes that are thought to find their nidus in more superficial
tissues,
Explore book >
Chapter
Theraneutic Hearanteorrin Tae1116@ Ro ae
{23 [Link]/PMC72 + @
: BQ <
2010). Short-wave therapy can be delivered either in a
continuous or a pulse mode (Wang et al. 2017).
Continuous short-wave diathermy (cSWD) is generally used
for its thermal effects whereas pulsed short-wave diathermy
(pSWD) for athermal effects. Recent studies have
demonstrated that pSWD may also induce an elevation of
tissue temperature that is dependent on the total average
power delivered (Murray and Kitchen 2000). Doubts cast on
the real effects of athermal phenomena (Laufer and Dar
2012) suggest that the clinical effects of SWD are mainly
related to increased temperature. Reduction in pain is one of
the most important effects of diathermy, although the
physiological basis is poorly understood. Heating may reduce
pain by promoting vasodilatation and efflux from the
affected tissue of pain mediators, e.g., bradykinin, serotonin,
and prostaglandins (Goats 1989). Another possible
mechanism of action is the inhibition of nociceptive
transmission by activation of A-alpha and A-beta fibers
(Melzack et al. 1977) or by stimulation of the cutaneous
thermoreceptors; this mechanism, known as gate control,
blocks the transmission of pain as it enters the spinal cord
(Goats 1989). In addition, muscle spasm due to
musculoskeletal pain is often reduced by heat and this in
turn can contribute to pain decrease (Goats 1989). SWD
improves cellular healing processes, producing an
overexpression of heat shock proteins (HSP), which
contribute to intracellular protein repair. High levels of HSP
increase the speed of healing of cells and tissues and may be
important in preventing skeletal muscle breakdown during
exercise (Terauchi et al. 2003; Costantino et al.
McCarthy et al. 2006).11:35 @ word
On this page
Explore book >
Chapter
Reflexive Physical Therapies
2014, The Biological Action of Physical Medicine
Jan Zbigniew Szopinski MD, PhD
[Link] Pulsed High-Frequency Magnetic Field
Therapy
This is a newer version of the induction shortwave diathermy,
characterized by chains of high-pick-power impulses. The
intervals between impulses are long enough to have disperse
heat, yet this kind of therapy is of proven therapeutic efficacy.
This clearly indicates a reflexive mode of action of high-
frequency electromagnetic field therapies. The usual impulse
duration is a j1s range (for example, 60 or 100ps) and the usual
frequency range is between several and a few hundred Hz. The
impulse pick-power (so-called penetration) usual range is.
between 300 and 1000W.
‘The pulsed high frequency magnetic field therapy (Figure 5.15) is
especially useful in the management of various inflammations,
edemas, and pains. Therefore, indications for this kind of therapy
include arthritis, soft tissue injuries, slowly healing wounds and
trophic ulcerations, chronic sinusitis, chronic adnexitis, and
certain skin diseases.11:89 @ we 4a
ACBIRS
‘Shortwave Diathermy (SWD)
What Is Shortwave Diathermy (SWD)? eo
Shortwave diathermy is a therapeutic modality that use
high-frequency alternating currents to generate heat ir
body's tissues. It is commonly used to produce deep
heating in joints and soft tissues,
How Does Shortwave Diathermy (SWD) Work? @
High-frequency electromagnetic energy of the shortwave
therapy passes through the patient's body and is absorbed
by the body tissues. Since body tissue contains ions, the
electromagnetic energy causes the ions to move in various
directions, creating friction between the moving ions and
surrounding tissues. This decreases joint pain and enhances
soft tissue healing.
What Are The Treatment Parameters For °
Shortwave Diathermy (SWD)?
Diathermy is a part of a complete physiotherapy regimen.
The frequency and length of the treatments vary.
Frequency: Shortwave feaniency ranging11499 @ waa
HOW TO CHOOSE THE RIGHT FREQUENCY e
AND DURATION FOR THE TREATMENT?
The choice between pulsed and continuous frequency, as
well as the intensity of Shortwave Diathermy (SWD), is
influenced by the therapeutic goals and the patient's
condition.
Continuous vs. Pulsed Mode:
1. Continuous mode: Generally used for deep tissue
heating, promoting blood flow, and managing chronic
conditions.
2. Pulsed mode: Often preferred for acute injuries or
conditions where intermittent thermal effects are desired. It
can help control inflammation and reduce pain.
Frequency:
2712 MHz is common for SWD: It allows for deeper tissu
penetration. However, lower frequencies may be chose!
certain cases 6
Higher frequencies: Penetrate tissues more effectively b
may cause more surface heating.
Lower frequencies: Penetrate less but also generate heat on
the surface.
Intensity:
Start low and gradually increase: Initiate with a lower
intensity to assess the patient's tolerance and adjust based
on their response.
Consider patient feedback: Monitor for signs of discomfort
or excessive heating and adjust intensity accordingly.
Treatment Duration:
The session duration varies but is typically around 15 to 30
minutes. The therapist will closely monitor the patient
during the session.
WHAT TO EYPECT BIIBDING G@UARTWAVE ae11499 @ vraa
WHAT CONDITIONS ARE TREATED BY °
SHORTWAVE DIATHERMY (SWD)?
Shortwave diathermy can be used to control pain and
edema. Shortwave diathermy (SWD) is commonly used to
treat a variety of musculoskeletal conditions, including:
1: Sprain and Strain.
2: Frozen shoulder.
3: Degenerative joint disease (OA).
4: Joint stiffness.
5: Tenosynovitis.
6: Arthritis.
7; Tendinitis.
8: Bursitis.
9: Myofascial pain.
10: Lumbar pain
Ti: Tennis elbow, ete.
WHAT ARE THE CONTRAINDICATIONS FOR ©
SHORTWAVE DIATHERMY (SWD)? 6
To apply Shortwave diathermy treatment safely,
physiotherapists must know the contraindications for the
use of such equipment. There are some contraindications
of SWD, a few of them are mentioned below:
1: Certain skin conditions,
2: Pregnancy,
3; Patients who are taking blood-thinning medications,
4: Cancer,
5: Severe/excessive edema,
6: Metallic implant,
7: Cardiac pacemaker,
8 Over wet dressing,
9: Acute inflammation,
10: Infected open wound,
1k: Impaired thermal sensation,
12: Recent radiotherapy,
18: Pregnancy,
14: Severe cardiac abnewmebity=——11499 @ waa
‘WHAT ARE THE SIDE EFFECTS OF °
SHORTWAVE DIATHERMY (SWD)?
Shortwave diathermy (SWD) therapy is a safe and effective
treatment option for musculoskeletal conditions. But there
are some risks associated with the use of SWD therapy, like
SWD therapy generates heat, which can cause burns if the
treatment is not properly rendered or if the patient has
certain skin conditions, and prolonged or excessive heat
exposure from SWD therapy can cause tissue damage,
usually, in patients with certain medical conditions and
certain medications, some patients may experience an
allergic reaction to the materials used in the SWD
treatment, like gel or pads. SWD therapy generates
electromagnetic waves, which can interfere with certain
medical devices such as pacemakers, and also should not
be used in patients with certain types of cancer, as the
heat generated by SWD can exacerbate these conditio °°
PRECAUTIONS FOR SHORTWAVE DIATHERMY 8
(SWD). _
Once the machine is switched on, the physiotherapist
should keep at least I meter from the machine, leads, and
electrodes. For safety purposes:
1: Ensure the earthing of the machine.
2: The machine and the electrodes should be properly
connected.
3: Patients should not be allowed to touch the unit
4: Check contraindications.
5: The patient should be properly positioned.
6: Do not place it over the wet area.
7: Check the thermal sensitivity.
8: Remove metal if wearing.
9: Skin surfaces should be separated by a towel
10: Wait for 2-3 minutes after setting.Editorial
Phys Med Rehabil Int. 2022; 9(1): 1197
Shortwave Diathermy:
Actualization
Sanchez HM* and de Morais Sanchez EG
Adjunct Professor at Federal University of Jataf, Brazil
*Corresponding author: Hugo Machado Sanchez, Adjunct Professor at
Federal University of Jatal, Brazil
Received: April 09, 2022; Accepted: April 27, 2022; Published: May 04, 2022
Editorial
Short wave diathermy (SWD) is a therapeutic modality
that offers the body an increase in temperature, through
the high frequency in electromagnetic irradiation, so as
not to generate ionization to the tissues. This therapeutic
modality works based on the principle that energy is
transferred within the layers of deep tissues by a high
frequency current and the generation of tissue heat.
Therefore, there is an agitation of the molecules in
response to an electric field, converting the kinetic energy
into heat [1-4].
It uses radio frequency bands generally centered at
13.56MHz, 27.12MHz and 40.68MHz, with the most
commonly used frequency being 27.12MHz with a
corresponding wavelength of 11.6m (1.5).
SWD effects can be divided into thermal and non-
thermal. Thermal effects induce vasodilation, raise the
pain threshold, reduce muscle spasm, accelerate cell
metabolism and increase the extensibility of soft tissues,
decrease tendon inflammation and chronic and acute
pain and improve function. Athermal effects are probably
the result of the cell’s energy absorption from oscillating
electric fields, inducing or increasing cellular activity.
They include increased blood flow (when diathermy is
(aed he human -tissuey=thermal stress causes theSWD effects can be divided into thermal and non-
thermal. Thermal effects induce vasodilation, raise the
pain threshold, reduce muscle spasm, accelerate cell
metabolism and increase the extensibility of soft tissues,
decrease tendon inflammation and chronic and acute
pain and improve function. Athermal effects are probably
the result of the cell’s energy absorption from oscillating
electric fields, inducing or increasing cellular activity.
They include increased blood flow (when diathermy is
applied to human tissue, thermal stress causes the
cessation of neural activity of vasoconstriction, resulting
in increased cutaneous vascular conduction, at least two
independent mechanisms contribute to the increase in
cutaneous blood flow during local warming: a quick
response of the vasodilator system mediated by axonic
reflexes and a slower one, derived from the local NO-
dependent vasodilator system (production response),
decreased joint pain and stiffness, reduced inflammation,
faster resolution of edema and accelerated wound
healing. Studies suggest that the temperature increase is
above 20C and promotes heating over all irradiated areas
after the first 10 minutes of application, remaining
unchanged until 20 minutes after the beginning of the
application; these values remained high even 20 minutes
after the end of the application [1-4].
Continuous short-wave diathermy (cSWD) is generally
used for its thermal effects, while pulsed short wave
diathermy (pSWD) for athermic effects. Recent studies
have shown that pSWD can also induce an increase in
tissue temperature that depends on the total average
power delivered. The doubts raised about the real effects
of athermic phenomena suggest that the clinical effects of
SWD are mainly related to the increase in temperature.
Pain reduction is one of the most important effects of
diathermy, although the physiological basis is poorly
understood. Heating can reduce pain, promoting
vasodilation and efflux of the affected tissue from pain
mediators, for example, bradykinin, serotonin and
prostaglandins. Another possible mechanism of action is
the intiibition of nociceptive transmission by activating A-11:16 @ word
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+ Int J Biometeorol. 2019 Nov 20;64(6):981-988. doi: 10,1007/s00484.019-
01806-x
ZN
Short-wave diathermy in the clinical
management of musculoskeletal disorders: a
pilot observational study
Patrice Mimche 1, Mario Ermani®, Alessandra Del Felice 1?"
» Author information » Article notes
» Copyright and License information
PMCID: PMC7266838 PMID: 31748973
Abstract Brat