Our studio is fitted with anti-COVID protocol.

Appointment

Patient’s Corner

Cost

Visits at the Studio — Via Alberto Mario 24, Brescia

First visit

Second and follow-up visits

Injections

100
 €

80
 €

70
 €

Safety protocol

Patients in need of an orthopaedic assessment can be examined at the medical studio.

For the safety of patients:

  • The body temperature is measured upon entry
  • Examinations are carried out with protective mask and gloves
  • Mask and gloves are provided to patients if they are not equipped
  • No gatherings in the waiting room
  • All surface is sanitized after each visit

Conventions & Insurances

You can ask your insurance provider for more information on reimbursement or direct coverage for visits and for surgical interventions.

Cost

Visits at the Studio — Via Alberto Mario 24, Brescia

First visit

100
 €

Second and follow-up visits

80
 €

Injections

70
 €

Safety protocol

Patients in need of an orthopaedic assessment can be examined at the medical studio.

For the safety of patients:

  • The body temperature is measured upon entry
  • Examinations are carried out with protective mask and gloves
  • Mask and gloves are provided to patients if they are not equipped
  • No gatherings in the waiting room
  • All surface is sanitized after each visit

Medical Insurance

You can ask your insurance provider for more information on reimbursement or direct coverage for visits and for surgical interventions.

Before your first visit

Prior to your first orthopaedic visit, patients are asked the necessary documents or medical results to speed up procedures and identify the disease early. The patient is also requested to bring reports such as X-rays which could be useful during the evaluation.

List of medical reports to be submitted during the first visit

  • For hip pathologies, it is recommended to perform an X-ray of the pelvis and an X-ray in anteroposterior and axial views of the affected hip.
  • For knee pathologies, it is recommended to perform X-rays of the affected knee in anteroposterior load-bearing, lateral, axial patella and Rosenberg views.

Further specific examinations will be indicated by Dr Regazzola at the time of the visit.

Pre- and post-operative recommendations

The recommendations and suggestions below refer to patients in good health, any particular cases will be treated with personalized procedures.

What to bring on the day of surgery

Together with the Identity Card and Health Card for hospital administrative and registration purposes, all X-rays, MRIs and TAC Scans are required on the day of the surgery. Before surgery, the patient will be asked to sign forms for consent and privacy. The patient will be provided with fasting information based on his/her surgery schedule.

Medications

If the patient uses medications that make the blood more fluid, the surgeon should be informed for preventive purpose.

These medications include: anticoagulants and antiplatelet agents
such as aspirin, Clopidogrel, Warfarin, Rivaroxaban or anti-inflammatory drugs such as Ibuprofen and Coxib, or natural substances such as fish oil and Krill oil.

Skin care

Before each operation, make sure that you do not have cuts, abrasions or infections that may increase the risk of infection. The area to be operated shall be depilated where necessary and washed with antiseptic soaps.

Smoking

It is recommended to refrain from smoking for at least 6 weeks before surgery. The rate of complications in surgeries is higher among smokers.

Pre-hospitalization

A few weeks before the surgery, the patient is contacted regarding the date of surgery by the Department secretary. The patient is evaluated by the anesthesiologist and nursing staff, so that pre-surgical examinations can be carried out in order to ensure maximum safety to the patient, if required.

Hospital admission

The hospital admission takes place a day before for all prosthetic operations. For all other operations, the hospital admission takes place the morning of the day of surgery, except for special cases.

In case of outpatient surgery (Day Hospital), with the patient being discharged on the same day, please wear simple clothing. If you are hospitalized for several days you must bring accessories for personal hygiene (soap, toothpaste, toothbrush, towel, comb/ brush), spare underwear, pyjamas/ nightgown, dressing gown, slippers, handkerchiefs, eventually sports attire and coins for vending machines. The use of mobile phones is allowed as long as the privacy of other patients is respected.

The secretarial staff for each hospitalization will provide all the necessary information for the patient.

Anti DVT prophylaxis

Deep Venous Thrombosis (DVT) prophylaxis is carried out for all operations where a variation in load and gait is required. This is done with the administration of heparin with low molecular weight or with tablets (New oral anticoagulants, NOACs) from the evening of the surgery until the complete concession of the load, according to the indications on the patient’s discharge card. In the event of taking blood fluidisation drugs, the therapy will be modified accordingly.

Medication

After a few days from the surgery, on medical advice, bandages can be removed except for the operated parts on which patients need to leave water-resistant bandages. The patches should be changed only if they do not adhere perfectly to the skin. The wound should be kept covered for at least 15 days.

USEFUL TIPS

Pre-operative rehabilitation/
Conservative Therapy


Exercises for hips mobility

In case of hip osteoarthritis, it is useful to do exercises at home with the goal of strengthening the muscles in a simple and safe way. This way, the mobility of the hips and the pelvis is stimulated and the posture is maintained as correct as possible, increasing or preserving the amplitude of the joint movements and limiting the pain.

As a basic rule, it is good to start gradually and without force while controlling each breath and respecting the breaks between each series, progressively increasing the difficulty and duration of the exercises. The movement during the exercise should be performed slowly and above all, should not be painful.

Wake-up exercise

Before getting up in the morning, laying on your back in bed, push your right heel and left heel down alternately.

Muscle tension release

In a standing position, raise one foot up on a book or a low stool. With your hands on a fixture (a piece of furniture or a chair), swing your free leg back and forth without moving your back. Perform the exercise until the joint feels looser.

Quadriceps muscle stretch

With your arms resting on a surface (a piece of furniture or a wall), place one foot forward with the knee bent, while the other foot remains flat on the floor with the leg straightened. Maintain the position for 6-10 seconds per side.

Hip extension

Standing with your hands resting on the back of a chair, extend one leg backwards and stretch. Perform the exercise 10 times on each leg.

Glutes reinforcement

Lie down with your legs bent, lift your pelvis without arching your back. Repeat 5 times.

Hip abduction

Sitting astride a chair (i.e. with the chest facing the backrest), slowly approach the back of the chair with the pelvis in order to gradually spread the hips apart. Remain in this position for a few seconds, relax and repeat the exercise 5 times.

Increased hip flexibility

Exercise 1
From a sitting position, raise one foot on some books or a low stool and flex your torso forward with your back straight. Repeat 5 times (5-10 seconds per side).

Exercise 2
Lying on your back, bring one knee to your chest and keep the other leg straight horizontally. Hold the position for 6-10 seconds and alternate the knees.

Exercise 3
Sitting on a chair, alternately lift one knee towards the shoulder. Repeat the exercise 5 times on each side.

Exercise 4
Lying on your back on a hard surface, slowly lift one leg outwards and return to the starting position. Repeat the exercise 5 times for each leg.

Exercise 5
Standing with your legs straight and with your hands resting on a chair or table, move one leg backwards/ laterally away from the other. Repeat the exercise 5 times for each leg.

Hip rotation

Lie on your back with your knees straightened and feet pointing up, rotate your knees towards each other alternately. Then slowly rotate the knees outwards. Perform the exercises 10 times on each side.

Stretching

Sitting with your knees on the floor and heels touching the glutes, bend your torso forward and hold the position for a few seconds. Repeat the exercise 5 times.


Knee mobility exercises

Knee pain is a generic symptom that can have different causes (and treatments) depending on whether it is related to arthrosis, injury to the menisci or ligaments. For this reason, the recommended exercises are aimed at preserving the good condition of the knee and strengthening it.

Hamstrings and leg muscles stretch

Exercise 1
Seated on the floor or on a surface with one leg extended horizontally and the other leg bent, place an item (for example a towel) behind the foot of the flexed knee and move it inwards towards the torso with the back straight for 5-10 seconds with medium tension on the back of the thigh. Repeat 3-4 times on each side.

Exercise 2
Laying on your side with bent legs and straightened back, take your top-facing ankle and pull it behind your body so that you feel a slight tension. Maintain the position for a few seconds. Repeat 5 times and switch sides.

Exercise 3
Leaning against the wall with your back straight, bend one leg and extend the other leg vertically, resting your heel on the ground for 20 seconds, until you feel a moderate tension in the calf. Repeat 10 times on each side.

Stretching

Exercise 1
Sitting on the ground and with your legs together and parallel to the floor, slowly bring your arms towards your ankles, stopping at the moment when you feel the muscles and tendons pulling. Hold the position for a few seconds and repeat 5 times.

Exercise 2
In an upright position, with one hand resting on the wall to give stability, take one foot and with your hand, lift it up and back towards the buttock. Hold the position for about 30 seconds, switch sides and repeat the exercise.

Exercise 3
Sitting on the ground with your back straight and the soles of your feet in contact, open up your legs sideways and push the knees downwards to the floor and then return to the original position (butterfly wing movement). Practice the exercise for 30 seconds.

Knee muscles strengthening

Exercise 1
Go up and down a step (or a solid block) alternating the leg. Repeat 10 times per side for 3 cycles.

Exercise 2
Sitting on a chair, alternately straighten your legs and bring them back to their normal position. Repeat 5 times on each side for 3 cycles.

Exercise 3
Standing with your legs slightly apart and your hands behind your head, stretch one leg forward and bend over the knee and then return to a standing position. Repeat 10 times alternating the leg.

Exercise 4
Lie on your back and lift your leg up as high as possible. Repeat 10 times on each side.

Exercise 5
Sitting with your back straight and the soles of your feet flat on the ground, alternately contract your thigh muscles and maintain the contraction for up to 10 seconds. Repeat 5 times on each side

Exercise 6
Sitting on the floor in front of a stool, insert your toes inside the stool by pushing outwards for about 5-10 seconds 5 times. Then put your toes on the outside of the stool and push inwards, again for 5-10 seconds for 5 repetitions.

Bike exercise

Use an average-pace indoor bicycle with the saddle lowered to prevent the leg from straining too much. Start with 5/10 minute sessions and gradually increase.

Post-operative rehabilitation

Post-operative rehabilitation is not always feasible. Below you will find a series of exercises to perform at home to strengthen and improve your mobility.


Knee

All exercises are to be performed based on strict medical advice.

Isometric exercises

Voluntary contraction of the quadriceps femoris muscle with the leg extended. Maintain the contraction for 10 seconds and release the muscle for another 10 seconds. Repeat throughout the day for 2 minutes every hour.

Mobilisation

Move hips, knees, ankles and toes to promote blood circulation and reduce oedema. To be repeated several times a day.

Active extension

Place a rolled-up towel below the knee at an angle of approximately 45 degrees and extend actively. Repeat the exercise with 3 repetitions of 10, 3 times a day.


Hip

After a hip surgery, the patient is advised to perform the following exercises during hospitalization in the patient’s ward. These exercises include the recovery of a range of motions, muscle strengthening and re-educating walking movement with the aid of crutches. In the following days, the patient will continue to perform the exercises independently and, if necessary, the patient may be entrusted to a physiotherapist. It is of fundamental importance to follow the indications of physiotherapists, avoiding harmful movements, for instance, movements that can cause dislocation after a hip replacement surgery.

Orthopedic rehabilitation

The orthopedic rehabilitation process is essential to restore limb function to a pre-operative condition. In some cases, pre-operative physiotherapy rehabilitation is also recommended, so that the patient arrives in an optimal condition for surgery and the healing process is sped up.

The post-surgical physiotherapy program is, on the other hand, aimed at recovering normal activities and strengthening the musculoskeletal system. It is defined based on the pathology, its extent as well as the type of surgery. Based on the surgeon’s indications, the patient receives the most functional rehabilitation path, thus following a personalized path. If necessary, it will be adjusted mid-way.

Recovery paths include:

  • walking aids and walking re-education
  • passive mobilization (i.e. the physiotherapist makes the patient perform movements)
  • active mobilization (i.e. the patient performs movements on the instructions of the physiotherapist)
  • muscle strengthening
  • proprioceptive gymnastics, which stimulates peripheral receptors, corrects and improves the physiological movement of the body
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