Pathologies of the shoulder and the arm

 

Lymphatic Obstruction

What is it?

It is an inflammation that is produced by the accumulation of lymph between the different cells of a tissue.

How is it originated?

It is usually an obstruction of the lymphatic channels due to a failure of the lymphatic system when it comes to mobilizing the fluid. Normally this liquid tends to accumulate in the upper and lower extremities.

How do we treat it?

There are several treatment methods, with the combination of all of them giving the most successful results:

Manual Lymphatic Drainage: It is a type of massage that stimulates and activates the circulation and the lymphatic system.
Kinesitherapy or active mobilization of the affected parts, since by activating the muscles, drainage is favored.
Pressotherapy: We have one of the most advanced equipment of this device, consisting of an air chamber that by means of the pressure difference makes a powerful evacuation of the lymph towards the lymph nodes.

Frozen shoulder

What is it?

It is a pathology consisting of a generalized inflammation of the soft tissues that surround the shoulder joint. This inflammation generates a series of adhesions and fibrosis in the tissues, greatly limiting the mobility of the shoulder.

What possible origin does it have?

The cause is unknown, although there are factors that can favor it. Among the most frequent causes we can find:

Prolonged immobilization after surgery, fracture or other injuries.
It can also be related to hormonal changes or some diseases such as diabetes, thyroid problems, etc.

Carpal tunnel syndrome

What is it?

It is a pathology in which there is excessive pressure on the median nerve at the level of the wrist.

What possible origin does it have?

This pathology may be due to:

-Trauma
-Fractures
-Obbreuse of the hand
-Circulatory problems type inflammation or swelling (swollen hands)

How do we treat it?

The treatment includes manual therapy on the tissues of the wrist, passive mobilizations of the wrist-hand joint and stretching in order to make them more flexible and reduce the pressure on the nerve. In addition to this we will use the diathermy through which we can regenerate damaged tissues and reduce inflammation.

Epicondialgia

What is it?

The epicondilalgia (before called epicondilitis) is characterized by a pain of the epicondyle, which is the bony protrusion of the external part of the elbow. Frequently the pain appears in the activity, although in the most advanced phases it also appears at rest.

What possible origin does it have?

The most frequent is usually an overload of the muscles of the forearm, whose tendon is inserted there, due to repetitive work of daily life. Another possible cause is cervical pathology, which compresses the nerve at its vertebral origin, triggering reflex symptoms in the elbow.

How do we treat it?

We will perform a global treatment to obtain successful results in your recovery, thus avoiding added complications and prolonging the symptoms over time. We will use myofascial manual therapy to relax all muscular and ligamentous structures, shock waves, EPI and diathermy, in order to eliminate adhesions resulting from the inflammatory process and regenerate damaged tissues.

Dequervain tenosinovitis

What is it?

Inflammation of the sheath covering the tendon of the long abductor and the short extensor of the thumb.

What possible origin does it have?

Due to sports practice, repeated microtrauma at work or activities of daily life or in inflammatory pathologies such as rheumatoid arthritis.

How do we treat it?

First, inflammation should be reduced with a brief period of immobilization and then physiotherapy should be performed by passive mobilization of the thumb, cryotherapy, stretching, gentle massage in the affected area and electroanalgesia.

Tendinopathy of the rotator hoses

What is it?

An inflammation of the structures that surround the tendon.

What possible origin does it have?

It can be due to various causes such as: age, osteoarthritis, genetic inheritance, metabolic alterations or decrease in the subacromial space where the tendon is caused by biomechanical and postural factors.

How do we treat it?

We have endless possibilities of treatment for this pathology. First, an evaluation of the tendon would be made through the ultrasound system and then, depending on the diagnosis, we would work on the lesion. Through dry puncture, EPI, shock waves, cyriax, neuromuscular bandage, joint manipulations, muscle energy, neurodynamic exercises, postural corrections, etc.

Muscle tear

What is it?

It is a break in muscle fibers that causes sudden and sharp pain.

What possible origin does it have?

Violent contraction of the muscle, sudden stretching, direct trauma to the muscle, poor nutrition and hydration, muscle overload.

How do we treat it?

Through manual therapy of the affected region, echoguided EPI focused on the point of rupture, shock waves in the affected region and regenerative diathermy of the affected tissues.

Wrist spuffle

What is it?

Stretching or in extreme cases rupture of ligamentous fibers of the wrist joint.

What possible origin does it have?

It is usually caused by a fall on the hand. It can be caused by overexertion or repetitive stress in various sports, such as padel. A bad technique at sport level can produce this injury for example in weightlifters, gymnasts and contact athletes.

How do we treat it?

Through manual therapy of the affected region, echoguided EPI focused on the point of rupture, shock waves in the affected region and regenerative diathermy of the affected tissues.

Fracture recovery

What is it?

It is a process by which we return to the affected structure (bone) and muscle that surrounds the elasticity and natural properties of these tissues.

What possible origin does it have?

It can be produced by direct trauma: falling or direct hit on a bone, spontaneously: demineralization due to osteoarthritis, overexertion or fatigue: rupture by repetition of an impact on bone. In children there is the terminology of "green stem fracture" is not a complete fracture or clean if not a "tear" of the bone that simulates the break of a stem when it is green.

How do we treat it?

After conservative medical treatment (intervention, mobilization) and depending on whether the fracture involves displacement or not we will perform segment mobility, treatment of the soft parts (muscle, tendon, ligament) adjacent to the lesion, strengthening of the muscles that are immobilized by immobilization. It is in a state of hypotonia.