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

Consulta de Fisiatria, Medicina Desportiva, Medicina da Dor, Cuidados Paliativos Ortopédicas PATHOLOGIES Orthopedic / Rheumatological Spine Shoulder Elbow Hand and fingers Hip knee Ankle Foot and toes Osteoarthritis Rheumatoid arthritis Spondyloarthritis Fibromyalgia Gout Systemic lupus erythematosus Osteoporosis ... Neurological Stroke Trauma Brain Injury Spinal cord injury Multiple sclerosis Parkinson's disease ... Pain Medicine Neuropathic pain Spinal Pain Musculoskeletal Pain Headache Tumor Pain ... Âncora 1 Âncora 1

As espondilartrites são um grupo de doenças inflamatórias crónicas, que têm em comum um conjunto de características clínicas e genéticas. Spondylarthritis Spondylarthritis is a group of chronic inflammatory diseases, which have in common a set of clinical and genetic characteristics. These diseases are divided, according to the predominance of clinical manifestations, into axial spondylarthritis (when it mainly affects the spine and sacroiliac joints), peripheral spondylarthritis (when the involvement of other joints predominates, especially the lower limbs) or the enteopathic form (when the ligament insertions are the predominant manifestation). This group of diseases includes ankylosing spondylitis, psoriatic arthritis, arthritis associated with inflammatory bowel disease (Crohn's disease or ulcerative colitis), reactive arthritis, among other forms. The cause of these diseases remains unknown. They are diseases that result from a deregulation of the body's immune system, with genetic factors playing a major role, although multiple environmental factors can contribute to the onset of the disease. Chronic inflammation is a predominant characteristic in this group of diseases, and analyses that detect inflammation, such as C-reactive protein (CRP), may be altered. Axial spondylarthritis usually appears in young people between the ages of 20 and 30. While ankylosing spondylitis is more common in males. The cardinal symptom of axial spondylarthritis is pain in the lumbar spine, known as inflammatory rhythm. This pain typically appears during rest, conditioning awakening in the second half of the night. When waking up (or after rest periods), the patient feels stiffness, "prison in movements", usually lasting more than thirty minutes, referring to difficulty, for example, in bending over to put on shoes. In both axial and peripheral spondylarthritis, other joints may be affected: shoulders, hips, knees and tibiotarsis (ankles) are the most frequently affected when there is peripheral joint disease. Jointitis, i.e., inflammation of the entheses, which are the sites where the ligaments are inserted into the bones, is quite characteristic of spondylarthritis. The most common cases are Achilles tendon and plantar fascia (membrane surrounding the muscles of the feet on the plantar face). Spondylarthritis can have other types of involvement besides the musculoskeletal system. Mucocutaneous involvement, translated as psoriasis, is an important and frequent facet of the constellation of disease associated manifestations. Another frequently affected organ is the eye, in the form of anterior uveitis, which manifests as a red and painful eye, usually unilateral, with blurred vision. In addition to the eye and skin, there may also be inflammation at the intestinal level. Fatigue is a very common complaint. Objectives of a rehabilitation program: Improving mobility and joint movement Relief from pain and inflammation Stabilization of spine static and dynamics General physical reconditioning 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 our Flyers for your Hometraining at the doctor's appointment

Musculoskeletal Pain Musculoskeletal pain can be caused by diseases of the bones, joints, muscles, tendons, ligaments, bursae or a combination of these conditions. Bone pain is usually deep or penetrating. It is usually the result of a traumatic injury. Less frequently it occurs in problems related to protest material, in cases of infection of the bone (osteomyelitis), hormonal disorders and/or tumors. Muscular pain (known as myalgia) is generally less intense than bone pain, although it can be limiting, especially if it results from a muscle spasm (continuous painful muscle contraction), also known as cramp. Muscle pain can also be manifested by hardened muscle cords/painful points (trigger points) /, located predominantly in the cervical region, gluten region, and/or pelvic waist. All of us have latent trigger points that can be activated in case of overload or incorrect posture. The pain in the tendon and ligament is generally less intense than the bone pain, usually worsens when the affected tendon or ligament are elongated or moved and relieves with rest. The most common injury is sprain. The pain in the bursae (small bags filled with liquid that provides a protective cushioning of the joints) and a pain that worsens with movement and relieves with rest. It appears in situations of trauma, excessive joint overload, gout or infection. Joint pain (called arthralgia) may or may not be accompanied by inflammation (called arthritis). Arthritis-related pain can be acute (e.g., when caused by infection, injury or gout) or chronic (e.g., when caused by rheumatoid arthritis or osteoarthritis), although with periods of exacerbation. Other signs/symptoms usually co-exist (heat, swelling and redness). Sometimes the pain originates in structures close to the joint, such as ligaments, tendons and bursa. Fibromyalgia pain is a generalized pain with hypersensitivity to the palpation of specific painful points (muscles, tendons or ligaments). It is also accompanied by other symptoms such as: general fatigue, poor quality sleep, among others. Sometimes, a pain that appears to be musculoskeletal is actually caused by a disease in another organic system. For example, shoulder pain can be caused by a disorder that affects the lungs, spleen, or gall bladder. Back pain can be caused by a kidney stone, abdominal aortic aneurysm, inflammation of the pancreas, or, in women, by pelvic disorders. Arm pain may be associated with a heart attack (myocardial infarction).

Advice on adapted technical material In the medical consultation, we assess the need to use technical equipment to minimize physical damage/functional disability. After evaluation we advise on: Orthotics, Prostheses, Confection of splints, Walking aids Tools for home, work or sports activities To play, press and hold the enter key. To stop, release the enter key.

Physiatry Consultation, Sports Medicine, Pain Medicine, Palliative Care