The physiotherapist will conduct a detailed subjective assessment of your condition to gain the most comprehensive understanding of your issues. This assessment will highlight deficiencies in over 11 systems (musculoskeletal, cardiorespiratory, neurological, etc.) of the human body that may be affected by COVID-19. Once the subjective assessment is complete, the physiotherapist will target objective tests to quantify the deficiencies. These assessment data will enable your therapist to establish a personalized treatment plan tailored to your condition. They may also refer you to other healthcare professionals if the issues assessed fall outside their scope of practice or work collaboratively with them to maximize your post-COVID rehabilitation in all its aspects.

The physiotherapist can intervene in various ways to help improve your quality of life and resume your activities. However, note that interventions will vary greatly and differ from person to person. The physiotherapist may, among other things, assist you with musculoskeletal pain, breathing, cardiovascular condition, balance, and dizziness. Energy management remains a key principle, and a lot of education will be provided in this regard.

• Do you need to consult a physiotherapist?

The physiotherapists at Myocure are here for you during this difficult time. With tele-rehabilitation, benefit from simple, comprehensive, and effective physiotherapy follow-up remotely, all from the comfort of your home.

• What is tele-rehabilitation?

Tele-rehabilitation is a virtual appointment between the physiotherapist and the client using a computer, tablet, or cell phone. The follow-up is done via video conference, allowing the therapist and client to see each other in real-time. This method enables our physiotherapists to assess your condition remotely and thereby propose a treatment plan tailored to your musculoskeletal condition. Your physiotherapist will also be able to follow up on your condition online and adjust advice and exercises according to progress.

• What does an RPG treatment look like?

The sessions are individual and last one hour. The patient is placed in postures that tension the neuromuscular chains (positions of prolonged stretching). The choice of posture will depend on the analysis made by the physiotherapist: lying down, sitting, or standing with arms crossed or by the body and legs extended, or apart. The sessions require active participation from the patient, such as breathing and slight contractions guided by the physiotherapist. Joint stiffness and muscle tension are treated with manual therapy and various soft tissue release techniques. At the end of the session, the physiotherapist will give you exercises to do at home to optimize the results of the treatment.

• HOW IS THE EVALUATION CONDUCTED?

During the initial meeting, the physiotherapists, working in teams of two, will begin by assessing the muscle strength of the injured muscle using a dynamometer, a portable device that precisely measures the muscle’s contraction power. Next, they will apply specific currents to contract the affected muscle and determine the level of impairment based on abnormal electrical reactions recorded.

• TREATMENT :

Treatment for a denervated muscle primarily involves electrical muscle stimulation. During the first physiotherapy session, in addition to the evaluation, the physiotherapists will conduct stimulation trials to select the best type of current for each patient, aiming to induce specific passive muscle contractions. Subsequently, in consultation with the physician, they will be able to recommend renting a device so that the patient can undergo stimulation sessions at home, accompanied by a specific exercise program. The evaluation will be repeated every two to three months to ensure the effectiveness of the treatment and follow-up with the physician.

What is lymphedema?

Lymphedema is swelling caused by an abnormal accumulation of lymphatic fluid in the subcutaneous tissues. It commonly affects the upper and lower limbs but can occasionally occur in other parts of the body.

Treatment of lymphedema (Combined decongestive therapy)

Combined decongestive therapy (CDT) is considered one of the most effective treatments to date. The goal of CDT is to decongest the affected limb by increasing lymphatic circulation and promoting the formation of new lymphatic vessels. The treatment combines manual lymphatic drainage (MLD), multi-layered compression bandaging, decongestive exercises, and skincare. Combined decongestive therapy consists of two phases:

• Intensive phase:

During this phase, treatments may be administered daily for a period of approximately three to four weeks, depending on the severity of the swelling. The primary objective of the intensive phase of treatment is to reduce edema.

• Maintenance phase:

As lymphedema is a chronic condition, this phase aims to maintain the gains achieved during the intensive phase. The frequency of treatments will be reduced and determined according to the client’s needs. During this phase, the use of compression garments is often necessary.

Do you suffer from jaw pain?

Did you know that 40 to 75% of the population shows signs or symptoms of temporomandibular joint dysfunction? The majority of these individuals are women aged between 20 and 40 years old. Approximately 7% of the population presents a more severe jaw disorder requiring special care. Unfortunately, many diagnoses of temporomandibular dysfunction are confused with ear infections, dental problems, headaches, sinusitis, or other issues, as the structures of the TMJ can cause radiating pain in all of these areas. Know that jaw problems can be treated with physiotherapy!

Myocure Jaw Clinic works closely with medical and dental professionals (physicians, dentists, orthodontists, maxillofacial surgeons, etc.). Here are some examples of problems our physiotherapists can help you with:

• Pain in the face, jaw, or temples, unrelated to a dental problem;
• Articular noises: cracking, grinding, or clicking when opening and closing the mouth;
• Decreased opening amplitude or jaw deviation;
• Jaw deviation when opening;
• Occasional or frequent jaw locking;
• Weakness or muscle fatigue when chewing;
• Neck pain or stiffness, headaches;
• Teeth clenching and grinding.

Temporomandibular dysfunction or jaw problems

To check if your mouth opening amplitude is adequate, you can place the tips of your index, middle, and ring fingers vertically between your teeth without exerting force. If the opening is restricted, if pain occurs, or if clicking or grinding noises are heard, there is likely a temporomandibular dysfunction.

At Myocure, it is possible to undergo specialized evaluation for children with various issues such as plagiocephaly, congenital torticollis, motor development delay, improper alignment of legs and feet, and any other musculoskeletal problem in children.

The primary diagnoses addressed in pediatric physiotherapy include:

Congenital Torticollis This condition involves unilateral stiffness of one of the baby’s neck muscles, most commonly the sternocleidomastoid, leading to tilting of the head on the affected side and rotation to the opposite side. It is the third most common anomaly encountered in newborns.

The most common causes of congenital torticollis are:

• Improper positioning of the baby in the uterus and/or during labor, increasing the risk of neck muscle injury;
• Difficult birth with the use of forceps or vacuum extraction;
• Postnatal torticollis: caused by environmental factors, improper positioning, plagiocephaly, etc.

Plagiocephaly, Brachycephaly, and Scaphocephaly These conditions involve flattening of the baby’s skull due to continuous pressure on one side of their head. Plagiocephaly corresponds to a flat spot off-center at the back of the head. In 70 to 95% of cases, there is associated torticollis. Brachycephaly refers to posterior flattening of the skull, while scaphocephaly, less common, involves longitudinal flattening of the skull.

The most common causes of skull deformation are:

• Fetal head constraint on the maternal pelvis late in pregnancy;
• Prolonged positioning of the baby: lying on the back, extra time spent in car seats or vibrating seats, etc.;
• Premature birth;
• Presence of congenital torticollis;
• Brachial plexus injury or clavicle fracture.

Possible consequences of plagiocephaly and torticollis include:

• Mainly aesthetic consequences: skull deformation and associated facial asymmetry. The eye appears more open on the flattened side of the head; there is also anterior displacement of the forehead, ear, and cheek on the flattened side.
• Asymmetry in the baby’s motor development: difficulty in acquiring symmetrical movements of the head, trunk, and limbs; sensory-motor neglect on the side where the head cannot turn, asymmetrical development of postural reactions, and asymmetry in movements and postures are observed in all positions. This results in motor development delay: tendency to use only one hand, difficulty in rolling over, sitting, or crawling, etc.
• Global motor development disorder:

During their global motor development, your baby learns balance and uses their muscles to perform certain physical activities such as sitting, crawling, or walking.

Your child may have a different developmental path from the one suggested. Obviously, all children do not develop the same skills at the same time. Therefore, there is no need to worry immediately. However, significant delays, such as difficulty in sitting and walking according to their age, are a good reason to consult one of our physiotherapy professionals.

WHAT YOUR CHILD SHOULD BE ABLE TO DO IN THEIR FIRST YEAR OF LIFE:

0-3 months: Can lift their head and put some weight on their arms when lying on their stomach; turns their head from side to side; brings both hands to the center of their chest when lying on their back.

3-6 months: Roll from stomach to back (around 5 months) and back to stomach (around 6 months); On their back, can bring feet and hands to their mouth; sits unsupported (begins between 5-6 months).

6-9 months: Independent sitting (6 months); Crawling (7 and 1/2 months); 4-point kneeling (around 9 months); stand up and hold standing with support (8 months).

9-12 months: Stand up unsupported (10 and 1/2 – 11 months), walk as the main means of movement (11 and 1/2 months); by 13 months, 90% of children walk.

Alignment of the lower limbs (legs and feet):

There are many conditions that can cause deformities in your child’s legs or feet.

Clubfoot Among the most common are clubfoot, a deformity where one or both of the baby’s feet are turned inward at birth. The first part of the treatment takes place at the hospital with an orthopedic surgeon. The child may have to wear casts, orthotics, or undergo surgery. Physiotherapy may be relevant following these treatments to ensure that the child recovers full mobility and strength in their feet to optimize their motor development.

There are other types of foot deformities. If you are concerned about the shape of your baby’s or child’s feet, do not hesitate to consult a physiotherapist who can assess the situation and make appropriate recommendations.

Knee Alignment It is normal for a child aged 0-24 months to have varus knees, i.e., slightly outward. After this age, children’s knees tend to be valgus, i.e., inward, until adolescence. A very exaggerated, asymmetric, or painful deformation is often not normal. If your child has any of these conditions, or if you are concerned about your child’s knee angle, do not hesitate to consult a physiotherapist who can assess the situation and make appropriate recommendations.

Sitting in a W position and walking with feet inward Some children may sit in a W position or walk with their feet inward. A physiotherapy evaluation will identify whether these behaviors stem from hip or knee joint range of motion or muscle weakness. Depending on the problems identified, recommendations and exercises will be provided by your physiotherapist.

Pediatric physiotherapy evaluation includes:

• Data collection from parents
• General observations (alertness, interaction, communication);
• Motor development analysis according to valid scales (AIMS, Talbot battery) in various basic positions (on the back, on the stomach, sitting, 4-point kneeling, and standing, etc.);
• Neurological evaluation through postural reactions and attitudinal reflexes;
• Analysis of posture and movement symmetry;
• Evaluation of muscle strength and joint mobility in various joints, including legs, arms, and neck;
• Measurement of skull shape with a cranial meter if necessary;
• Advice to parents and home exercise programs to help stimulate and improve the child’s motor development.

Early physiotherapy intervention will help your child continue their motor development more easily. Interventions include exercises for stimulation and muscle strengthening. If you have concerns about your child’s development, do not hesitate to contact us!

Comprehensive Physiotherapy Services for Musculoskeletal Health

Physiotherapists are your go-to experts for a wide array of musculoskeletal issues, offering personalized treatment plans tailored to the individual needs of each patient. Following a thorough assessment to identify the root causes of your condition, our professionals devise a dynamic treatment strategy that evolves with your recovery.

Areas of Expertise:

• Musculoskeletal Injuries: Specialized in treating back or neck pain, muscle or joint injuries, chronic pain, arthritis, and more.

• Personalized Care: Treatment plans developed post a detailed evaluation, focusing on the affected structures and setting specific rehabilitation goals.

Intervention Methods in General Physiotherapy

Our approach is multifaceted, adapting to the healing stage of your injury and aimed at achieving your recovery goals:

Goal: Pain Reduction

• Manual Therapy: Advanced techniques such as mobilizations or manipulations to enhance joint mobility and alleviate pain.

• Muscle Re-education: Techniques for activation, control, relaxation, and re-education of movement patterns to correct muscular imbalances.

• Inflammation and Tension Relief: Utilization of ultrasound, cryotherapy, electrical currents (T.E.N.S., interferential current), heat treatments, and soft tissue techniques to mitigate inflammation, muscle tension, and promote healing.

Goal: Enhanced Mobility

• Mobility Restoration: Addressing movement restrictions through muscle stretching, joint mobilizations, and manipulations based on the specific cause, whether it be joint, capsule, tissue, or muscle-related.

Goal: Improved Muscle Dynamics

• Muscular Synergy and Strength: Focused exercises on strengthening, control, stabilization, proprioception, and postural correction. Application of taping and muscle stimulators may be used to support muscle function.

Goal: Prevention and Maintenance

• Taping Techniques: Utilization of neuroproprioceptive taping to facilitate or inhibit muscle groups, compressive taping for edema reduction, and stabilization taping to support safe sports participation during recovery.

• Exercise Continuation: Encouragement of ongoing exercises for injury prevention and recurrence minimization.

• Ergonomic Corrections: Guidance on ergonomics at home, work, and during commute to prevent issue recurrence.

Importance of Timely Consultation

Prompt consultation with a physiotherapist ensures optimal recovery outcomes. We encourage not to delay seeking professional advice to commence your journey towards effective healing and rehabilitation.

Vestibular Rehabilitation/Vertigo Treatment/VPPB

Vestibular rehabilitation is an expertise allowing for the assessment and treatment of vertigo, balance disorders, dizziness, and BPPV (Benign Paroxysmal Positional Vertigo).

Benign Paroxysmal Positional Vertigo (BPPV) is the most common form of vertigo that can be treated with physiotherapy. However, dizziness should not be taken lightly, especially when it is sustained or frequent. Moreover, these are symptoms that can be evaluated and treated by your specialized physiotherapist.

It is sometimes difficult to distinguish dizziness from balance loss and vertigo. However, it is important to identify precisely what one feels when saying “I am dizzy”, as the causes of these symptoms are quite different.

Vertigo is characterized by a sensation of rotary movement:

one feels like spinning or that the room or objects are spinning around them. Vertigo can cause nausea and vomiting. Vertigo is generally sudden, triggered by a movement (lying down in bed, turning over, tilting the head backward or forward) and can occur several times a day. It is caused by involuntary eye movement, nystagmus.

Balance loss is defined as difficulty maintaining an upright and stable position while standing. It can occur in a static position without moving or during movement, such as walking.

Dizziness gives the sensation of discomfort or “light-headedness”. The ground seems unstable, and one feels like floating, being on a boat, or experiencing drunkenness. Some people who suffer from dizziness complain of difficulty reading, blurred vision, seeing black spots, and loss of balance. The episode is usually short-lived.

What Causes Vertigo?

There are three main systems involved in balance. Dysfunction of one or more of these systems disrupts balance and can cause vertigo.

Blurred vision, called oscillopsia, is another sign of imbalance in the balance systems.

The systems involved are: Vestibular System: Located in the inner ear. Its role is to detect head movements in space and adjust the movement of the eyes and body accordingly. Visual System: Responsible for muscle control of the eyes and interpretation of images received from our environment. Vision is important for balance control. Somatosensory System: Consists of tendons, ligaments, and joints that continuously send information to the brain about their position. It allows us to know how we move.

The most common causes of vertigo are: In the majority of cases, they indicate an infection or problems with the inner ear.

Benign Paroxysmal Positional Vertigo (BPPV) Labyrinthitis, neuronitis, unilateral vestibular deficit What Is Vestibular Rehabilitation? The goal of vestibular rehabilitation is to: Identify the system(s) involved Accelerate and maximize recovery Reduce the duration and severity of symptoms Increase postural control function, eye movement, and information integration in the brain More easily resume daily activities. The physiotherapist who has received specialized training in vestibular rehabilitation is the professional best suited to treat this type of problem.

They work in collaboration with your doctor, ENT specialist, neurologist, or other specialists to maximize results.

What About Treatments?

Clients with hypofunction (neuronitis, labyrinthitis, etc.) often experience one or more of the following signs and symptoms: dizziness and vertigo at rest, either more or less constant or provoked by head and body movements. Oscillopsia is often present with these pathologies. It can manifest as blurred vision, an increase in symptoms in visually complex environments such as grocery stores, while driving, in crowds, walking, etc. What happens with these pathologies is that the image “slips” on the retina and reproduces the symptoms. This type of clientele often slows down their walking speed to minimize head movements. Loss of balance is also part of the equation.

As for BPPV, it simply involves identifying the affected canal and performing certain maneuvers to return dislodged crystals to their place and thus end the imbalance felt when moving the head. These maneuvers (Epley, Sémont, Lempert, Gufoni, etc.) can be performed by physiotherapists trained in vestibular rehabilitation.

Virtual Reality in Physiotherapy! Some typical symptoms of dizziness in people with a hypofunction/TBCL disorder can be exacerbated by exposure to certain complex visual stimuli. For example, being in large spaces (shopping centers, large stores) while traveling by car, bus, traffic, walking on sidewalks among pedestrians, going to the cinema, etc.

Habituation exercises via exposure to virtual reality could be a preferred technique to improve this type of symptom. The idea is to create a conflict between different systems. Visual information suggests “movement” while the patient’s feet on the ground and their vestibular system, which are not being stimulated, say “no movement” (1).

This rehabilitation technique, developed for many years, was difficult to implement in a physiotherapy clinic (optokinetic stimulation). It is now accessible with the advent of advanced technologies such as virtual reality.

The vestibular rehabilitation expert physiotherapist will therefore assess the vestibular system through a series of tests to highlight this type of injury. The signs and symptoms reproduced during the assessment will be used to develop a personalized exercise program aimed at obtaining compensations to reduce the symptoms in question.

The physiotherapist who has received specialized training in vestibular rehabilitation is the professional best suited to treat this type of problem. They work in collaboration with your doctor, ENT specialist, neurologist, or other specialists to maximize results.

When to Consult Physiotherapy for Vestibular Rehabilitation?

For a diagnosis or problem of:

• Vestibular neuritis
• Labyrinthitis
• Ménière’s disease
• Vestibular migraine
• Dizziness or vertigo after ear or brain surgery
• Benign Paroxysmal Positional Vertigo (BPPV)
• Central origin problems such as brainstem or cerebellar stroke, multiple sclerosis, benign tumors, etc.
• For any other problem of vertigo or blurred vision

There are several other causes of vertigo and dizziness that can be treated with physiotherapy. People may suffer from vertigo due to a biomechanical disorder of the middle or craniovertebral cervical region, involvement of cranial nerves, a problem with the central nervous system, medication intoxication, head or brain trauma (TBI), vertebral artery deficit, aging-related problems, as well as psychogenic disorders.

Your specialized vestibular rehabilitation physiotherapist at Myocure will conduct a detailed evaluation of your condition, including a biomechanical examination of the cervical and craniovertebral region, a central and peripheral neurological examination, and an examination of the semicircular canals and vestibulo-ocular reflex. Following the assessment, the physiotherapist will be able to recommend a treatment plan or refer you to a specialist.

When to Consult Your Doctor?

It is recommended to see a doctor if dizziness occurs after a fall or head injury, after exposure to potentially toxic substances, or if accompanied by:

• Loss of consciousness
• Hearing loss or noises in the ears
• Double vision or blindness
• Inability to speak
• Numbness or weakness on one side of the face or body

The situation becomes urgent if vertigo is accompanied by a neurological symptom (severe headache, double vision, hearing loss, difficulty walking and speaking), as it may be a stroke.

Furthermore, it is also urgent to consult your doctor if dizziness was preceded by palpitations in the form of too fast, too slow, or irregular heartbeats, if they seem related to medication, or if they have not disappeared after two weeks.

Other Causes of Dizziness: Dizziness is usually benign (but not always!).

It can have several causes such as:

• Certain medications (sedatives, neuroleptics, antihypertensives, antiepileptics, etc.)
• A momentary drop in blood pressure when getting up too quickly
• Severe fatigue, stress, fever, dehydration, hypoglycemia (low blood sugar), or anemia
• Certain psychological problems, such as anxiety, which can cause hyperventilation and lead to dizziness
• A vasovagal shock (slowing of the heart rate and drop in blood pressure)
• A vertebrobasilar insufficiency (cervical spine arthritis causing dizziness when tilting the head back due to compression of an artery)
• Heat, standing for too long, excessive work
• Head injury, heart or circulatory problems, or stroke.

References:

1. Fife TD, Iverson DJ, Lempert T et al. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology, Neurology, 2008;70:2067-2074
2. Bhattacharyya N, Baugh RF, Orvidas L et al. Clinical practice guideline: benign paroxysmal positional vertigo, Otolaryngol Head Neck Surg, 2008;139:Suppl 4:S47-S81

Physiotherapy Services in the Pool

Myocure offers physiotherapy services in the pool through semi-private classes lasting one hour, available on a session basis. This service is reimbursable by most  insurance plans (LaMAL).

Physiotherapy in the pool can be beneficial for a variety of conditions, including:

• Post-operative rehabilitation (shoulders, knees, hips, etc.).
• Post-fracture and post-sprain rehabilitation.
• Osteoarthritis in the knees and hips.
• Lower back pain.
• Fibromyalgia.
• Chronic pain.
• Other conditions that may benefit from gentle strengthening.

Session Process in the Pool

Before the pool session, your physiotherapist will evaluate you in the clinic to determine your needs and rehabilitation goals, with the aim of providing you with a personalized aquatherapy program. The program will be provided to you in a laminated format so you can bring it with you to your pool session.

Pool physiotherapy sessions are conducted in groups of 4 to 8 people. The session begins with a group warm-up period, followed by individual practice of the rehabilitation program. The physiotherapist is in the water with you to demonstrate exercises, adapt or progress them as needed, and provide corrections if necessary. The session ends with 5 minutes of abdominal strengthening or relaxation, depending on participants’ preferences.

If you have any questions, feel free to call Myocure  for more information.

In Summary from the Literature

According to the OARSI guidelines for the non-surgical management of knee osteoarthritis, one appropriate treatment modality includes pool exercises, particularly muscle strengthening (McAlindon, 2014).

A Cochrane review on pool exercises for knee and hip osteoarthritis demonstrated that aquatic exercise reduces pain, disability, and improves quality of life and function (Bartels et al., 2016; Hando et al., 2012).

In a randomized controlled trial, individuals with fibromyalgia practicing aquatic therapy showed a 40% reduction in pain, with significant effects lasting up to 24 weeks after the protocol, indicating long-term benefits of pool therapy (Evcik et al., 2008). Pool therapy also improved sleep quality in people with fibromyalgia (Plata et al., 2022).

A systematic review evaluating pool therapy for individuals with neck pain provided evidence that it reduces pain and disability, improves functional capacity, quality of life, joint mobility, balance, relaxation, and mood (Corvillo et al., 2020).

A program of aquatic therapy reduces levels of back pain and disability, increases quality of life, and improves body composition and health-related fitness in sedentary adults with chronic lower back pain (Baena-Beato et al., 2014).

According to three randomized controlled trials, hydrotherapy is beneficial for patients with total knee replacement:

• Improvement in mobility, increased walking speed, reduced stair climbing time, and increased quadriceps power (Valtoren et al., 2010).
• Safe when applied in the early postoperative phase and has positive effects on hip muscle strength recovery (Rahmann et al., 2009).
• Increased strength and joint range of motion in the lower limb and reduced pain up to 6 months after surgery (Giaquinto et al., 2010).

References:

• Hando, B. R., Gill, N. W., Walker, M. J., & Garber, M. (2012). Short-and long-term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip: a case series. Journal of Manual & Manipulative Therapy, 20(4), 192-200.

• McAlindon, T. E., Bannuru, R., Sullivan, M. C., Arden, N. K., Berenbaum, F., Bierma-Zeinstra, S. M., … & Underwood, M. (2014). OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and cartilage, 22(3), 363-388.

• Bartels, E. M., Juhl, C. B., Christensen, R., Hagen, K. B., Danneskiold‐Samsøe, B., Dagfinrud, H., & Lund, H. (2016). Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database of Systematic Reviews, (3).

• Plata, I. C., Ortiz-Rubio, A., Sánchez, I. T., Martos, I. C., Mateo, A. C., Heredia-Ciuró, A., & Valenza, M. C. (2022). Effectiveness of aquatic therapy on sleep in persons with fibromyalgia. A meta-analysis. Sleep Medicine.

• Corvillo, I., Armijo, F., Álvarez-Badillo, A., Armijo, O., Varela, E., & Maraver, F. (2020). Efficacy of aquatic therapy for neck pain: a systematic review. International Journal of Biometeorology, 64(6), 915-925.

• Baena-Beato, P. Á., Artero, E. G., Arroyo-Morales, M., Robles-Fuentes, A., Gatto-Cardia, M. C., & Delgado-Fernandez, M. (2014). Aquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back pain. A controlled clinical trial. Clinical Rehabilitation, 28(4), 350-360.

• Evcik, D., Yigit, I., Pusak, H., & Kavuncu, V. (2008). Effectiveness of aquatic therapy in the treatment of fibromyalgia syndrome: a randomized controlled open study. Rheumatology international, 28(9), 885-890.

• Valtoren, K., Svege, I., Hegrestad, S. E., & Robinson, H. S. (2010). Improvement in quality of life after total hip arthroplasty: a comparison of five-year and ten-year follow-up. The Journal of Bone & Joint Surgery, 92(9), 1369-1376.

• Rahmann, A. E., Brauer, S. G., Nitz, J. C., & Rahmann, A. E. (2009). A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial. Archives of physical medicine and rehabilitation, 90(5), 745-755.

• Giaquinto, S., Ciotola, U., Dall’armi, V., Margutti, F., Piombi, L., & Boldrini, M. (2010). Effects of an aquatic rehabilitation program on gait abnormality in osteoarthritic patients after total knee arthroplasty. Annals of physical and rehabilitation medicine, 53(7-8), 403-412.

What does the physiotherapist do in oncological rehabilitation?

The oncological rehabilitation physiotherapist aims to restore, maintain, or improve your mobility, function, and well-being before, during, and after cancer treatment. All of this is done with the goal of enabling you to have the best possible quality of life and maintain your independence within the limits imposed by cancer and the side effects of treatment.

The physiotherapist can intervene in various ways to help you depending on your condition. Note that interventions will vary greatly and differ from person to person.

Here is a list of possible physiotherapy interventions:

• Pain relief and treatment
• Specific therapeutic exercises for assessed deficiencies/limitations (musculoskeletal, cardiorespiratory, neurological)
• Mobilization of scar tissues and joints (via manual therapy, specialized therapies, and soft tissue techniques)
• Lymphatic system treatment and lymphedema management
• Overall physical exercises
• Education on injury management and prevention
• Education on cancer-related fatigue and pain
• Reduction of sensory hypersensitivity
• Balance retraining
• Gait retraining

How does a session with an oncological physiotherapist proceed?

The physiotherapist contacts you by phone before your evaluation to target your needs. Additionally, the physiotherapist will recommend that you fill out a questionnaire about your cancer treatments and experienced side effects before this meeting. You may also be asked to bring relevant documents (e.g., test results, blood work, etc.). An evaluation of approximately 45 minutes is conducted with the physiotherapist, and a follow-up frequency is determined based on your goals and condition. A personalized treatment plan adapted to your condition will be established with your physiotherapist.

Shockwave Therapy at MyoCure represents the forefront of non-invasive treatments for musculoskeletal issues, offering patients a powerful option for pain relief and accelerated recovery.

Key Features of Shockwave Therapy:

• Non-Invasive Treatment: Utilizes high-energy acoustic waves, ensuring a pain-free and non-surgical approach to musculoskeletal rehabilitation.

• Wide Range of Applications: Effectively treats conditions such as tendinitis, plantar fasciitis, shoulder pain, and elbow pain, especially those resistant to conventional treatments.

• Mechanism of Action:

  • Enhanced Blood Circulation: Improves blood flow to the affected area, crucial for the healing process.

  • Collagen Production: Stimulates the production of collagen, a key building block for tissue repair.

  • Pain Reduction: Directly impacts nerve fibers, reducing pain and increasing patient comfort.

• Benefits:

  • Accelerated Recovery: Speeds up the healing process, allowing for a quicker return to daily activities and sports.

  • Improved Functionality: Enhances mobility and function in the affected area, contributing to overall quality of life.

• Personalized Treatment Plans: Our physiotherapists tailor each session to the patient’s specific needs, ensuring the most effective and efficient path to recovery.

Commitment to Excellence:

At MyoCure, we are dedicated to integrating the latest advancements in physiotherapy to provide our patients with exceptional care. Shockwave Therapy is a testament to our commitment to offering innovative solutions that promote faster healing and long-term well-being.