Physiotherapy Services

Physiotherapy Services

Osteopathy

Osteopathy

Masotherapy.

La massage therapy It is one of the oldest physiotherapeutic treatments known. It is a combination of varied manoeuvres, based on movement and pressure, applied to the body and with therapeutic objectives.

When applying the massage we can do it at 3 levels deep:

  • Superficial: it is carried out with a minimum intensity, it acts on the skin and the subcutaneous tissue.
  • Medium: a greater intensity is applied, acting on the superficial and middle musculature. It is the most used.
  • Deep: maximum intensity to reach the deepest muscles. It is usually used in the sports field.

  • Rubbing: it is a superficial displacement of the skin that is carried out with the palm of the hand or the balls of the fingers. This gentle maneuver is usually used at the beginning of the massage to prepare the area. It has a sedative and draining effect.
  • Friction: it is deeper than the previous one, it consists of a displacement of the skin over the musculature. It is done with the ball of the fingers. It is widely used in keloids.
  • Pressure: consists of compressing an area with both hands or between the thumb and the rest of the fingers. It can be done with displacement or statically. Sedative action and improves circulation.
  • Kneading: traction is performed with the thumb and forefinger of both hands with a series of contortions of the muscle belly. Analgesic effect, improves circulation, eliminates toxins, muscle relaxation.
  • Vibrations: these are contractions that are carried out with the forearm and are transmitted to the physiotherapist's hand that is in contact with the patient's skin surface. sedative effect

  • Relieves and calms pain.
  • Promotes relaxation.
  • Release adhesions.
  • Improves circulation
  • Reduces edema.

  • Wounds.
  • Thrombopheblitis.
  • Recent fractures.
  • First three months of pregnancy.
  • Fever.
  • Lithiasis.

Every physiotherapist has to start from massage therapy to start any treatment and depending on the patient and the reason for the consultation, apply and combine it with other appropriate techniques.

TENS .

El TENS (Transcutaneous Electrical Nerve Stimulation), is a device commonly used in physiotherapy, which works on the pathways that transmit pain, producing a analgesic effect or a modulation of affected sensitivity.

The physiological basis on which TENS is based is the “ work de gate of the pain”. This basis supports the fact that the brain can control pain by closing or opening the pathways through which it is transmitted. This is done unconsciously, but with TENS an external way of controlling this transmission of pain has been found.

In addition, TENS takes into account the accommodation capacity of the brain, which is why in the same session it produces variations of intensity and frequency that stimulate the brain constantly to relieve pain.

TENS is easy to apply and can be performed on almost any area of ​​the body and for practically all pathologies, whether acute or chronic. We can say that It is a complementary and essential technique in any physiotherapeutic consultation..

The current is transmitted by electrodes that remain perfectly adhered to the skin and are placed around the affected area so that the TENS blocks the channels of the nociceptive pathways that reach the brain.

This placement of the electrodes can be:

  • Parallel to the area of ​​pain
  • Perpendicular to the area of ​​pain
  • About a trigger point or acupuncture point
  • About dermatomes
  • At the segmental level of the spinal cord

During the session we are working on different parameters such as the frequency and duration of the impulse to generate relief and avoid accommodation of the nervous tissue.

Although it is a machine with great application for many pathologies, we must take into account some considerations since it is still an electrostimulation, therefore we should not use it in:

  • People with pacemakers or heart disease
  • Pregnant.
  • Do not place the electrodes directly in the carotid sinus
  • Damaged skin (wounds, scratches...) because when the current passes we can cause a burn.

The use of electrostimulation in physiotherapy is a complement to improve treatment performance and patient recovery.

Radiofrequency R-200.

El physiotherapy treatment accompanied by radiofrequency health professional, in our case the R-200 (also known as diathermy), consists of the emission of electromagnetic radiation that reaches the most internal tissues, producing an increase in temperature in them.

This increase in temperature is between 3º and 4ºC and is not produced by the machine, but by the body itself, in response to the movement of electrical charges in the current that reaches the interior of the cells.

  • Increases the production of elastin and collagen.
  • It releases endorphins and this contributes to analgesia.
  • Anti-inflammatory effect due to vasodilation. By increasing the blood supply, the elimination of toxins and waste is facilitated, as well as cell regeneration.
  • Regulates the PH.
  • Improves the immune system.
  • Activation of the vegetative nervous system.
  • Thermal self-regulation.
  • hyperemia and vasodilation.
  • Interstitial fluid renewal.
  • Elimination of metabolic waste.
  • Improves the level of cell polarization.
  • Analgesia of pain of biochemical origin (also in mechanical and neuralgic pain indirectly).
  • Muscle relaxation.
  • Elimination of edemas by lymphatic and blood pathway.
  • Diapedesis of defense elements in the affected area.

From all of the above, we can conclude that the radiofrequency for therapeutic and medical use can be used in many pathologies, whether acute (muscular tears, sprains, epicondylitis...) or chronic (osteoarthritis, arthritis...)

The most common condition in consultation is usually both cervical and lumbar overload and as we have verified with numerous patients, this deep hyperthermia that is generated thanks to radiofrequency really relieves the patient quickly and with a sensation of very hot heat. nice during the session.

Despite being a respectful and non-invasive technique for the patient, it has some contraindications, such as:

  • Pregnant or lactating women.
  • Skin diseases, wounds, scratches...
  • metallic prostheses.
  • Pacemaker.

The use of specific complementary techniques in any physiotherapy treatment guarantees us, to a greater extent, a greater and optimal recovery.

Kinesitherapy.

La Kinesitherapy is the technique of physical therapy that uses movement as a form of rehabilitation of a muscle or joint injury or pathology.
This exercise produces different effects in the areas involved, such as:

  • Improves circulation, venous and lymphatic return.
  • Increased muscle tone and muscle power, especially in resisted exercises.
  • Helps to have more lax joints and improve mobility. With this we avoid stiffness and adhesions.
  • Improves coordination, balance and proprioception.

They are all the techniques that are aimed at recovering the mobility of the affected area but without any participation of the patient, they are all performed by the physiotherapist. So; We help to recover the range of joint mobility and above all to avoid adhesions.

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dry needling.

"Dry needling" is a physiotherapy technique based on the use of a needle to stimulate trigger point receptors or muscle contractures. With this we relax the muscle and increase its elasticity.

All muscles have a series of trigger points that are usually inactivated but on certain occasions due to various circumstances they activate and produce local or radiated pain.

We can differentiate a trigger point from a contracture by the type of pain. Generally, the contracture will appear with localized pain in the area and in the case of the trigger point it normally develops with radiating pain; a typical example is the pain that reaches us from the neck to the head.

The causes that can activate these points or develop contractures are multiple: an overload, repetitive movements in daily life, lack of laxity and elasticity, a sudden fall or blow, poor posture...

During the dry needling treatment, the physiotherapist manipulates the needle several times, depending on the condition and muscle response, until relaxation is achieved.

  • Superficial puncture: the needle is inserted to a maximum of 1 cm; without going deep into the muscle. Later, manual techniques or complementary appliances are performed.
  • deep needling: Longer needles are used, depending on the muscle, since we seek to reach deep. Also after we use complementary treatment.

After performing the technique, the patient may feel “shoes” during the first 24-48 hours.

Success will depend on a good performance of the technique in the hands of a specialized physiotherapist, good postural habits and stretching that keep the muscles relaxed. Request your appointment from here

Electroneuroacupuncture.

La Electroneuroacupuncture (ENA) is a recently developed technique in the physiotherapeutic field that integrates the concepts of acupuncture/Chinese medicine with neuromodulation.

We give an anatomical and clinical view of the meridians that run through the body and their most prominent acupuncture points. This vision of pathology globally teaches us to visualize the whole and not focus on a point or affected area and thanks to this we can treat all kinds of pathologies, whether they are chronic, acute, physical or emotional.

With the combination of these two techniques already known in physiotherapy, we found the perfect union of an invasive therapy based on nerve innervation and anatomical points (neuromodulation) that integrates perfectly with traditional Chinese medicine and its points in the meridians that run through our body (acupuncture).

For the execution of this technique we use acupuncture needles that, depending on the area to be treated, will be more or less long. We locate the nerve that intervenes in the innervation of the affected area and we look for the points that are altered and to complement it, we look for the points of the meridian related to it that will give us extra help to complement the treatment and achieve greater effectiveness.

The fact that we can treat a pathology with distal points it allows us multiply the effects and with it the benefits of the treatment. Once the points are located, as we have explained previously, a current is applied to the needles to stimulate the nerve and generate endorphins that will act to reduce pain and relax the area. We can also apply the moxa to these points so that through the heat that passes through the needle, we can achieve that relaxation.

This technique teaches us to look the body as a wholeTherefore, it is especially beneficial for those pains that radiate over a wide area such as the arm or leg, since it allows us to work the entire nervous path, as well as for those people who suffer from generalized pain.

On an emotional level, with Electroneuroacupuncture (ENA) we can improve anxiety, sleep quality and general relaxation of the patient with the stimulation of certain acupuncture points and the peripheral nervous system.

Kinesiotaping .

Functional taping is a type of physiotherapeutic technique which consists of limiting, inhibiting a movement that causes pain, leaving the rest of the movements free. In this way, only the structures that are damaged remain at rest and we avoid the drawbacks of complete immobilization (loss of muscle mass, risk of loss of bone density in the immobilized region, circulatory problems, thromboembolism, and other unwanted effects). Functional bandages can be preventive or therapeutic.

Necessary material:

  • Foam (Protection plates)
  • pre-sold
  • adhesive spray
  • Elastic bandages
  • Tape
  • Scissors

  • Elastic technique: it is used to limit the movement that causes pain, for its application adhesive or cohesive elastic bandages are used.
  • Inelastic technique: with it the movement that produces the pain is annulled. It is used with a non-elastic adhesive called “tape”.
  • Mixed or Combined Technique: when we combine the two previous materials, we use elastic bandages and reinforce them with tape strips.

When applying a bandage, wrinkles on the sole of the foot, compressions in the popliteal fossa, compressions on the Achilles tendon, bony edges, flexion-extension regions and patient comfort should be sought.

  • First or second degree ligament strains.
  • Prevention of ligamentous laxity.
  • Muscle fiber tears.
  • Muscle strains and elongations.
  • Long bone fissures.
  • Rib cracks.
  • Download tendinopathies.
  • Download plantar fasciitis.
  • After removing the plaster, to start the rehabilitation period.

  • Tendon, ligamentous and muscular tears.
  • Fractures.
  • Edema.
  • Varicose veins.
  • Considerable injuries.
  • Allergies to applied materials.

Within a physiotherapeutic treatment, the set of techniques indicated for each patient, in each case, must be applied. Therefore, evaluation is the first step for optimal recovery.

functional bandage.

Functional taping is a type of physiotherapeutic technique which consists of limiting, inhibiting a movement that causes pain, leaving the rest of the movements free. In this way, only the structures that are damaged remain at rest and we avoid the drawbacks of complete immobilization (loss of muscle mass, risk of loss of bone density in the immobilized region, circulatory problems, thromboembolism, and other unwanted effects). Functional bandages can be preventive or therapeutic.. Necessary material:

  • Foam (Protection plates)
  • pre-sold
  • adhesive spray
  • Elastic bandages
  • Tape
  • Scissors

  • Elastic technique: it is used to limit the movement that causes pain, for its application adhesive or cohesive elastic bandages are used.
  • Inelastic technique: with it the movement that produces the pain is annulled. It is used with a non-elastic adhesive called “tape”.
  • Mixed or Combined Technique: when we combine the two previous materials, we use elastic bandages and reinforce them with tape strips.

When applying a bandage, wrinkles on the sole of the foot, compressions in the popliteal fossa, compressions on the Achilles tendon, bony edges, flexion-extension regions and patient comfort should be sought.

  • First or second degree ligament strains.
  • Prevention of ligamentous laxity.
  • Muscle fiber tears.
  • Muscle strains and elongations.
  • Long bone fissures.
  • Rib cracks.
  • Download tendinopathies.
  • Download plantar fasciitis.
  • After removing the plaster, to start the rehabilitation period.

  • Tendon, ligamentous and muscular tears.
  • Fractures.
  • Edema.
  • Varicose veins.
  • Considerable injuries.
  • Allergies to applied materials.

Within a physiotherapeutic treatment, the set of techniques indicated for each patient, in each case, must be applied. Therefore, evaluation is the first step for optimal recovery.

Auriculotherapy.

La Auriculotherapy It is a technique within the field of painless alternative medicine, it was originally created to treat stress and anxiety but that currently progress has been made in its study and covers the treatment of dozens of pathologies, currently being a widely used technique in physiotherapy.

  • This alternative therapy stems from traditional chinese medicine, but it was in France where Dr. Nogier verified its effectiveness. It was shown that the ear is a micromap of our entire body whole, it appears as in the form of a fetus in the womb; hence each part of our body is represented by a specific point on the ear. By stimulating a point on the ear, we simultaneously stimulate various nerve endings that produce an effect on the organ related to that point. Therefore, auriculotherapy is not only used to treat but also helps us to diagnose, since when pressing the points depending on whether they are painful or not, they will inform us if there is dysfunction.

  • First we will assess the symptoms and identify the affected areas, relating the most appropriate points. To start carrying out the new treatment, we will apply pressure on the points using:
    • filiform needles: apply on the points 10-30 min.
    • intradermal needles: are placed under the skin for approximately 7 days.
    • seed patches: stick on the skin for 5 days.

It can be applied when the following cases occur:

  • Muscle pain, sprains or fractures.
  • sciatica.
  • Joint pain
  • Digestive problems.
  • Vertigos
  • Facial paralysis.
  • Emotional problems: stress, anxiety and/or depression.

It cannot be applied when the skin of the ear is red or irritated and during pregnancy.

Auriculotherapy is a non-invasive, safe technique that does not cause side effects. Request your appointment.

Suction cups.

La cupping Technique, better known in the field of physiotherapy as the cupping technique, despite the fact that it has been used for thousands of years by traditional Chinese medicine, it has not been very popular until in 2016, at the Olympic Games in Rio de Janeiro, where the technique has become widely known and used, as a result of of seeing some athletes on television with "marks" on their backs as a result of having been treated with this cupping technique.

El physiotherapy treatment with this technique consists of its application on certain parts of the body, with which the skin and part of the muscle are sucked, obtaining a vacuum, so that the pores open and thus promote blood and lymphatic circulation.

The original method that was used, although it is still being done today, consists of the use of glass suction cups, where a cotton swab with alcohol hooked with tweezers is used, it is lit and this combustion of oxygen is what generates the vacuum and sucks the skin .

To treat the affected area we can use two techniques:

Massage: we apply oil to facilitate movement, we place the suction cups and once the suction is done we move it throughout the area to be treated. With this technique we improve the lymphatic and blood system and eliminate toxins, among others.

fixed suction cup: We place 6-10 suction cups on the area that interests us, leaving them for 10 minutes, we cause a violet color on the skin (hyperemia) and after time we remove them.

Benefits:

  • Eliminate muscle contractures and trigger points.
  • Increases blood circulation.
  • Eliminate toxins.
  • Strengthens tendons.
  • Lymphatic drainage

CONTRAINDICATIONS:

  • Thrombosis, thrombophlebitis.
  • Varicose veins.
  • Wounds.
  • Fever.

Like other physiotherapy treatments, the most important thing when carrying out a treatment is the combination of the appropriate techniques in each case, individualizing the use for each patient.

Moxibustion.

La Moxibustion is a therapeutic method imported from traditional Chinese medicine. It is based on the application of heat on specific points of the body (usually coincide with acupuncture points) to activate blood circulation and oxygenate the treated area. The use of Moxibustion for physiotherapeutic purposes follows the principles of the "theory of the channels”. This theory tells us that The body works like a system of networks where the blood and energy related to each part of the body flows. Sometimes these energies become unbalanced causing illness and pain. With this therapy we try to re-establish that energy balance.

For optimal treatment, the Artemis plant is used. It can be used in different ways:

  • Direct application: It is used with moxas (the Artemis plant is ground into a powder to burn it) that is applied to specific acupuncture points. A burn cannot be produced because when using the moxas only ¾ parts are left to burn before removing it.
  • indirect application: In this application, Artemis leaves rolled into a cigar are used. It is turned on and passed over the points that we are interested in treating, always maintaining a minimum distance between the skin and the cigar.
  • needle moxibustion: acupuncture needles are used, they are inserted into the treatment points, and a small Artemisa ball is placed at the base of the needle. In this way the heat to the body passes through the needle.

  • Rheumatic pain, osteoarthritis, lumbago
  • Respiratory problems: asthma, bronchitis, etc.
  • Fluid retention, edema
  • It is especially indicated in chronic diseases.

Contraindications:

  • When the patient reverses fever.
  • Skin infections in the area to be treated.

Moxibustion is generally used as a complement to acupuncture and physiotherapy treatments when treating the patient globally and as a whole.

Myofascial Release.

La myofascial induction or myofascial release is a physical therapy technique used to evaluate and treat the myofascial system. The fascial system is a set of fascias that cover the entire body, involving anatomical structures and viscera; and thus relating them to each other. Fascia is a connective tissue, it contains a lot of collagen, which is located under the skin and surrounds the bones, muscles and joints, nervous and vascular structures. It is responsible for protecting and maintaining the different structures of the body together. For various reasons such as: poor posture, stress, trauma or prolonged immobilization, among others, the fascia can harden and shorten, causing pain and limiting the patient's mobility. The fascia runs through the entire body continuously, so if it is injured in one part of the body, other more distant areas may also be affected.
For all these reasons, the target of the myofascial induction technique or myofascial release is release these myofascial restrictions. Thus getting a decreased pain, restoring musculoskeletal balance and increasing joint movement. Superficial or deep techniques can be used for its application. First the physiotherapist will place the affected area at the end of the movement barrier or more comfortable. The patient is then allowed to breathe calmly while the physiotherapist palpates the tissues, looking for a sensation that the tissue is “ready to relax”. It is at that moment, when the tissue is helped to follow the pattern of spontaneous movement. The process is repeated in several sessions until get full liberation.

  • aneurysms
  • Fractures
  • Fever
  • Tumors
  • Infectious diseases
  • Women during the first three months of pregnancy
  • advanced feblitis

With myofascial induction, the patient is assessed and treated from a global point of view, seeking a balanced and symmetrical body. Request your appointment from here

Lymphatic drainage.

El manual lymphatic drainage is a massage therapy technique in physiotherapy very soft, slow and repetitive movements on the skin, which must be done in the right direction to help improve the lymphatic system.

El lymphatic system It consists of a series of capillaries or ducts where waste products from other tissues are collected and transported to the circulatory system, so that the body can get rid of these wastes. When the lymphatic system is not capable of eliminating these wastes, edemas or retentions appear. Along the course of the lymphatic system are the lymph nodes, which are responsible for purifying pathogens. These become inflamed because they cannot purify when the lymphatic system is affected.

  • It is applied to treat lymph nodes and vessels.
  • No type of cream or oil is used for its execution.
  • It works from proximal to distal, and by segments from distal to proximal (to gradually drain the areas closest to the nodes and make room for the lymph that will come from more distant areas).
  • A very gentle pressure is performed, like a caress.
  • A very slow rhythm of the movements is applied, always following the rhythm of the lymphatic vessels.
  • In each area several sequences are performed, which are repeated at least three times.

INDICATIONS:

  • Mainly for the treatment of lymphedema, traumatic or post-surgery edema.
  • rheumatic affections.
  • Tired or swollen legs.
  • Algodystrophies (Suddeck).
  • Bruises.
  • Nervous pathology: headaches, dizziness.
  • Mastectomies.
  • Stress and anxiety.
  • Ailments of the digestive system.

CONTRAINDICATIONS:

  • Infections
  • feblitis
  • Fever
  • Hypotension
  • Asthma

Request your first appointment from here

Ultrasound.

El ultrasound physiotherapy treatment, consists of a treatment based on the mechanical vibrations of a longitudinal wave that produces compressions in the tissue. Ultrasound requires a special medium for its application, through which these waves can be transmitted. This medium is commonly referred to as "ultrasonic conductive gel."

The frequency at which we will use ultrasound will depend on the pathology:

  • High frequencies: 3Mhz, for superficial pathologies.
  • Low frequencies: 1Mhz, for deeper pathologies.

The tissues with a better response to this type of waves are those with a high amount of collagen and absorption: tendons, ligaments, joint capsule and fascia.

It is therefore a therapy to be used in both acute and chronic cases, it will only depend on the parameters with which we use. Also, being a painless therapyIt is very pleasant for the patient.

The ultrasound effects at the cellular level are:

  • Muscle relaxation.
  • Increased cell permeability.
  • Improves tissue regeneration.
  • It acts at the level of the peripheral nerves.
  • Analgesia.
  • Anti-inflammatory

The forms de application They may be:

  • Direct application: the ultrasound head is applied directly to the skin using the gel. We take into account the degree of inclination of the head with respect to the skin so that the waves penetrate as longitudinally as possible, normally this inclination will be about 30º (it will depend on the area and the person).
  • Underwater application: it consists of using the aqueous medium to help us propagate waves. This is used in cases of very irregular (knee) and/or painful areas. To do this, we put the affected area in a bucket with water and place the ultrasound head at a distance of 3 cm. The water temperature should be between 36º and 37º and you should never put your hand in the water while the waves are acting. In case of not being able to use a bucket we can use a latex balloon with water.
  • Mixed application: here we will do a variation of the previous two.

In our clinic it is common to combine the application of ultrasound with other physiotherapy techniques to optimize and improve results.