Headaches Headache (commonly described as headache) is a localized pain in any part of the head. Because it is a frequent complaint with limited work activity and the performance of daily tasks, it often motivates the search for medical help. Although headaches can cause suffering and anguish, they rarely indicate a serious problem. However, since they can result from diseases of the brain, eyes, nose, throat, sinuses, teeth, jaws, ears, or even from a systemic disease, they deserve to be clarified in a medical consultation. Trigeminal Neuralgia Trigeminal neuralgia is a severe facial pain associated with injury to a cranial nerve (trigeminal nerve). This nerve is responsible for transmitting sensitive information from the face to the brain and controls the muscles involved in chewing. The most frequent cause is nerve compression through an abnormally positioned artery; it usually tends to manifest in middle-aged and elderly people, but can affect adults of any age. Medication (anticonvulsants, antidepressants) can relieve pain, although surgery is sometimes necessary.

O Traumatismo crânio-encefálico (TCE) é uma agressão cerebral provocada por uma força externa e resulta numa incapacidade temporária ou permanente. 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

Vertebral Pain Cervical Pain Cervical pain is the pain that we feel in the upper region of the spine, sometimes located on the shoulders / neck, and may radiate to the head (headache). It is a pain often associated with posture, and for this reason, often observed in young people in the active phase. Cervical pain can be caused by vertebral pathology and/or intervertebral discs, or it can simply be a muscle problem. When this pain radiates to the upper limbs, it is called cervicobrachialgia, usually associated with a compression of the spinal nerve. In these cases, there may be a sensation of tingling or loss of sensation, as well as, in more serious cases, loss of strength in the upper limbs. Thoracic Pain The dorsal pain or dorsalgia, is located in the middle region of the back and may irradiate the lumbar or cervical spine. It can also cause a fracture or collapse of the vertebral body, appearing after a fall or in people with decreased bone mineral density (osteoporosis). Lumbar Pain It is the pathology that we treat most frequently in our clinic, and is one of the most frequent causes of absenteeism at work. Lumbar pain has many causes, the most frequent being herniated discs, joint/facet wear or narrowing of the lumbar spinal canal. When this pain extends to the lower extremities, we speak of lumbociatalgia, also commonly known as sciatica pain. Sacroiliac joint Pain We talk about sacroiliac pain and localized pain in the buttocks. This pain is usually caused by the involvement of the sacroiliac joints (union between the sacrum and both iliac bones). Patients who suffer from this pathology usually also report discomfort in the groin area, or in the lower extremities. It is a pain that interferes with long positions maintained, such as sitting.

POLÍTICA DE PRIVACIDADE Os serviços e informações ao seu dispor neste site são-lhe proporcionados pela “Portifisio- Clinica de Medicina Física e de Reabilitação de Portimão, Lda”, NIPC 501641092, com sede na Rua Francisco Bivar, 18, 8500-675 Portimão, doravante abreviadamente designada como Portifisio, proprietária do site www.portifisio.pt ,que assume consigo um compromisso de privacidade em relação aos dados pessoais que depositar no referido site. Para a Portifisio a segurança e privacidade dos seus utilizadores é uma questão de honra. Consulte a nossa Política de Privacidade de Dados Pessoais em detalhe aqui . CONFIDENCIALIDADE Em alguns locais deste site, pela natureza dos serviços prestados (por exemplo para prestação de informações), é requerido aos utilizadores o fornecimento de contactos e/ou de informações que podem ser consideradas de carácter pessoal. A Portifisio garante, no entanto, a todos os seus utilizadores o seguinte: Nenhum dado pessoal será facultado a terceiros externos à Portifisio sem o prévio consentimento do seu titular; Nenhum dos dados pessoais que nos seja confiado será facultado, por via gratuita ou comercial, a empresas de “marketing” direto ou outras entidades que utilizem listas de “mailing” para publicitação dos seus produtos e/ou serviços; A Portifisio está empenhada em cumprir escrupulosamente o Regulamento Geral de Proteção de Dados Pessoais, bem como toda a restante legislação em vigor sobre proteção de dados pessoais COOKIES Visando proporcionar aos nossos utilizadores uma maior rapidez e personalização do serviço prestado, a Portifisio poderá recorrer a uma funcionalidade do “browser” conhecida como “cookie”. Um “cookie” é um pequeno ficheiro de texto, automaticamente guardado pelo computador do utilizador, e que permite a sua identificação sempre que este volte a consultar, neste caso, o site da Portifisio. Qualquer utilizador pode, no entanto, configurar o seu “browser” por forma a impedir a instalação de “cookies” no seu computador. Contudo, essa opção poderá tornar a sua navegação mais lenta, neste como noutros sítios da Internet. BANNERS Um “banner” é uma área rectangular do ecrã que publicita uma marca ou um serviço, procurando atrair o utilizador a clicar sobre ele e entrar no site da Internet com o qual estabelece ligação. A Portifisio compromete-se a apenas colocar no seu site “banners” destinados à divulgação de serviços da sua responsabilidade. Todos os “banners” que possam aparecer neste sítio são distribuídos usando a tecnologia da DoubleClick. Todos os utilizadores que recorram a estes “banners” permanecerão completamente anónimos. LIGAÇÕES A TERCEIROS Este sítio, construído numa lógica de divulgação comercial, contém uma variedade de ligações para outros sítios na Internet e nacionais ligados ao grupo de empresas. Ao estabelecer, a partir deste site, ligações com outros sítios na Internet, seja por meio de um “link” ou de um “banner”, poderá receber um “cookie” de um dos nossos parceiros. A Portifisio não se responsabiliza, contudo, pela política de segurança e privacidade, forma, conteúdo ou práticas desses mesmos sítios. CORREÇÃO E ATUALIZAÇÃO DE INFORMAÇÃO DE CARÁCTER PESSOAL Cada utilizador dos serviços interativos aqui disponibilizados é responsável e titular dos dados que transmita à Portifisio, podendo controlar a quantidade de informação fornecida e quando (e em que circunstâncias) esta poderá, ou deverá ser facultada a terceiros. Caso entenda necessitar de alterar qualquer informação de carácter pessoal e/ou respetivas condições de divulgação poderá sempre fazê-lo. Basta para tal enviar um email para: portifisio@sapo.pt GRATUITIDADE DOS SERVIÇOS PRESTADOS Os serviços e informações disponibilizados neste site são completamente gratuitos para os seus utilizadores. ACEITAÇÃO E VINCULAÇÃO Todo o utilizador dos serviços disponibilizados neste site está vinculado à aceitação e respeito pelas condições aqui expressas. Para qualquer esclarecimento adicional ou solicitação relacionado com a Política de Privacidade e Termos de Utilização deste site, envie-nos um e-mail para: portifisio @sapo. pt

A Doença de Parkinson resulta da redução dos níveis de uma substância que funciona como um mensageiro químico cerebral nos centros que comandam os movimentos. Essa substância é a dopamina. Parkinson's disease Parkinson's disease results from the reduction of levels of a substance that functions as a brain chemical messenger in the centers that control movements. That substance is dopamine. We are a family owned and operated business. Since dopamine controls muscle activity , symptoms are essentially related to movement. In addition to the tremors, stiffness and sluggishness, there are other manifestations that translate into patients' sleep, thought, speech and state of mind. The first sign of the disease is, in general, a slight tremor in a hand, arm or leg that occurs when the affected extremity is at rest but which can increase in moments of greater tension. As a rule, it improves when the patient voluntarily moves the affected extremity and may disappear during sleep. As the disease progresses, the tremor becomes more diffuse and can affect the extremities on both sides of the body. When the muscles of the face are affected, the expression may be erased and, in the case of other muscles, the patient may be unable to take care of himself. Depression or anxiety is common in Parkinson's patients, as well as memory disorders. Visual, chewing and swallowing difficulties, urinary incontinence, changes in sexuality, cramps, as well as increased sweating can also occur. Postural instability and difficulties in walking make it quite incapacitating, making it difficult to sit and stand and forcing you to walk with small steps, dragged and without the normal pendulum movement of your arms. Objectives of a rehabilitation program: Re-education motor Speech training General physical reconditioning Functional training and day-to-day activities Improvement of gait, balance and coordination Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities Ask us to consult the Parkinson's Disease Manual

About us We are a multidisciplinary team of more than a dozen professionals dedicated to the rehabilitation of orthopaedic, rheumatologic and neurological problems and pathologies. We also have extensive experience in amputees, geriatrics, oncologists and paediatricians. In addition, we are dedicated to the comprehensive treatment of acute and chronic pain situations, as well as palliative care. It is our duty as providers of the National Health Service and the private system to provide our users, and within the scope of our competences, with a quick and effective response to their health problems. Our goals are: Assessment and treatment of disability/physical disability, Rapid diagnosis and treatment of acute pain, Chronic pain relief, pain chronification prevention, Rationalization in the prescription of medication, Improved quality of life, Rapid return to physical activity or daily life activity, Medical orientation in case of surgical need or second opinion Our mission is to give back to the Algarvian and foreign population our vast national and international experience based on the provision of high quality health care and expertise. Medical Director: Dr. Cátia Galvão - Doctor of Medicine (M.D), University of Lisbon - Specialist for Physical and Rehabilitation Medicine - Ordem dos médicos Portuguesa, Bundesärztekammer (Germany), FMH/MEBEKO- Switzerland - Pain Medicine - Swiss Society for the Study of Pain (SGSS) - Post-graduate course, Sports Medicine - University of Lisbon +

A osteoporose é uma doença generalizada do esqueleto que se caracteriza por uma diminuição da densidade mineral óssea (DMO) e alterações da qualidade do tecido ósseo, conduzindo a um aumento da fragilidade óssea e consequentemente, a um risco elevado de fractura. Osteoporosis Osteoporosis is a generalized skeletal disease characterized by a decrease in bone mineral density (BMD) and changes in bone tissue quality, leading to an increase in bone fragility and, consequently, a high risk of fracture. Vertebral, hip and wrist fractures are among the most common osteoporotic fractures, but osteoporosis is associated with an increased risk of any type of bone fracture. The decrease in bone mass is closely linked to the increase in age and, in women, to a set of hormonal changes related to menopause. However, there are other risk factors for osteoporosis, such as smoking; excessive alcohol consumption; low body mass index; chronic medication with corticoids. Osteoporosis is a silent disease, causing no symptoms until bone fracture occurs. Osteoporosis is diagnosed by evaluating the BMD measured by bone densitometry. The prevention of osteoporosis starts from childhood with healthy living habits to acquire an adequate peak bone mass, because it is in childhood that bone mass forms parallel to skeletal growth. In adulthood, a series of measures must be taken to slow down the decline in bone mass, and this is particularly important in post-menopausal women. Regular exercise, especially heavy activities (such as walking, running or aerobics) or resistance exercise (e.g. with weights) are associated with an increase in bone mineral density and a decrease in the risk of fractures. A balanced diet with adequate calcium and protein intake is essential. Calcium, an essential element for normal bone metabolism, is present in greater quantities in milk and milk products, but can also be found in other foods such as green vegetables (broccoli and spinach for example). Frequent exposure to the sun (exposure of the face, arms and hands 15-20 minutes daily, without sun protection) should be stimulated in order to stimulate the production of vitamin D, essential for the absorption of calcium in the intestines and a correct mineralization of the bone. As risk factors for the development of osteoporosis, smoking cessation and moderate alcohol consumption are also essential. The aim of osteoporosis treatment is to prevent fractures of fragility and consists of adopting the measures described above for the prevention of osteoporosis, with which pharmacological therapies are associated. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from fracture pain Stabilization of spine static and dynamics General physical reconditioning Improvement of gait, balance and coordination Teaching and counseling of support products (orthoses, splints, etc.) Return to work activities , daily life and sports activities Ask our Flyers for medical consultation

O LES é uma doença inflamatória do tecido conjuntivo, que afecta vários sistemas orgânicos. Caracteriza-se pela produção de anticorpos contra componentes do próprio organismo que podem causar lesão de diversos órgãos. Systemic Lupus Erythematosus SLE is an inflammatory disease of connective tissue, which affects several organic systems. It is characterized by the production of antibodies against components of the body itself that can cause damage to various organs. SLE affects 0.07% of the Portuguese, typically women of reproductive age. The onset of the disease occurs between 16 and 49 years of age in about 75% of cases. SLE is a disease of unknown cause. However, studies suggest that its etiology is multifactorial, in which genetic, hormonal, immunological and environmental factors are involved. Sun exposure seems to play a crucial role in triggering the disease and also in triggering exacerbations. Patients with SLE have a variety of clinical manifestations that can differ dramatically from patient to patient. In most cases (90%) skin and/or joint manifestations are present. Some patients may have more severe manifestations, such as kidney involvement (37%) or neuropsychiatric changes (18%). The treatment of SLE is complex and depends on clinical manifestations and its activity. 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

AGREEMENTS SERVIÇO NACIONAL DE SAÚDE; ADSE; ADMG/SAD-GNR SAD-PSP; MÉDIS; MEDICARE; TRANQUILIDADE ADVANCECARE ADM-IASFA SAMS; LIBERTY GENERALI PLANO SAÚDE-WELLS PT VICTORIA ASSOCIAÇÃO MUTUALISTA LUSITANIA AXA AÇOREANA IMPERIO BONANÇA SAMS-QUADROS; CAIXA GERAL DE DEPÓSITOS;

Physical Reconditioning The recovery process after surgery, after an injury involving prolonged immobilization, or after discharge from hospital usually leads to a marked general physical deconditioning. In this way, global therapeutic training is advised, i.e. joint, muscle and cardio-respiratory training. This program of exercises must be prescribed by your doctor, taking into account your co-morbidities (diseases and medication) in order to run unevenly. Our physiotherapists will help you in the adjustment and eventual correction of your movement pattern. SERVICES

Consulta no próprio dia. Evite idas desnecessárias às urgências. WALK-IN Consultation Medical Consultation on the same day (Monday to Friday) Have you a intense pain and need help? Avoid unnecessary ER visits and several hours of waiting time. With us at Portifisio, you'll be in the best hands. We relieved your complaints on time. We treat different kinds of pain: - Back pain (Lombalgy, Sciatica) - Headache (Headaches) - Rheumatological pain - Arthrosis Pains - Muscular/ligament pain (sprains, intense cramps) Documents required: - Citizen card, - List of current medication - Health Insurance Card/Subsystem (if any)

Síndrome do Túnel Cárpico. Dedo em gatilho. Doença de Dupuytren. Tenossinovite de Quervain Hands and fingers Carpal tunnel syndrome Carpal tunnel syndrome occurs when pressure build-up within the carpal tunnel causes nerve compression. When the compression is sufficiently high, it causes changes in nerve function, which causes numbness / tingling, pain in the hand and fingers and, consequently, muscle weakness. In most situations, numbness / tingling affects the thumb, forefinger, middle and part of the ring. The signs usually appear at night, but can appear during daily activities, such as driving or reading a newspaper. Patients notice that they have reduced grip strength and may drop objects from their hands. In the most severe cases, tenderness may be completely absent and the muscles at the base of the thumb atrophied (atrophy of the tenar eminence). The cause is usually unknown. Fluid retention during pregnancy can in some cases cause edema in the canal, which usually disappears after delivery. Some diseases such as hypothyroidism, rheumatoid arthritis, diabetes and kidney failure can be associated with this syndrome. Stenosing tenosynovitis (trigger finger) Stenosing tenosynovitis, commonly known as a trigger finger, involves the tendons and pulleys of the flexor tendons of the fingers. The tendons work like long cords from the muscles in the forearm and through a tunnel, with a bone base and fibrous tissue ceiling, until they reach the fingers. Inside the tunnel the tendons are wrapped in a film that allows easy sliding inside the sheath and pulleys. The trigger finger occurs when the tendon develops a lump or edema of the surrounding film. When the tendon swells, it increases in volume, and has to rub at the entrance to the tunnel (flexor tendon sheath), which causes pain, bouncing and a feeling of being trapped in the finger. When the tendon touches the sheath, there is more inflammation and more edema. This causes a vicious cycle between the trigger, inflammation and edema, which in some cases leads to a blockage, and it is not possible to bend or stretch the involved finger. The causes for the appearance of the trigger finger are not fully understood. Trauma to the palm can irritate the flexor tendons. Some diseases such as rheumatoid arthritis, gout and diabetes are associated with the appearance of a trigger finger. The trigger finger may start as a slight discomfort felt at the base of the finger. Thickening can be felt in this area. When the finger starts to become blocked and cause the shoulder or trigger, the problem may appear in the interphalangeal joint near the finger. Dupuytren's disease Dupuytren's disease is a benign pathology that is characterized by a fibrotic thickening of the palmar and digital fascia of the hand. Initially, it presents as a palpable palpable mass (Dupuytren's nodule) that can progress to contracture in flexion of the hand joints. It occurs most frequently on the 4th and 5th fingers. The decrease in range of motion affects the patient's daily activities. The pre-tendon nodules that form in the palmar flexion folds may be painless or moderately painful. As they grow, Dupuytren's nodules develop cords that extend distally and proximally and that, once thickened, shorten and lead to contracture. Quervain's tenosynovitis Tenosynovitis, tendonitis, or De Quervain's syndrome is an inflammation that affects the tendons of the wrist leading to the thumb, namely the tendons of the long abductor and short extensor of the thumb, in the area where they cross a thick fibrous sheath, which constitutes the first wrist extensor compartment. Although the causes of De Quervain's tenosynovitis are unknown, in most cases it is associated with overuse, either at home or at work, or with rheumatoid arthritis. Any activity that involves repetitive movement of the wrist and hand such as gardening, playing golf or tennis or picking up a baby, for example, can trigger and / or aggravate the symptoms. Prolonged vicious positions or situations of overload can also be at its origin. In addition, there are physiological conditions that predispose to the development of this pathology, such as pregnancy, the puerperium or in patients who have had a previous wrist fracture. The main symptom of De Quervain's tendonitis is pain in the outer edge of the wrist. The pain can start suddenly or insidiously and initially appears at the base of the thumb, in the area that corresponds to the first extensor compartment. Often the pain radiates towards the thumb or forearm, and it is sometimes difficult for the patient to locate a specific point of pain. De Quervain's tendonitis is curable with appropriate treatment, which consists of eliminating inflammation of the affected tendons, thus providing pain relief and recovery of mobility and function. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation 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