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  • TREATMENTS | Portifisio

    Physiothrapy Treatments Physical Reconditioning Magnetotherapy Physiotherapy Joint Amplitude Improvement Muscle Strengthening Equilibrium/Coordination and Posture Training Walking Training Bio-Beedback + Physical Reconditioning Cardio-respiratory training ​ Muscular Strengthening ​ Bio-Beedback + Magnetotherapy Anti-inflammatory effect Analgesic effect Relaxing and antispasmodic effect Wound healing Sedative and general relaxing effect + Schockwave Therapy Plantar fasciitis and calcaneal spur Medial and lateral epicondylitis (golfer and tennis elbow) Femuropatellar syndrome Trochanteric bursitis Aquilodynia Calcified rotator cuff tendinopathy (shoulder) Myalgia (muscle aches), Trigger points + Ecoguided invasive Techniques Intra and Peri-Articular Infiltrations Pain Relief in Arthrosis/Cartilage Damage + Pelvic Floor Reeducation Urinary incontinence (involuntary loss of urine); Fecal incontinence (involuntary loss of solid or liquid stools) Prolapse of the pelvic organs (drop or descent of one or more organs) + Manual Medicine Mobilizations/ Joint manipulation Neuro-Muscular Techniques ... + Ten­sion and Mus­cle Spasms Trigger Point Therapy Acute and chronic pain relief + Mesotherapy Myofascial/osteoarticular pain relief + Electrotherapy Electrical Stimulation Ultrasound + Medication Acute pain Chronic pain ​ ​ Nociceptive Pain Neuropatic Pain Mixed Pain + Schockwave Therapy Ecoguided invasive Techniques pelvic floor Therapy Neural Therapy Electrotherapy Medication Manual/ Chiropractic Medicine Trigger Point Therapy

  • Gota | Portifisio

    Gout Gout is an inflammatory rheumatic disease resulting from the deposition of sodium monoate crystals (a form of accumulation of uric acid). It is more prevalent in men and very rare in women before menopause. The drop results from the deposition of sodium monoate crystals (a form of accumulation of uric acid) in the joints, but also in other locations. This phenomenon occurs when the levels of uric acid in the blood are chronically high. Other risk factors to consider are: genetic, dietary factors (ingestion of alcohol or purine-rich foods such as shellfish, meat and viscera), co-morbidities (including metabolic syndrome, obesity, hypertension, diabetes, psoriasis...) and the use of some drugs. The drop initially evolves with an acute and intermittent phase, i.e., with crises of joint inflammation (arthritis) interspersed with asymptomatic periods. The crisis periods may be triggered by external factors, such as local trauma, drugs and intake of purine-rich foods and alcoholic beverages. Usually in the early stages of the disease only one joint is affected, the most typical location being in the lower limbs, particularly the 1st toe (podagra), ankles and knees. The joints of the upper limbs (hands, wrists and elbows) may be affected more rarely and later. During the crisis, patients may also report general (systemic) inflammatory symptoms such as fever. Seizures can be self-limited (regression in 1 to 2 weeks), but the start of appropriate therapy aims to shorten their duration. With progression to chronicity, seizures tend to reach more joints and be more frequent and prolonged, with shorter asymptomatic periods (until symptom-free periods no longer exist). In order to prevent gout crises and their potential consequences, it is essential to educate and raise awareness among patients about changing lifestyles and adherence to hypouricemiant treatments. Regular exercise, a regular diet and compliance with chronic medication are the means to avoid the long-term consequences of gout. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation General physical reconditioning Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities ​ ​ Ask our Flyers for your Hometraining at the doctor's appointment

  • Joelho | Portifisio

    Knee Knee pain is one of the most common pain in the human body. It affects both the elderly, generally having a degenerative origin, and young individuals as a rule due to traumatic injuries or problems with the alignment of the patella (so-called rotulian syndromes). ​ Generally, knee pain (whether mild or severe) has pathological significance, that is, there is a pathology or disease that is at the origin of it. ​ Constant knee pain is an indication (or symptom) that something is not right. In other situations, knee pain can be caused only by a specific situation of overload of effort, such as that which occurs in a longer walk, or in climbing slopes, or carrying excessive weights or even in more intense sports training. In these cases, a period of rest or sports break may be sufficient to resolve the condition. ​ ​ Gonarthrosis (Knee Arthrosis) ​ Which is? Chronic and degenerative disease associated with pain and loss of knee function. Greater vigilance is needed when associated with other risk factors such as diabetes or cardiovascular disease. ​ What are the causes? Gradual degradation of knee cartilage, reduced viscosity and elasticity of synovial fluid. This degradation ends up fragmenting the cartilage and the protective space between the knee bones decreases, which causes greater friction and the formation of painful bone formations known as parrot beaks. ​ What are the symptoms? - Knee pain and inflammation - Joint stiffness and swelling - Severe pain and swelling in the morning, or at rest, or after intense physical activity - Sensation of blockage or sagging during movements due to the interference of cartilage fragments in joint movements ​ ​ ​ Previous cruciate ligament injury ​ The previous cruciate ligament (ACL) has the function of being one of the main stabilizers of the knee joint. The central cruciate ligament of the knee forms with the posterior cruciate ligament. Both cruciate ligaments contribute, not only to the antero-posterior stability, but also to the rotational stability of this joint. The previous cruciate ligament rupture is one of the most frequent injuries in sportsmen. This previous cruciate ligament injury is often referred to as "tearing of the knee ligament". A non-athlete can also “break the ligament” when performing everyday tasks, as a result of a twisting mechanism and slight knee flexion. It affects women very often, due to the specificities of their knee anatomy, hormonal differences and muscle development, namely hamstrings. ​ In the rupture of the previous cruciate ligament, the symptoms are very characteristic . When the athlete undergoes a rupture of the previous cruciate ligament, he usually refers to a snap and acute knee pain. A hematic joint effusion quickly sets in, and the patient finds it difficult to walk without the support of Canadians for a few days. After the acute phase, one of the main symptoms of ACL rupture is instability, with the feeling that the “knee fails”. The patient feels insecure when going up and down stairs or slopes, as well as playing sports. ​ Physiotherapy in the rupture of the ACL is essential for a full recovery. Some patients are asymptomatic (without symptoms) after undergoing physical therapy, thus dispensing with any surgical intervention. ​ ​ Meniscus injury ​ The meniscus is a fibrocartilaginous structure , triangular in shape, which is located inside the knee joint covering the periphery of the tibial plates. Its anatomy is specially adapted to the function it performs: dampening shocks and transmitting loads. The rupture of the meniscus occurs very frequently during sports, due to sprains of the knee that cause twisting movements and consequent meniscal injury. ​ Injury to the meniscus or meniscal injury in the sportsman results in reduced performance and, in certain sports such as football, more or less prolonged stops in his practice. Therefore, the importance of timely diagnosis and treatment of all meniscal injuries should be stressed. In the rupture or injury of the meniscus, the main signs and symptoms are the presence of knee pain , usually located in the joint interline, accompanied by a progressive installation effusion due to inflammation of the synovial adjacent to the meniscus. In the injury of the internal or external meniscus in a basket wing, the symptoms are sometimes very disabling, resulting in a deficit of passive extension of the knee, the so-called knee block. ​ Physiotherapy allows a faster recovery and resumption of sports activity, usually without major limitations. It is based on anti-inflammatory therapies in the initial phase, followed by mandatory muscle strengthening and proprioceptive training. ​ ​ ​ Rotulian syndrome ​ Rotulian syndromes (what patients call a misaligned kneecap or kneecap out of place) are also a cause of knee pain. In extreme situations, routine instability can result in dislocation of the kneecap. Rotulian syndromes usually affect young adults, requiring an adequate study of femuro-patellar relationships. Strengthening and rebalancing the quadriceps muscle , namely the vast internal oblique, are decisive in reducing external hyperpressure of the kneecap, but the realignment surgery of the extensor apparatus may be necessary to reduce anterior knee pain and prevent progression to kneecap arthrosis. ​ ​ ​ Knee tendonitis ​ Tendonitis of the knee usually causes pain in the insertion area of ​​the inflamed tendon. They are located, most frequently, in the lower pole of the patella, quadriceps insertion and in the tendons of the goose leg. They usually force the patient to take ice, anti-inflammatories and rest for very variable periods, but they generally have a good prognosis. ​ ​ ​ Knee bursitis ​ Knee bursitis occurs due to inflammation of the bursae or synovial pouches that exist around the knee. They usually result from long periods of placing the knees on the floor, as in certain professions or activities (housekeepers, religious, floor settler, etc ...) especially in the pre-patellar zone or pre-tibial tuberosity. ​ ​ ​ Chondromalacia ​ Which is? Chronic and degenerative disease that cause abnormal softening and degradation of cartilage, also known as "runner's knee". ​ What are the causes? Very associated with overuse of the knee (running or jumping sports), muscle weakness, traumatic injuries or surgery. ​ What are the symptoms? - Excessive knee pain (running or jumping sports), muscle weakness, traumatic injuries or surgery. - Pain around the kneecap with greater intensity when descending or climbing stairs - Pain when kneeling, or crouching, or with the knee bent for a long period of time ​ ​ Total knee arthroplasty (TKA) ​ Knee arthroplasty (TKA) is the knee surgery generally used to treat knee arthrosis. The operation consists of replacing the affected joint with a metal and polyethylene implant, the so-called knee prosthesis. This is fixed to the bone using a special cement. Knee arthrosis results from a degenerative process due to wear on the knee cartilage that occurs naturally with the evolution of age, or secondarily originated by excess weight, deviation in the knee axis or trauma with a fracture or injury to the cruciate ligaments. TKA is in the treatment of gonarthrosis , an alternative to the already outdated, knee arthrodesis. ​ It is the knee surgery that has undergone the most evolution in recent years, thanks to progress in implants and better knowledge of knee biomechanics. It allows, in most cases of knee arthrosis, a marked reduction in pain and a marked improvement in the patient's quality of life. ​ Surgery to place a prosthesis on the knee is essential to cancel knee pain in stages of more advanced arthrosis. The success rate of this intervention is very high (more than 90% of patients preserve their prosthesis for up to 20 years). ​ TKA usually requires a hospital stay of only 3 or 4 days, during which the rehabilitation process begins. The recovery of the operated knee begins the day after knee replacement surgery with active mobilization and lift supported by Canadians. The TKA presents rapid rehabilitation allowing the patient to leave the hospital with great autonomy and safety while walking. When technically knee prostheses are well implanted and also well rehabilitated, the probability of obtaining a normal joint after TKA is high. In this sense, after discharge, the patient must immediately start an adequate rehabilitation protocol in order to achieve a full recovery. Objectives of a rehabilitation program: Improving mobility and joint movement Pain relief General physical reconditioning Return to work activities , daily life and sports activities ​ Ask our Flyers for your Hometraining at the doctor's appointment

  • Magnetotherapy | Portifisio

    Magnetotherapy Magnetotherapy consists in the use of magnetic fields for therapeutic purposes, taking advantage of their influence on the electrical and ionic charges of the body. Main effects with therapeutic utility: - Trophic effect, - Anti-inflammatory effect, - Analgesic effect, - Relaxing, antispasmodic effect, - Piezoelectric effect with bone callus stimulation, - Stimulating effect on wound healing, - Sedative effect, - Generalized relaxing effect. Indications: Locomotor apparatus pathology: delays in fracture healing, congenital and acquired pseudoarthrosis, total hip arthroplasty, vertebral arthrodesis, osteoarthritis, sprains, contusions, tendinopathies, complex regional pain syndrome (CRPS), rheumatoid arthritis, osteoporosis. ​ Vascular pathology: Peripheral venous insufficiency, phlebitis, varicose ulcers, chronic obstructive arterial disease. ​ Dermatology: Atrophic dermatitis, pressure ulcers, burns. ​ Neurologic pathology: Cerebral vascular insufficiency, stroke, multiple sclerosis, peripheral neuropathies, nevrites and neuralgias. SERVIÇOS

  • Neuropatic Pain | Portifisio

    Neuropatic Pain Neuropatic pain is a pain caused by an injury to the Peripheral Nervous System or the Central Nervous System. Neuropathic pain may result from: ​ Compression of a nerve - e.g., by a tumor or a disc hernia. Own nerve lesion-like occurs in systemic diseases (e.g., Diabetes mellitus) or infectious diseases (e.g., Herpes Zoster). Abnormal or interrupted processing of pain signaling pathways between the spinal cord and brain (phantom limb pain, complex regional pain syndrome, etc.). ​ It is usually a poorly located pain, difficult to describe (burning, stabbing, electric shock or burning pain) accompanied by symptoms of hypersensitivity to touch or cold, numbness or tingling). ​ If the movement is painful, people become reluctant to move the painful part of their body. In such cases, the muscles that control the painful part atrophy and movement may become limited. People may continue to feel the pain even after the cause has been resolved, as the structures in the nervous system are altered, and as such are hypersensitive to painful stimulation. Examples of this are herpes lesions or the pain of a scar. Neuropathic pain can contribute to/aggregate, when dragged out over time, to deansiety and/or depression or vice versa. Diabetic neuropathy In people with diabetes, the persistence of high levels of glucose (sugar) in the bloodstream can damage nerve endings. As a result, complaints of loss/change of sensation, especially in hands and feet, can arise, and in more serious cases, can lead to complaints of pain and muscle weakness. ​ Complex Regional Pain Syndrome (CRPS) This is a condition that usually arises after a trauma, usually a fracture, which leads to damage to the nerve itself. The pain is disproportionate to the severity of the initial injury and is usually felt as a burning or stabbing pain, accompanied by changes in sensitivity, swelling and stiffness of the affected joints, changes in color, sweating and/or hairiness of the skin. It can lead to muscle weakness and loss of bone mass. CRPS is an uncommon pathology, the causes of which are still unclear. Treatment is most effective when started early. In these cases, there can be a significant improvement in symptoms or even remission Post-Herpetic Neuropathy In the case of post-herpetic neuralgia, any nerve can be affected. The most painful phase and the one that follows after the vesicles phase, typical of infection by the Herpes virus. Any body area can be affected, although it usually affects only one side of the body. This is usually an intolerable, continuous, burning or stab-like pain that appears along the path of the nerve and its branches. This type of pain can persist for months or even years, deeply affecting the quality of life of the patient.

  • Job | Portifisio

    Work with us!! ​ send us your CV to: portifisio@sapo.pt

  • Manual/ Chiropractic Medicine | Portifisio

    Manual Medicine Manual Medicine is often used to treat acute and chronic spinal pain or limited joint movements ("blockages"). The aim of Manual Medicine is to restore harmony in the movement of the entire spine by "unlocking" individual vertebral segments or joints (shoulder, elbow, hand, hip, knee, ankle and foot). Through targeted techniques of Mobilization/Manipulation/Neuro-Muscular Techniques, it is possible to treat functional disorders of the musculoskeletal system, as well as tissue changes, thus contributing to a sustainable pain relief. In this way, Manual Medicine allows not only a differentiated diagnosis, but also a gentle therapy of functional disorders of the musculoskeletal system. This combination makes Manual Medicine an efficient and pleasant treatment method for the patient. ​ Indications: - Acute or chronic pain/Limitation of movement in the spine - Pain/Limitation of movement in the peripheral joints (e.g. hip, shoulder, elbow, hand, ankle). ​ ​ ​ Services

  • ​ Traumatismo Crânio- Encefálico | Portifisio

    Traumatic brain injury Traumatic brain injury (TBI) is a brain injury caused by an external force and results in temporary or permanent disability Symptoms may vary according to the severity of the injury and the stage of recovery. Seizures, contractures, spasticity, disturbed vision, smell, dizziness or vertigo may occur soon after the acute phase. Common late symptoms include memory deficits, attention, headaches, disruption of sleep/wake cycles, emotional lability, apathy, depression, fatigue, impulsiveness, anxiety, social and motor disinhibition. Functional limitations involve motor disorders, with difficulty in mobility and/or self-care as a result of motor, coordination and activity planning deficits. Behavioural changes, with personality change and interpersonal relationships may occur. Often patients will be unable to return to work at their economic level and in family relationships. ​ Objectives of a rehabilitation program: Sensitive- motor re- education Relief from pain and spasticity Training of speech disorders, swallowing, vision, cognitive changes General physical reconditioning Functional training and day-to-day activities Improvement of gait, balance and coordination Prevention of vicious postures and contractures Teaching the sick and family Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities ​ ​

  • Pé e dedos | Portifisio

    Feet and fingers Morton's neuroma It is an inflammation and thickening of one of the nerves that are responsible for innervating the toes. It occurs most often between the 3rd and 4th fingers, usually as a result of repeated trauma, irritation or excessive pressure. The incidence is higher in women. Symptoms - There may be swelling of the painful site - Burning pain that can radiate to the other fingers; the pain can worsen with physical activity, tight shoes or with high heels - numbness and / or discomfort. ​ Plantar fasciitis ​ Plantar fasciitis is a very common problem of pain in the sole of the foot, which manifests itself in both sportspeople and sedentary people. It affects the so-called plantar fascia: a strip of elastic tissue that extends from the heel to the toes. When this area becomes inflamed, there is a sharp, piercing pain that can limit daily activity. ​ ​ Neuroma de Morton Fasceíte plantar Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation General physical reconditioning Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities ​ Ask our Flyers for your Hometraining at the doctor's appointment

  • Tumor Pain | Portifisio

    Tumor Pain At the time of cancer diagnosis, between 30 and 50% of patients experience pain - a prevalence that in advanced stages of the disease can reach 70-90%. In advanced cancer disease, 70% of the pain is due to the progression of the disease itself, while the remaining 30% is related to treatments and associated pathologies. Most cases of cancer pain originate from the compression of the tumour in bones, nerves or other organs. Sometimes, the pain is also caused by treatments - for example, some types of chemotherapy can cause paralysis and tingling of the hands and feet; they can also be the cause of a burning sensation at the injection site. Radiotherapy can also cause redness and skin irritation. When pain is insufficiently controlled, it can significantly interfere with daily activities and have a negative impact on the quality of life of patients. ​ Oncological pain can be acute or chronic. Acute pain is due to damage caused by a specific injury and tends to last for a short time, for example after surgery. Chronic pain is due to changes in the nerves - either because the tumour compresses the nerves or because of the chemical agents produced by the tumour. Treatments for cancer can also cause changes in the nerves. TYPES OF CANCER: - Nerve pain - Bone pain - Soft tissue pain - Phantom pain - Referred pain

  • Pelvic Floor Reeducation | Portifisio

    Pelvic Floor Reeducation What is pelvic floor? The pelvic floor consists of a thin layer of muscle fibers and connective tissue that close the pelvic cavity in its lower part, between the pubic bone and the sacrum afterwards. ​ What are your duties? Pelvic floor muscles contract when coughing, sneezing or pushing, helping to prevent involuntary urine loss. These muscles help to: - Support the organs in your abdomen, especially when you stand; - Protect the pelvic organs from external injuries; - Hold the pelvic organs, such as the bladder, in the correct position; - Control the output of urine, gases and feces; - Play an important role during sexual intercourse For the pelvic floor muscles to perform their functions correctly, they need to be conditioned and have adequate strength, like any other muscle in the body. ​ What can happen if the muscles are weak? Weak pelvic floor muscles can cause or aggravate a number of problems such as 1. stress urinary incontinence: involuntary loss of urine on effort, during exercise and when blowing or coughing; 2. Emergency urinary incontinence: involuntary loss of urine associated with an urgent need to urinate; 3. Mixed incontinence (urgency and exertion): involuntary loss of urine associated with urgency and also with exertion; 4. Pelvic organ prolapse or genital prolapse: lowering of the bladder, rectum or uterus, pressing on the vaginal wall, which in the most severe forms may go beyond the entrance of the vagina; 5. The loss of sexual desire or perception that the vagina is enlarged. ​ What can cause this weakness? 1. Not using these muscles. Pelvic floor muscles, like all other muscles, have to be exercised to function. It is very important to exercise them throughout a woman's life (not just after having children); 2. Injury to the muscles during pregnancy and childbirth; 3. Hormonal changes associated with menopause (although not yet scientifically proven); 4. The decrease in muscle tone associated with aging; 5. Muscular damage caused by prolonged effort when there is intestinal constipation, or even associated with patients with a history of chronic cough or obesity. ​ The role of strengthening exercises Regular, intense pelvic floor exercises help strengthen and tone these muscles. Many women will notice an improvement or even a disappearance of the symptoms of Stress Urinary Incontinence after learning how to do the exercises correctly, so they can avoid or postpone the need for surgery. ​ For more information we are available to answer your questions in the medical consultation and ask for our Flyer. SERVICES

  • Anca | Portifisio

    Hip Coxarthrosis (Hip arthrosis) ​ Coxarthrosis or Hip arthrosis is the result of wear and tear on the cartilage of this joint. Locally, there is disorganization of the collagen matrix and a decrease in proteoglycans, which have a chondro-protective effect, calling water by osmosis to its interior. As a result of the reduced osmotic effect of proteoglycans, the water content of the cartilage is reduced, as well as its thickness, and then osteoarthritis occurs. Hip arthrosis is, together with knee arthrosis, one of the most frequent arthrosis in the body. It affects 10-20% of the population after the age of 60, with a higher incidence in men up to 45 years old and in women after this age. ​ Primary coxarthrosis is one that has no apparent (ideopathic) cause, other than joint wear and degeneration. However, coxarthrosis can have other causes and is then called secondary coxarthrosis. The most frequent causes are the following: Traumatic (fractures and dislocations); Femoral-acetabular conflict and hip dysplasia; Avascular necrosis of the femoral head; Sequelae of congenital hip dislocation and childhood Perthes disease; Rheumatological and infectious diseases. ​ Hip osteoarthritis or osteoarthritis causes the following symptoms: Pain in the hip, with a mechanical character, that is, that worsens with movements, sometimes with irradiation to the groin, thigh or knee; Crackling, joint stiffness and limited range of motion; Claudication during the march, which sometimes requires the support of Canadians; Muscle atrophy due to disuse; Progressive reduction of gait perimeter without pain. In bilateral coxarthrosis, symptoms cause more marked functional impotence, and may even interfere with personal hygiene and activities of daily living. ​ One of the ways to control the symptoms of hip arthrosis may be the use of appropriate physiotherapy. Trochanteric Bursitis ​ Bursitis results from an inflammation of the synovial pouches (or bursae). A synovial pouch (or bursa) is a small bag filled with a gelatinous (liquid) fluid. The bursae are located between the bone and the tendons / muscles and allow to reduce friction. In other words, they work as “shock absorbers” to reduce impacts, that is, as a kind of “cushion” to reduce friction. In addition to the hip, we can find synovial pouches all over the body (shoulders, knees, heel, etc.). . Trochanteric bursitis (or trochanteritis) is the inflammation of the trochanteric bursa that is located in the trochanteric region (between the greater trochanter of the femur and the ilio-tibial band and the tendon of the middle gluteal muscle). ​ The symptoms are characterized by tenderness and pain in the lateral region of the thigh (“part of the side and outside the hip”), which sometimes radiates to the inguinal region (groin area). See superior images to better understand where the trochanteric bursa is located. Pain tends to intensify with activity (walking, walking up or down stairs, etc.). Patients, as a rule, find it difficult to lie "on their side" under the affected hip, often causing difficulty sleeping at night. ​ Femoro-acetabular conflict ​ It is a set of pathologies that are characterized by a mechanical block to normal hip movement, causing progressive lesion of the labrum and articular cartilage, which can result in arthrosis. It is characterized by changes in bone anatomy, which favor traumatisms that are repeated with the movements, until the appearance of the lesions. Generally, there are two types of deformity that can arise independently or together: the CAM type and the PINCER type. ​ Labral injury can occur without changes in bone anatomy. In these cases, its appearance is often associated with the practice of sport (football, handball, basketball, ballet, golf, athletics, etc.), due to movements of greater joint amplitude. ​ What are the patient's complaints? Complaints vary with the course of the disease. Initially, the pain can be quite localized and appear with a specific movement (for example: pain in the groin whenever the hip is flexed at a given rotation). “C” pain is very common, which is characterized by a pain located between the buttock and the groin. ​ Conservative treatment should always be the first approach. It consists of physical therapy, anti-inflammatory painkillers and reduced activity that causes symptoms. Surgery is reserved for cases of failure in well-conducted conservative treatment ​ ​ ​ Hip Arthroplasty ​ Hip Arthroplasty is an operation performed with an incision of 10-12 cm, and through which the femoral head and acetabulum cartilage are resected to allow its replacement by a metal implant (prosthesis). Hip prostheses can be attached to the bone by applying a special cement (cemented prostheses), which adheres and hardens after a few minutes, allowing patients to load immediately after surgery. It is ideal for older patients, with more osteoporotic bone, or who have worse bone stock due to rheumatismal pathology. Cementless prostheses are applied under pressure (press-fit). They are produced with a rough and porous surface, usually coated with hydroxyapatite, to allow a process of incorporation by bone growth into the interior of your pores, allowing a very firm and lasting fixation. ​ Hip Arthroplast is a surgery that has undergone a great evolution. Its application is possible by mini-invasive techniques, which provide the patient with better and easier recoveries. ​ Recovery after performing an Hip Arthroplast is increasingly quick and simple for the patient, as surgeries are less invasive, pain control is more effective and rehabilitation protocols are faster. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation General physical reconditioning Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities ​ Ask our Flyers for your Hometraining at the doctor's appointment

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