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Sport Medicine & Sport rehabilitation

Is the stress test still part of the useful examinations in the detection of risk heart disease in sports subjects? Should we continue to use it as a surveillance examination in coronary sports patients?

The stress test, even inevitable, remains flawed in the detection of coronary artery disease in the asymptomatic athlete. However, it provides additional information on the condition of being maximal, and attaching importance to arrhythmias, the tensional profile and the maximum power developed in addition to the ST segment’s in the EKG.

Pre-participation Sport screening

Our protocol consist of a targeted personal history, family history, physical examination, and 12-lead electrocardiography. Other tests should be applied only if the screening indicates the presence of a cardiovascular disease.

Cardiac screening

  • Consultation
  • Electro cardiogram                    
  • Eco cardiogram
  • Effort test

Latest Updates in ultrasonography shows new evidence levels A, one for the hip (gluteal tendons tears), one for the knee (meniscal cysts), one for the ankle (ankle joint instability), and one for the foot (plantar plate tear). There was no level A evidence for elastography, although for Achilles tendinopathy and lateral epicondylitis evidence level was B with grade 3 indication.

Ultrasound Test – Echography

  • Eco musculoskeletal              
  • Eco Abdominal superior
  • Eco abdominal general

Blood Test

Full Sport performance blood test

With follow up  every 3 month

BIOLOGICAL TREATMENTS 

  • PRP
  • Hyaluronic acid

EPI (Electrolisis Percutanea Intratisular) 

Intratisular Percutaneous Electrolysis (EPI®) is an invasive physiotherapy technique that consists of the ultrasound guided application of a galvanic current through an acupuncture needle that produces a local inflammatory process allowing phagocytosis and repair of the affected soft tissue.

 It is a local treatment at the site of the injury. With the help of ultrasound it is applied directly to the altered and / or degenerated tissue.

  • It manages to repair the affected tissue, the EPI® is able to launch a new process of proliferation of collagen tissue that is unstructured in these processes.
  • Modifications in the structure and in the mechanobiological behavior of soft tissue are immediate and in real time.
  • The effectiveness is high (around 80%) with respect to conventional physiotherapy treatments (ultrasound, laser, Cyriax technique, diacutaneous fibrolysis, shock waves, etc.) or doctors (drugs, infiltrations or surgery).
  • The frequency of relapses is low.

Indications of treatment with EPI

  • Chronic tendinopathies (patellar tendonitis- Achilles tendinosis hamstrings, pubic pain, epicondylitis
  • supraspinatus-rotator cuff).
  • Plantar fasciitis
  • Acute and chronic muscle tears (fibrosis).
  • Myofascial Trigger Points.
  • Sprain of internal lateral knee ligament.
  • Chronic ankle sprain.
  • Tibial Periostitis
  • Carpal tunnel syndrome.
  • Tarsus tunnel syndrome.
  • Impingement of ankle.
  • Hip impingement.

The application of this technique is carried out with the ultrasound guide and in aseptic conditions.

Our firm represents EPI in Romania and we are the main distributors and responsible for training in this technique.