ECOINTERVENTISTICA NELLA CURA DEL PODISTA
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ECOINTERVENTISTICA NELLA CURA DEL PODISTA


RECENTI  NOVITA’ NELLA CURA DELLE PATOLOGIE DEL PODISTA ECO-INTERVENTISTICA MUSCOLO-SCHELETRICA: Efficace, Sicura e Rapida strategia terapeutica  per molteplici patologie Muscolo-Scheletriche dello sportivo.   A cura di Dott. Gaetano Ricignolo  www.ecointerventisticafirenze.org   L’infortunio purtroppo è esperienza comune di chi pratica attività sportiva a qualsiasi livello, professionistico o amatoriale. In particolare nella corsa, sia su pista che su strada o nel trial, nonostante il costante richiamo alle buone pratiche ed alla corretta esecuzione dei programmi di allenamento, sono frequenti gli “incidenti” di percorso che necessitano di corretta diagnosi e di tempestivo ed adeguato trattamento. Recentemente l’armamentario terapeutico per molteplici patologie ed infortuni dello sportivo  si è arricchito di una nuova possibilità di cura: i trattamenti infiltrativi condotti sotto la guida della ecografia.  L’Eco-Interventistica Muscolo-Scheletrica, così si definisce questa metodica, NON si fonda su  terapie chirurgiche tradizionali o artroscopiche né tanto meno sulle “vecchie”, famigerate,  infiltrazioni alla cieca. Essa si basa su moderni trattamenti ambulatoriali, mini-invasivi, condotti con ago sottile, in sicurezza e precisione, sotto eco-assistenza, che risultano ottimamente tollerati  dal Paziente-Sportivo  e che determinano una rapida regressione  della sintomatologia (dolore e/o  limitazione funzionale) in un' alta percentuale  di casi. La terapia eco-guidata si presta molto bene a soddisfare le esigenze del Paziente-Sportivo il quale necessita di essere curato con il massimo della sicurezza (safety) ed  il minimo dell’ invasività, promuovendo la maggiore rapidità di risposta terapeutica possibile. Sappiamo infatti che il tempo è un parametro  estremamente importante e critico  nella gestione dell’atleta, della sua “condizione” e  del tono-trofismo muscolare. Ridurre  al minimo possibile i tempi di guarigione, grazie a tecniche che non mascherino i sintomi (sarebbe un grave errore di strategia) ma che raggiungano  con precisione il bersaglio grazie al “mirino” ecografico, consente di evitare il protrarsi oltre il necessario della limitazione funzionale. Nel podista  le  patologie più frequenti che possono essere curate con la metodica Eco-Interventistica sono la FASCITE PLANTARE, la TENDINOPATIA DEL TENDINE ACHILLEO, le BORSITI di GINOCCHIO, ANCA, CAVIGLIA, le sindromi da “SOVRACCARICO” di anca, ginocchio, caviglia ecc. Generalmente, proprio per le caratteristiche intrinseche della  metodica,  non è necessario un “ciclo” di terapie ma uno-due  trattamenti, a distanza di  una settimana l’uno dall’altro. Ciò consente di ridurre  al minimo i costi sia biologici che di tempo ed anche economici. Una seduta di trattamento dura generalmente 20-30’, è eseguita da due Specialisti, a quattro mani per garantire la massima precisione, in condizioni di aspepsi, ed è ottimamente tollerata (anche dagli uomini!), grazie sia all’attenta  gestione del sintomo dolore, ottenuta attraverso  l’appropriato uso di anestetico locale che alla possibilità di individuare ecograficamente il “percorso” ideale da seguire per giungere al bersaglio. Naturalmente, visto l’ampio ventaglio di patologie trattabili, ogni situazione clinica necessita di essere  valutata singolarmente, con un esame clinico-ecografico ed eventualmente radiologico. In relazione al quadro clinico si potrà così impostare  la terapia in maniera “sartoriale”, ritagliata su misura. Nella nostra personale casistica di patologia sportiva trattata e risolta predominano la fascite plantare, la tendinopatia achillea, le tenosinoviti, le infiammazioni articolari persistenti, il dolore di ginocchio e di anca. Anche sulla  spalla dolorosa (calcificazioni, artrosi, sindrome da conflitto sotto-acromiale), sulle epicondiliti-epitrocleiti (gomito del tennista) e sulle tendiniti del polso i risultati si sono dimostrati  eccellenti. In termini numerici le percentuali di risposta positiva sono risultate molto elevate,  del 90-94% (su 100 atleti trattati circa 90-94 traggono significativo giovamento), a fronte peraltro di scarsissimi effetti indesiderati,  ciò   a conferma ulteriore che la precisione garantita dalla guida ecografica determina un’elevata efficacia ed una notevole sicurezza. Il contenimento degli oneri,  ottenuto grazie a  protocolli di trattamento brevi, sia come durata che come numero di sedute ha consentito anche a fasce di popolazione più “deboli” di fruire del servizio. Per  impostazione culturale (e per l’esperienza personale di modesto maratoneta amatoriale di chi scrive), quando necessario,  cerchiamo la collaborazione multidisciplinare, integrando l’uso delle metodiche evolute, eco-guidate,  con la fisioterapia, con  la ricerca e correzione di errori di allenamento o di condizioni  associate (difetti anatomici, funzionali, posturali, dell’appoggio ecc.). Riteniamo che soltanto così, con atteggiamento moderno, olistico e multidisciplinare sia  possibile generare nell’atleta virtuosi processi  di guarigione, rapidi e duraturi.      
Dott. Gaetano Ricignolo
Medico ChirurgoSpecialista in Medicina Interna
Diploma Nazionale SIUMB in Ecografia
Responsabile del Servizio di Eco-Interventistica Muscolo-Scheletrica c/o:  -          ISTITUTO SALUS MEDICA via Arrigo da Settimello, 5/b Firenze 055 6540501 -          Misericordia di Sesto Fiorentino P.zza S. Francesco, Sesto Fi.no 37/39 055 7950111 -         
Pubblica Assistenza Bouturlin, via Castello1  Barberino del Mugello  055 8417729 
WWW.ECOINTERVENTISTICAFIRENZE.ORG  

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Buyers do pay direct and indirect prices.
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Traders do pay direct and oblique costs.
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Schwab Intelligent Portfolios invests in Schwab ETFs.
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0 on mercoledì 13 febbraio 2019 01:43
All types of investments include certain risks.
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0 on giovedì 14 febbraio 2019 01:28
Now it is time to choose your specific investments.
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Traders do pay direct and indirect costs.
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A financial advisor is your planning associate.
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Buyers do pay direct and indirect costs.
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Financial advisors enterprise is folks business.
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0 on lunedì 18 febbraio 2019 05:21
Contemplate investments that provide rapid annuities.
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Investors do pay direct and indirect prices.
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A monetary advisor is your planning associate.
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