Se o seu ombro dói, é possível que se trate de lesão ao nível destas estruturas, que pode ter origem num traumatismo ou no envelhecimento da articulação. Seja qual for a causa, existem soluções para si. ​ ​ Shoulder Pain Why does my shoulder hurt? If we exclude traumatic causes, the main causes of shoulder pain are inflammation of the shoulder tendons (tendonitis). Less frequent causes are adhesive capsulitis and joint arthrosis in the shoulder region. Usually, the pain that originates in the shoulder is referred by the patient to the outer side of the arm. Pain originating in other places such as the cervical spine can be confused with pain originating in the shoulder. To make the differential diagnosis, the doctor has several clinical tests that allow him during the observation to establish the most likely source of the pain. Rotator Coif Pathology The rotator cuff is a set of muscles and tendons that surround the shoulder joint, which is extremely important for its movement. If your shoulder hurts, it is possible that this is an injury at the level of this area called the rotator cuff, which can originate from trauma or aging of the joint. Whatever the cause, there are solutions for you Shoulder bursitis Shoulder bursitis results from inflammation of the synovial pouches (or bursae) that exist around this joint and the rotator cuff tendons. It is one of the most frequent causes of pain in this joint. It can be bilateral, reaching both the left shoulder and the right shoulder. It can be acute or progress to chronic shoulder bursitis. There are several bursitis that can occur in the shoulder depending on whether one or another synovial pouch is affected . The most frequent are those that reach the subdeltoidal subacromial bursa, forming what is commonly called subacromial bursitis. Shoulder bursitis presents a clinical picture similar to that of shoulder tendonitis. The most characteristic symptoms are the presence of inflammatory pain, located on the antero-lateral face of the shoulder, eventually radiating to the arm and elbow. Its worsening is especially felt with efforts or during the night, making it impossible for the patient to sleep on the affected shoulder . The most frequent causes of shoulder bursitis are trauma and repeated efforts, such as those that occur with certain work activities (painters or plasterers, storehouses, etc.) or with the practice of certain sports, such as weight training, swimming or others practiced with the arm above the head (“overhead sports”). Certain rheumatismal diseases (such as, for example, rheumatoid arthritis, gout, lupus, psoriatic arthritis) also often develop with bursitis (namely subacromial). Osteoarthritis of the shoulder Osteoarthritis, often referred to as Arthrosis, is the wear and tear of articular cartilage that lines the contact surface between bones. The articular cartilage decreases the friction within the joint, allowing wide, continuous and pain-free movements. When damaged, the joint surface becomes irregular and worn, progressively leading to deformation, pain and inability to move. Adhesive capsulitis or frozen shoulder Adhesive capsulitis or "frozen shoulder" is a disease of unknown cause that is characterized by pain on movement and at rest, especially at night. Sometimes patients associate its beginning with a traumatic episode. The main characteristic of this entity is, however, the progressive decrease in shoulder mobility with increased difficulties in performing simple tasks such as dressing and personal hygiene. Adhesive capsulitis is more common in female patients between 45 and 45 years of age. 55 years old. Diabetic patients or those with a family history of diabetes and patients with thyroid problems are more likely to develop adhesive capsulitis. Shoulder dislocation Shoulder dislocation or "dislocated shoulder" is a lesion in which there is loss of contact and congruence between the two surfaces of the shoulder joint or glenohumeral joint (humeral head and glenoid cavity). See superior images. Shoulder dislocation can occur on either the left or right shoulder and is classified as anterior (forward), posterior (back), upper (up) or lower (down) dislocation, depending on the direction of travel of the humeral head. We call it subluxation of the shoulder when this loss of contact is not total. The most frequent causes of dislocations in adults are traumatic and occur especially in athletes, whether due to direct trauma to the shoulder or traction and torsion mechanisms. Contact sports, such as handball, are the ones that cause most episodes of dislocation, although others, such as weight training or weight lifting, may also contribute to their occurrence. The signs and symptoms that usually occur with shoulder dislocation are pain, usually very intense and the appearance of deformity with the disappearance of the rounded deltoid contour. Shoulder dislocation can evolve to permanent healing after being reduced, immobilized and properly rehabilitated. 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

A coxartrose ou artrose da anca é o resultado do desgaste da cartilagem desta articulação. Localmente, ocorre desorganização da matriz de colagéneo e diminuição dos proteoglicanos, que têm um efeito condro-protetor, chamando água por efeito de osmose para o seu interior. 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

Trigger Point Therapy Theragun GE3PRO® Indications: - Contractures - Myotendinous shortening - Muscle microroture - Spasms Trigger Point Therapy Trigger Point Therapy is the introduction of needles with or without injection (usually a local anaesthetic or sterile saline solution) into painful or contracted muscle areas. It is usually necessary to inject more than one trigger point to obtain pain relief. This is a very simple and painless technique. Indications: -Myofascial pain (muscle or soft tissue tension/contraction). -Joint pain -Overload of ligaments and tendons -... SERVICES

Uma entorse de tornozelo é uma lesão ligamentar (dos ligamentos) que ocorre, habitualmente, após uma torção no tornozelo. Os ligamentos do tornozelo são estruturas elásticas que permitem manter a articulação na sua posição correta. Ankle Ankle Sprain An ankle sprain is a ligament injury (of the ligaments) that usually occurs after a sprained ankle. Ankle ligaments are elastic structures that allow the joint to be kept in its correct position. The ligaments, which constitute the lateral stabilizers of the ankle, are mainly responsible for the stability of the joint, namely, in movements at the ends of the joint amplitudes. Under normal conditions, ligaments, as elastic structures that they are, stretch (stretch) to their limit, then return to their initial position. Sprain occurs when the ligament is forced beyond its normal capacity. Examples of abnormal movements are twisting of the foot (twisting the foot), rotations and rolling of the foot. This movement can cause the ligaments to stretch (distend or stretch beyond normal, creating problems in their function) or even, in the most severe cases, to rupture (tear). In most sprains, foot pain, which can be mild to very intense, is immediately felt at the site of the sprain. Often, the ankle starts to “swell” (edema) immediately and local ecchymosis (black ankle) and some joint effusion (fluid in the ankle) may appear. The ankle area is usually sensitive to touch and the pain increases with movement. In more severe sprains, you can hear and / or feel something “tearing” along with a click. The pain is immediate and strong after the sprain, you will not be able to walk or even exert force on the foot (put your foot on the floor or “step on”). Thus, the greater the pain and the edema (swelling), the more severe the injury and consequently the longer the rehabilitation phase. The extent of the edema (swelling) and the intensity of the pain in the foot vary in proportion to the severity of the sprain. The recovery time to heal a sprain can range from weeks to months and depends on the severity of the injury and the treatment instituted. See more information on treatment. In sports that require sudden movements and extremes of amplitude (football, futsal, basketball, handball, athletics, etc.), sprains can occur more easily. However, sprains can also occur accidentally in day-to-day life, when the person places “badly on the ground”, etc. The use of inappropriate footwear, such as high heels, very wide shoes, among others, can be a risk factor for the occurrence of sprains. Imbalances are one of the risk factors for ankle sprain. Those who have “weak muscles” and exercise or do physical activity without prior adaptation training are more likely to develop sprains. 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

A osteoartrose, vulgarmente conhecida por artrose, é uma doença que atinge, fundamentalmente, a cartilagem articular, que é um tecido conjuntivo elástico que se encontra nas extremidades dos ossos que se articulam entre si. Osteoarthritis Osteoarthritis is a disease that primarily affects the articular cartilage, which is an elastic connective tissue that is found at the ends of the bones that articulate with each other. Articular cartilage is nourished by joint fluid or synovial fluid, so called because it is produced by synovial, a membrane rich in vessels that lines the interior of the joints. This joint fluid contributes to lubricate the joint, facilitating its movements, and allowing healthy joints to slide the cartilages on top of each other without friction, that is, without wear. As a result of this, the ulcerative articular cartilage and the bone beneath the cartilage react, thickening and giving rise to bone growths called osteophytes. Osteophytes are known as "parrot beaks", because some of them, on radiographs, give images that resemble a parrot's beak. In this degenerative process, joint inflammation phenomena often occur, causing pain and swelling of the joint. Hence the term "arthritis" is also used for these clinical conditions. Arthrosis is one of the multiple rheumatic diseases and is by far the most common. It is a disease of a degenerative nature that involves the entire joint. In Portugal there are about half a million patients with arthrosis and pain, although, in fact, this number is close to 1 million, as many patients have osteoarthritis and have no complaints. Osteoarthritis is a very important cause of disability in the elderly and one of the most frequent causes of permanent disability and early retirement. The climate is not a cause of osteoarthritis, although the cold and humidity aggravate the complaints of these patients, and the warm climate relieves the pain. There are joints in which arthrosis is more common: knees, hands, hips, spine and feet. In the hands, are the joints of the fingers and, in the wrist, at the base of the thumb the most common joints. In the spine, the cervical and lumbar region. On the feet is the base of the first toe, which when deformed is often called a "bunion". What causes arthrosis? All those who expose their locomotor system to overload or excessive work, such as sports people and the obese, and those who have joint or limb malformations, such as deformities of the knees, hips or feet, will tend to develop arthrosis earlier. . How are arthrosis manifested? There is no correlation between the degree of joint damage and the intensity of pain. Many patients have advanced arthrosis and little pain, while others who are very complaining have poorly evolved arthrosis. The main symptoms of osteoarthritis are pain, stiffness, limited movement and, in more advanced stages, deformations. Pain has a rhythm characterized by the fact that the pains get worse throughout the day, with movements and efforts, and improve when the patient rests, particularly when lying down. As a rule, patients with osteoarthritis have no pain at night and sleep well, although in some very advanced cases of arthrosis of the hips and knees the pain may also appear at night. The limitation of joint mobility gets progressively worse over the course of the disease. Periods with swelling of the joint may occur due to inflammation. In the fingers this inflammation takes the form of nodules and in the knees fluid can accumulate, which coincides with an aggravation of complaints. Limitation of movement can generate great disability in patients with osteoarthritis. Thus, for example, patients with osteoarthritis in the upper limbs, particularly at the level of the shoulders, may have great difficulty in dressing and eating. On the other hand, arthrosis of the lower limbs can make walking difficult and make certain tasks difficult or even impossible, such as putting on shoes. In the end, the joint is unable to perform its function, without cartilage and with the bone developed in the periphery. Patients become more and more limited, to the point where they are unable to move the joint without great effort and severe pain. 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 medical consultation

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

A fibromialgia é uma doença que se caracteriza por dor músculo-esquelética generalizada, difusa, muitas vezes migratória e por um aumento da sensibilidade a uma variedade de estímulos que podem causar dor e desconforto, como o esforço, stress ou os ruídos. Fibromyalgia Fibromyalgia is a disease characterized by generalized, diffuse, often migratory musculoskeletal pain and increased sensitivity to a variety of stimuli that can cause pain and discomfort, such as effort, stress or noise. It affects about 2-4% of adults, and is more frequent in women. You may have periods of calm or exacerbation, and the pain and discomfort may fluctuate. It is often accompanied by fatigue, altered sleep, memory problems and concentration. The origin and cause of fibromyalgia are not very clear. It is thought that there is an increase in sensitivity to pain, due to changes in neurotransmitters and pain processing, both in the peripheral and central nervous systems, which leads to situations of hypersensitivity to external stimuli. Psychological stress (worry, anxiety) favours this mechanism, and also increases the tension that is transmitted to the muscles, increasing pain. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation Reduced anxiety, improved sleep 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

35 YEARS TAKING CARE OF YOU PHYSIOTHERAPY CLINIC Portimão, Algarve Agreement with National Health Service Learn More SERVICES MEDICAL APPOINTMENT Physical Medicine and Rehabilitation (Physiatry) consultation to assess problems: orthopaedic rheumatological neurological pediatric Schedule an Appointment PHYSIOTHERAPY Improved joint range of motion Muscle strengthening Learn More MASSAGE/MANUAL MEDICINE Pain and contracture relief Learn More SHOCK WAVES Plantar fasciitis and calcaneal spur Medial and lateral epicondylitis (elbow) Calcific tendinopathy of the rotator cuff (shoulder) Learn More INVASIVE TECHNIQUES ECOGUIDED Intra- and Peri-Articular Infiltrations: Tendonitis, Bursitis, Joint effusion, Tendon and muscle sprains/tears Pain relief in arthritis/cartilage wear and tear Learn More All Services OFERTA DE EMPREGO Venha trabalhar connosco! Vagas AGREEMENTS

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.

A dor no joelho é das mais frequentes no organismo humano. Afecta, quer idosos, tendo geralmente nestes origem degenerativa, quer os indivíduos jovens por norma devido a lesões traumáticas ou problemas de alinhamento da rótula (os chamados síndromes rotulianos). ​ 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

Descubra como é fácil marcar a sua consulta de fisioterapia na Portifisio através do SNS. Seja avaliado pelo nosso especialista Fisiatra e receba um plano de tratamento personalizado.  Credencial p/ Fisioterapia Serviço Nacional de Saúde (SNS) PASSOS PARA REALIZAR UMA CONSULTA ATRAVÉS DO SNS FIQUE A SABER COMO É FÁCIL REALIZAR UMA CONSULTA NA PORTIFISIO ATRAVÉS DO SNS O seu Médico de Família, após avaliação, deverá prescrever-lhe uma credencial (ligue-nos caso não disponha de credencial). Com a credencial poderá agendar a Consulta de Fisiatria: aqui será avaliado pelo nosso Médico Fisiatra que irá definir o plano de tratamentos a realizar. No final da consulta deverá dirigir-se à receção e solicitar a marcação dos tratamentos prescritos. Em caso de necessidade de continuação dos tratamentos, o Médico Fisiatra passará um relatório dirigido ao seu médico de Família, a solicitar a continuação do mesmo.

Fasceíte Plantar. Esporão do calcâneo. Neuroma de Morton 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