Pathologies and problematics treated

Cefalea Among the most frequent pathologies of the nervous system cefalea is to be found in different forms: cefalea due to tension, migraine, cervicogenic headaches are among the most common. Each of these is to be treated with specific manouvres of manual therapy and targeted exercises effective above all for the cervicogenic , it a consequence of a malfunction at the upper most part of the cranium, and for pains caused by tension in the cervical muscle area and the back in general. Also, cases of migraine benefit from a targeted physiotherapy treatment.

The treatment : manual therapy (manipulation of the vertebrae) and specific exercises to resolve any cervical malfunction. Also relevant to treatment for decontraction of muscles, posture correction, and combined with aerobic exercises for the stretching of tense muscles.

Temporomandibular joints Often insufficient attention paid to or not recognised
Temporomandibular joints not correctly treated can cause serious chewing problems and and have repurcussions for the neck area, and resulting in pathologies of a debilitating nature, such as cefalea. Warning signs are pains in the muscles used for chewing and/or temporomandibular joints, and by a limited ability to open the mouth.

The treatment : Manual intraoral techniques,, exercises for muscles used for chewing, and specific exercises to improve the ease with which the mouth is opened and closed. Use of bites may be recommended. (cervicalgia, dorsalgia, lombalgia).
Among the most common muscoloskeletal problems are those caused by incorrect posture or by excessive stress during working or sporting activity. Back pains require a functional evaluation to be ascertained by specific exams (x rays and magnetic resonance) so as to establish their origin and elaborate an appropriate treatment. A main symptom of such condition is when the pain extends along the arm (if at neck level) or down the leg (if at lower back level. Limited movement is often a consequence of the condition.
Treatment: different depending on the cause. In the case of lombalgie acute laser therapy is appropriate, tecar therapy and vertebral manipulation are used to reduce the pain and inflammation. In more chronic cases an exercise programme to be followed alone can improve both posture and back functions. Disc hernias and nerve compressions may be treated both with neuro-dynamic techniques and specific exercises.

Back pathology One of the most common musculoskeletal problems caused by bad posture, excessive stress during work or exercise include back pain. These require the study of the history of the pain and an in-depth functional assessment, including specific examinations (radiography or magnetic resonance), in order to understand the origin and to elaborate a targeted treatment. The main symthom is pain, which in case of a disc prolapse, radiates along the arm (if on the cervical level) or along the leg (if on the lumber level). Backpain is oftenassociated with restricted mobility.

The treatment : different depending on the cause. In case of acute low back pain laser or Tecar therapy and spine manipulation are used to relieve pain and inflammation and increase spinal mobility. In more chronic cases, a self-administered exercise program will improve the posture and back function. For disc prolapse and nerve compression, neurodynamic techniques and specific exercises will be use.

Shoulder pathology The shoulder is a very complex articulation and moves in synergy with the shoulder plate and so creating a “system” in which a changed rotary control can produce painful pathologies (tendonitis, bursitis), which in time can degenerate (complete breakage of the motor cove) tendons, lateral pain to the arm which leads to consequent difficulty in lifting the elbow and general limitations in use.

The treatment : in the worst cases it is necessary to reduce the inflamation with targeted physical therapy. Subsequent to this other exercises will give greater stability to the shoulder and reduce the impact on the affected and inflamed areas.

Elbow and hand pathology Epicondilite (tennis elbow), golf elbow, trigger finger, carpal tunnel syndrome, rizoartrosi, borsitis are some of the ailments which affect the elbow and the hand. Typical in identifying these are pain (elbow, forearm, hand, pins and needles and weakness of use. To reduce or change the physical activity responsible for the excessive overload on the parts of the body affected is the essential first step for a successful recovery.

The treatment : laser therapy and teca therapy, shock wave for tendinitos, kinesiotape and specific exercises to strengthen the muscles of the forearm and of the hands.

Hip, knee, and foot pathology If, in young people the most common pathology for the lower body joints are accidents, traumas and excessive use, in older people, however, the main cause is arthritis. Damage to hips, knees and feet is mostly caused by cartilage disorders or femoropatella syndrome, the Osgood-Schlatter syndrome, arthrosis/arthritis, ligament sprains of a cruciate  collateral nature, meniscus, twists, and ankle knocks, excessive presssure on the achilles tendon (tendinitos), which are all characterised by pain and limitations of use in daily activity.

The treatment: physical therapy, specific exercises and the use of insoles enable the recovery of functionality and checks suffering, and so leads to a better quality of life.

Rehabilitation after surgery, ICTUS A specific post operation rehabilitation programm requires an appreciation of the surgery techniques and methods adopted so as to identify the ideal therapies to improve recovery time and the capacity of fibres to support loads. Interventions which require a physiotherapy plan are mostly those related to cruciate ligaments, for the tendons of the rotary motor, hernia disc surgery, hip and knee replacements.

The treatment : estalished and followed by a team composed of physiotherapists working with specialised doctors, the formationdepending on the type of surgery taking place.