PHYSIOTHERAPY

Physiotherapy and therapeutic exercise

Physiotherapy is a service that can only and exclusively be performed by a health professional with a Degree/Diploma in Physiotherapy.. Addresses issues related to movement and function of the musculoskeletal system. For this, It uses manual and instrumental means to restore physical well-being., psychological and social. It is based on scientific evidence and daily clinical practice., where complete and functional movement is the basis of being healthy. It also includes assessment processes, diagnosis, treatment planning and evaluation. The different therapeutic actions carried out in this area are

In QL Clinic, we offer Therapeutic Exercise as part of our comprehensive approach to health. This type of exercise is specifically designed to prevent, treat or rehabilitate various injuries and physical conditions. Our goal is for each person to recover their functionality., Improve your mobility and get back to your daily routine pain-free.

Our team of physiotherapists is trained in the following manual therapy concepts:

Maitland Concept

Mulligan Concept

Method McKenzie

Back problems, For example, can be easily identified and spinal joints specifically mobilized and treated. This type of therapy is also very effective in the treatment of other joints., like hip, knee and shoulder problems, will be treated to reduce pain and improve movement and function.

Musculoskeletal Ultrasound is an examination system based on use of ultrasound as a method of Clinical Evidence to assess the disorder suffered by the patient. This method is perfectly assimilable for other professionals such as Rehabilitators., Sports Doctors, Traumatologists, Dentists….

With it we assess the morphology and functionality of the musculoskeletal tissue to respond to the symptoms reported by the patient without making hypotheses..

It facilitates us detection of soft tissue related problems (muscles, ligaments, tendons). It is done statically and dynamically, determining correct operation, In this way we will make a conscientious assessment, exhaustive and precise of the area we will treat.

Ultrasound allows us to perform the treatment through a biofeedback with ultrasound where the patient participates at all times. Ultrasound is a very important part of the treatment and allows maximum effectiveness. The patient can see the evolution throughout the treatment itself.

Technique developed for the treatment of long-term tendon injuries; tendinosis, fibrosis in ligaments and fascia (surgery), muscle bruises, fasciosis plants. Thanks to the latest research, it has been demonstrated that in tendon injuries of more than 20 days of evolution, what can already be considered chronicles, There is no inflammatory substance but degradation of the tendon collagen tissue (tendinosis): Tendon degradation in the absence of inflammatory response.

The creator of this technique is José Manuel Sánchez, Spanish physiotherapist that, After years of research in the molecular field, physiological and histopathological, He created this technique that is giving fantastic results in all those tendon pathologies that with conventional treatment became eternal and sometimes unrecoverable, Becoming the athlete and non -athlete, Your daily activity.

Through a acupuncture needle 0,30 x 30 and guided with the ultrasound, We enter the injured area where the degeneration of the tendon resides, applying a galvanic current, we cause a lysis of the fibrotic tissue, promoting an adequate inflammatory response for its regeneration and replacement by quality mature tissue. What the galvanic current causes is a dissociation of the basic elements: H2O and salts, in new substances: hydrogen gas (H2), chlorine gas (CL2) and sodium hydroxide (NAOH).

This is electrolysis, where will we use that sodium hydroxide, which is an organic bleach and the lytic, to destroy that fibrotic tissue and be able to restore normality to the tendon.

Therefore, EPI is a chemical process in which there is neither “cooking” in “electrocution” of the fabric. The pain caused during the treatment is caused by this chemical process and because the damaged tissue has better resistance than the healthy one., which does not suffer any type of suffering.

The structural and mechanobiological modifications of the soft tissue once the EPI is applied are immediate and in real time..

Thanks to the help of the ultrasound, we can apply this technique in a guided way, with much greater precision and viewing the results instantly.

Applications:

  • Shoulder tendinopathy (rotator cuff).
  • Epicondilitis, epitrocleitis.
  • Tendinopathy in the knee, patellar tendon, cintilla iliotibial, goose patties.
  • plantar fasciitis.
  • Ligament sprains.
  • Tibial stress syndrome and/or Periostitis.
  • Achilles tendinopathy
  • Scars (tissue fibrosis).
  • muscle tears, fibrilares (hematoma).
  • Ganglions in hands-wrists.

It is a manual technique which allows treating musculoskeletal injuries from inside the body by providing the transfer of energy. (electric current) at a certain frequency. Managing to mobilize intra and extracellular ions, causing an increase in membrane permeability and increasing cellular metabolism..

Produces deep and endogenous heat, produced by the same body, not staying on the surface of the skin.
Besides, produces an increase in metabolic activity with an increase in ATP. As well as an acceleration of the repair, an increase in blood circulation and lymphatic drainage and dilation through heat.

In addition to better oxygenation of tissues and reabsorption of edema.

At QL CLINIC we have the mDurance device, technology that allows us to measure and obtain objective data in real time to assess motor control:

– We measure muscle activity with the aim of detecting imbalances and choosing the most appropriate treatment.

– It helps us with the work of strengthening and coordination. By functioning as biofeedback it helps us train brain and muscle.

– Helps us personalize treatments.

Thanks to this technology, we detect problems related to the functioning of the muscles and allow us to guide the treatment to each case individually..

The McConell method is a treatment devised by the Australian physiotherapist Jenny McConnell ago more than 20 years.

Initially designed for patellofemoral pain, It is currently also applied for pain in the genohumeral joint., low back pain and pain throughout the lower extremity.

It consists of the application of a strip of tape which attempts to correct the alignment of the kneecap, in the direction in which the alteration is found. This type of bandage reduces symptoms by 50%, allowing the performance of physiotherapy activity in an appropriate and painless manner. Its use accompanies the strengthening exercises until their performance is painless without the bandage., which will be progressively withdrawn.

En el caso del Síndrome Femoropatelar se corrige la desviación externa mediante una tira de tape que va desde el borde externo de la rótula hacia la cara interna de la rodilla ejerciendo una tracción hacia lazona medial.

Efectos:

  • Mecánico: se consigue la corrección mecánica del segmento colocando la zona afectada en posición de acortamiento o de corrección, lográndose un efecto de analgesia.
  • Exteroceptivo: el vendaje va adherido directamente a la piel. Provoca analgesia, mejora la actividad neuromuscular, además previene recidivas, ya que aumenta de forma muy intensa la información de origen cutáneo cuando el paciente realiza el mecanismo lesional.
  • Propioceptivo: la colocación del vendaje aumenta el tono muscular subyacente, situando en tensión los elementos musculares, capsulares ,etc. A kind of alert situation is generated. Its physiological effect is the best performance of neuromuscular activity.
  • Psychological effect: provides security the patient to carry out activities that cause pain that he would not do without the bandage due to fear.

The dry needling method is aimed at treating trigger points. Trigger points, defined very simply, are the points where a muscle tissue is most shortened, so that nutrients do not reach it and, therefore, is hypersensitive to touch. It can also cause radiating pain..

The idea is to treat this area of ​​maximum contracture (myofascial trigger point) through the insertion of a needle, usually acupuncture, at that trigger point. This causes the central nervous system to begin a process of regeneration of this damaged muscle so that more nutrients arrive., the muscle relaxes completely and symptoms such as local pain and radiating pain disappear.

Dry needling is more immediate technique to end the trigger point. Trigger points can cause local pain on palpation but also referred pain.. So for example, A headache may be caused by the existence of a myofascial trigger point in a muscle., for example the trapezoid, the sternocleidomastoid, etc. Hence the great importance at the symptomatic level of the treatment of these points..

Dry needling can treat any pathology that causes myofascial pain both locally and remotely..

  • Cervicalgias
  • Lumbalgias
  • Dorsalgias
  • Muscle sports injuries: contractures, muscle elongation,etc.
  • Tendinopathy
  • Osteoarthritis: In each affected joint, different trigger points are activated that trigger pain independent of the intra-articular damage itself, which can be improved with the application of dry needling to these trigger points..
  • Shoulder injuries: impatience, etc.
  • Headaches and skull pain

The human body is a good conductor of some magnetic waves. The membrane of the cells that make up our body has a certain magnetic charge. This load is generally higher in healthy cells than in damaged cells.. That is to say, When the charge is low, the cells have low energy, which causes the tissues formed by these cells to function worse..

The inductive therapy with high power, or super inductive, It is based on the application of high-density magnetic waves or fields in the human body. This has restorative effects for the organism at the cellular level, which has a very positive impact on the tissues, reducing pain and treating injuries naturally.

At QL CLINIC we use this therapy that takes advantage of the positive interaction of our cells with magnetic fields, repairing tissue damage at the cellular level..

We have super inductive equipment, emFieldPro®, in which technological development is combined with health knowledge for the pain treatment and the functional recovery from injuries. This equipment is the creation of the German company Zimmer, con 50 years of experience in the world of medicine.

Ereparative effects of the super inductive system:

  • Increment of levels of fibroblasts y collagen in the body:

Fibroblasts are specialized cells with regenerative effects and, together with collagen, help repair damaged tissues.. collagen, abundant protein in skin and joints, It also provides elasticity and flexibility. You can read more about the role of these two elements in injury recovery. This increase in fibroblasts and collagen in the super inductive magnetic therapy contributes, therefore, a very important plus in the healing of injuries.

  • Increase in the production of growth factors:

Growth factors are proteins present in our blood that are very important in the treatment of muscle or ligament injuries.. By accelerating its production through the application of magnetic waves of the high energy inductive therapy, We are helping to shorten recovery periods from muscle or ligament damage. This will relieve the pain generated by the injury and will promote functional recovery of the area..

  • Reduction of the inflammation:

When an injury occurs in our body, an inflammatory response develops resulting in swelling of the tissues. This swelling causes pain and functional impotence.; that is to say, damaged tissue loses its function. This is what happens, for example, if we “sprain” our ankle., it swells and we are limited to move it. The application of the inductive therapy accelerates the decreased inflammation restoring blood flow to the area and increasing tissue oxygenation. The reduction in inflammation translates into a decrease in pain and functional recovery of the injured area..

What can we treat with super inductive magnetic therapy:

  • Treatment of pain: super inductive magnetic therapy successfully treats cervical pain, the back and pelvic; as well as postoperative pain, after joint interventions.
  • painful shoulder: This is a very common pathology that produces pain and functional limitation of the shoulder joint and is caused by damage to the ligaments., muscles or tendons around the joint. It can even cause immobility of the shoulder joint., causing intense pain that can be very difficult to control with usual means and the magnetic waves of inductive therapy can relieve the discomfort caused.
  • Sciatica: what we commonly know as sciatica is a symptom of injury to the sciatic nerve, that controls some muscles of the leg. This injury causes unilateral pain, that is to say, only on one side of the body. In addition to pain, can cause numbness, tingling and feeling of weakness in the affected area.
  • carpal tunnel syndrome: is a neuropathy or involvement of a nerve that affects compression of the median nerve in the carpal tunnel, at wrist level. This compression will cause pain that can even travel throughout the arm., in addition to other symptoms such as tingling and numbness in the hand.
  • Rheumatoid arthritis: It is an autoimmune disease that causes swelling of the joints. It can cause loss of function of these and is extremely painful for those who suffer from it..
  • Fracture healing: Healing a bone break is a natural process but usually quite long. High energy inductive therapy, through its cellular regeneration effects, has a very beneficial effect on this process.
  • Muscle and tendon injuries

Ultimately, the super inductive therapy that we have at your disposal in QL CLINIC It is a natural and cutting-edge treatment in the treatment of pain and bone and muscle injuries..

Besides, contributes to accelerate the regeneration of cells and tissues, producing faster healing of fractures.

The Percutaneous neuromodulation (NMP) It is an invasive technique. Its purpose is to reduce pain and promote the functionality of the neuro-musculoskeletal system, improving its function and adaptability thanks to the vascular system, endocrine and immune.

It is highly effective in patients with neuropathic pain and athletes improving performance, with symptoms related to peripheral and central sensitization processes.

The NMP facilitates a process of references and effereces, producing myelin sheaths and synthesis of ion channels, in a neuropeptic regeneration process.

It is a percutaneous stimulation with needles and electrotherapy equipment, based in many cases on anesthetic block approaches.

Percutaneous neuromodulation has an exponential effect, unlike other techniques, in the posterior horn of the spinal cord and through the activation of descending serotonergic pathways, cholinergic, adrenergic activating the release of opiates from the higher centers of the nervous system, local and peripheral segmental analgesic effects occurring synchronously.

This technique is capable of modifying the electro-biochemical environment of the nerve where the pain or injury is., carrying out regenerative processes.

We will use it in cases of altered muscle tone, fascial retractions, ligamentous injuries or capsulo-articular pathology. Improved tensegrity and flexibility of tissues.

Its effectiveness can be a solution to migraines or headaches and even pain or visceral dysfunction., such as cases of urinary incontinence (technique used for years at the hospital level)

Radial shock waves are an innovative treatment in physiotherapy that has been shown to be highly effective in reducing pain and improving mobility in patients with chronic and acute pathologies.. This method consists of applying high-intensity pulses of acoustic energy to the affected areas., achieving significant benefits in the recovery process.

How do shock waves work?

Radial shock waves generate a mechanical stimulus that acts on injured tissues. This stimulus has several therapeutic effects:

  • Increased blood circulation: Promotes tissue regeneration by improving blood flow in the treated area.
  • Reduction of inflammation: Decreases the inflammatory response, helping to relieve pain.
  • Stimulation of collagen formation: Strengthens tissues and contributes to faster recovery.
  • Release of trigger points: Reduces muscle tension by deactivating localized pain points.

Indications of Shock Waves

This treatment is indicated for a wide variety of musculoskeletal problems., between them:

  • Tendinitis (shoulder, elbow, knee)
  • plantar fasciitis
  • Heel spur
  • Epicondilitis (tennis elbow)
  • Myofascial pain syndrome
  • Chronic tendinopathies

Benefits for the patient

  • Long-term pain relief
  • Improved function and mobility
  • Non-invasive and safe treatment
  • Reduction in the need for surgical interventions
  • Results in a few sessions

What to expect during the session?

Each radial shock wave session usually lasts between 10 y 15 minutes, depending on the pathology and the extent of the area to be treated. Although there may be slight discomfort during the procedure, The treatment is safe and well tolerated by most patients.. The number of sessions necessary varies depending on the specific condition of each person., but many patients experience significant improvement after the first few sessions.

In QL Clinic, we offer Therapeutic Exercise as part of our comprehensive approach to health. This type of exercise is specifically designed to prevent, treat or rehabilitate various injuries and physical conditions. Our goal is for each person to recover their functionality., Improve your mobility and get back to your daily routine pain-free.

Therapeutic exercise consists of a series of planned movements, supervised and adapted by our health professionals, that help improve strength, flexibility, balance and coordination. This service is ideal for people suffering from chronic pain, are recovering from an injury, or want to prevent future physical complications.

Therapeutic exercise is aimed at anyone who needs to improve their physical well-being, including:

People with back pain, joints or muscles.
Patients in rehabilitation after surgery or injury.
People with chronic diseases such as arthritis, osteoporosis or heart problems.
Those looking to prevent injuries or improve their overall fitness in a safe and controlled manner.

At QL Clinic, Our certified physiotherapists evaluate each case individually to create a personalized exercise plan. Through the combination of advanced techniques and a practical approach, we design routines that:

They reduce pain.
Improve mobility and strength.
Promote recovery and rehabilitation.
Prevent relapses or future injuries.

At QL Clinic, We stand out for our personalized approach and for having a team of highly qualified physiotherapists, Experienced in treating a wide range of physical conditions. Our commitment is to help you improve your quality of life through safe and effective treatment., in a comfortable and professional environment.

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