In support of manual techniques in physiotherapy I also use:

which allows deep heating. Heat penetrates deep into the tissues, improves blood flow,
stimulates nerve fibers, thereby increasing the rate of transmission of nerve impulses
through the fibers, leading to increased temperature in deeper tissues.
The latter leads to:
     • improved local blood flow (vasodilation)
     • increased permeability of cell membranes
     • increased concentrations of white blood cells and antibodies
     • increased resorption of toxins
     • muscle relaxation
     • reduced tension in collagen tissue (improves elasticity)
     • reduced pain

Deep shock wave:

Deep shock wave therapy is a non-invasive treatment of chronic inflammatory changes in
soft tissues. The apparatus, via a probe above the painful tissue, produces vibrations of low
amplitude and high frequency, whose energy in the form of waves propagates deep and
reduces the buildup on the tissues. The shaking can be felt as pressure or moderate pain at
the treated place. In most cases, 3 consecutive therapies will be enough, performed with a
time break of at least one week.