Rehabilitation of musculoskeletal disorders


The musculoskeletal system of a human body is a single complex consisting of bones, joints, ligaments, muscles, their nerve formations that provides support and movement of the body in the surrounding space, as well as movements of separate parts of the body and organs (head, extremities etc.). This complex is always under great load. In case of diseases or injuries of some part of the musculoskeletal system, the static system of the whole body is impaired, the performance of internal organs also becomes impaired.
Musculoskeletal disorders give way only to cardiovascular diseases by occurrence. Most people come across problems with joints or the spine. During the last decades these diseases are more often diagnosed in young people. It is caused by sedentary lifestyle; we began to walk little, spend more and more time before computers and do not go in for sports. However excessive physical loads are also harmful for the human body health as they may lead to injuries.
Treatment of musculoskeletal disorders is a complex of measures selected individually in each case. Nowadays medication is widely used for treating musculoskeletal diseases. For the treatment to be effective, the patient must observe the prescribed regime and keep a special diet. Different physiotherapeutic procedures are often prescribed. Remedial gymnastics also gives results when impaired joint mobility needs to be recovered. During many years of application such methods as medication electrophoresis, galvanization, electrical stimulation, ultrasound treatment and magnetotherapy have proven themselves.
In combination all of these will help recover the functions of joints, muscles and ligaments in a considerably shorter period of time. For more detailed information please call 404-83-10/11/12. We will be glad to answer all of your questions and to schedule a visit to our specialists for you.
Endoprosthetics (endo in the Greek language means inside, prosthesis means replacement, reconstruction) is replacement of joint elements by means of implants. Endoprosthetics of large (knee, hip, shoulder, elbow) and small (finger) joints is performed. Basic joint diseases in case of which endoprostheses are used:
  • Avascular necrosis of femoral, humeral heads;
  • Degenerative dystrophic arthritis and arthrosis;
  • Dysplastic arthrosis;
  • Bekhterev’s disease;
  • Rheumatoid arthritis;
  • Joint fracture malunions;
  • Posttraumatic arthrosis;
  • Cervical hip fractures (in old people), false hip joints.
We have a wide and successful experience in rehabilitation of patients after joint endoprostherics, as well as in case of treating complications caused by incomplete, incorrect or late rehabilitation.
Basic principles of rehabilitation after endoprosthetics:
Early start of rehabilitation procedures that are carried out from the first days after surgery (if the general state of the patient allows) to prevent secondary muscle dystrophy.
Rehabilitation shall start in the surgical department and continue in the rehabilitation institution. After the period of hospitalization patients and their family members shall take an active part in the rehabilitation process (in particular, in doing home tasks in the afternoons and on weekends).
The recovery forecast is mostly determined by the accuracy and completeness of rehabilitation procedures. Rehabilitation phases:
  • The zero phase of rehabilitation (exercises done immediately after a surgery, on the day the surgery was made). These exercises are required to improve blood circulation in legs and prevent formation of blood clots (thrombus). They are also required to strengthen muscles and improve motion in the hip joint.
  • The first phase of rehabilitation: “strict care” (1-4 days after the surgery).
  • The second phase of rehabilitation: “deceptive capabilities” (5-21 days after the surgery).
  • The third phase of rehabilitation: “start of work” (4-8 weeks after the surgery).
  • The fourth phase of rehabilitation: “complete recovery” (9-14 weeks after the surgery).
A foot is a complex structure and foot problems can influence not only the biomechanics of movements in lower extremities but also the general health and quality of life of the patient. In his practice a podiatrist comes across different foot diseases such as a flat foot, talipes valgus, ingrowing toenail, calluses as well as treats foot injuries that can considerably diminish the functionality and biomechanics of movements in lower extremities. Foot diseases can lead to a fault in posture, hip deformation. When treating foot diseases both conservative and surgical methods are used. The treatment can also include such methods as physiotherapy, massage, remedial physical training. Podiatrists also treat foot and ankle joint problems related with diabetes and other diseases. In some cases there is a need to make surgeries such as reconstruction of the foot and ankle joint. We have all required diagnostic methods for foot and ankle diseases (digital roentgenography, MRI, USI, podography) and use a wide range of up-to-date conservative treatment methods (fabrication of individual insoles, shock-wave therapy, HILT therapy, remedial physical training).
Our institute uses Amfit, an American technology for individual orthotic insole fabrication that has the following undeniable advantages:
  1. For general user and any type of shoes. You will be able to individually select insoles for any age (individual orthotic insoles for adults and children), type of shoes (from sneakers to designer shoes), as well as insoles for remedial, preventive and sports use.
  2. Orthotic insole fabrication by means of 3D scanning technology in the presence of the patient. After one or two visits the patient goes home with ready-made insoles.
  3. This technique makes it possible to achieve the maximum correspondence of the insole to the foot of the patient. The “smart” insole literally reads out the information on the structure of your foot not only at rest but also in motion.
  4. A soft corrective action. You don’t feel any discomfort from the very first moment when you wear these orthotic insoles produced according to the latest technology.
  5. High amortization quality will save your joints, spine and internal organs from shaking that appears when walking or running. Clinical investigations demonstrate that the use of individual orthotic insoles produced out of modern materials can decrease the intensity of back pain in case of radiculitis by 20% and slow down the development of osteochondrosis.
  6. Optimal distribution of load that allows decreasing the load on the foot. Therefore, modern individual orthotic insoles are indispensable in case of heel spurs, diabetes feet, varicosity and other pathologies of lower extremity vessels.
  7. Individual orthotic insoles fabricated at our institute don’t break (the average life of one orthesis is more than 1 year) and are extremely comfortable (can be easily moved from one pair of shoes to another).
A posture is a regular vertical position of the human body that forms in the process of physiological development. During this process the spine develops, its healthy curves form. In future these curves will determine the correctness of the posture that includes:
  • An absolutely straight spine except for its natural curve (lordosis);
  • Forward head posture;
  • Absolutely straight and symmetric shoulder blade lines, waist curves and hips lines.
Postural disorders are various spinal curvatures. Any slants indicate different diseases. Postural disorders include the round and flat back, scoliosis and inclined posture. An incorrect posture can lead to spine diseases and impair the work of internal organs. Therefore it is not surprising that at all times a correct posture was an indication of good health, an excellent physical form. At the institute specialists will select an individual program for you that will include procedures and exercises to be performed both in the institute and at home.
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