the first days or weeks of your new life. What are the mistakes? The fact that you did not help your body to rebuild and adapt to the new conditions of the internal environment in a timely manner.

It's no secret that with a decrease in body weight, not only fat is lost, but also water, which is found in all tissues of our body. When it is removed from the tissues, their volume decreases, and they seem to wrinkle, which is reflected in the appearance. What to do? It is necessary, first of all, to include physiotherapeutic procedures in the body weight loss program, with the help of which, along with weight loss, you can also bring the skin integuments in full order.

There are many myths and legends about modern physiotherapy procedures. Many of them are artificially heated by manufacturers of miracle devices and beauty salons where you can get these procedures. There is commercial interest. So is it really another deception of a gullible consumer? Fortunately not! A knowledgeable and experienced physiotherapist can really create a real miracle with your body - in a few weeks or months you will be able to literally slay your relatives and friends with your beauty. But precisely after a few weeks or months, and not after one miraculous procedure!

In order to understand what we can achieve with the help of physiotherapy procedures, let's look at all physiotherapy kitchen.

I want to say right away that there are currently no radical physiotherapeutic methods to combat obesity. The best results are achieved when using a whole range of physiotherapy procedures in combination with diet and adequate exercise.

At the same time, almost every year, new methods of treatment appear, based on various physical effects both on the body as a whole and on its various departments. Properly selected procedures allow you to increase the energy consumption of the body, speed up the metabolism and turn the process of weight loss into the most comfortable event.

But before proceeding with physiotherapy procedures, you need to make sure that you have no contraindications to them. Of course, your doctor will help you with this. The main ones are:

• skin diseases in the affected area in the acute stage;

• acute inflammatory diseases;

• febrile conditions;

• tendency to bleeding;

• blood diseases;

• severe diseases of the cardiovascular system, kidneys and liver;

• convulsive syndrome;

• thrombophlebitis in the affected area;

• neoplasms;

• pregnancy;

• active tuberculosis process and other infectious diseases;

• stones in the kidneys, gallbladder, bladder in case of exposure to the lumbar region and abdomen;

• implanted pacemaker.

When conducting electrical procedures, it is necessary to keep in mind the possibility of hypersensitivity to pulsed current.

Currently, physical methods of influencing the body are mainly used, aimed at correcting metabolism - this is the regulation of the central mechanisms of fat metabolism and an increase in contractile thermogenesis. All of them refer to the methods of general or central (through the centers of the brain) influence.

The second group of therapeutic measures are methods aimed at various areas of adipose tissue (local exposure), which activate metabolic processes in adipocytes and surrounding tissues. In recent years, methods of local influence using hardware techniques have become more widespread.

To avoid sagging skin weight loss, combine dietary nutrition with physical activity and a set of physiotherapy procedures.

Don't forget to consult your doctor!

For many decades, the main place in the treatment of obesity was occupied by various methods that have a general effect on the body.

They were used in physiotherapy departments of polyclinics and hospitals, as well as in sanatoriums. These departments, as a rule, occupied considerable areas and had bulky equipment. Currently, they continue to be successfully used in SPA centers and clinics.

According to the mechanism of their action, central methods can be divided into metabolic (enzyme-stimulating), hormone-correcting and vasoactive.

Oxygen and ozone baths, as well as oxygen barotherapy, have a metabolic effect. When using baths, a therapeutic effect is carried out on a patient immersed in an aquatic environment. At the same time, mechanical, thermal and chemical factors act throughout the entire procedure. The best effect is achieved when exposed to fresh water, supersaturated with gases. Gas bubbles settling on the skin produce a “tactile massage”. The chemical action of gas mixtures dissolved in water is due to the properties of the gas and its solubility. Oxygen bubbles quickly rise to the surface and enter the respiratory tract, and then increase the oxygen saturation of the blood. Due to this, metabolic processes in the body are enhanced. Ozone molecules penetrate well through the skin and activate oxidative processes directly in the subcutaneous fat. Thanks to oxygen and ozone baths, metabolism is significantly increased, which accelerates the breakdown of fat.

Oxygenobarotherapy involves the use of gas mixtures under increased partial pressure, which leads to a significantly greater saturation of tissues with oxygen. During the procedure, patients are placed in special single- or multi-seat pressure chambers, in which the oxygen content is 100%. Usually the procedures are carried out daily and last from 45 to 60 minutes. The full course is 8-10 procedures and can be repeated in 2-3 months. However, these methods are currently used infrequently, and their effectiveness in relation to weight loss is low.

From hormone-correcting methods most often use carbonic and radon baths. In carbonic acid baths, water with a carbohydrate dioxide content of at least 0.75 g/l is used. Carbon dioxide easily enters the body through the skin and lungs and enhances cellular respiration. As a result, the centers of the medulla oblongata are activated, the supply of oxygen increases, the tissues are better enriched with oxygen, and the contractility of skeletal muscles increases. The blood vessels also dilate, which leads to a redistribution of blood in the body. Well лечения составляет 12–15 процедур по 12–15 минут.

The therapeutic effect of radon baths is achieved due to the inert gas radon, the decay of which is accompanied by alpha radiation. Radon penetrated into the skin is deposited in fat depots. This stimulates the adrenal cortex and the sympathetic-adrenal system, which is accompanied by a change in the activity of tissue lipolytic enzymes and an increase in glycolysis and lipolysis. Well лечения составляет 10–15 ванн по 12–15 минут. The use of radon baths in combination with a diet allows you to lose 3-4 kilograms more than using only one low-calorie diet.

All hydrotherapy procedures have thermal, mechanical and chemical irritation on the skin. A huge role belongs to the reflex influence realized through neurohumoral mechanisms.

Other methods - transcranial electroanalgesia, transcerebral UHF therapy, microwave therapy of the thyroid gland - aimed at stimulating the hormonal systems of the body, are not widely used now, as they are not effective enough.

Vasoactive methods are based on increasing blood flow to the skin and accelerating metabolic processes in it. Most ярко этот эффект прослеживается при использовании душей, т. е. при воздействии на организм струй воды различных по форме, направлению, температуре и давлению. Jets of water, falling on the skin, cause their short-term deformation and irritation of the mechanoreceptors and thermosensitive structures embedded here. At the same time, the content of vasoactive peptides in the skin increases, which change the tone of arterioles and lymphatic vessels located in the skin, and also increase the tone of skeletal muscles. Separation of a large amount vasoactive substances leads to a significant expansion of blood vessels and reddening of the skin. In addition to the vasoactive effect, when using the shower, a tonic and sedative effect is also achieved.

The most famous are the Charcot shower and the circular shower. With Charcot's shower, a jet of water is directed from the apparatus to the patient's body from a distance of 3-4 meters. During the course of treatment, the water temperature gradually decreases from 34-36 ° C during the first 2-3 procedures to 20 ° C by the end of the course, and the water pressure gradually increases from 150 to 250 kPa. The impact of a jet of water is carried out sequentially on all parts of the body and limbs.

With a circular shower, numerous horizontal jets of water from pipes with thin holes act on the skin. During the course of treatment, the water temperature gradually decreases from 34–36 ° C during the first procedures to 25 ° C by the end of the course, and the pressure rises from 100 to 150 kPa. The duration of the procedure is from 2 to 5 minutes, and the course of treatment is 15–25 procedures. Use a circular shower after a warm bath, using shower water 1-2 ° C lower than in the bath.

These methods alone will not help you lose weight, they are used only in complex programs. At the same time, they are not very widespread - after all, the procedures must be carried out in specially equipped rooms with waterproofing.

Underwater shower-massage is very popular among patients, including in my clinic. The procedure is carried out in a bath with a capacity of 600 liters or in a special pool. A jet of water acts on the patient's body from a tip placed in water at a distance of 15–20 cm from the body. The movement of the water jet is carried out according to the general rules of massage. The water pressure is regulated depending on the impact zone - from 100 kPa on the anterior abdominal wall to 400 kPa on the limbs. The loss of body weight during the course treatment with the help of an underwater shower-massage is due to the fact that due to the significant activation of blood circulation both in the body as a whole and in particular in the kidneys, diuresis increases 15-30 minutes after