The doctor explains Rodrigo Garro’s lesions of Corinzi: “Disturization treatment in his chronic phase”

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Corinthians Player, The Argentine Rodrigo Garro It has been since the beginning of the week in Madrid, Spain, subjected to physiotherapy sessions with a private doctor, specialist in tendon injuries. Due to the pain of the athlete in the right knee, who made a play 8 in the sacrifice of the final stretch of Paulistan, the club chose to send him to the professional, who has already faced the Dutch problem Memphis Depay.

Rotulian tendinopathy was diagnosed in Garro from the right knee and will embarrass the Corinthians indefinitely. In an interview with With you!the orthopedic doctor Adriano LeonardiKnee specialist and sports doctor, he explains that Rotulian tendonitis, popularly known as “knee to jump”, is an inflammatory or degenerative disease of the patellar tendon.

“It is common in athletes who practice sports that involve jumps, sudden changes of direction and race, such as football. Repeactive overload on the knee extension device, especially in the sports gesture or in the sprints, can trigger microlesions in the tendon that evolve with pain, thickening and reduction of sports performance” “,” “,” “” “ Inform the expert.

According to the doctor, in football players, Rotulian tendinopathy is one of the most frequent causes of prolonged removal and is considered difficult to treat in its chronic phase. The classic example was the player Ronaldo, a phenomenon that had the most feared complication of the disease: the breakdown of the Rotulean tendon.

“Given the limited response to conventional treatment, which includes relative rest, physiotherapy, anti -inflammatory drugs and the strengthening of advanced methods have been incorporated. Among these, shock waves therapy (OCD) and intra -reference percutaneous electrolysis (DPE) have distinguished themselves as effective tools, especially when applied in a associated way.”Leonardi says.

The orthopedist emphasizes that Rotulian tendinitis is classically a tendinopathy from overload and can be divided into four phases: pain after physical activity; pain during and after exercise, without functional prejudice; Persistent pain that compromises performance; and the rupture of the tendon.

“In football players, the most frequent phase is the third, when pain limits sporting performance, without a still complete break. The nature of tendinopathy is mainly degenerative, with the disorganization of the collagen fibers, abnormal neovascularization and chronic infiltrations of chronic infiltration. underlines the expert.

“Extracorporeal shock wave therapy (ESWT) is the application of high -energy acoustic waves that promote the controlled microorrutto in the wounded tissue, stimulating regeneration” Leonardi again.

The doctor cites, then some mechanisms of action. Are: increased local vascularization; stimulus to the neovascularization and the angiogenesis; Reorganization of collagen fibers; Reduction of peripheral sensitivity to pain (analgesic action); and stimulation of the activity of tenocytes and growth factors.

“There are two types of OCDs: focal (high energy) and radial (lower dispersion of depth and waves). In the rooty tendinopathies, the most used mode is radial, although focally it can also be used in chronic and deep cases”, “ Speak.

Also according to the orthopedist, several studies show the effectiveness of the doc in improving pain and function in chronic tendinopathies, including athletes. A randomized study by Wang et al. (2007) have shown a significant improvement in symptoms in 80% of patients with chronic rooty tendinopathy treated with obsessive compulsive disorder, maintaining the results after 12 months.

Percutaneous electrolysis Instasta (DPI)

Adriano Leonardi explains that the DPI is a minimally invasive technique led by ultrasound, which consists in the application of the galvanic current through an acupuncture needle directly on the fabric of the degenerated tendon. This current generates a controlled acute inflammatory process, promoting the lysis of the fibrotic tissue and the stimulation of physiological regeneration.

“The PPE are generally kept in 3-5 sessions, with a weekly or biseptimanal interval, always accompanied by a specific rehabilitation protocol, with emphasis on eccentric exercise and load control,” says the doctor. “According to Sánchez-Ibáñez et al. (2016), the DPE showed higher results of the conventional treatment in the resolution of chronic root tendinopathy, especially if associated with functional rehabilitation”, amendment.

Leonardi underlines that the therapeutic protocol in the athletes should consider the competitive calendar, the degree of injury and the risk of recurrence. A practical treatment model may include: initial evaluation with ultrasound and pain scale (VAS); OCD sessions (once a week for 3-5 weeks); DPI sessions led by the image (once a week, from 3 to 5 sessions; progressive functional rehabilitation, focusing on eccentric quadriceps, stabilization of lombo-pelvic, control of the training load (GPS and control of the field volume), gradual performance to sport with functional criteria and absence of pain.

“The clinical results provided, with the integrated approach, are: a significant reduction of pain; recovery of the sporting function in 6-10 weeks; safe to competitive football, low recidivism rate; (15% in 6 months); improvement of the thickness and regularity of the control ultrasound. Furthermore, the satisfaction of the athlete tends to be high, especially when it is actively involved in rehabilitation and returns declares.

Despite the effectiveness, it is essential to consider, according to the doctor, the need for professional and adequate equipment with experience; Individualization of treatment; the importance of associated rehabilitation; Sports load control as a recurrence prevention. “In addition, the use of DPI requires specific training and respect for the vascular anatomy of the region to avoid complications”He says.

“Rotulian tendinitis in football players represents a clinical challenge, especially when chronic and refractory to conservative methods. The association of shock waves therapy with percutaneous intra -translation represents a modern and effective strategy, promoting the regeneration of tissues, pain relief and the return of pain to high -performance sport. Structured, this therapeutic combination can redefine the management of the management of the management of the management Patellona in Sport “ Leonardi concludes.

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Source: Terra

Amanda

I am Amanda Gans, a motivated and ambitious professional in the news writing industry. With over five years of experience in this field, I have developed an eye for detail and an ability to craft stories that captivate readers. I currently write for Gossipify, where I specialize in beauty & celebrities news. My passion lies with exploring the world of beauty through writing, interviewing experts and developing articles that are both informative and entertaining.