Dra. Cátia Galvão Dr. Cátia Galvão Clinical activities - Chief Physician in the field of musculoskeletal/general Rehabilitation and Pain (Zurich-Switzerland) - Specialist in Physical and Rehabilitative Medicine (Faro and Lisbon - Portugal, Hamburg, Munich - Germany) Academic training - Doctor of Medicine (M.D), University of Lisbon - Specialist for Physical and Rehabilitation Medicine - Ordem dos médicos Portuguesa, Bundesärztekammer (Germany), FMH/MEBEKO- Switzerland - Pain Medicine - Swiss Society for the Study of Pain (SGSS) - Post-graduate Course, Sports Medicine - University of Lisbon Scientific and formative Activity - Responsible for the training of assistant doctors in the musculoskeletal system by the Swiss Medical Association (SIWF - FMH) - Publications and scientific papers and presentation of posters at several national congresses and International - Cooperation in the development of "Functional Electric Stimulation", in collaboration with the Institute for Biomedical and Mechanical Engineering from the Instituto Superior Técnico and MIT (Massachusetts Institute of Technology),Massachusetts (United States of America) Member: - German Society for Manual Medicine (DGMM) - German Society for Manual Medicine - Swiss Society for the Study of Pain (SGSS) - European Federation of Pain Associations (EFIC) Languages: - Portuguese, German/S chweizerdeutsch, English, Italian and Spanish

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

Enquadramento A “Portifisio- Clinica de Medicina Física e de Reabilitação de Portimão, Lda”, NIPC 501641092, com sede na Rua Francisco Bivar, 18, 8500-675 Portimão – doravante abreviadamente designada como Portifisio. Princípios Gerais O presente documento serve para explicar de uma forma clara e sucinta os princípios e regras seguidos pela Portifisio no tratamento de dados pessoais. Os dados são tratados no âmbito da Portifisio , que centraliza as informações e trata os dados. A Portifisio no âmbito da sua atividade necessita, de uma forma continuada, de tratar dados pessoais como por exemplo os dados pessoais de clientes, empregados e outras pessoas com quem a Portifisio e as suas participadas se relacionam, nomeadamente os fornecedores e parceiros. O respeito pelos direitos dos titulares dos dados, sejam eles clientes ou outros, e o cumprimento rigoroso das leis sobre a proteção de dados pessoais é uma preocupação constante da Portifisio. A Portifisio está ciente que a utilização de dados pessoais requer a confiança dos titulares dos dados. Por esse motivo, a Portifisio empenha -se em proteger esses dados da forma mais eficaz ao seu alcance, e garante que utilizará os dados pessoais para finalidades claramente identificadas e de acordo com a legislação em vigor, em especial o RGPD – Regulamento Geral de Proteção de Dados (Regulamento 2016/679 do Parlamento Europeu e do Conselho de 27 de abril de 2016) e a Lei 67/ 98 – Lei da proteção de Dados Pessoais. Protecção de Dados Pessoais A Portifisio sabe como a privacidade é importante para os seus clientes e colaboradores, e como tal esforça-se em ser clara quanto à forma como recolhe, utiliza, divulga, transfere e armazena as informações pessoais dos clientes e colaboradores. De facto, no contexto da prestação de cuidados ou tratamentos de saúde, incluindo de medicina preventiva, de diagnóstico médico e de gestão dos serviços de saúde, o tratamento dos dados pessoais é indispensável. O que são Dados Pessoais? Entende-se por dados pessoais qualquer informação, de qualquer natureza e independentemente do respetivo suporte, incluindo som e imagem, relativa a uma pessoa singular identificada ou identificável (titular dos dados). É considerada identificável a pessoa que possa ser identificada direta ou indiretamente, designadamente por referência a um número de identificação ou a mais elementos específicos da sua identidade física, fisiológica, psíquica, económica, cultural ou social. Os dados pessoais poderão ter uma natureza mais sensível em determinadas situações, classificando-os o RGPD como “categorias especiais de dados”. Estes podem versar sobre a origem racial ou étnica do seu titular, as suas opiniões políticas, as suas convicções religiosas ou filosóficas, informação genética, identificadores biométricos, vida sexual, orientação sexual ou sobre a sua saúde. São “dados relativos à saúde” dados pessoais relacionados com a saúde física ou mental de uma pessoa singular, incluindo a prestação de serviços de saúde, que revelem informações sobre o seu estado de saúde passado, presente ou futuro. Tal inclui, por exemplo (i) qualquer número, símbolo ou sinal particular atribuído a uma pessoa singular para a identificar de forma inequívoca para fins de cuidados de saúde; as informações obtidas a partir de análises ou exames de uma parte do corpo ou de uma substância corporal, incluindo a partir de dados genéticos e amostras biológicas; (ii) quaisquer informações sobre, por exemplo, uma doença, deficiência, um risco de doença, historial clínico, tratamento clínico ou estado fisiológico ou biomédico do titular de dados, independentemente da sua fonte, por exemplo, um médico ou outro profissional de saúde, um hospital, um dispositivo médico ou um teste de diagnóstico in vitro. Através de que meios recolhemos os Dados Pessoais? A Portifisio recolhe e trata os dados pessoais necessários para a prestação de cuidados de saúde integrados. Os seus dados poderão ser recolhidos diretamente, designadamente, quando marca uma consulta/exame, quando vai a uma consulta/fazer um exame, quando utiliza as nossas Plataformas ou nos contacta. A Portifisio preocupa-se especialmente com a proteção dos direitos dos menores, pelo que a recolha de dados pessoais de menores de 16 anos está dependente do consentimento dos respetivos pais/titulares das responsabilidades parentais. Qual a finalidade da recolha dos seus Dados Pessoais? Os seus dados pessoais serão utilizados para os seguintes efeitos: Para a prestação de cuidados de saúde De forma a podermos prestar os nossos serviços, utilizamos as suas informações acima referidas para marcar consultas e/ou exames, diagnóstico médico e para fornecer cuidados de saúde. Os dados relativos à sua saúde apenas serão tratados por ou sob a responsabilidade de profissionais obrigados a sigilo, na estrita medida do necessário à prestação de cuidados de saúde, podendo ser comunicados aos seus familiares, apenas nas circunstâncias expressamente previstas na Lei em vigor. Para comunicarmos consigo Poderemos contactá-lo por carta, e-mail, SMS ou através das nossas plataformas eletrónicas, por motivos administrativos ou operacionais, por exemplo, de modo a enviar-lhe a confirmação das suas marcações e dos seus pagamentos, para o informar sobre quaisquer alterações ou imprevistos acerca das suas marcações. Também vamos utilizar os seus dados pessoais para responder aos seus pedidos, sugestões ou contactos, para melhorar os nossos serviços e a sua experiência enquanto cliente da Portifisio . Para informação adicional e marketing Mediante o seu consentimento prévio, poderemos informá-lo sobre notícias e ofertas que pensamos serem do seu interesse e enviar-lhe mensagens de felicitações e outras mensagens de cortesia socialmente aceites e ainda enviar-lhe publicidade, conteúdos personalizados, comunicações promocionais e inquéritos de satisfação relacionadas com a Portifisio . Cumprimento das nossas obrigações legais Poderemos tratar os seus dados pessoais a fim de cumprimos as nossas obrigações legais, nomeadamente, a obrigação de fornecer os seus dados pessoais à Administração Central do Sistema de Saúde (“ACSS”) e a outras entidades públicas da área da saúde, bem como aos Tribunais, Solicitadores e aos órgãos de polícia criminal, no exercício dos seus poderes e atribuições. Que profissionais têm acesso aos seus dados? Os seus dados pessoais serão de acesso limitado às pessoas que tenham necessidade de os conhecer no exercício das suas funções, na estrita medida do necessário para a prossecução das finalidades de tratamento que acima mencionadas. Entre os casos em que o pessoal administrativo tem acesso aos seus dados de saúde e outras categorias especiais de dados encontram-se o tratamento de dados para efeito de faturação dos serviços de saúde que lhe são prestados, para efeito da marcação de consultas e atos clínicos ou para gestão dos seus pedidos de informação ou reclamações. Período de conservação dos seus Dados Pessoais O período de tempo durante o qual os seus dados pessoais são conservados é o estritamente necessário para a realização da finalidade definida ou, quando se aplique, até que exerça o seu direito de oposição, direito ao apagamento ou retire o seu consentimento, caso o tenha dado. Contudo, casos existem em a Portifisio está legalmente obrigada a conservar os dados pessoais por um período de tempo determinado. Tal sucede com os dados relativos à saúde, na medida em que há que respeitar a legislação referente à conservação dos arquivos relativos àqueles dados pessoais. Direitos dos titulares dos Dados Pessoais O titular dos dados pessoais tem o direito de solicitar o acesso aos dados pessoais que lhes digam respeito, a sua retificação, o seu apagamento, a limitação do tratamento no que disser respeito ao titular dos dados, a oposição ao tratamento, bem como a portabilidade dos dados. Quando o tratamento de dados pessoais se basear no seu consentimento pode, ainda, em qualquer altura retirar o seu consentimento sem que tal comprometa a licitude do tratamento efetuado até à data com base no consentimento. A Portifisio poderá recusar a execução de pedidos que sejam excessivamente repetitivos, que requeiram esforços técnicos desproporcionais, que coloquem em risco a privacidade de outras pessoas, ou que sejam impraticáveis. Caso entenda que os seus dados estão a ser objeto de tratamento ilícito por parte da Portifisio , o titular dos dados poderá contactar o Encarregado de Proteção de Dados e além disso tem o direito de apresentar uma reclamação à Comissão Nacional de Proteção de Dados ou outra entidade de competente nos termos da lei. Contactos do Encarregado de Dados Pessoais Poderá contactar a Portifisio para mais informações sobre tratamento dos seus dados pessoais, bem como quaisquer questões e pedidos relacionados com o exercício dos seus direitos: Através de e-mail: portifisio@sapo.pt Alteração das condições de consentimento, por email para: portifisio@sapo.pt Alterações à presente Política de Privacidade A na rede de unidades de saúde da Portifisio reserva-se o direito de, a qualquer momento, proceder a alterações ou atualizações à presente política de privacidade, sendo essas eventuais alterações publicitadas no site da Portifisio (https://portifisio.pt ).

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.

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

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

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

Electrotherapie Electrical Stimulation It is a stimulation through the skin, which consists of the application of an electrical current provided by an external, portable and small electrical device or device, which emits high frequency and low intensity pulses through skin electrodes, or vice versa, depending on the type of pain, to the selected painful surface or to the nerves. These small electrical impulses "deceive" the transmission of pain. This type of stimulation is practically free of adverse effects. TENS (Transcutaneous electrical nerve stimulation) stimulation is perceived by the patient as a more pleasant sensation than the pain he suffers. The so-called "Neuromuscular Electrical Stimulation" (NMES) refers to the use of equipment that generate electrical current for motor stimulation, i.e., generate muscle contraction. Ultrasound When the ultrasound penetrates the body, the effect of the vibrations mobilizes the internal particles and stimulates the reabsorption of the inflammatory fluid. Ultrasound also allows the transmission of energy to tissues producing heat. Another effect is the increased permeability of the cell membrane, which allows the entry of nutrients and the elimination of cellular waste. SERVICES

Vertebral Column Backache, commonly known as spinal pain, is a quite frequent complaint and one of the main reasons for absenteeism from work in our country. More than 80% of the population suffers from backache, at least once in their lives, especially between the ages of 40 and 60, mainly as a result of excessive effort, forced postures, repeated movements, etc. Fortunately, it is possible to take measures to prevent most back pain and undergo specific treatments to improve the quality of life. The causes are very varied and, consequently, the respective medical approach. Among the most common are mechanical as well as inflammatory pains. Both have their own specificities (they affect sleep, the ability to work as well as interfere with social life). 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. Sacroiliac joint Pain Dor ciática Estenose do canal lombar Hérnia discal Herniated disc Disc hernias result from the fact that intervertebral discs, like all tissues in the body, are subject to aging phenomena, losing their elasticity and the ability to absorb the physical forces acting on them. The first signs of degeneration are the loss of water and consequent dehydration of the nucleus of the intervertebral disc. Later, disc protrusions may appear in the epidural canal, fissures of the fibrous ring with loss of disc content, or real ruptures or herniated discs. The mechanical pressure of the disc on the adjacent spinal nerves can cause pain along the upper or lower limbs, depending on whether the injury is cervical or lumbar. Sometimes the contents of the disc can trigger an inflammatory process in the spinal nerves causing irritation and pain. Sciatica Sciatica pain corresponds to the presence of pain, tingling, weakness or numbness that originate in the lower back, go down the gluteal region to the posterior portion of the loss, following the path of the sciatic nerve. Sciatica is more common in middle age, rarely occurring before age 20. In general, the evolution is favorable but in about 30% of the cases the symptoms last 1 year or more. Most cases result from a herniated intervertebral disc that compresses a nerve root. Other possible causes are tightening of the canal surrounding the spinal cord, tumors or cysts that compress nerve roots. About 80 to 90% of sciatica cases resolve without surgery and about half of the attacks last less than six weeks. Lumbar canal stenosis Pain due to lumbar canal stenosis often appears along the lower limbs during walking. It results from degenerative changes in the intervertebral discs, the articular facets, the yellow ligament, or the narrowing of the vertebral cane. The pain or discomfort disappears at rest, although it causes a significant limitation of the patient's autonomy; in advanced stages it can prevent walking completely. 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

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

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

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