• 11/09/2018 - Paola 0 Comments
    Can a Heavy Backpack Cause Scoliosis?

    I'ts possible treat scoliosis using a custom made brace like a corsetI'ts possible treat scoliosis using a custom made brace like a corset. A scoliosis corset is the best way forI'ts possible treat scoliosis using a custom made brace like a corset. A scoliosis corset is the best way forI'ts possible treat scoliosis using a custom made brace like a corset. A scoliosis corset is the best way forI'ts possible treat scoliosis using a custom made brace like a corset. A scoliosis corset is the best way forScoliosis is not a condition caused by carrying a heavy load (not even a very heavy one). 

    Scoliosis is also not caused by childhood sports injuries, heavy backpacks full of books or hiking gear. Heavy loads may cause back, neck and shoulder pain, but scoliosis develops in different ways. There is a fine line between degenerative conditions due to prolonged heavy load bearing, and the potential cause and diagnosis of scoliosis. It often helps to have a better understanding of certain conditions, as being informed can often be good medicine by itself.

    Scoliosis is a spinal disorder that results in the development of a curved spine. The medical term scoliosis comes from a Latin word “skolios,” which means bent or curved. Scoliosis is often idiopathic (meaning without an obvious cause). 

    When the cause of scoliosis is known, it is usually placed in one of two categories; nonstructural or structural. The main difference between the two is that structural scoliosis results in a spinal curve that is completely rigid and irreversible.

    Causes of structural scoliosis include:
    • Birth defects such as hemivertebra (a lack of proper formation on one half of the spine)
    • Poliomyelitis or muscular dystrophy
    • Genetic conditions such as Down’s Syndrome
    • Tumors
    • Traumatic injuries
    • Infections
    • Cerebral Palsy
    • Spinal muscular atrophy (wasting of the muscles)
    Structural scoliosis can also be degenerative. This tends to occur in older adults and is often related to arthritic changes within the spine, or weakening of the ligaments or other tissues around and connected to the spine.In nonstructural scoliosis (also called functional scoliosis), the spine appears bent, but in all other respects, is fully functional. In most cases this form of scoliosis can be temporary, depending on the cause and  It's possible treat scoliosis using a custo made brace like a corset Causes of nonstructural scoliosis can include:
    • Pain and muscular spasms
    • Sciatica (related to sciatic nerve pain)
    • Postural (related to posture over a long period of time)
    • A difference in the length of the legs (often related to the pelvis)
    • Certain inflammatory conditions such as appendicitis
    Scoliosis frequently becomes more obvious during early adolescence and can worsen with age. Females diagnosed with scoliosis are 10 times more likely to develop a more severe form of scoliosis than males. Using every day a Scoliosis corset can help to resolve but in some cases, surgeons may be able to stabilize and straighten the spine 
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  • 05/07/2018 - Paola 0 Comments
    Carbon Fiber Insoles

    Carbon fiber insoles are shoe inserts that have been imbued with strands of carbon fibers. The purpose for imbuing an insole with carbon is to help keep your shoes and feet odorless and to help add additional anti-microbial protection. This prevents foot diseases and fungus from festering in your shoes, such as athlete’s foot.

    There are three different types of carbon fiber insoles available, and each of them has slight variances in structure, but they all have the above qualities.

    Carbon Fiber Insoles – these are insoles that have been imbued with carbon fibers, these insoles have woven strands of carbon blended into them, which help them to be more breathable. They also control odor and are antimicrobial, providing an intermediate amount of foot support.
    What Kind of Carbon Insoles Do I Need For My Foot Type?
    Before one can purchase a pair of carbon fiber insoles to alleviate sore or tired feet, one needs to know what their foot type is and a bit more about how feet work.
    The two biggest problems associated with feet are usually due to correct foot alignment. You are likely to fall into one of the two following categories:
    • Over pronation – overpronators walk with their feet at an inward angle, which places pressure on the arches of the feet. This can result in conditions such as plantar fasciitis, heel spurs, a ball of foot pain, heel pain and more. Over pronation can also be the result of having one of these conditions. Overpronators need a deeper heel cup that locks the heel in place to control the way their feet move.
    • Under pronation – Under pronation is rarer than overpronation. It comes about when a person angles their feet outward and places too much emphasis on the outer edge of their footwear. Under-pronators need less of a deep heel cup and more support on the outer edges of their insoles. Custom orthotics for under-pronators are a more common practice, as the degree of under pronation may vary considerably.
    The Best Characteristics of Carbon Fiber Shoe Inserts
    Some of the best features of orthotics shoe insoles have been listed below to help you assess which insoles are a step above the rest!
    Perforation – a perforated insole provides better temperature regulation, breathability and less perspiration.
    Heel Cap – a heel cap helps to stabilize your feet and secure a better pronation. It also keeps the insoles inside your shoes, helping them not to slide around. For those in need of firmer foot support, a thicker heel cap is a great way to achieve this.
    Adaptive Arches – adaptive arches warp and move with the muscles in your feet as they do, giving you the best arch support possible. Memory foam is a good example of adaptive arch technology, creating a unique impression of your feet that molds when heated by your body temperature.
    Full-Length Support – three-quarter insoles are better purchased for those who suffer only from heel pain or that wish to alleviate extra pressure behind the ball of the foot. Full-length support insoles are the best in nearly every instance, however, providing your entire foot with the right protection.
    Shock Absorption – Heel and forefoot pads on the underside of the insole will absorb shock, protecting your feet from any jarring impacts they may endure. This is incredibly useful for athlete’s or those in the hospitality industry that do a lot of physical work on their feet all day.
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  • 5 Most Common Posture Problems
    27/10/2017 0 Comments
    5 Most Common Posture Problems

    It is very possible that you too have a moderate to severe postural problem that can affect your health and performance. I must admit I have a small to moderate degree of every postural deviation listed in this article!

    While this article does not cover how to conduct a comprehensive posture assessment, I chose the 5 most common posture problems I see that are caused by a sedentary lifestyle. For each posture problem, I list the identification, cause, problem, and solution.
    Keep in mind the solutions listed are only “possible” solutions because some of the causes and problems may not be correctable (i.e. congenital issues, or trauma). Finally, be aware that any posture problem can lead to other problems as the human body is one “kinetic chain”.

    Posture Problem #1: Over-Pronated Feet
    Identification – As shown in the photo above, put both hands 1 inch away from each side of your foot. Straighten your ankle so that the space between each hand and your ankle is equidistant. Now naturally let your ankle and feet rest. If your foot and ankle caved inward, you have over-pronated feet.
    Causes – Obesity, pregnancy, improper footwear, or repetitive pounding on a hard surface can weaken the arch leading to over-pronation and oftentimes flat feet.
    Problem – Over-pronation adds stress to the foot, tightens calf muscles, and can internally rotate the knees. Over-pronation often leads to Plantar Fasciitis, Heel Spurs, Metatarsalgia, Post-tib Tendonitis and/or Bunions. As many as 20-30% of Americans have flat feet, or over-pronated feet.
    Solution – If the arch has already fallen, orthotics are the best bet. If the arch is in the process of falling, or is weak, barefoot running/walking may help strengthen the arches, but be sure to check with your doctor (orthotics may be the best bet in this case as well). For more on barefoot running, check out Barefoot Running Research: Benefits of Barefoot Running.

    Posture Problem #2: Forward Hip Tilt
    Identification – Identifying a forward tilt can be tricky, but one method is to purposely tilt your pelvis forward as far as you can, then backward as far as you can. You may realize your natural hip tilt is not far away from the exaggerated forward tilt.
    Cause – Sitting too much and not stretching, which shortens the hip flexors
    Problem – Forward hip tilt (aka anterior pelvic tilt) is associated with tight hip flexors, which are a group of muscles on the front of your hips that pull the knee upward. As you walk, tight hip flexors prevent the glutes (butt muscles) from firing/activating, which forces the hamstring muscles to become overworked and excessively tight. If you have tight hamstrings, the root cause may be tight hip flexors and an anterior pelvic tilt.
    Solution – Stretch your hip flexors with static lunges, such as the Crescent Lunge (See: Yoga For Back Pain), activate your glutes with exercises like glute bridges, and foam roll and stretch your hamstrings.

    Posture Problem #3: Hunchback
    Identification – Have someone take a photo of you standing sideways. If you notice that your upper back is excessively curved (greater than 40-45 degrees) as in the photo to the right, you have hunchback posture.
    Cause – Sitting with bad posture, especially at an office doing computer work
    Problem – Sitting hunched over a computer screen forces chest muscles to tighten, which can cause excessive curvature (kyphosis) of the upper back (thoracic spine). Postural muscles in the upper back weaken and loosen.
    Solution – Relieve chest tightness with self myofascial release (use a massage ball) and stretching, while strengthening the upper back postural muscles. My favorite exercise for hunchback posture is upper back foam rolling. For more information, check out Correcting Rounded Shoulders From Office Work.

    Posture Problem #4: Rounded Shoulders
    Identification – The “Pencil Test” involves holding a pencil (or pen) in each hand. As shown in the photo above, if the pencils are pointing straight forward with your arms comfortably at your sides, that indicates correct posture. If on the other hand the pencils are facing each other, or are rotated at an angle, then you have internally rotated shoulders.
    Cause – Sitting with bad posture, especially in an office while typing, or using an imbalanced exercise routine with excessive chest pressing.
    Problem – Sitting hunched over a computer screen forces chest muscles to tighten, which can internally rotate the shoulders forward. Postural muscles in the upper back weaken and loosen.
    Solution – The solution is very similar to correcting hunchback posture – relieve chest tightness with self myofascial release (use a massage ball) and stretching, while strengthening the upper back postural muscles. For more information, check out Correcting Rounded Shoulders From Office Work.

    Posture Problem #5: Forward Head
    Identification – Have someone take a photo of you standing sideways. As shown in the photo to your right, find the AC joint (bony protrusion on the side of your shoulder) and check if your ear lobe is on top of the AC joint. If your ear lobe extends in front of your AC joint, you have a forward head posture.
    Cause – Sitting in an office chair hunched over while staring at a computer
    Problem – Muscles in the back of the neck become tight, along with the upper trapezius and levator scapulae (upper back muscles).
    Solution – First, practice proper head posture by sliding your head backward while keeping your line of sight ahead. Be sure not to tilt your head upwards as you slide your head back. Second, get a massage, or use a massage ball against your upper back, which can be very helpful to help relieve tension around your neck.

    While these 5 common posture problems are just scratching the surface of posture as a very important fitness topic, I hope it helps you think more consciously of your posture and is useful for you. 

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  • 16/10/2017 0 Comments
    Injury Graph Sport trauma

    Sports and exercise puts the body and its structures under great mechanical stress. This stress can lead to sport injuries, which generally fall into three categories: overload, overuse, and direct trauma.

    Sport InjuriesOverload sport injuries are caused when excessive load and/or stretch is put through a structure. This will cause the structure to fail and tear, ranging from a partial to a complete tear. This sort of injury is usually seen in muscles, tendons and ligaments and have various different names – sprains, strains, pulled muscles, etc. In more extreme cases overload can cause bone fractures. These injuries are commonly caused by jumping & landing, stop/start sprinting, and quick change of direction.
    Overuse sport injuries are caused by the repetitive loading or irritation of a structure. Over time this causes the structure to tear, become inflamed, or degenerate. Overuse injuries can affect almost any structure within the body depending on the action that is repetitive.
    Biomechanics may also play a part in such sporting injuries, as incorrect biomechanics can predispose an athlete to certain injuries or even cause the injury itself.
    The last category of sporting injuries involves direct trauma or collision. This includes an athlete falling onto the ground, running into an object, colliding with another athlete, or even being punched. Obviously this causes damage to the tissues involved, usually in the form of bruising.

    it's important for people who play sport, used a dynamic insoles for distribute weight.  

    Booking you Baropodometric Test and find out insoles!!

    Prevention is better than cure!!

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  • 10/08/2017 0 Comments
    Gayser Sign: Rotator Cuff Tears

    The gayser sign is a patognomic symptom of massive rotator cuff tears, that means very large rotator cuff tears. How do they rise? In every human body articulation, so in the shoulder too, there is a "lubrificant" liquid, known as "sinovial liquid". The sinovial liquid is in a special bag, called " capsule", with a spheric form. Rotator cuff tendoms are 4 tendoms lyng on the capsule. above the rotator cuff tendoms there is the acromion-clavicular articolation. acromio-clavicular articulation has its capsule too, with a cube form. when rotator cuff tear rises, the spheric Capsule breaks too and the humeral head goes up because of deltoid muscle action and damages inferior surface of cubic acromion-clavicle capsule: the two articulations become one, and the sinovial liquid fills everything. When superior surface of acromio-clavicle capsule breaks too, there is a "funnel effect": sinovial liquid is pushed above the acromio-clavicula articulations and can't come back, like a gayser. Obviously it should be an important mistake try to suck sinovial liquid: there should be a new liquid movement. For this reason the right terapheutic decision is to treat the real problem, that is rotatot cuff tear.

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  • Interscapular Dorsali
    01/08/2017 - Paola GENTILE 0 Comments
    The benign interscapular dorsalgia of cervical origin


    Interscapular dorsal pain is certainly the most common form of dorsalgia and even if is perceived in the mid-dorsal region, the majority of this pain comes from a pathology attributable to the last three segments of the cervical spine. The patient only exceptionally suffers from neck pain, and the pain that is perceived between the shoulders disappears with the appropriate cervical treatment.

    Clinical presentation

    Pain is perceived between the shoulder blades, both at a precise paravertebral point (usually referred as a “nail sensation”) and wider (sometimes also intrathoracic). The onset of this pain is often insidious and can occur as a result of keeping bad positions during work (typical of secretaries who must keep the neck flexed to write) or, for example, during sleep but also after a trauma.

    Risk factors

    The only risk factors that can be attributed to the development of this pathology are bad positions during work, bad bed habits (eg sleeping with multiple pillows or watching television for a long time in supine position), and repeated traumas, even minimal, at the level of the lower cervical spine (eg previous whiplashes).

    When to contact a physician

    Surely when pain becomes disabling and it is resistant to normal anti-inflammatory or painkillers, it negatively affects the normal activities of daily life, work activity and everyday activities or when it adversely affects the quality of sleep. Dorsalgia diagnosisIt is essentially clinical. Thanks to a careful visit by a physician experienced in "orthopedic manual medicine" (according to the French school of Robert Maigne and the Hotel Dieu in Paris) you can easily discover all the signs that are a spasm of an interscapular dorsalgia of cervical originX-rays performed at the cervical spine and dorsal are also necessary to rule out that there may be other major problems that may cause this pain. 


    Treatment is essentially cervical. Cervical manipulation (performed by a PHYSICIAN), when the situation permits and when it is technically applicable and therefore there are no contraindications and only after proper diagnosis, is the treatment of choice. It can be preceded by progressive ,mobilizations and transversal stretching of the paraspinosis muscles.Handling must be precise, gentle, non-traumatic, and performed in the opposite direction to pain. After three manipulative sessions, each at a distance of one week, you can heal from the symptoms (sometimes even before the 3 canonical sessions). 

    Dangers of manipulation

    For the treatment of these disorders, such as those of the spine in general, be careful to turn to figures like those of osteopaths and chiropractors. Vertebral manipulation can only be performed by a physician and should be performed only after the formulation of a diagnosis (the doctor's sole act) and after evaluating the risks inherent in the manipulative treatment itself.

    Posted By Dr. Roberto Morello, Physiatrist. 

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  • 18/07/2017 0 Comments
    What is Restless Legs Syndrome?

    Restless legs syndrome (RLS) is a disorder of the part of the nervous system that causes an urge to move the legs. Because it usually interferes with sleep, it also is considered a sleep disorder.


    People with restless legs syndrome have uncomfortable sensations in their legs (and sometimes arms or other parts of the body) and an irresistible urge to move their legs to relieve the sensations. The condition causes an uncomfortable, "itchy," "pins and needles," or "creepy crawly" feeling in the legs. The sensations are usually worse at rest, especially when lying or sitting.
    The severity of RLS symptoms ranges from mild to intolerable. Symptoms can come and go and severity can also vary. The symptoms are generally worse in the evening and at night. For some people, symptoms may cause severe nightly sleep disruption that can significantly impair their quality of life.


    Restless legs syndrome may affect up to 10% of the U.S. population. It affects both sexes, but is more common in women and may begin at any age, even in young children. Most people who are affected severely are middle-aged or older.
    RLS is often unrecognized or misdiagnosed. This is especially true if the symptoms are intermittent or mild. Once correctly diagnosed, RLS can often be treated successfully.


    In most cases, doctors do not know the cause of restless legs syndrome; however, they suspect that genes play a role. Nearly half of people with RLS also have a family member with the condition. Other factors associated with the development or worsening of restless legs syndrome include:
    • Chronic diseases. Certain chronic diseases and medical conditions, including iron deficiency, Parkinson’s disease, kidney failure, diabetes, and peripheral neuropathy often include symptoms of RLS. Treating these conditions often gives some relief from RLS symptoms.
    • Medications. Some types of medications, including antinausea drugs, antipsychotic drugs, some antidepressants, and cold and allergy medications containing sedating antihistamines, may worsen symptoms.
    • Pregnancy. Some women experience RLS during pregnancy, especially in the last trimester. Symptoms usually go away within a month after delivery.

    Other factors, including alcohol use and sleep deprivation, may trigger symptoms or make them worse. Improving sleep or eliminating alcohol use in these cases may relieve symptoms.


    There is no medical test to diagnose RLS; however, doctors may use blood tests and other exams to rule out other conditions. The diagnosis of RLS is based on a patient’s symptoms and answers to questions concerning family history of similar symptoms, medication use, the presence of other symptoms or medical conditions, or problems with daytime sleepiness.

    Treatment for RLS is targeted at easing symptoms. In people with mild to moderate restless legs syndrome, lifestyle changes, such as beginning a regular exercise program, establishing regular sleep patterns, and eliminating or decreasing the use of caffeine, alcohol, and tobacco, may be helpful. Treatment of an RLS-associated condition also may provide relief of symptoms.
    Other non-drug RLS treatments may include:

    • Leg massages
    • Hot baths or heating pads or ice packs applied to the legs
    • Good sleep habits
    • A vibrating pad called Relaxis
    Medications may be helpful as RLS treatments, but the same drugs are not helpful for everyone. In fact, a drug that relieves symptoms in one person may worsen them in another. In other cases, a drug that works for a while may lose its effectiveness over time.
    Drugs used to treat RLS include:
    • Dopaminergic drugs, which act on the neurotransmitter dopamine in the brain. Mirapex, Neupro, and Requip are FDA-approved for treatment of moderate to severe RLS. Others, such as levodopa, may also be prescribed.
    • Benzodiazepines, a class of sedative medications, may be used to help with sleep, but they can cause daytime drowsiness.
    • Narcotic pain relievers may be used for severe pain.
    • Anticonvulsants, or antiseizure drugs, such as Tegretol, Lyrica, Neurontin, and Horizant.
    Although there is no cure for restless legs syndrome, current treatments can help control the condition, decrease symptoms, and improve sleep.

    This post isn't a medical opinion, it's important to consult your doctor.
    Posted by Paola Gentile

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  • Back pain and Sciatica
    11/07/2017 - Paola GENTILE 0 Comments
    Sciatica Pain:

    The term sciatica describes the symptoms of leg pain—and possibly tingling, numbness, or weakness—that originate in the lower back and travel through the buttock and down the large sciatic nerve in the back of each leg.

    Sciatica is not a medical diagnosis in and of itself—it is a symptom of an underlying medical condition. Common lower back problems that can cause sciatica symptoms include a lumbar herniated disc, degenerative disc disease, spondylolisthesis, or spinal stenosis.

    Sciatica Nerve Pain

    Sciatica is often characterized by one or more of the following symptoms:
    • Constant pain in only one side of the buttock or leg (rarely in both legs)
    • Pain that is worse when sitting
    • Leg pain that is often described as burning, tingling, or searing (versus a dull ache)
    • Weakness, numbness, or difficulty moving the leg, foot, and/or toes
    • A sharp pain that may make it difficult to stand up or walk
    • Pain that radiates down the leg and possibly into the foot and toes (it rarely occurs only in the foot)
    • Sciatic pain can vary from infrequent and irritating to constant and incapacitating. Symptoms are usually based on the location of the pinched nerve.
    • Article continues below
    • While symptoms can be painful and potentially debilitating, it is rare that permanent sciatic nerve damage (tissue damage) will result, and spinal cord involvement is possible but rare.
    The sciatic nerve is the largest single nerve in the body and is made up of individual nerve roots that start by branching out from the spine in the lower back and then combine to form the "sciatic nerve." Sciatica symptoms occur when the large sciatic nerve is irritated or compressed at or near its point of origin.
    • The sciatic nerve starts in the lower back, typically at lumbar segment 3 (L3).
    • At each level of the lower spine a nerve root exits from the inside of the spinal canal, and each of these respective nerve roots then come together to form the large sciatic nerve.
    • The sciatic nerve runs from the lower back, through the buttock, and down the back of each leg.
    • Portions of the sciatic nerve then branch out in each leg to innervate certain parts of the leg—the thigh, calf, foot, and toes.


    Sciatica rarely occurs before age 20, and becomes more commonplace in middle age. It is most likely to develop around age 40 or 50.
    Perhaps because the term sciatica is often used loosely to describe leg pain, estimates of its prevalence vary widely. Some researchers have estimated it will affect up to 43% of the population at some point.1, 2
    Often, a particular event or injury does not cause sciatica—rather it tends to develop over time.
    The vast majority of people who experience sciatica get better within a few weeks or months and find pain relief with nonsurgical sciatica treatment.1 For others,
    Seeing a doctor for sciatica pain is advised, both for learning how to reduce the pain and to check for the possibility of a serious medical issue.


    Certain sciatica symptoms, while rare, require immediate medical, and possibly surgical, intervention. These include, but are not limited to, progressive neurological symptoms (e.g. leg weakness) and/or bowel or bladder dysfunction (cauda equina syndrome). Infection or spinal tumors can also cause sciatica.
    Because sciatica is caused by an underlying medical condition, treatment is focused on addressing the cause of symptoms rather than just the symptoms. Treatment is usually self-care and/or nonsurgical, but for severe or intractable pain and dysfunction it may be advisable to consider surgery.


    The following six lower back problems are the most common causes of sciatica:

    • Lumbar herniated disc: a herniated disc occurs when the soft inner material of the disc leaks out, or herniates, through the fibrous outer core and irritates or pinches the contiguous nerve root.Other terms used to refer to a herniated disc are slipped disc, ruptured disc, bulging disc, protruding disc, or a pinched nerve. Sciatica is the most common symptom of a lumbar herniated disc.
    • Degenerative disc disease: While some level of disc degeneration is a natural process that occurs with aging, for some people one or more degenerated discs in the lower back can also irritate a nerve root and cause sciatica.
    • Degenerative disc disease is diagnosed when a weakened disc results in excessive micro-motion at that spinal level, and inflammatory proteins from inside the disc 
    • Bone spurs, which may develop with spinal degeneration, also may press against a nerve, resulting in sciatica.
    • Istmica spondylolisthesis: this condition occurs when a small stress fracture allows one vertebral body to slip forward on another; for example, if the L5 vertebra slips forward over the S1 vertebra.With a combination of disc space collapse, the fracture, and the vertebral body slipping forward, the nerve can get pinched and cause sciatica.
    • Lumbar spinal stenosis: this condition commonly causes sciatica due to a narrowing of the spinal canal. Lumbar spinal stenosis is related to natural aging in the spine and is relatively common in adults older than age 60.The condition typically results from a combination of one or more of the following: enlarged facet joints, overgrowth of soft tissue, and a bulging disc placing pressure on the nerve roots, causing sciatica pain. 
    • Lumbar spinal stenosis commonly occurs along with spinal arthritis, and arthritis can also cause or contribute to sciatica symptoms.
    • Piriformi syndrome: the sciatic nerve can get irritated as it runs under the piriformis muscle in the buttock. If the piriformis muscle irritates or pinches a nerve root that comprises the sciatic nerve, it can cause sciatica-type pain.This is not a true lumbar radiculopathy, which is the clinical definition of sciatica. However, because the leg pain can feel the same as sciatica or radiculopathy, it is sometimes referred to as sciatica.
    • Sacroiliac joint dysfunction: irritation of the sacroiliac joint—located at the bottom of the spine—can also irritate the L5 nerve, which lies on top of the sacroiliac joint, causing sciatica-type pain.Again, this is not a true radiculopathy, but the leg pain can feel the same as sciatica caused by a nerve irritation.


    In addition to the most common causes, a number of other conditions can cause sciatica, including:

    • Pregnancy. The changes the body goes through during pregnancy, including weight gain, a shift of one's center of gravity, and hormonal changes, can cause sciatica during pregnancy.
    • Scar tissue. If scar tissue—also called epidural fibrosis—compresses to a lumbar nerve root, it can cause sciatica.
    • Muscle strain. In some cases, inflammation related to a lower muscle strain and/or muscle spasm can put pressure on a nerve root and cause sciatica pain.
    • Spinal tumor. In rare cases, a spinal tumor can impinge on a nerve root in the lower back and cause sciatica symptoms. It is possible for tumors to originate in the spine, but more commonly spinal tumors develop as cancer from a different part of the body metastasizes and spreads to the spine.
    • Infection. While rare, an infection that occurs in the low back can affect the nerve root and cause sciatica.
    • Fracture. If a fracture occurs in a lumbar vertebra, it is possible for symptoms to include sciatica. Most fractures occur because of a serious trauma (such as a car accident or a fall) or because the bone has become weak due to osteoporosis or another underlying condition or medication.
    • Ankylosing spondylitis. This condition is characterized by chronic inflammation in and around the spine. Often symptoms first show up in the sacroiliac joints, causing sacroiliitis, and symptoms may include sciatica.
    • The above is not a complete list. It is important to know the underlying clinical diagnosis of the cause of sciatica, as treatments will often differ depending on the cause. For example, specific sciatica exercises, which are almost always a part of a treatment program, will be different depending on the underlying cause of the symptoms.


    • Corset: Corset is a good methods for soothe the pain. A lumbosacral corset is suitable for support the abdomen and prevent the vertebra flatten. 
    • Heat/ice: For acute sciatic pain, heat and/or ice packs are readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some find more relief with heat. The two may be alternated. It is best to apply ice with a cloth or towel placed between the ice and skin to avoid an ice burn.

    Sciatica exercises usually focus on three key areas: strengthening, stretching, and aerobic conditioning.
    Strengthening exercises
    Many exercises can help strengthen the spinal column and the supporting muscles, ligaments, and tendons. Most of these back exercises focus not only on the lower back, but also the abdominal (stomach) muscles and gluteus (buttock) and hip muscles.
    Strong core muscles can provide pain relief because they support the spine, keeping it in alignment and facilitating movements that extend or twist the spine with less chance of injury or damage.

    Stretching exercises
    Stretching is usually recommended to alleviate sciatic pain. Stretches for sciatica are designed to target muscles that cause pain when they are tight and inflexible.
    Hamstring stretching is almost always an important part of a sciatica exercise program. Most people do not stretch these muscles, which extend from the pelvis to the knee in the back of the thigh, in their daily activities.
    Another stretch that is often helpful in easing sciatica is the Bird Dog move: After getting on their hands and knees, individuals extend one arm and the opposite leg. The arm and leg extensions are then alternated. A more advanced version of this exercise is the Plank Bird Dog move, in which the extensions are done once the person is in the plank position on their hands and toes.

    Low-impact aerobic exercise
    Some form of low-impact cardiovascular exercise, such as walking, swimming, or pool therapy is usually a component of recovery, as aerobic activity encourages the exchange of fluids and nutrients to help create a better healing environment.
    Aerobic conditioning also has the unique benefit of releasing endorphins, the body's natural pain killers, which helps reduce sciatic pain.
    These types of exercise may be done separately or in combination. Examples of types of exercise that may include both strengthening and stretching include yoga, tai chi, and Pilates.
    For anyone in chronic pain or with a relatively high level of sciatica pain, one option for gentle exercise is water therapy, which is a controlled, progressive exercise program done in a warm pool.

    This post isn't a medical opinion, it's important to consult your doctor. 

    Posted by Paola Gentile

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  • 30/06/2017 0 Comments
    Carpal Tunnel: What is carpal tunnel syndrome?

    Carpal tunnel syndrome (CTS) occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. The carpal tunnel—a narrow, rigid passageway of ligament and bones at the base of the hand—houses the median nerve and the tendons that bend the fingers. The median nerve provides feeling to the palm side of the thumb and to the index, middle, and part of the ring fingers (although not the little finger). It also controls some small muscles at the base of the thumb.
    Sometimes, thickening from the lining of irritated tendons or other swelling narrows the tunnel and causes the median nerve to be compressed. The result may be numbness, weakness, or sometimes pain in the hand and wrist, or occasionally in the forearm and arm. CTS is the most common and widely known of the entrapment neuropathies, in which one of the body’s peripheral nerves is pressed upon.

    Symptoms usually start gradually, with frequent burning, tingling, or itching numbness in the palm of the hand and the fingers, especially the thumb and the index and middle fingers. Some carpal tunnel sufferers say their fingers feel useless and swollen, even though little or no swelling is apparent. The symptoms often first appear in one or both hands during the night, since many people sleep with flexed wrists. A person with carpal tunnel syndrome may wake up feeling the need to "shake out" the hand or wrist. As symptoms worsen, people might feel tingling during the day. Decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. In chronic and/or untreated cases, the muscles at the base of the thumb may waste away. Some people are unable to tell between hot and cold by touch.

    Carpal tunnel syndrome is often the result of a combination of factors that reduce the available space for the median nerve within the carpal tunnel, rather than a problem with the nerve itself. Contributing factors include trauma or injury to the wrist that cause swelling, such as sprain or fracture; an overactive pituitary gland; an underactive thyroid gland; and rheumatoid arthritis. Mechanical problems in the wrist joint, work stress, repeated use of vibrating hand tools, fluid retention during pregnancy or menopause, or the development of a cyst or tumor in the canal also may contribute to the compression. Often, no single cause can be identified.

    Women are three times more likely than men to develop carpal tunnel syndrome, perhaps because the carpal tunnel itself may be smaller in women than in men. The dominant hand is usually affected first and produces the most severe pain. Persons with diabetes or other metabolic disorders that directly affect the body's nerves and make them more susceptible to compression are also at high risk. Carpal tunnel syndrome usually occurs only in adults.
    The risk of developing carpal tunnel syndrome is not confined to people in a single industry or job, but is especially common in those performing assembly line work - manufacturing, sewing, finishing, cleaning, and meat, poultry, or fish packing. In fact, carpal tunnel syndrome is three times more common among assemblers than among data-entry personnel.

    Early diagnosis and treatment are important to avoid permanent damage to the median nerve.
    • A medical history and physical examination of the hands, arms, shoulders, and neck can help determine if the person's discomfort is related to daily activities or to an underlying disorder, and can rule out other conditions that cause similar symptoms. The wrist is examined for tenderness, swelling, warmth, and discoloration. Each finger should be tested for sensation and the muscles at the base of the hand should be examined for strength and signs of atrophy.
    • Routine laboratory tests and X-rays can reveal fractures, arthritis, and detect diseases that can damage the nerves, such as diabetes.
    • Specific tests may reproduce the symptoms of CTS. In the Tinel test, the doctor taps on or presses over the median nerve in the person's wrist. The test is positive when tingling occurs in the affected fingers. Phalen’s maneuver (or wrist-flexion test) involves the person pressing the backs of the hands and fingers together with their wrists flexed as far as possible. This test is positive if tingling or numbness occur in the affected fingers within 1-2 minutes. Doctors may also ask individuals to try to make a movement that brings on symptoms.
    • Electrodiagnostic tests may help confirm the diagnosis of CTS. A nerve conduction study measures electrical activity of the nerves and muscles by assessing the nerve’s ability to send a signal along the nerve or to the muscle. Electromyography is a special recording technique that detects electrical activity of muscle fibers and can determine the severity of damage to the median nerve.
    • Ultrasound imaging can show abnormal size of the median nerve. Magnetic resonance imaging (MRI) can show the anatomy of the wrist but to date has not been especially useful in diagnosing carpal tunnel syndrome.

    Many people with carpal tunnel syndrome wear a splint at night for a few weeks to relieve mild to moderate symptoms. The splint can hold the joint in a neutral position. The symptoms are worse at night because during sleep your hand is more likely to be bent to the side. A splint can prevent this from happening. It is also important to use regular motions when moving the joint during the day to keep it from tensing up and the muscles from weakening. A support bandage may also be used instead of a splint.
    Studies suggest that wearing a splint can provide relief from symptoms within a few time.
    The main symptoms of carpal tunnel syndrome are tingling, numbness or pain in parts of the hand. Sometimes it is difficult to move your thumb or first two fingers. This is caused by excess pressure on the median nerve, which runs through the carpal tunnel in the wrist.
    Sometimes these symptoms disappear again without treatment.

    Posted by Ms. Paola Gentile 

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  • 26/06/2017 - Paola GentiLE 0 Comments
    Congress: Assistive Devices and Aids in the World of Rehabilitation, June 23th 2017, Malta.

    Congress: Assistive Devices and Aids in the World of Rehabilitation, June 23th 2017, Malta. Thanks for special Medical equipe for sharing information and for educational growth. Thanks to Doctor, Physiotherapist and Occupational Terapist for partecipate at Congress. Centro Ortopedico Aliotta

    We are on LinkedIn! Follow Us https://www.linkedin.com/in/orthopaedic-centre-mal...

    Ms. Paola Gentile

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  • grandopening
    09/06/2017 - Paola GENTILE 0 Comments
    Grand Opening a new branch in Malta! We are here!

    #coming soon # Thefinalcontdown #bigday

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    30/05/2017 - PAOLA GENTILE 0 Comments
    New exclusive congress: Assistive Device and Aids in the World of Rehabilitation

    Orthopedic Centre Malta, next opening to Malta, would invite you to our exclusive congress on  23th June 2017, Hotel InterContinental, San Julians. 

    For Further info and registration form, Contact Us!

    You can find the registration form in DOWNLOAD.

    Ms. Paola Gentile 

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  • 23/05/2017 - Paola GENTILE 0 Comments
    Next Opening

    #NextOpening #seeyousoon #9thJune #Comingsoon

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  • Morton's Neuroma and heeled shoes
    18/04/2017 - Paola Gentile 0 Comments
    Morton's Neuroma: Diagnoses and Treatment


    Typically, there's no outward sign of this condition, such as a lump. Instead, you may experience the following symptoms:
    A feeling as if you're standing on a pebble in your shoe
    A burning pain in the ball of your foot that may radiate into your toes
    Tingling or numbness in your toes

    When to see a doctor
    It's best not to ignore any foot pain that lasts longer than a few days. See your doctor if you experience a burning pain in the ball of your foot that's not improving, despite changing your footwear and modifying activities that may cause stress to your foot.
    Morton's neuroma seems to occur in response to irritation, pressure or injury to one of the nerves that lead to your toes.
    Risk factors
    Factors that appear to contribute to Morton's neuroma include:
    High heels. Wearing high-heeled shoes or shoes that are tight or ill fitting can place extra pressure on your toes and the ball of your foot.
    Certain sports. Participating in high-impact athletic activities such as jogging or running may subject your feet to repetitive trauma. Sports that feature tight shoes, such as snow skiing or rock climbing, can put pressure on your toes.
    Foot deformities. People who have bunions, hammertoes, high arches or flatfeet are at higher risk of developing Morton's neuroma.

    Treatment depends on the severity of your symptoms. Your doctor will likely recommend trying conservative approaches first.
    Arch supports and foot pads fit inside your shoe and help reduce pressure on the nerve. These can be purchased over-the-counter, or your doctor may prescribe a custom-made, individually designed shoe insert — molded to fit the exact contours of your foot.

    Another methods of resolution is surgical intervention.  

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  • Flat Feet in Pediatric
    12/04/2017 - Paola Gentile 0 Comments
    Pediatric Flat Foot

    What is pediatric flatfoot?

    Flatfoot is a condition that can affect both adults and children. In children, it is called “pediatric flatfoot.” When a child has pediatric flatfoot, the arch of the foot shrinks or disappears when he or she stands. The arch reappears when the child sits or stands on tiptoe. This is called flexible pediatric flatfoot.
    Most children who have pediatric flatfoot are born with the condition, though it may not appear for a few years. Children will usually outgrow pediatric flatfoot on their own by the age of five.
    A second, more rare kind of pediatric flatfoot is called rigid flatfoot. With this condition, the arches do not reappear when the child sits or stands on tiptoe.

    What are the symptoms of pediatric flatfoot?

    Most children with pediatric flatfoot have no symptoms. A parent or caregiver usually notices the condition.
    Symptoms children may experience include:
    Pain, tenderness, and/or cramping in the feet or legs, especially along the bottom of the feet
    Heels that tilt outward
    A change in walking
    Pain or discomfort while walking
    Parents may also notice their child withdrawing from sports and other physical activities that may cause pain in their feet and legs.
    If your child experiences any of these symptoms, you should consult with your pediatrician.
    Children affected by rigid flatfoot may experience more severe symptoms. Those affected with tarsal coalition, an abnormal joining of two bones in the feet, may begin to experience symptoms at preadolescence.
    Children with a condition called congenital vertical talus, which causes a rigid rocker bottom appearance, may begin to experience symptoms at walking age.

    How is pediatric flatfoot diagnosed?

    Your pediatrician can usually diagnose pediatric flatfoot. In this case there is a simply and quickly examination for locate in real time the problem and is very indicate because it's a diagnostic non invasive examination indicate for baby, pregnant and old people. It's Baropodometric Examination

    Baropodometric test is very common used by doctors, orthopedic traumatology specialized, sports medicine and orthopedics technicians. It’s a new technology in the non-invasive medicine field and it’s possible diagnose several pathologies such as: flat feet, claw-foot, diabetic foot, equine foot
    The foot pressure recording and gait analysis system the test, allows the pressure distribution on the human foot to be captured and displayed quickly and precisely, while standing or while walking.
    The test show information on the pressure between the foot’s surface and the land, assess in scrutinized way the step.
    Many clinical issues concerning the objective and quantitative analysis of pressure distribution, pressure peaks, and asymmetries movement as well as the rollover behavior are recorded to help diagnose foot malformations or functional limitations of the lower extremities.
    The direction of travel can be set in the software along one axis to allow for time-saving dynamic measurements in two directions.
    The high-frequency measurement of the body's centre of gravity provides additional information about neurological issues and extends the range of application to sports.
    The test develop in two phases:
    Dynamic Analysis
    The patient walks barefoot on the platform, the pressure permit to verify the weight movement during the walk.
    Static Analysis
    The patient standing on the platform. In phase we identify the body’s centre of gravity and analyzed the foot’s surface.

    How is pediatric flatfoot treated?

    In most cases, children outgrow pediatric flatfoot without treatment. Unless the child is experiencing pain, your physician may recommend a wait-and-watch approach. You will be asked to bring your child for periodic re-evaluations.
    If the child is experiencing pain, the physician may recommend hard or soft shoe inserts to support the arch. He or she may also create a custom orthotic device to fit into your child's shoe to help support the arch and relieve the pain. In older children and adolescents, stretching exercises and physical therapy may provide relief.
    In rare cases, surgery may be needed to treat pediatric flatfoot. This is more common with rigid flatfoot and in children who continue to experience pain despite non-surgical approaches. Several different types of surgery can be done, depending on the child's age, type of flatfoot, and the degree of his or her deformity.

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  • Diagnostic Medicine: Formetric
    07/04/2017 - Paola 0 Comments
    Orthopaedic Centre Malta: Diagnostic Medicine: Formetric

    With the new product generation, the Formetric 4D a new milestone has been reached in the area of spine analysis. For the first time it is possible to measure the spine & posture while the patient is walking.The 4D technology which was developed in cooperation with leading European universities and is registered for a patent is currently in use in the Formetric 4D and allows functional analysis and locomotion studies of the spine, shoulder, pelvis etc The Formetric system has been in development for more than 25 years at various universities and institutes. The development began with the objective of reducing the high x-ray load on patients being followed for scoliosis and developing a procedure which offers a for x-rays.

    Clinical Applications: 
    • Scoliosis & scoliotic malposition
    • Leg length discrepancies 
    • Pelvic obliquity / rotation / torsion 
    • Posture-related pain symptoms 
    • Posture variances 
    • Hyper -/Hypo-Lordosis/-Kyphosis 
    • Osteoporosis 
    • Athrosis 
    • Temporomandibular joint dysfunction
    • Vertebral blockages 
    • Neurologic symptoms
    • Muscle de cits/imbalances 
    • and many more

    Book your Formetric test, free for children under 18 years!

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