waiting times

Hospital Particular Alvor

00h10m

Medical Emergency

Hospital Particular Gambelas

00h36m

Medical Emergency

00h14m

Paediatrics

Madeira Medical Center

00h22m

Medical Emergency

Sports Medicine

Sports Medicine - Grupo HPA Saúde | Algarve | Alentejo | Madeira


Sports Medicine team was created to provide medical care to professional athletes, amateur athletes, casual athletes, junior or senior of any sport.

  • Athletics:
  • Golf:
  • Football:
  • Gymnastic;
  • Rubgy;
  • Cycling and Mountain biking;
  • Swimming;
  • Volleyball;
  • Futsal;
  • Handball;
  • Tennis;
  • Badminton;
  • Canoeing;
  • Combat Sports;
  • Ballet;
  • Basketball.

A equipa multiprofissional de Medicina Desportiva constitui um grupo dinâmico e vocacionado para o atendimento e resolução objetiva das lesões desportivas através de técnicas inovadoras de diagnóstico, terapêuticas conservadoras e/ou cirúrgicas.

MULTIPROFISSIONAL TEAM

  • Physiatry;
  • Orthopedics;
  • General Practice;
  • Musculoskeletal Radiology;
  • Physiotherapy;
  • Strenght Coach;
  • Psychology / Coaching;
  • Nutrition.

 

METHODOLOGICAL BASIS

  • Locomotor System signs and symptoms;
  • Biomechanics and Kinesiology;
  • Therapeutic Exercise;
  • Movement Analysis;
  • Minimally Invasive Techniques.

 


1st Phase

  • Diagnosis;
  • Functional Assessment;
  • Planning Intervention,

2nd Phase

  • Rehabilitation;
  • Performance;
  • Prevention;
  • Conservative Medical Treatment;
  • Surgical Treatment.

DIAGNOSIS

MEDICAL ASSESSMENT


CARDIOVASCULAR RISK ASSESSMENT
 

IMAGIOLOGIC DIAGNOSIS

Imagiologic evaluation has impact on diagnosis and treatment of sports injuries.
  • X-ray;
  • High resolution ultrasound;
  • CT;
  • Arthro-CT;
  • MRI;
  • Arthro-MRI.

 

WHAT TO ORDER? 

  1. Basic exam: Radiography;
  2. Soft tissue injuries: Ultrasound or MRI; 
  3. Fractures (diagnosis and follow-up), biometric studies: CT;
  4. Stress injuries (diagnosis and follow-up): MRI;
  5. Internal derangements of joints: MRI (or arthro-CT / MRI-arthrography);
  6. Negative Radiography and Ultrasound: MRI.

 

ULTRASOUND (US)

  • Superficial structures;
  • Muscle and tendon - 30% of sports injuries;
  • Muscle injury: diagnosis, follow-up and detection of complications;
  • Dynamic study, sonopalpation;
  • Contralateral comparison;
  • Cheap, no ionizing radiation.

 

ARTHRO-MR 

  • MR after intra-articular contrast injection;
  • Capsular distension;
  • Main indications: 
    • Shoulder and hip labral pathology;
    • Rotator cuff;
    • Osteochondral lesions and intra-articular loose bodies;
    • Intrinsic wrist ligaments and triangular fibrocartilage;
    • Post-operative meniscus evaluation.

GFI FUNCTIONAL ASSESSMENT

20 Functional tests
  • 10 Mobility & Stability;
  • 10 Strenght & Coordination.
Physical Limitations
  • Functional Deficits;
  • Lost of Joint Mobility.

 

WHEN TO ORDER?

  1. Diagnostic doubt; 
  2. Temporal pressure - correct diagnosis and prompt initiation of appropriate treatment;
  3. Provide the athlete visual evidence of the injury - improve treatment adherence;
  4. Decision: Conservative vs. Surgical treatment;
  5. Failure of conservative treatment.

 

RADIOGRAPHY (CR

  • Basic examination (two perpendicular planes), special incidences;
  • Bone fractures, degenerative changes.

 

COMPUTED TOMOGRAPHY (CT)

  • Excelente resolução para estruturas ósseas;
  • Caracterização de fracturas complexas e complicações de fracturas;
  • Reconstrução 3D;
  • Alterações discais e ósseas da coluna vertebral;

 

ARTHRO-CT 

  • CT after intra-articular contrast injection;
  • Evaluation of articular cartilage surface, meniscus, labrum;
  • Alternative to MR;
    • Higher spatial resolution and anatomical detail;
    • Less tissue resolution.

 

MAGNETIC RESONANCE (MR)

  • Excellent tissue resolution;
  • Good spatial resolution;
  • Most complete technique - bone, cartilage, ligament, tendon, meniscus, muscle, synovial...

TREATMENT

PAIN MANAGEMENT

Minimally invasive techniques
  • Through interest and progressive investment in Image Guided Techniques, namely Ultrasound and Fluroscopy Guided Techniques, which allow for a greater cohesion between clinical and image analysis. This in turn leads to a greater  precision in the injection, which translates into an increase in the effectiveness, profitability and doctor - patient - treatment compliance.

 

FLUOROSCOPY GUIDED TECNHIQUES

Anesthetics Blocks / Corticoanesthetics
  • Lumbar Facet Joints;
  • Lumbar Transforaminal Epidural;
  • Hip.
Viscossuplementation
  • Joints.

 

REHAB AND PERFORMANCE

  • Therapeutic Exercise;
  • Joint Mobility;
  • Functional Training;
  • Strenght Training;
  • Isoinercial Training.

ULTRASOUND GUIDED TECNHIQUES

Anesthetics Blocks / Corticoanesthetics 
  • Joints;
  • Peri-articular;
  • Soft Tissues;
  • Trigger Points / Miofascial Syndrome.
Platelet Rich Plasma (PRP)
  • Tendon and Ligament ; Muscle and Joint.
Viscosuplementation
  • Joints.
Dry Needling / Mesotherapy / Prolotherapy 
  • Soft Tissues.
Botulinic Toxin 
  • Miofascial Syndrome;
  • Peripheral Nerve Block.
Barbotage
  • Calcificant Tendinopathy.
High Volume Injection
  • Adhesive Capsulitis:
  • Mid Portion Aquilles Tendinopathy.

 

INJURIES PREVENTION

  • Injury Prevention Program (including pre-competion).

SURGICAL TREATMENT

Treatment of sports trauma and overuse injuries through arthroscopic, mini-invasive and classical approach.

FOOT AND ANKLE:
  • Insertional and not insertional Achilles tendinopathy;
  • Haglund disease;
  • Lateral ligament instability;
  • Tibiofibular syndesmosis instability;
  • Peroneal tendinopathy and instability; 
  • Anterior and posterior impingement;
  • Osteochondral lesions.
SHOULDER:
  • Glenohumeral instability and lesions of the long head of the biceps brachiallis;
  • Subacromial conflict;
  • Rotator cuff tendinopathy and ruptures.
KNEE:
  • Patellofemoral instability;
  • Anterior cruciate ligament rupture;
  • Meniscal tears;
  • Cartilage injury.

FUNCTIONAL PACKAGES

1 - MEDICAL EVALUATION

  • Medical Appointment;
  • GFI Functional Assessment;
  • Cardiovascular Risk Assessment.

 

3 - SPORTS PERFORMANCE OR PREVENTION

  • Medical Appointment;
  • GFI Functional assessment;
  • Performance program:
    • 24 sessions (3 months);
    • 48 sessIons (6 months);
  • Follow-up.

 

2 - FUNCTIONAL REHABILITATION PACKAGE

  • Medical Appointment;
  • GFI Functional Assessment;
  • Therapeutic exercise program:
    • 4 sessions (2 weeks);
    • 8 sessions (4 weeks);
    • 12 sessions (6 weeks);
  • Follow-up - Appointment.

 

4 - JUNIOR PERFORMANCE PACKAGE (<18y.)

  • Medical Appointment;
  • GFI Functional assessment;
  • Strenght and stretching program:
    • 8 sessions (1 month);
    • 24 sessions (3 months);
  • Follow-up - Appointment.

medical specialty available on the following units

Algarve

  • Hospital Particular do Algarve - Alvor
  • Hospital Particular do Algarve - Gambelas
  • Clínica Particular do Algarve - Loulé
  • Clínica Particular de Vilamoura

Madeira

  • Madeira Medical Center

doctors

Hospital Particular do Algarve - Alvor

Hospital Particular do Algarve - Gambelas

Clínica Particular do Algarve - Loulé

Clínica Particular de Vilamoura

Madeira Medical Center