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© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376
The spine is a complex structure of our body that is part of the axial skeleton that makes up the central part of our body. The spine is composed of 33 small units called vertebrae, 7 cervical, 12 thoracic, 5 lumbar, 5 sacral and 4 coccygeal. The vertebrae have a canal in their posterior part in which the nervous system passes, which innervates various structures to allow perception of sensations and movement. Between consecutive vertebrae, there are intervertebral discs, cushion-like structures with the primary function of acting as shock absorbers and allowing mobility and fluidity of the spine. Dorsalgia is an umbrella term that includes multiple conditions with or without an apparent cause of localized pain in the upper back. Dorsalgia, characterized by pain in the upper back is not as common as low back pain and can affect any type of individual, from athletes to the general population. Similar to low back pain, back pain is also multifactorial and cannot always be attributed to a specific cause, such as a traumatic event or overload injury. Several potential risk factors in the development of back pain have been studied, including lack of mobility, weakness, poor posture, prolonged inactivity, sedentary lifestyle, as well as high-intensity activity and excessive strain on the back. Patients may experience significantly different symptoms, from minimal pain, to severe thoracic back pain, neural symptoms (e.g., tingling, burning, weakness, etc.), significantly limited mobility, and stiffness (thoracic spine, shoulders, neck). In addition to collecting data on the patient’s medical history and performing a physical evaluation, an instrumental examination (e.g., X-ray, computed tomography, magnetic resonance imaging, etc.) is often prescribed if structural lesions are suspected. It is important to note that the presence of anatomical abnormalities of the spine detected by instrumental examinations do not necessarily correlate with the symptoms reported by the patient, and false positives are common. Therefore, a holistic approach is essential in the diagnosis and treatment of patients with back disorders.
Based on the severity of the condition, significantly different treatment strategies can be implemented in the management of this condition. Conservative treatment is typically the first line of treatment, consisting of rehabilitation, education, and if needed pharmacological intervention (e.g.: medications, injections, etc.). In more severe cases when surgical treatment is deemed necessary, several different procedures can be implemented based on the patient’s needs and are always discussed between the patient and the medical-surgical staff. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room, and the pitch. Likewise for all the other medical conditions, a global approach (bio-psycho-social), centred on your needs will be implemented. In the early stages, the main goal of the rehabilitation is to minimise the symptoms related to the condition. Mobility recovery and muscle activation are typically progressed with respect to optimising your posture and strain to the back. In the mid-stage of rehabilitation, back and upper limb strength and endurance recovery become the priority, together with the optimisation of the general movement quality to learn how to effectively integrate spinal and upper limb movements during daily living, and sports activities. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to return to participate in their favourite activities, maximising the outcomes and reducing the likelihood of complications.
© 2012-2024 Isokinetic Medical Group Srl
P.Iva 03740671205 – Cap. Soc. Int. Vers. Euro 10.400 – Reg. Imp. n.03696800378 – R.E.A. n.309376
