Fizocare installs the Sonic Wave Therapy unit, a radial extracorporeal shockwave device delivering pulsed acoustic energy at 1-5 bar pressure and frequencies of 1-21 Hz. The unit is equipped with a 15 mm transmitter for superficial myofascial trigger points (trapezius, common extensor origin) and a 25 mm deep-tissue transmitter for conditions such as proximal hamstring tendinopathy. Treatment protocols are pre-loaded for plantar fasciitis (3 sessions, 2000 shocks per session at 2.5 bar, 10 Hz), calcific rotator cuff tendinopathy, and medial tibial stress syndrome. The handpiece uses a pneumatic projectile mechanism validated to maintain energy density within ±10% across 2 million shocks.

Alongside shockwave, Fizocare configures the Electrotherapy system with dual-channel capability delivering TENS (80 Hz, 150 µs phase duration), interferential current (4 kHz carrier, 80-150 Hz beat frequency), and neuromuscular stimulation (50 Hz, 250 µs ramp-up). Pads are placed in a crossed pattern over the painful region, with treatment timed to 20 minutes. For acute inflammation, the system’s biphasic waveform with zero net DC current minimizes electrochemical skin irritation.

Technical Note: The radial shockwave handpiece requires compressor oil replacement every 300000 shocks; a log counter displays remaining cycles. Electrotherapy electrode pads degrade with repeated use; impedance exceeding 5 kΩ at 100 Hz indicates expired gel adhesion and mandates replacement to avoid hot-spot burns.

Fizocare deploys the Heat Therapy unit, a paraffin wax bath and a moist-heat pack system, for chronic musculoskeletal pain with stiffness. The paraffin bath maintains a constant 52-55 °C using a solid-state thermostat with an accuracy of ±1 °C; the patient’s hand or foot is dipped 8-10 times to build up a 3 mm insulating wax glove, then wrapped for 15 minutes. The moist-heat packs are silicon-gel filled and heated in a thermostatically controlled water bath to 74 °C, applied through six layers of toweling to achieve a skin interface temperature of 42-44 °C.

For bone-healing applications and deep joint analgesia, the Magnetic Therapy system uses a pulsed electromagnetic field (PEMF) mat with a carrier frequency of 27.12 MHz and a pulse repetition rate of 1-50 Hz, producing a maximum field strength of 10 mT at the coil surface. The standard protocol for non-union fractures is 30 minutes twice daily at 15 Hz and 5 mT. The mat’s flexible design conforms to the lumbar spine, knee, or shoulder.

Technical Note: Paraffin wax must be filtered and sterilized at 110 °C for 20 minutes after every 50 patient uses to remove skin squames. The PEMF mat’s insulation must be integrity-tested monthly with a dielectric withstand tester at 1500 VAC; pinhole defects can result in electrical arcing through perspiration-dampened clothing.

Fizocare equips the clinic’s exercise bay with the Exercise Rehabilitation range: a recumbent cycle ergometer, a cable-resistance multi-gym, balance boards, and a graduated set of resistance bands (TheraBand colour-coded from yellow to gold). The cycle ergometer provides 5-500 W resistance in 1 W increments, with heart rate telemetry via a chest strap and a visual display of target HR zone (60-80% age-predicted maximum). The multi-gym allows isolated strengthening of the rotator cuff (internal/external rotation), quadriceps (leg extension), and hamstrings (leg curl) using pneumatic resistance to reduce inertial loading.

A structured exercise prescription module in the clinic’s software generates a home exercise programme printed with photographic instructions. For patellofemoral pain, the default protocol includes isometric quadriceps sets, straight-leg raises, and terminal knee extensions, progressing to closed-chain mini-squats as pain permits. Exercise adherence is monitored via a patient mobile app that logs completed sets and records post-exercise pain scores (0-10).

Technical Note: The cycle ergometer’s saddle height must be adjusted so that the knee has 25-35° of flexion at the bottom pedal position. A saddle that is 2 cm too low increases patellofemoral joint compressive force by 30%, exacerbating anterior knee pain.

Fizocare provides a full range of Support Braces covering Neck & Head, Trunk, Knee & Leg, and Ankle & Foot categories. The cervical collar features a semi-rigid polyethylene shell and foam liner, available for children and adults. It restricts flexion and extension to 15 degrees, suitable for grade II whiplash injuries. The lumbosacral trunk brace comes with a removable back pad that delivers 30 mmHg abdominal compression, lowering intradiscal pressure by nearly 25 percent during lifting movements.

The hinged knee brace offers side-to-side stability with aluminum supports and a 0-90 degree angle limiter, ideal for grade II medial collateral ligament sprains. The ankle stirrup brace has two air cushions to stop talar tilt while healing lateral ligaments. Physiotherapists fit each brace and provide a usage log for patients to track daily wear time and skin reactions.

Technical Note: Hinges on knee braces must align with femoral epicondyles. A 1 cm offset will create abnormal inward or outward force up to 2 Nm while walking. Air bladders on ankle braces should be pumped to 20 mmHg with the ankle held neutral. Over inflation may press on the superficial peroneal nerve and cause discomfort.

Fizocare integrates the Thermography Imaging camera as an objective, non-invasive tool to visualise inflammatory hotspots. The camera uses an uncooled microbolometer sensor with a thermal sensitivity below 0.05 °C and a 640×480 pixel resolution, capturing a calibrated thermal map of the target region. A baseline thermogram of the affected and contralateral limbs is acquired after 15 minutes of acclimatisation in a draught-free room at 22-23 °C.

The software calculates a thermal asymmetry index (TAI). A temperature difference exceeding 0.5 °C within the selected area is regarded as clinically significant, which matches active tenosynovitis or bursitis. Follow-up thermograms taken every four weeks monitor the fading of inflammation and help clinicians shift treatment from passive physical therapy to active training programmes. Each report contains colour thermal images and TAI trend curves that can be saved to the patient’s electronic medical file.

Technical Note: Patients should avoid topical pain gels, caffeine intake and tobacco use for two hours before testing. Vasoactive substances will change skin temperature across large areas and interfere with local inflammation screening. The camera lens should be kept away from direct sunlight and cold air flow during shooting.