Shoulder Clinic
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Fisiomonti | Fisioterapia | Roma Centro
Home Physical Therapy Home Physical Therapy: Bringing Healing to Your Door in Central Rome Fisiomonti has developed therapeutic programs tailored to the needs of patients living in central Rome who might find it challenging to access healthcare facilities due to mobility issues, transportation constraints, or health concerns. Consequently, we offer our physical therapy services in the comfort and convenience of patients’ homes. Therapeutic Paths in a Familiar Environment: One of the main advantages of home physical therapy is the ability to receive personalized care in a familiar setting. Domestic environments offer a sense of comfort and security, which can contribute to a faster recovery and better treatment outcomes. By delivering care directly to patients’ homes, Fisiomonti’s physical therapists can assess the specific challenges and opportunities present in each living space, adapting therapeutic paths to the unique needs and goals of the individual under their care. Convenience and Accessibility: Home physical therapy eliminates the need for patients to travel to a clinic or rehabilitation center, saving time and reducing logistical barriers. This convenience is particularly advantageous for people with mobility limitations, chronic conditions, or time constraints. Fisiomonti brings its qualified experience directly to the patient’s home. Our home service ensures that individuals receive timely and consistent care without the complication of travel or waiting for appointments. We Assess and Treat: Just like in a clinical setting, our home physical therapy begins with a comprehensive assessment of the patient’s condition, including their medical history, mobility limitations, functional abilities, and the short- and long-term goals important to them. Based on these assessments, Fisiomonti develops a therapeutic path that may include exercises, manual therapy techniques, and education on self-management strategies. Whether it’s post-operative recovery, managing a chronic condition, or rehabilitation from an injury, we offer complete, personalized care tailored to the specific needs and circumstances of the individual. Promoting Independence and Well-being: Beyond addressing immediate physical challenges, we help patients take an active role in their recovery and overall well-being. By teaching proper techniques, providing guidance on exercise regimens, and offering practical advice for daily life, we help individuals regain confidence, independence, and functional abilities. We provide strategies to manage their conditions more effectively, promoting long-term health and an improved quality of life. Collaborative Approach of the Staff: Fisiomonti operates within a collaborative healthcare framework, involving family members and other members of the patient’s healthcare team, such as doctors and nurses. Our interdisciplinary approach ensures continuity of care, facilitates communication, and promotes treatment strategies that address the physical, emotional, and social aspects of the health and well-being of the person under our care. In conclusion, Fisiomonti, with its home service, offers a convenient, personalized, and effective approach. Delivering high-quality care directly to the doors of patients in central Rome, we help individuals regain independence in daily life. Whether it’s post-surgical recovery (shoulder prosthesis, knee prosthesis, hip prosthesis, vertebral fractures, anterior cruciate ligament reconstruction), neurological rehabilitation (stroke, Parkinson’s disease), post-bedrest rehabilitation, or geriatric rehabilitation (fall risk, loss of mobility, senile dementia), we manage chronic conditions with therapeutic paths aimed at healing, prevention, and maintaining the results obtained. BOOK NOW
Clinic of the spine Vertebral column The vertebral column is composed of 33 vertebrae, subdivided into: 7 cervical vertebrae 12 thoracic vertebrae 5 lumbar vertebrae 5 calcified sacral vertebrae 4 calcified coccygeal vertebrae The first three segments – cervical, thoracic, and lumbar – are characterized by the interposition of a disc between the vertebrae. The last two segments – sacral and coccygeal – have calcified vertebrae between them and are often considered as single bones. The function of the intervertebral discs is to stabilize the movement between the vertebrae and distribute the load. They are circular in shape and consist of two parts: • Nucleus pulposus: located in the center of the disc and has a semi-liquid consistency; • Annulus fibrosus: a fibrous ring located on the outer part of the disc that serves to protect the disc and contain the nucleus pulposus. Disc herniation and disc protrusion. Disc herniation is a condition in which, due to significant stresses, the nucleus pulposus protrudes from the annulus fibrosus. It is necessary to distinguish disc protrusion from disc herniation: Disc protrusion: partial protrusion of the disc from its normal anatomical position Disc herniation: complete protrusion of the nucleus pulposus from the fibrous ring. The disc segments most prone to developing herniation or protrusion are the first and last, respectively called L1-L2 and L4-L5 and L5-S1. This is because these vertebrae, being adjacent to the rigid dorsal tract and the sacrum (which is even more rigid), often move more than necessary to compensate for the reduced movement of these tracts. However, hernias or protrusions do not always cause pain. Disc herniation causes pain when it protrudes near the nerve root and consequently compresses it. In addition to pain, which can be local or even radiate sometimes to the fingers of hands and feet, other symptoms of disc herniation or protrusion include: • Tingling that can radiate along the territory innervated by the compressed nerve root; • Paresthesia and loss of strength that typically occur in more advanced conditions. Treatments for disc herniation and protrusion. The remedies for lumbar hernias are varied and can be mainly divided into two groups: • Invasive remedies: surgery • Conservative remedies: physiotherapy Conservative Treatment: Physiotherapy for disc herniation or protrusion is currently the best tool for treating this condition. The physiotherapy cycle will aim to improve the movement of the entire spine. Initially, however, to reduce local and radiating pain, the following are used: Unloading postures; Specific manual techniques such as pumping and traction; High-tech physical means such as high-power laser, diathermy, hyperthermia, ultrasound. Once the pain is reduced, the recovery of correct posture is pursued. This goal is achieved with specific exercises, mobilizations, and small adjustments that the patient will have to adopt daily, such as the application of a lumbar cushion while working or driving. Sometimes, in conditions where there is particularly precarious muscle stability, the use of a lumbar belt during the day can be very helpful. In the final part of the therapeutic plan, efforts are made to improve trunk functionality with a specific rehabilitative training plan tailored to the individual being treated. Surgical Treatment: Surgery for lumbar hernia involves the surgical removal of the hernia compressing the nerve root. It does not always achieve the desired result and leaves a fairly significant scar tissue, which is why it is performed only in severe cases where the hernia compression risks heavily damaging the nerve. BOOK NOW