Physical therapy

Physical therapy services in phlebology.

    • Physical therapy procedures are recommended for people with various diseases of the venous system.
    • Physical therapy procedures are prescribed by the attending physician or physical therapy specialist.
    • The procedures successfully complement the drug therapy prescribed by the attending physician, have a preventive effect and help to improve health during rehabilitation period.



Significance of physical therapy during rehabilitation of vein diseases

The rehabilitation period after vein sclerotherapy, endovenous vein surgeries may last from 7 days up to 6 months depending on the type and severity of venous issues.

Drug therapy, compression therapy, external application therapy and physiotherapy are of great importance during the rehabilitation period of venous diseases.  


Methods of physical therapy during rehabilitation of vein diseases:

  • increases the tone of venous walls,
  • reduces venous blood pressure,
  • improves absorption of haemorrhages,
  • reduces the probability of thrombosis,
  • reduces oedema of the legs,
  • soothes pain in the legs,
  • stimulates lymph drainage,
  • improves trophism of soft tissues.

The following methods of physical therapy are most often used during rehabilitation period of venous diseases:

  • mechanic/manual lymph drainage,
  • darsonvalisation,
  • magnetotherapy,
  • intermittent air pressure therapy,
  • water treatment.

Physical medicine procedures are usually initiated as directed by the attending physician on 7 to 14 days after vein surgery; they should be undergone every day or every second day. Physicians usually prescribe from 10 to 18 procedures.

Mechanic/manual lymph drainage

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Normal lymph circulation ensures good tissue nutrition and constant cellular metabolism.








    • unhealthy diet,
    • small amount of taken daily fluid, 
    • insufficient or incorrect physical activities,
    • high heels,
    • too tight clothes.

They cause the loss of balance in the hydrostatic pressure system on which the functions of the lymph system are based. Slow hydrometabolism result in lymph congestion in the intercellular space (interstitial space) called lymphostasis.

Lymphostasis is the most common cause of:

    • oedema,
    • sensitive skin,
    • weak connective tissue,
    • cellulitis.

Mechanic lymph drainage is a way how to reduce lymphostasis. Compression stockings should be worn after the procedure for better and longer effect.

Health Center 4 has been using mechanic lymph drainage procedures for treatment of venous insufficiency and other venous outflow issues for many years, achieving great results. In our clinic lymph drainage procedures are performed using highest class devices which simultaneously drain both legs. The equipment ensures programmable management and individually adjusted compression degree!

How is it done?

Both legs or the entire body are massaged with intermittent air pressure during mechanic lymph drainage. Boots or overalls are connected to a device producing compressed air; the pressure is automatically and evenly sent into cuffs making soft, rhythmic pressure waves. During general lymph drainage there is mechanically measured air flow compression from feet to tights, from hands to the waist and along the hairy part of the head, including facial lymph drainage. Using Cerri multi-functional devices, parameters of the procedure can be individually programmed which is impossible in case of a manual procedure. Moreover, manual lymph drainage would take longer. Mechanic lymph drainage applicators can be applied on compression stockings and on clothes. In many cases before the procedure legs are smeared with therapeutic products ensuring faster results.

Effects of lymphatic drainage:

  • Boosts metabolism,
  • Improves blood circulation and flow of lymph,
  • Helps excrete harmful metabolic end products - toxins from the body,
  • Reduces tiredness, relaxes,
  • Prevents accumulation of excessive fluid,
  • Reduces swelling,
  • Soothes pain.


Indications for lymph drainage:

Venous and lymphatic outflow disturbances:

    • oedema,
    • feeling of heaviness,
    • enhanced capillary net,
    • after venous sclerotherapy,
    • after vein surgeries.


Esthetic issues:

    • cellulitis,
    • large fat deposits,
    • weak connective tissue.


Contraindications for lymph drainage:

    • cardiovascular disturbances (high blood pressure),
    • inflammatory processes in veins or arteries,
    • expressed varicose veins,
    • vein thrombosis;
    • local skin infections,
    • oncology.



A type of procedure when the body is affected by impulsive high-tension and high-frequency alternative current.

The therapeutic intervention factor is an electric charge which appears between electrodes and the surface of the body.

The darsonvalisation procedure is widely used both in treatment and cosmetology.

The main principle of darsonvalisation is constriction of arterial blood vessels and dilation of venous blood vessels.

During the darsonvalisation the client feels "stick of needles" which are mild to moderate.

In case of venous diseases darsonvalisation is applied to the entire legs from both sides.

During the procedure the physical therapy nurse massages the legs from heels to thighs with a glass tube tip.

The darsonvalisation procedures are used for prevention, therapy and rehabilitation in case of venous diseases. It is recommended every day or every second day.

Course - 8-10-12 x


    • leg oedema,
    • venous insufficiency,
    • varicose veins of the legs,
    • change of skin colour on calves,
    • restitution of work capacity after surgery.


Therapeutic effect:

    • darsonvalisation dilates capillaries and arteries,
    • improves skin trophism and metabolism,
    • increases the tone of venous walls,
    • soothes pain and rash,
    • reduces chronic inflammatory processes,
    • reduces oedema.


  • oncological diseases,
  • heart pacemaker,
  • vein thrombosis;
  • infectious diseases,
  • acute diseases of internal organs,
  • skin diseases in local zones,
  • elevated body temperature.




Exposes the body to constant or impulsive low-frequency magnetic field.

During the procedure magnetic applicators are brought to problem zones or put around lower or upper legs.

During the magnetotherapy the client feels light and pleasant feeling of warmth emitted by electrodes, or in some cases the client has no subjective feelings at all.

The procedure lasts 15-20 minutes on average.

Magnetotherapy procedures in case of venous issues are recommended every day or every second day.

Course - 10-12-16 x.


    • leg oedema,
    • venous insufficiency,
    • pain and tiredness in calves,
    • lymphostasis and body fluid retention,
    • bone fractures,
    • joint diseases.


Therapeutic effect:

    • magnetotherapy stimulates tissue trophism,
    • dilates blood vessels,
    • soothes pain,
    • treats inflammatory processes,
    • considerably decreases oedema.



  • oncological diseases,
  • heart pacemaker,
  • vein thrombosis;
  • infectious diseases,
  • acute diseases of internal organs,
  • skin diseases in local zones,
  • elevated body temperature.



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