MEDICINE
OSTEOMYOARTICULAR

In this section you will be able to obtain general information about the pathologies listed below as well as an overview of the treatments indicated in each of them.

ARTHRITIS

KNEE OSTEOARTHRITIS

SHOULDER OSTEOARTHRITIS

Artritis

Arthritis

When speaking of arthritis, generically refers to a disease that affects the joints causing inflammation in principle. In reality there are many kinds of arthritis: microcrystalline (gouty and non-gouty), psoriatic, intermittent, traumatic, reactive and others, but today's note will exclusively refer to one of the best known and most frequent: Rheumatoid Polyarthritis (PAR). ) commonly known as deforming arthritis.

PAR is a disease characterized by chronic joint inflammation of a long time, with an obscure cause and where there is an immunological influence that is not yet fully clarified. The name PAR is conventionally used for people over 15 years of age, while in minors it is referred to as juvenile chronic arthritis.

PAR is much more common in women than in men -approximately 75%- and affects the joints above all, but it can also affect other organs such as the skin, heart, respiratory system, eyes, liver, kidneys and blood.
It usually has an insidious and progressive onset that causes painful stiffness in the morning, as well as swelling of the fingers, knuckles, and wrists. This progressive beginning through the hands is very reminiscent of the diagnosis.
Very frequently other joints are attacked at the same time or shortly after: knees, ankles, feet, elbows, shoulders, spine and hips.

In some cases the onset is abrupt, and the inflammation of various joints is intense enough to force the patient to remain in bed for a few days. On the contrary, the debut can be so discreet that some patients are considered for months as affected by rheumatism. To avoid this mistake, we must always remember the importance of stiffness and painful limitation of movements and joint swelling in the morning.

Less often, the patient can start with the involvement of a single joint, sometimes even remaining in that situation for weeks and months.

In general, PAR is symmetrical, that is, it simultaneously affects the joints on both sides of the body.
PAR is chronic, and beyond the fact that it is initially inflammatory, it ends up being destructive, disfiguring and disabling, since gait may be difficult or even prevented due to involvement of the feet, ankles and especially the hips.

Sometimes these patients have fever, fatigue, loss of appetite, weight loss, muscle weakness, anemia, dry eyes and mouth, and generally do not tolerate heat well, therefore summer is not a favorable season for them.
The diagnosis is made by a series of clinical, radiological and biological criteria.

Its goal is to suppress or reduce joint inflammation. Its efficacy is judged clinically based on the decrease in pain, swelling and functional impotence. Classically, anti-inflammatories (non-corticoids and corticosteroids) and other medications such as antimalarials, gold salts, immunosuppressants and others are used.

We prefer to prioritize our treatment based on a readaptation of the diet, supplementation with antioxidants, polyvitamins, fatty acids, immunoglobulins and others, mainly aimed at seeking maximum physical and immune performance so that the body can take charge of fighting the disease and I was therefore able to stop and neutralize it. Very frequently we use stretchers that generate Low Frequency Pulsating Magnetic Fields, which are an invaluable contribution for the same purpose. We also very frequently use intravenous ozone therapy for such effects.

Many times patients come to see us after long periods of suffering, taking high doses of analgesics or anti-inflammatories, even corticosteroids and, after a few days of treatment with us, depending on the case, they begin to feel better, reducing the doses of the medications they were taking, they even stopped them.

We can unequivocally say that very good results are obtained with this form of treatment and in some cases even excellent in patients who at first might seem very complicated.

request consultation

Artrosis de rodilla

Knee osteoarthritis

When we talk about osteoarthritis, we refer to a degenerative process of wear and tear on the joints, which basically begins in the articular cartilage that covers them and, if the necessary measures are not taken, it is very likely that the disease will also affect the underlying bone. and the joint space.

Generally, when a person suffers from knee osteoarthritis, they present a series of quite characteristic clinical manifestations that we are going to summarize:

Pain in one or both knees (depending on whether it is unilateral or bilateral).
Functional impotence: – Lack of strength in the knees. – instability to walk.
Joint stiffness.
Swelling.
Deformation.
Loss of joint function.
Loss of the axis of the leg, popularly known as "chuequera".
Loss of muscle mass.
limp Disability.

The pain appears in the knee, either in the front, most frequently, but it can also hurt the back of the knee, known as the popliteal fossa, and even the lateral faces.

When osteoarthritis progresses, the pain can spread to the lower part of the thigh, or to the upper part of the leg, which obviously tends to make it more difficult for the patient to walk, forcing him to limp and, in some cases, even reaching to the use of a cane.

In general, these patients feel pain when they walk, when they stand for a long time, when they go up and down stairs, when they carry heavy objects, when they sit for a long time and want to get up.

There are several important steps to take in the treatment of osteoarthritis of the knee:

Strengthening of the leg and thigh muscles to better support the knee joint.
Anti-arthritis medications, which seek, as their name indicates, to slow down, improve, minimize osteoarthritis phenomena and their degenerative pathology. When we talk about anti-arthritis we are not referring to anti-inflammatories, which although they can be used, are two totally different things.
Local applications on the knee, with very modern technology and devices, which meet two basic principles, soothe knee pain and indirectly also help cartilage regeneration.
Viscosupplementation, also called synovial implant or hyaluronic implant, for intra-articular use in the knee.

Hyaluronic acid, which is a natural polymer of the glycosaminoglycan family, is introduced into the knee and is present in the cartilage and synovial fluid that bathes the knee. What is achieved with this fast, ambulatory, painless technique, which does not require hospitalization, is to improve the lubrication of the joint (which is deteriorated in osteoarthritic disease) and stimulate the articular cartilage.

This technique has nothing to do with the famous "infiltration", where a corticosteroid is introduced into the knee, which is a powerful anti-inflammatory and, although it can relieve pain for a certain period of time, it can ultimately end up damaging the articular cartilage itself. , even more so when the infiltrations are repeated on several occasions.

With all these therapeutic possibilities available to people, we can affirm that the results obtained not only internationally, but also in our country, are really good, in some cases excellent.

One of the techniques used for knee viscosupplementation. The lubrication of the joint is significantly improved and the articular cartilage (which is deteriorated in osteoarthritis) is stimulated.

TYPES OF SYNOVIAL IMPLANT:

collagen and cartilage
Ozonated collagen and cartilage
Platelet-rich plasma
Ozonated platelet-rich plasma

request consultation

Cervicalgia

Cervicalgia – Neck Pain

There are many neck structures that can cause pain in it: muscles, ligaments, vertebrae, intervertebral discs, nerves, etc.

The neck can hurt because of multiple factors that involve these structures:

muscle problems
stress
deviation of vertebrae
vertebral misalignments
disc disease (disc alterations of varying degrees whose maximum expression is the herniated disc that means the disc comes out of its place)
trigger points (focuses of hyperexcitability that cause pain in the neck, but also at a distance from it, such as in the head, chest, arms)
osteoporosis (although in reality the sectors of the spine most affected by this disease are the thoracic and lumbar spine, where crushing and vertebral fractures occur, which are the ones that mostly cause pain).
Other less frequent causes: malformations, infections and tumors.

When the symptoms are confined to the neck, we call it cervical syndrome. When the symptoms manifest not only in the neck, but also spread to the head, with pain and/or dizziness, we call it cervical-cranial syndrome and, when the symptoms that It originates in the neck and spreads to one or both of the upper limbs (shoulder, arm, wrist, hand). We call it cervicobrachial syndrome, and it is common in these cases for the patient to also manifest paresthetic sensations: tickling, tingling, numbness, pinpricks.

When a person presents any of the problems listed above, it is generally manifested by neck pain of varying degrees, from very mild to very intense. The ailments are located in the neck, but also in some circumstances they spread to the head, sometimes even causing discomfort in the eye sockets. Whenever a cervical or cervicocranial syndrome occurs, it is very important to take your blood pressure , unless the person is confusing the picture, thinking that it is a trivial neck and/or head pain, being in reality a high blood pressure crisis. In other circumstances, this neck pain (as we saw previously) can spread to the upper limbs. Another manifestation of cervical problems is the difficulty in being able to move the neck normally, which hinders the tasks of daily living: working, studying, driving and even sleeping.

It will depend on the diagnosis, to know why the neck is hurting. This is achieved clinically (by questioning and examining the patient) and paraclinically by the different studies that are necessary (x-rays, computed tomographic studies, magnetic resonance imaging and others), depending on each particular case. For the treatment we have in Our Clinic has the most technologically advanced medical equipment worldwide, obtaining significant improvements and cures in most of the original causes of neck, head and upper limb pain, even in those cases that could not be resolved previously with other treatments. In daily practice we commonly see neck pain associated with vertigo and dizziness. Also in these cases the results obtained are highly positive.

Neck problems can also sometimes cause headaches and upper limbs, as seen in the picture.

Cervical Syndrome - Clinical manifestations:

Neck and shoulder pain
Limitation of neck mobility
Rigidity
muscle contractures
root symptoms
Headache
Vertigo
buzzing
Chest pain

request consultation

Ciática

Sciatica

This disease is characterized by pain in the lower back that usually spreads to one limb and more rarely to both.

That is, the pain can reach the buttock, thigh, knee, calf, ankle and foot.

Many times the person also feels what in medicine is known as paresthetic sensations: "tingling", "tingling", "burning" or "pins and needles" in the aforementioned places.

Sciatica can become very painful and is the result of irritation or inflation of the sciatic nerve, the largest in the entire body. Surely the majority of Uruguayans have heard the word sciatica, because they have suffered it in their own flesh, by reference or because they have seen a relative suffer. But it is true that most are completely unaware of what it is really about.

This term derives from the sciatic nerve, a thick nerve cord (formed by several roots) that originates in the lower part of the spinal cord, in the area of the lumbar spine (lower back), crosses the pelvis, enters the the muscular mass that constitutes the buttock and runs through the thickness of the corresponding muscles, to the back of the thigh and leg, ending at the foot.

During this long journey, the nerve emits numerous branches that will innervate the different muscles of the regions it crosses. When this nerve is irritated, it becomes inflamed and painful, and thus sciatica sets in, a disease characterized by the dominant symptom of pain.

There are two kinds of sciatica: radicular and referred.

Radicular sciatica, or "true sciatica", is caused by lesions of the roots that form the sciatic nerve; It is therefore a neurological condition.

Referred sciatica, or "common sciatica", is caused by injuries to the skeletal structures that are innervated by the roots that form the sciatic. In this type of sciatica there is no nerve injury. Therefore, neurological deficits will never be found. Even this type of sciatica can confuse the treating physician if he does not know about it, because in the patient's examination it is not easy to find signs of the problem, and radiological examinations, including computed tomography, do not reveal significant data, which can give the impression that the patient exaggerates or "invents" an injury, when reality indicates that they can actually be very painful.

A frequent cause of radicular sciatica is represented by the protrusion and herniation (exit from normal site) of the intervertebral disc (elastic structure, with a damping function located between the vertebrae). Sciatica is quite common in adults, but also in young athletes and in those people who, due to their work, have to lift or carry heavy weights.

Other causes of sciatica are: osteoarthritis of the lumbar spine, pregnancy and sometimes intramuscular injections performed with incorrect technique that can damage the nerve.

The behavior before a sciatica is reduced to two indications.

The first and most urgent is to calm the pain, the second is to institute the general treatment aimed at combating the cause and avoiding its repetition. Sometimes absolute rest, the use of anti-inflammatories (oral or intramuscular) and physiotherapy improve the condition. But in others, this is not enough.

Classically, surgery will be done when it is admitted that the pain is intense, the condition has not subsided for a prudent period of time, and the hernia has been clinically confirmed. Personally, in these complicated cases of sciatica and in others not complicated with a herniated disc, but equally painful, which have not subsided with the classical measures, I carry out a combined treatment of laser therapy and electronic recuperator, obtaining results that on many occasions can be classified as spectacular, with improvements and healing of these problems, not requiring any other type of treatment or surgical intervention.

request consultation

Dolor de Cabeza

Headache

It is estimated that each year approximately 90% of men and 95% of women have at least one episode of headache or headache.

There are two main groups of headache: primary and secondary:

Primary headaches include tension headaches, migraines, and cluster headaches, and are not caused by any underlying pathology. More than 90% of headaches are primary.

Secondary headaches result from other medical conditions, such as an infection or increased pressure in the skull from a tumor. These are responsible for less than 10% of all headaches. Actually there are many more possibilities that cause headaches, however we will refer to the most common.

In these cases, the headache is bilateral, takes over the entire head, oppressive, of mild or moderate intensity, does not worsen with common physical activities, and may be accompanied by nausea, eye and hearing sensations. It lasts from a few minutes to several days a month and even for several months a year. The exact mechanisms are unknown, although as its name indicates, tension, stress and muscle contraction factors are involved.

In turn, tension headaches can be divided into episodic, when their frequency is less than 15 attacks per month, that is, less than 180 episodes per year, and chronic, when they occur for at least 15 days a month for a period of not less than 6 months.

The term migraine comes from the French which in turn originates from the Greek word hemicránea, which means half a head.

Periodic headache, generally unilateral (half head), but which can be generalized, is throbbing, of moderate or severe intensity, that is, it inhibits or prevents daily activities, and is aggravated by physical exertion or climbing stairs.

On some occasions, they may present premonitory symptoms that may precede the headache from a few minutes before its appearance up to 24 hours, such as visual sensations, hyper or hypoactivity, depression, altered appetite, whims about special foods, yawning. excessive.

Once the migraine itself appears, it can be accompanied by visual sensations, auditory sensations, nausea and vomiting, sodium retention, decreased urination, tickling sensations and tingling of the scalp, dizziness, dizziness, lack of appetite.

There is evidence of a relationship between female sex hormones (estrogen and progesterone) and migraine in 33% of women. This migraine can occur during or after menstruation or at the same time as ovulation. It can decrease with age, and when you reach the menopause stage it disappears or worsens.

Many times menstrual migraine is associated with states of depression, anxiety, memory difficulties, back pain, breast pain, swelling, nausea, menstrual disorders.

There are many cervical problems that can cause headaches, for example: disc pathology, rheumatoid arthritis, subluxations, fractures, osteoarthritis, malformations, tumors.

In general, the headache originated in the cervicals is also associated with pain in the neck, as well as auditory sensations (buzzing) in the ears, vertigo, dizziness, cervicobrachial neuralgia.

There are more types of headache that are not as frequent, for example: cranial neuralgia, headache due to head trauma, "cluster headache" (cluster headache).

Each type of headache entails a different treatment, so logically the diagnosis must be accurate. However, in today's note I want to refer to the therapeutic application of low-frequency pulsating magnetic fields that, although they have been known for a long time, we can say that in recent years their therapeutic boom in many diseases, including headaches is indisputable. The mechanisms of action currently considered for low frequency pulsating magnetic fields are multiple and highly varied.

Biological actions derive mainly from:

Cellular energy recharge.
Stimulation of organic defenses.
Increased gamma-globulins.
Increased production of endorphins.
Energetic effect on nerve terminals.
Increased regional circulatory flow.
Reduction of free radicals.
Increase in DNA synthesis.
Increased collagen synthesis.

In reality, there are more mechanisms of action that we will not consider. Thanks to these therapeutic properties, we can say without false misunderstandings that a new phase has begun in the treatment of most headaches with highly satisfactory results and without contraindications.

request consultation

Dolor de cintura

Waist pain

Statistically, we can say that most people have had, currently have, or will have at some point in their lives, lumbago, which can be of very variable intensity, from very mild to very intense, even disabling, forcing the patient to rest. absolute and, also of highly variable duration, from a few seconds to months or years of suffering.

The pain is basically located, as the title indicates, in the waist, in the lower part of the back.

The causes that originate it are multiple and we are going to list the most common.

Postural defects: All postures that increase the normal curvature of the lumbar spine (the lowest part of the spine) will tend to produce lumbago. For example: pregnancy, obesity (prominent abdomen), high heels, working standing many hours a day, expired or poor quality mattresses.

Incorrect flexion and extension: These are people who, while standing, bend down without bending their knees, trying to lift a relatively heavy object from the ground and, even worse, when it occurs to them to contort their bodies maneuvering with that weight. A typical example is that of the mother who carries her young son doing all kinds of maneuvers even unconscious of said movements. There would be a thousand more examples.

Sites capable of causing pain in the spine: When lumbago is caused by a problem in the spine, there are several possibilities to take into account:

ligaments
spinal extensor muscles
Nerve roots arising from the spinal cord
Dura mater (sheath that surrounds) the nerve roots
Osteoarthritis of the zygapophyseal joint (small joints between the vertebrae)
Tears of the outer fibers of the discs
Rupture of the disc, which produces either a disc protrusion (minimal disc out of its place) or a true disc herniation (important disc out of its place between the vertebrae).

There are things that can be done and others that do not really depend on us in which there is a lot of genetic and hereditary predisposition. We must pay attention to everything that refers to postural defects, inadequate movements and correct them, sometimes just paying attention, other times losing weight or performing general or specialized spine exercises.

But when the pain does not subside, it has been bothering you for months or years, with crises and remissions, possibly we are facing a disc lesion, or osteoarthritis or a nerve root lesion, which obviously require specialized diagnosis and treatment.

request consultation

Dolor de Esplada

Imagen de tratamiento para fibromialgia de la cl�ínica jakter

Back pain

Back pain is caused by alterations of the different structures that form it, such as muscles, ligaments, intervertebral discs, vertebrae, nerves.

It is also known that there are other physical factors (work, postural, related to the physical activity carried out by the person) and psychological factors that can also be decisive in the appearance of pain. If we add to this the frequency with which the back suffers alterations, there are several elements that, alone or in combination, explain the high frequency of back pain in the general population.

This is the name given to all medical conditions that cause an alteration of the normal statics of the spine or expose the vertebrae to bear excessive weight and in poor condition.

Some examples:

Disc degeneration: the intervertebral disc loses elasticity, hardens, wears out (popularly called "impingement") and can end up fusing two adjacent vertebrae.
Herniated disc: it is the exit of disc material from a disc that is between two vertebrae, causing pain not only in the back but also at a distance, for example throughout the leg, up to the fingers.
Subluxation or vertebral misalignment: one or several vertebrae of the spine become misaligned.
Scoliosis: alteration of the normal curvatures of the spine.
Osteoporosis: loss of bone mass, popularly called "decalcification", frequent in women after menopause and in the elderly. Its greatest complication in the spine is crushing and vertebral fracture.

We must pay attention to everything that refers to postural defects, inadequate movement, excess weight. Sometimes just by correcting these details or complementing with general or specialized spine exercises, it is enough to obtain improvements.

We have seen patients in great pain for a long time, who had been treated with analgesics, physiotherapy, rest and nothing calmed them down. The problem lay in a vertebral maladjustment and, once we adjusted the spine, they immediately stopped suffering. There was no further need for painkillers or physiotherapy.

On other occasions, the problem is different and cannot be fixed with a vertebral adjustment, but we are also facing patients with intense pain that can disable the person, leaving them bedridden for days or weeks.

Currently, with the latest technology, recovery times are significantly reduced, with a double benefit: less suffering and fewer lost working days.

When the pain does not subside with different treatments (rest, painkillers, anti-inflammatories, physiotherapy) and it has been bothering you for weeks, months or years, with crises and remissions, you may be facing a disc lesion, or osteoarthritis, or a nerve root lesion , or any of the other diseases listed above, which obviously require specialized diagnosis and treatment.

For these special and sometimes complicated situations, we work with the best medical teams, obtaining significant improvements and cures in most of the original causes of back pain, even in those cases that could not be resolved previously with other treatments.

In daily practice we commonly see back pain associated with neck pain, dizziness and dizziness. Also in these cases the results obtained are highly positive.

Artrosis de hombro

Shoulder osteoarthritis

When we talk about the shoulder, we are actually referring to a group of joints that together are called the thoracoscapulohumeral joint, which involves the thorax, the scapula or shoulder blade, and the humerus (long arm bone), all of which allow the shoulder to move. It is the most mobile joint in the body.

The most frequent cause (approximately 65%) of shoulder pain is inflammation of the tendons that form the rotator cuff, which is formed in turn by the tendons of five muscles that all insert on the front of the shoulder and on the shoulder. problem is called scapulohumeral periarthritis. Many times, due to misuse of the shoulder or trauma and other times for unexplained causes, this joint tendon becomes inflamed, producing a real problem.

The picture can be installed in a few hours, the patient accusing intense pain on the front and outside of the shoulder (less frequently in the back region) that can spread through the upper limb reaching the elbow and even the hand. It can also spread to the pectoral region, sometimes simulating a heart problem. At night, with the support and warmth of the bed, the pain can be exacerbated in such a way that the patient prefers a chair to rest. This problem can also be associated with sensations of tingling, tickling and numbness in the painful area. The patient finds it difficult to separate the arm from the body and it also hurts to rotate it.

Other times, periarthritis sets in more slowly, over several weeks or months.

Another shoulder problem is capsulitis, also known as "frozen shoulder." Its cause is often of unknown origin and in other cases it is associated with diseases such as diabetes mellitus, arthritis, thyroid diseases, etc. In this disease, the joint capsule adheres to the bone, bends, thickens and becomes fibrous and drastically reduces the movement of the shoulder, making it impossible to separate it from the body: for this reason it is also called frozen shoulder.

Other problems that are usually seen in the shoulder are bursitis, as the inflammation of the serous bags is called (they are little bags that are found in the shoulder and fulfill the protective function of padding the different structures to avoid rubbing them). . In this pathology, a swollen, red, hot and painful area on pressure can be seen on the shoulder.

In the shoulder, calcification of the tendons usually occurs, mainly the supraspinatus tendon. Many times they are a simple radiological finding without any type of consequences, but other times, these calcifications can cause pain.

It should be noted that within osteoarthritis pathology, shoulder joint wear problems are much less frequent than in other joint locations, but they do exist and must be kept in mind.

We must differentiate the pathology of the shoulder from another problem that, originating in the neck, causes pain in the shoulder and arm (cervicobrachialgia). Although clinically they could have some similar characteristics, in reality they are two totally different disorders, both in their conception as in your treatment.

Many times the pathology of the shoulder, especially the periarthritis, is resolved relatively quickly with some oral medication or with some infiltration. Other times, the situation is not so easy and the patient begins to suffer chronically, initially not finding an effective treatment.

However, advanced technology is currently available, Soft Laser Biostimulation equipment, Electronic Recuperators, Biomolecular Accelerators, Cryotherapy and others, which allow the recovery of many of those painful shoulders that until now had not been able to find a remedy.

Many times when a person has a shoulder problem, the pain is located in it, but other times, the pain can spread through the arm, hand, chest, in which case it can simulate heart disease.

request consultation

Artrosis de cadera

Imagen de tratamiento para dolor de ciática de la clínica jakter

Hip arthrosis

Hip pain can be caused by multiple causes, such as different types of arthritis, ankylosing spondylitis, infections, Paget's disease and others, but the most common is hip osteoarthritis.

Pain in the hip and groin, sometimes also discomfort in the thigh, denote the existence of osteoarthritis in the hip. Subsequently, pain may appear in the buttock and the discomfort sometimes refers to the knee on the same side, since like the hip joint called the coxofemoral joint, the knee is enervated by the obturator nerve. Hence the explanation that hip osteoarthritis can cause pain in the knee on the same side.

As if everything were not enough, hip osteoarthritis can also cause pain in the lower part of the spine (lumbar pain). This is mainly due to muscle tension on the lumbar spine caused by the lumbar spine's attempt to decrease pressure on the hip. In other words, one part of the body -the lumbar spine- tries to help the other -the hip-, but there is a risk that if this tension in the spine is maintained for a long time, it will also be damaged, so it yes, what we see with some frequency: people who suffer from osteoarthritis in the hip, added to lumbar suffering due to secondary lumbar injury.

The pain in the hip joint increases progressively when walking, standing, going up and down stairs, or carrying heavy objects, in short, with everything that is exerted on the joint and usually improves with rest, but in the advanced stages of the disease the pain may be persistent and may not subside even with rest.

The patient with osteoarthritis of the hip has difficulty starting to walk, limps and can even attack the other hip, transforming the problem bilaterally, which is quite frequent. The patient has difficulty tying his shoelaces and getting up from a chair.

On clinical examination, these people reveal pain on movement of the hip joint, with limited mobility. In most cases, the radiological manifestations are typical, which, added to the questioning and clinical examination, allows a rapid diagnosis to be made and therefore the corresponding treatment to be established, to avoid pain, disability and surgical intervention. If proper precautions are not taken, hip osteoarthritis very frequently ends in the placement of a prosthesis.

These diseases begin with damage to the cartilage that covers the hip joint, and from there, if treatment is not received, a series of "cascade" phenomena that ends with the total deterioration of the joint.

Stimulating substances of articular cartilage.
Modern technology, state-of-the-art medical equipment:
- calm the pain
- stimulate cartilage synthesis

The scientific advances of recent years, the new anti-arthrosis medications, the new local treatments in the hip, the advanced medical equipment, with which we have been working in Uruguay for many years, allow us to say that pain and discomfort of osteoarthritis pictures can be suppressed and that the evolution of osteoarthritis can be minimized, it can be stopped, with which most of the patients achieve a clear improvement in their condition.

What must also be made extremely clear is that in order to carry out an in-depth treatment, trying to protect and stimulate the articular cartilage (a key element in this disease), it is essential not to let it go, not to wait for the condition to worsen before deciding to treat.

Sometimes it happens that the patient has a surgical indication, but either due to a deteriorated general state, or due to a very advanced age, that person cannot be operated on and in those cases, we can also help them, except to improve them. quality of life.

Areas of pain that can reveal the existence of hip osteoarthritis.

request consultation

Hernia de disco

Herniated disc

A frequent cause of severe pain in the spine and lower limbs.
Intervertebral disc herniation is a fairly frequent condition, due to the fact that the resistance of the fibro-elastic disc -which separates one vertebral body from another- decreases over time due to different factors: aging, repeated traumas, or congenital defects.

This disc constitutes a true shock absorber on which the forces required to the spine are discharged in our normal and abnormal movements. Its external ring is fibrous and consistent, while in the center there is a softer and more elastic area, the nucleus pulposus, which moves according to the movements that we inflict on the spine.

Due to different circumstances mentioned at the beginning, the disc may gradually decrease its resistance, which, aggravated by vicious conditions of the spine, creates the breeding ground for the nucleus to project to the sides or backwards, thus producing the hernia -exit from its place- from the disk. There are, logically, different evolutionary degrees of the disease, according to the herniated volume.

A hernia has three phases:

The soft central core of the disc presses on the outer walls of the disc, causing pain;
Second phase: the central nucleus protrudes without rupturing the disc, pressing on the nerve root and also causing pain. This phenomenon is known as disc protrusion.
Finally the disc ruptures, the nucleus comes out of it causing much more pain and it is in the phase known as a herniated disc.

If the hernia is towards the sides, it can come into contact with the spinal roots that emerge at that level along the entire length of the spine. If it is directly backwards it can come into contact with the spinal cord itself. Depending on the location, the herniated degree and the direction of the hernia, we will have different symptoms throughout the spine and the rest of the body.

The diagnosis is made by the clinic (by what the patient states and by what the doctor finds in the exam) and, by the paraclinical, that is, by the necessary complementary studies: radiology, computed tomography, magnetic resonance, electrical studies. .

On many occasions, hernias that seemed not to be saved from the operating room could be resolved without the need for surgery, precisely through our new medical techniques.

When a herniated disc occurs, nerve structures (roots or medulla) are involved. If the pressure is weak, only the sensitive part of the nerve is altered, if it is greater, motor function is also altered, that is, the patient feels pain, tickling sensations, burning, numbness and movements may be difficult.

request consultation

The largest number of herniated discs are found in the lower part of the lumbar spine, being able to be in contact with the roots of the sciatic nerve at this level: projecting clinical symptoms characterized by severe pain in the lower part of the spine, with preference irradiation to one leg, passing through the buttock, external and posterior part of the entire lower limb, even affecting the ankle and foot.

High lumbar, thoracic, and cervical discs can also be herniated, but much more rarely. In the case of the cervicals, strong pain at that level may be characteristic, with radiation to the shoulders, arms and hands.

Lumbago

Although it is true that people suffer from the entire back, it is also true that the sector most frequently involved is the lower part of it, the waist, pain that is known as low back pain or lumbago.

Statistically, it can be said that most people have had, have or will at some point in their lives have lumbago, which can be from very mild to very intense, disabling at other times, forcing the patient to rest completely and, also very variable duration, from a few seconds to months or years of suffering, with crises and remissions.

The causes that originate it are multiple and we are going to list the most common:

Postural defects. All postures that increase the normal curvature of the lumbar spine (lower spine) will tend to produce lumbago. For example: pregnancy and a prominent abdomen caused by obesity are as determining factors as the use of high heels, mattresses that are too soft or of poor quality, or anatomically imperfect chairs. Likewise, prolonged work of many hours standing also creates a possibility of back pain.

We also mention people who, while standing, bend down without bending their knees to lift a relatively heavy object from the ground. And even worse when they contort their bodies maneuvering with that weight in their hands. A typical example is that of the mother who carries her young son in her arms, making all kinds of movements, even without noticing said movements. From the organic point of view, there are several causes that cause back pain:

Vertebral maladjustments. The misalignment of one or several vertebrae can cause spine and back pain, which becomes chronic if not treated. Many times the improvement is easily resolved by adjusting that vertebra. In these cases, pain for years is resolved even in minutes.

disc degeneration. Disc degeneration or aging begins very early, around the age of 20. The discs are initially soft and moist, but as they age they shrink and lose moisture. Many times, these discs, if they contract too much, cause friction between the vertebrae that they separate, causing small tears, bleeding and therefore pain. Secondarily, a muscle spasm occurs, which in turn causes even more pain.

Disc herniation. When the disc (due to various circumstances) comes out of its natural place, between the upper and lower vertebra, it causes pain, because it comes into close contact with structures and nerve roots which it irritates. When a herniated disc presses on a nerve root, pain is felt not only at the site of the herniation, but also throughout any limb innervated by that root. For example, if it is a cervical hernia, the pain can be felt in the neck, shoulder, arm and even in the fingers of the hand. If, on the other hand, the hernia is located in the lower back, pain will be felt in the lower part of the back, buttock, thigh, leg and, on some occasions, it can even reach the toes.

There are more factors that directly or indirectly affect the structural anatomy of the spine and paravertebral muscles and, therefore, can cause pain or contribute to its production, such as stress, spinal deviations, stenosis (decreased diameter) of the vertebral spinal canal, osteoporosis, malformations.

We should also mention that the back can hurt in the context of diseases that affect other parts of the body, such as fibromyalgia and rheumatoid arthritis.

There are things that can be done and others that do not really depend on us, and in which there is a lot of genetic and hereditary predisposition.

We must pay attention to everything that refers to postural defects, inadequate movements, excess weight. Sometimes just by correcting these details or complementing with general or specialized spine exercises, it is enough to obtain improvements.

On other occasions we are faced with patients with intense pain that can invalidate the person, leaving them bedridden for days or weeks. Currently, with the latest technology, recovery times are significantly reduced, with a double benefit: less suffering and less loss of working days.
When the pain does not subside with different treatments (rest, painkillers, anti-inflammatories, physiotherapy) and it has been bothering you for weeks, months or years, with crises and remissions, you may be facing a disc lesion, or osteoarthritis, or a nerve root lesion , or any of the other diseases listed above, which obviously require specialized diagnosis and treatment. For these situations we work with the best medical teams obtaining significant improvements and cures in most of the original causes of back pain, even in those cases that could not be resolved previously with other treatments.

In daily practice we commonly see back pain associated with neck pain, dizziness and dizziness. Also in these cases the results obtained are highly positive.

request consultation

Osteoporosis

Osteoporosis is characterized by the weakness and fragility of the bones, which makes them easily fractured, due to a decrease in their mineral content. It literally means pores in the bone.

Certain risk factors that predispose to the disease have been identified:

Bones not sufficiently developed
Estrogen deficiency (menopause)
Lack of physical exercises
Sedentary life
White race
smoking habit
Consumption of alcoholic beverages

The problem with osteoporosis is that the bones retain their size but their walls thin and the holes in the spongy bone enlarge. This weakens its resistance and predisposes to fractures. A lower bone mass and an alteration of the bone architecture are the factors that define this disease. The risk of suffering fractures depends on the trauma suffered and/or the low bone mass. In elderly patients, the risk of suffering fractures is greater due to the physical limitations of age. Low bone mass may be the result of not having reached a sufficient maximum amount of bone during your life or that you currently have increased bone loss, which may be caused by menopause or natural aging. The disease in its beginning is absolutely silent.
His Detection is given by, an unexplained fracture leads to medical consultation. Also due to a decrease in size or a slight curvature in the upper part of the back, diffuse pain or discomfort at the level of the spine

As the vertebrae weaken, they are crushed under the weight of the upper body, causing the hump or kyphosis of the thoracic spine.

This disease affects women more, because female bones are smaller and lighter and suffer faster bone loss, being related to estrogen levels that drop sharply after menopause. Women with osteoporosis are more likely to have daughters with the same disease. There are women who are more exposed to osteoporosis, for example, thinner women who weigh less than normal or who have small bones. Those who suffer from diseases that prevent them from carrying out physical activities or leading a sedentary life are also more exposed. If a relative has suffered from the disease, the possibility is greater. A woman who has had an ovary removed entering her menopause earlier than usual would also be more exposed.

There are risks that must be avoided, for example tobacco, alcohol and coffee accelerate bone loss. In addition to changing the diet and starting to exercise, the consumption of these substances should be reduced. It is never too late to act against osteoporosis. The physical exercises thanks to the muscular traction exerted on the bones, make them stay healthy. When there is no muscle traction, bone loss is greater. Regular activity (walking) not only slows the rate of bone loss, but can also contribute to more new bone formation in the body. The densitometric examination is innocuous and detects the degree of mineralization of the skeleton, while comparing it with the general average of the population, according to sex and age. It estimates whether the degree of mineralization loss implies a risk of suffering fractures. Although early diagnosis is desirable, osteoporosis can be effectively treated at any age. It is called the silent disease because you do not feel the weakening of the bones over time. Fortunately, it can be diagnosed before fractures occur.

In the case of men, osteoporosis can develop in those individuals over 65 years of age who, having had a low bone mass peak in their youth, have abused certain substances such as alcohol and tobacco.

There are other causes that can cause the disease, such as endocrine diseases, inflammatory diseases or those caused by medications (corticosteroids, anticoagulants), all of which are less frequent.

During the stage of growth and development, exercise is essential to achieve adequate bone mass. As the person gets older, physical activity must be adapted to each age, with exercises appropriate to the capacity of each one, for example, excessive load exercises are discouraged. It is also advisable to maintain correct postures when standing, sitting and lying down, to avoid pain and maintain good muscle tone. Sitting, it is preferable to use a straight, hard and not excessively low chair. Lying down, the use of a hard mattress and a low pillow is recommended.

request consultation

Tendnitis de Rodilla

Imagen tratamiento para artrosis de rodilla de la clínica jakter

Knee Tendonitis

When we talk about the goose foot, we refer to a joint tendon of 3 leg muscles (sartorius, medial rectus, and semitendinosus) that inserts on the lower medial part of the knee.

For different reasons, micro or macro trauma, efforts, excessive exercise, standing for a long time and even many times for unknown causes, this joint tendon becomes inflamed and causes this tendinitis. It is actually a tenobursitis, that is, not only the tendon is inflamed, but also a serous sac that is found between this tendon and the underlying bone.

It all starts for the affected person with a sensation of knee pain, preferably on the inside, which, to the extent that it is not treated or treated poorly, can intensify and even spread to the rest of the knee. If the issue is not resolved, like many chronic knee issues, the leg and ankle are affected, frequently causing the lesion association of goosefoot tendonitis with ankle sprain, especially if the woman is obese.

In addition to pain, the patient may have difficulty walking, instability and may even have a limp. On some occasions, by supporting the problem leg with some caution, the patient begins to load the other and it is not uncommon for the knee that initially had no problem to begin to suffer due to said overload.

This pathology can be confusing, because being soft tissue (that is, it does not basically affect the bone or the joint), it is not visualized in common knee X-rays. It is not uncommon for the patient to be told that nothing is visible on the x-rays and therefore of no importance. Or even worse, he is found to have osteoarthritis and is told that the problem is knee osteoarthritis and that it has no cure (totally false), besides that there is nothing to do; out there, in the future, a knee replacement, when in reality the problem was goosefoot tendonitis. It is also true that this tendonitis can coexist with some frequency with knee osteoarthritis, in which both problems will have to be treated, a fact that is currently done with great success.

When we talk about success we mean healing the problem. If this is not possible, depending on the evolution of the process, we refer to achieving a quality of life such that the patient feels satisfied with it, that he can move around, walk, perform daily tasks without or with minimal problems.

Those who suffer from chronic knee pain are doubly affected by being carried away by the belief that sooner or later they will become disabled, since their disease is progressive and incurable, with which they enter a state of depression that -obviously - adds to his physical problem.

We have the most modern technology for these treatments: biostimulation soft laser, electronic recuperator, we even incorporated the first LED (light emitting diodes) equipment in the country, which allows us to continue improving our results and thus achieve the proposed goal: cure the patient. and, if this were not possible, at least improve the quality of life, so that "it is worth continuing to live it."

request consultation

MEDICINE
OSTEOMYOARTICULAR

Arthritis

Knee osteoarthritis

Cervicalgia – Neck Pain

Sciatica

Headache

Waist pain

Back pain

Shoulder osteoarthritis

Hip arthrosis

Herniated disc

Lumbago

Osteoporosis

Knee Tendonitis

CONTACT US

Send us a message
and we will contact you soon.

MEDICINE OSTEOMYOARTICULAR

Arthritis

Knee osteoarthritis

Cervicalgia – Neck Pain

Sciatica

Headache

Waist pain

Back pain

Shoulder osteoarthritis

Hip arthrosis

Herniated disc

Lumbago

Osteoporosis

Knee Tendonitis

CONTACT US

Send us a message and we will contact you soon.

MEDICINE
OSTEOMYOARTICULAR

Send us a message
and we will contact you soon.