Stroke Stroke is a brain disorder acquired after occlusion of a vessel or inadequate perfusion in the brain parenchyma. Stroke is the leading cause of death in Portugal. Worldwide, it is estimated that: one in six people will have a stroke; every second a person suffers a stroke; and every 6 seconds the stroke is responsible for the death of someone. According to the Portuguese Society of Stroke, Portugal is, in Western Europe, the country with the highest mortality rate, especially in the population under 65 years of age. Risk factors for stroke include age, sex, obesity, diabetes, high blood pressure, hypercolest sedentary lifestyle. Symptoms In general, it is simple to recognize a stroke using the 5 F's rule. These symptoms can appear in isolation or in combination: Face : the face can suddenly become asymmetrical, looking like a "corner of the mouth" or one of the eyelids is drooping. These signs can be better perceived if the affected person tries to smile. Strength : it is common for an arm or leg to suddenly lose strength or to experience a sudden lack of balance. Speech : speech may seem strange or incomprehensible and speech does not make sense. Often, the person does not seem to understand what is said to him. Sudden lack of vision: Sudden loss of vision in one or both eyes is a common symptom in a stroke, as is double vision. Severe headache : likewise, it is important to value a sudden and very intense headache, different from the usual pattern and with no apparent cause. Other problems may arise, such as urinary retention, pain, depression, fatigue and increased muscle tone (spas. Functional limitations resulting from stroke are usually difficulties in walking and cognitive performance such as loss of memory, attention and perception visuospatial, difficulties in communication, not being present. As a result of these disabilities, many individuals may have difficulty using public transport as a previous professional. Some will need supervision. What is the treatment for stroke? The most useful drugs for the treatment and prevention of stroke are antihypertensive agents, antiplatelet agents and anticoagulants. Taken together, these three classes of drugs improve circulation and ensure a better supply of blood, oxygen and nutrients to brain cells. The choice of the best combination of drugs should always be made by the doctor. In some cases, surgery may be instrumental in unblocking a clogged artery. How to prevent a stroke? It is important to control all the components of our health, regularly checking blood pressure and cholesterol, not smoking or consuming alcohol or excess salt, maintaining a healthy diet and exercising. What is the recovery after a stroke? Recovery from a stroke takes time. About a third of patients recover significantly in the first month, but many patients will experience sequelae throughout their lives. Recovery will depend on the location and extent of the stroke, but also on the time that has elapsed, which is why it is crucial to call the Hospital immediately when a stroke is suspected. Physiotherapy and lifestyle changes are important aspects for recovery. Maintaining a positive attitude, professional and family support are important parts so that everything can run as smoothly as possible. 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 and reducing cardio-vascular risk factors Teaching and counselling of support products (orthotics, splints, etc.) Return to work activities , daily life and sports activities

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

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

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

Multiple Sclerosis Multiple Sclerosis (MS) is a chronic neurological disease, more common in young adults, which usually appears in the third decade of life, with twice the frequency in women. Most cases are diagnosed between the ages of 20 and 50, although it can affect people between the ages of 2 and 75. Although it is not a fatal disease, it is very disabling, significantly affecting all aspects of patients' lives. This disease affects the central nervous system. The nerve fibers of cells in the nervous system are lined with a sheath called myelin, which is essential for stimuli to be properly propagated. In multiple sclerosis myelin is destroyed, thus preventing proper communication between the brain and the body. On the other hand, the inflammatory process that occurs in this disease damages the nerve cells themselves, causing permanent loss of several functions, depending on the affected territories. The exact cause of this disease is not known, but it is admitted that several factors of a genetic, immunological, viral, bacterial, environmental nature (diet, industrial toxins present in the soil or water), reduced levels of vitamin D, allergies, physical trauma, etc. Symptoms The first symptoms may be of a sensitive nature, such as loss of sensation or tingling that start at one end and extend to the entire limb over 3 or 4 days. These symptoms can last for 1 to 2 weeks and then gradually disappear. MS can initially manifest itself in other ways, with blurred vision, double vision, motor deficits, tremors, difficulty in walking, balance changes, speech difficulties, memory and concentration problems, fatigue, or even paralysis and complete loss of vision. The symptoms will always be dependent on the areas of the nervous system where the loss of myelin occurs and the consequent inability to transmit nerve stimuli. These symptoms can progress in several ways, as described above, appearing and disappearing or progressing gradually. The evolution to complete paralysis is rare, although many patients will need assistance in walking, given the presence of fatigue, weakness and imbalance. Treatment Multiple sclerosis has no cure and the available drugs can only "modify" or delay its evolution, reduce the frequency and severity of outbreaks, reduce the accumulation of damaged areas in the nervous system and help patients deal with symptoms. The definition of the best treatment for each case will always depend on a medical evaluation. The most commonly used groups of drugs include corticosteroids, which help to fight inflammation and interferons, which reduce the risk of multiple sclerosis outbreaks, while also reducing their severity and the damage caused by them. In the most severe forms, medicines of another nature, such as cytostatics, can be used. All of these treatments can be complemented with other types of support, defined according to the difficulties experienced by each patient. 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 Bladder training 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.

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

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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

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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

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.