Osteoporosis is the most common bone metabolism disease that causes bone loss in mass. The decrease in the mass of the bones causes them to break easily. Besides bone mass, the second important skeletal factor is bone quality. The most important cause of low bone quality is advanced age. As age progresses, the risk of fracture is higher even with the same bone mineral density. In women, bone resorption accelerates with menopause. Another factor affecting bone quality is the exercises that the patient do. The patient will be prescribed with exercises to strengthen bones and muscles.
Osteoarthritis (Calcification)
It is a clinical profile that occurs with the wear of the joints and surrounding structures due to age and use. There may be occasional swelling and redness. When pain occurs, a physician should be consulted when there is a limitation of movement.
Neck, Back and Low Back Pain
Neck and Lumbar Hernia: It occurs when the discs, which are one of the structures of the spine and provide the balance between the vertebrae, are torn in their sheath and come out due to wear and stress. It exerts pressure on the nerve and spinal cord, which causes numbness, tingling, pulling and pain in the hands and arms, feet and legs. Patients should consult a physical therapy and rehabilitation specialist.
Shoulder, Elbow, Hand and Wrist Pain
Patients who have pain in the shoulder, elbow, hand and wrist regions should visit the Physical Therapy Polyclinic. • Hip, Knee and Foot Pain
Patients who have pain in the hip, knee and foot regions must visit the Physical Therapy Clinic. • Soft Tissue Rheumatism (Fibromyalgia, Myofascial Pain Syndrome)
It is a common rheumatic disease, also known as non-inflammatory muscle rheumatism. It causes chronic fatigue, muscle pain and joint pain in patients. The patient's sleep disturbance is accompanied by abdominal and headaches. • Inflammatory Joint Diseases (Inflammatory Joint Rheumatism, Rheumatoid Arthritis Ankylosing Spondylitis)
In this type of diseases, patients have chronic joint pain. Patients should be checked by a physical therapy or rheumatism specialist at regular intervals. • Neurological Rehabilitation (Stroke, Multiple Sclerosis (MS), Parkinson's Disease)
Stroke occurs when the vessels that supply blood flow to the brain are blocked and blood flow is reduced or stopped. Cerebral hemorrhage occurs when brain vessels rupture and blood flows into the brain tissue. With the inability of the damaged brain tissue to perform its function, the patient's day-to-day activities are disrupted and impaired. The aim of stroke rehabilitation is to increase the quality of life by enabling the patient to be independent in his/her day-to-day activities.
In order to achieve this goal, it is very important to treat the patient in a rehabilitation center with a specialized team and adequate equipment. Single applications such as exercise therapy, gait training, toxin injection, exercise therapy alone will be very insufficient for treatment. The important thing is the multiple treatments to be planned according to the patient's condition. The goals of stroke rehabilitation are as follows: The patient's ability to walk again, to be independent in day-to-day activities, to eliminate speech disorder, to prevent pressure sores, to eliminate stiffness that may occur in the joints.
Posture Disorders
Posture disorder of the spine occurs with desk work, constant standing or standing in a fixed position. In this case, appropriate exercises prescribed by the physician should be planned. • Curvatures of the Spine (Scoliosis, Kyphosis)
It is the position of the spine in a different position from its anatomical structure. It causes pain and limitation of movement in the patient. In advanced pictures, it may cause shortness of breath, respiratory distress, and decrease in heart capacity. A physical therapy and orthopedic specialist should be consulted.
Designing and Implementing an Orthopedic Pre- and Post-Operation Rehabilitation Program
- Meniscus and Ligament Injuries
- Rehabilitation After Fracture and Dislocation
- Sports Injuries
Designing and Implementing an Orthopedic Pre- and Post-Operation Rehabilitation Program:
Orthopedic rehabilitation is the rehabilitation performed before and after treatment in all orthopedic cases. Physical therapy and rehabilitation programs should be applied in fractures, dislocations, muscle and ligament tears, postural disorders and scoliosis, after surgery or the use of splints and plasters. Our aim in orthopedic rehabilitation is to restore the normal life of the patient as soon as possible. After the operation and plaster cast, problems such as limitation of movement, pain with movement, fatigue and weakness will arise. This prevents us from continuing our daily lives. Orthopedic rehabilitation should be applied to eliminate this situation.
Geriatric Rehabilitation
As we age, changes occur in the functioning of all systems in our body. The addition of various diseases to these physiological changes causes many problems in the elderly individual such as pain, limitation of activity and decreased participation in social life, which deteriorates the quality of life of the elderly person. In order to overcome the problems that may be experienced by the elderly, there is a need for well-planned comprehensive health services, in other words “geriatric rehabilitation”
Respiratory Exercises (For Bronchiectasis and Asthma Patients)
One of the aims of the rehabilitation of health problems in the respiratory tract is to reduce symptoms and increase the quality of life. Most of the patients have limited movements due to the difficulty in breathing. A little exertion can produce symptoms. Lung therapy means planning and applying multidisciplinary treatment opportunities in order to improve the quality of life of patients. • Intra-articular Injection Applications
Intra-articular injections are made for diagnosis and treatment. Instead of giving the drug to the whole body, it is applied directly into the joint to ensure that it is faster and more effective. Since the side effects do not affect the whole body, it is ensured to remain restricted and local.
Drug Injection Used to Relax Spastic Muscles
It is an application with medical use. By applying spastic (non-relaxable) muscle, the muscle is relaxed. It is widely used for aesthetic purposes in plastic surgery. In physical therapy, the field of use is diseases such as hemiplegia (stroke), MS (multiple sclerosis), cerebral palsy (SP), torticollis, etc. The effect of this method disappears after a certain time after the application. For this reason, it is necessary to repeat the process in certain intervals after the examination.
Dry Needle
Dry needle is a treatment method that is applied to special points with acupuncture needles and has no side effects. The duration of the treatment and the number of sessions vary according to the width of the patient area, how old the disease is, the age of the patient, and whether other ailments accompany it.
PRP
PRP stands for platelet rich plasma. PRP is a new form of treatment. It is a solution that will naturally heal musculoskeletal injuries, abrasions and diseases without putting them at serious risk. The preparation obtained by increasing the platelet (platelet) density by taking the patient's own blood and subjecting it to mechanical applications is called PRP. PRP injection is not a symptom-suppressing application, but a method to treat the disease itself.
Kinesio Taping
Kinesio tapes are light, adhesive, elastic and non-allergenic tapes that have therapeutic properties with special bonding techniques. With its porous structure, it allows the skin to breathe. It does not impede movements. It is water resistant. It is available in different colors, however, there is no difference in effect. It can stay in the body for 4-5 days. With different bonding techniques, it helps the muscle to relax, contract more effectively, strengthen it, and eliminate painful pictures.
Mesotherapy
It is a treatment method performed by mixing medical drugs, hemeopathic agents, vitamins and therapeutic substances with various solutions and injecting them under the skin and under the skin with special techniques. The effect of the patient starts after 2-3 sessions.
Trigger Point Injection
Trigger points are knots formed due to the inability to relax in the muscle tissue. It is popularly known as “stitch”. Pain in these points occurs above the trigger point and in other areas. It is treated with the injection of a local anesthetic.
Lymphedema, Varicose Veins Treatment
It is the local or widespread accumulation of protein-rich interstitial fluid as a result of disruption of the lymphatic circulation due to some congenital or acquired reasons (cancer, surgeries, infections, etc.). This accumulated lenedema is treated by massaging the hands and trying to correct the swelling by increasing the blocked circulation. After the massage, bandaging is done with special equipment. When the swelling subsides, follow-up is done at regular intervals. The patient is followed up with special compression garments.
Exercise during Pregnancy
Exercise program is designed and implemented according to the appropriate week of pregnancy of the patients who have a Gynecology examination and are followed up regularly.
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