At the origin of pain: rehabilitation as solution and therapy

Ankle neuroalgodystrophy: physiotherapy options and care pathways

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When rehabilitation deals with pain: Anna Del Re and the all-inclusive therapeutic approach

Physiotherapists, exercise science doctors and, in general, movement experts know that there is no one rehabilitation method that is absolutely better than another. In other words, the most effective treatment option can only come from:

– A timely examination of the symptomatology at the height of the body districts affected by the pain;

– an all-inclusive physiotherapeutic approach, that is, aimed not only at solving the localized problem, but also and above all at restoring mental and physical well-being.

Anna Del Re, a physiotherapist and professor of Physiotherapy and Occupational Therapy at the G. D’Annunzio University of Chieti-Pescara, has always been searching for the most effective treatment option for her patients, both at her center and remotely.

With the specific goal of creating A new shared methodology in the field of physical therapy and rehabilitation, Dr. Anna Del Re applies a true therapeutic philosophy on the patient every day, based on the synergy between the best-known manual therapy techniques and the most modern physical and instrumental therapy technologies.



Rehabilitation: objectives and results of a physiotherapy method aimed at global recovery from pain

To achieve the main goal of eliminating pain, for Anna Del Re and her team, it is important first and foremost to resolve the processes of inflammation, acting on all issues of a traumatic and nontraumatic nature that the patient has going on.

For Anna Del Re, the practices and treatments of manual therapy and instrumental application are thus aimed, from the very beginning of treatment, at achieving a motor and postural re-education, where physiotherapy practice refers not only to the single body district from which the pain originates, but to the patient’s entire musculoskeletal system.

Consequently, healing and recovery are a direct consequence of proper assessment of the symptom complex.

But how is it possible to ascertain the correctness of a preliminary physiotherapy assessment? We asked Anna Del Re directly, who in addition to her twenty-five years of experience can boast continuous collaboration with various specialists in the field of orthopedics and physiatry.

Not only that, in her daily experience, Anna Del Re can rely on Riablo, the medical device composed of wearable sensors and a stabilometric platform that can transmit, via Bluetooth, movement data to a software and return biofeedback through a screen.

Thanks to Riablo, Anna Del Re can designing the patient’s recovery pathway, supervise him during the various rehabilitation cycles, accurately assess his performance, and then let him complete the exercise sessions following the directions of the software, even when the patient needs to continue the rehabilitation remotely, at home. In this way, the physical therapist can quickly overcome the initial interpretation gap and plan the patient’s functional recovery based on real data.


Ankle algodystrophy: pain-relief-rehabilitation and treatment pathways

“The first step in making a proper physiotherapy assessment,” Anna Del Re explains, “is to study the patient’s postural state from the first clinic appointment. Listening to the subject, to his or her current frailties, and to his or her posttraumatic motor experience represent the additional steps that allow me and my team disestablish direct and indirect trauma subject after-effects at the level of body districts.” .

“Afterwards,” Anna continues, “I use Riablo when it is necessary to plan a personalized rehabilitation pathway that can engage the patient and make him or her motivated and involved in progress.

This was the case with Maya (fictitious name, ed.), 17, who came to my office in a wheelchair – unfortunately, she could no longer walk and was diagnosed with neuroalgodystrophy of the right ankle following a severe sprain. In Maya’s case, the surgery faced in the last stage of developmental age (when she was 14 years old) had undoubtedly had a resolving effect with respect to controlling the inflammation; however, over time, Maya had begun to experience pain again under load and a symptomatology compatible with the diagnosis, later actually made, of algodystrophy.

“For Maya,” Anna continues, “I therefore chose an approach that was not exclusively localized on the ankle (which had now reached a stage two pathology), but also dedicated to the set of postural and compensatory adaptations that the patient had, for obvious reasons of physical economy, adopted over time.

“The first period saw Maya undergoing structured manual (Neuroreset®, ed.), instrumental and motor therapy with me; after about 40 days, the patient gradually resumed walking.

The evolution of the treatment then included. A plan for re-education exercises to the load, balance and walk, to the path with Riablo, aimed at the recovery of daily life movements and the Complete return to independent ambulation, based on sequences of restoring muscle strength and maintaining balance and load in an upright position.


Maya, a rehabilitation patient with ankle neuroalgodystrophy treated with Riablo di Euleria at Anna Del Re

Finally, with the main goal of rehabilitating total motor autonomy, Maya continued the exercise-therapy course with continuity in the following months; she reeducated the musculoskeletal system to the effects of algodystrophic pathology and also overcame the understandable algophobic limitation (of fear of pain). In fact, Maya now walks independently and has taken charge of her life again.”

Exercise-therapy pathways at home, monitored by the practitioner

Once again, then, rehabilitation-if done actively and consistently-proves to be an improving solution to the overall state of health and self-awareness.

Thanks to Kari, professionals like Anna Del Re are always available to advise you and, if your condition allows, study a remote exercise-therapy path for you, with interactive medical devices and all the monitoring you need.

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