Delayed- and Non-Union Fractures
In 1974 it was demonstrated that a pulsed magnetic field applied across the site of a bone fracture can accelerate the healing process (BASSETT et al., 1974). The mechanism of osteogenesis is not clear, however the use of PEMF therapy as an adjuvant therapy for delayed- and non-union fractures was supported by empirical evidence collected through clinical studies. Whilst PEMF therapy may offer some benefit in the treatment of fractures, the evidence is inconclusive and is insufficient to inform current clinical practice.PEMF therapy has been suggested to enhance healing of fractures that occur in patients with diseases such as diabetes, vascular insufficiency, and osteoporosis, and those taking medications such as steroids and non-steroidal anti-inflammatory drugs. The exact mechanism for fracture healing is unclear; however, it is thought that PEMF therapy causes biochemical changes at the cellular level to accelerate bone formation.
Post-Operative Pain and Edema
There are few clinical trials that have demonstrated PEMF therapy as an effective treatment for tissue trauma, particularly in the early stages of inflammation. Electrical stimulation has been shown to significantly increase the probability of bony arthrodesis in spinal fusions. The use of low-energy, time-varying magnetic fields (commonly referred to as pulsed electromagnetic fields or PEMF) has been successful when used adjunctively to fresh fusions and in the case of treating a failed fusion, PEMF bone growth stimulation is a successful method which avoids a revision surgerPEMF may be a novel, safe and effective therapeutic tool for use in at least certain subsets of patients with chronic, nonmalignant pain.
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