Aruba Sports Medicine

Physiotherapy and Rehabilitation treatments are offered for athletes for the rapid return to sports activities, physical rehabilitation programs are established for the most diverse injuries, and musculotendinous pathologies we have high-tech equipment such as Laser, ultrasound, Schockwave, Deep Oscilation, and qualified personnel with high experience in treatment and rehabilitation.
Rehabilitation of postsurgical injuries of musculoskeletal pathologies, rehabilitation of knee, shoulders, hip, ankles, etc. are performed.

Lesión del Manguito Rotador

El manguito rotador es un grupo de músculos y tendones que rodea la articulación del hombro y mantiene firme la cabeza del húmero en la cavidad poco profunda de dicha articulación. Una lesión del manguito rotador puede provocar un dolor sordo en el hombro que empeora por la noche. 

Las lesiones del manguito rotador son frecuentes y aumentan con la edad. Sin embargo, pueden ocurrir antes en personas cuyos trabajos requieren realizar repetidamente movimientos por encima de la cabeza. 


La mayoría de las veces, la causa de las lesiones del manguito rotador es el desgaste natural progresivo del tejido del tendón que se produce con el tiempo. La actividad repetitiva por encima de la cabeza o levantar objetos pesados durante un período prolongado puede irritar o dañar el tendón. El manguito rotador también se puede lesionar en un incidente en particular durante caídas o accidentes. 

Factores de Riesgo 

 Los siguientes factores pueden aumentar el riesgo de tener una lesión del manguito rotador: 

  • Edad. El riesgo de tener una lesión del manguito rotador aumenta con la edad. Los desgarros del manguito rotador son más frecuentes en personas mayores de 60 años. 
  • Algunos trabajos. Los trabajos que requieren movimientos de brazos repetitivos sobre la cabeza, como la carpintería o la pintura de casas, pueden dañar el manguito rotador con el tiempo. 
  • Determinados deportes. Algunos tipos de lesiones del manguito rotador son más frecuentes en personas que participan en deportes como béisbol, tenis y levantamiento de pesas. 
  • Antecedentes familiares. Puede haber un componente genético en las lesiones del manguito rotador, ya que estas lesiones suelen aparecer más frecuentemente en determinadas familias. 




 Los tratamientos conservadores, como el descanso, el hielo y la fisioterapia, a veces son lo único que se necesita para recuperarse de una lesión del manguito rotador, hoy dia se utilizan terapias como onda de choque con elevada efectividad en la resolucion de la lesion, y las terapias invasivas como la electrolisis percutanea tambien constituyen alternativas terapeuticas antes de llegar a necesitar cirugía. 


 La fisioterapia suele ser uno de los primeros tratamientos que se recomiendan. Los ejercicios orientados a la ubicación específica de la lesión del manguito rotador pueden ayudar a recuperar la flexibilidad y fortalecer el hombro. La fisioterapia también es una parte importante del proceso de recuperación posterior a la cirugía del manguito rotador.



Utility of Musculoskeletal Ultrasound in Sports Medicine

Nowadays, musculoskeletal ultrasound has become a necessary and very useful tool for the diagnosis and prognosis of sports injuries, its use is increasingly established in the world of sports and has multiple advantages over other modalities.

It is fast, cheap and, in addition, it allows interaction with the patient, which has led to an exponential growth in their employment.

Therefore, in the field of Sports Medicine and Traumatology, in the event of an injury it is necessary to reach an exact diagnosis in the shortest possible time, to be able to establish an immediate treatment, which allows to shorten the recovery. This is where ultrasound is a basic tool for the study of all injuries, which limit the athlete’s performance so much. In addition, ultrasound allows a rigorous and detailed evolutionary control to be carried out, assessing the day-to-day of the injury.

Among the many advantages that this diagnostic technique provides over other study techniques, especially in the assessment of tissues such as muscle, ligament and tendon, the following should be noted:

– It allows dynamic studies to be carried out, which accurately determine the diagnosis of small lesions, which may go unnoticed, when the structures remain at rest. In the case of complex joint unions such as the scapulo-humeral joint, from dynamic maneuvers, the existence of entrapment syndromes can be demonstrated.

– It allows the carrying out of repeated studies that facilitate an evolutionary control in the day-to-day of the injured athlete. As there are no contraindications, this rapid technique allows a comparative examination with the healthy side to determine the extent and characteristics of the lesion area.

– At present, the use of compact equipment facilitates the use of this technique in the field, thanks to the ease of application, safety, its non-radiant character and its accessibility.

– New technological advances such as three-dimensional study, elastography, high-resolution Doppler or Doppler quantification, are making it possible to complete the examination of the musculoskeletal lesion so that small lesions are now easily diagnosed.

On the other hand, some drawbacks of ultrasound must be considered in comparison with other diagnostic techniques, such as the limited independence of the explorer, interobservative variability, poor visualization of the bone, and intra-articular structures as well as that of certain muscles.

Ecografía - Ángel Troncoso Fisioterapia Ecografía musculoesquelética: ¿es una herramienta válida en el razonamiento clínico en fisioterapia?

Usefulness of Ultrasound in injuries that appear as a result of sports activity :

  • Epicondylitis or “tennis elbow”
  • Epitrocleitis or “golfer’s elbow”
  • Painful shoulder from rotator cuff tendon injuries, bursitis, etc.
  • Biceps brachii tendinitis
  • Wrist sprain
  • Finger tendonitis
  • Painful hip from injury to the adductors or pubalgia
  • Bruising on the thigh from contusions or ruptured rectum
  • Hamstring muscle rupture with posterior thigh pain
  • Knee sprain with involvement of lateral ligaments
  • Quadriceps or patellar tendinopathy (“jumper’s knee”)
  • “Goose foot” tendinopathy (pain on the inside of the knee)
  • Tennis leg
  • Ankle sprains or strains
  • Achilles tendon tendinopathies
  • Plantar fasciitis or pain in the sole of the foot
  • Tears or strains of the rectus abdominis


Laser Therapy

What are the effects of using lasers?

The use of laser in physiotherapy, if it has these characteristics, increases metabolic activity by acting on the mitochondria, which can reduce healing times. In addition, it produces an increase in vasodilation, improves lymphatic drainage, reduces inflammation and increases the pain threshold. Photomechanical stimulation inhibits pain sensation and provides immediate relief.

Toral points out that laser therapy “has no absolute contraindications.” Laser therapy is painless, and although it increases the temperature of the treated area, it is not invasive. The laser acts on the cell membrane generating a photochemical effect, which facilitates tissue regeneration, pain reduction and remodeling of inflammatory effects.

All these characteristics allow to obtain a series of effects that were not achieved with the low-power laser.

  • The biostimulant effect accelerates the production of fibroblasts with the consequent production of collagen in order to rebalance the extracellular matrix and to remodel the tissues. This is only achieved by long pulse continuous or pulsed emission.
  • The anti-inflammatory effect is the result of biological stimulation of the tissues, which triggers vasodilation.
  • Stimulation also produces a neoangiogenesis phenomenon that has an anti- edema effect .
  • High-powered laser therapy also has relaxation effects by modulating the release of oxygen.
  • Finally, the analgesic effect allows to reduce pain without collateral effects, optimizing the interaction with the peripheral nervous system.


What can laser be used for in physiotherapy?

With these functionalities, the laser covers a wide spectrum of applications.

  • In traumatology it is used for post-trauma recovery , because it allows the possibility of modeling the emission according to the desired physiological effect.
  • In pain therapy, because it is capable of generating a rapid decrease in joint and muscle pain through the stochastic emission patented by Mectronic, which acts on the peripheral nervous system.
  • In the prevention of accidents, because if they undergo laser therapy treatments before the sporting event, the musculoskeletal structures will be vascularized and perfectly oxygenated, reducing the risk of micro-injuries.
  • To speed up recovery , because the multi-modal emission allows the therapy to be personalized according to the need.
  • To quickly eliminate edema, because it allows you to customize the therapy according to the somatic characteristics of the patient and their pathological state.
  • To heal muscle injuries, because it allows the metabolic activation of all microbiological processes that return the intracellular and extracellular balance to the cell, in order to rapidly rebuild muscle tissue.
  • To treat acute pathologies, because it modulates, in the water phase of the pathology, the inflammatory effects through a stimulating action of the deep tissues.
  • To treat tendinopathies, because it exerts a biostimulant action and rebalances the correct balance of muscle forces through deep and complete oxygenation of the muscle fasciae.
  • As a physiological accelerator , because it allows the correct biostimulant therapy to be applied by defining the energy dose and the mode of emission depending on the pathological condition of the patient.

Most common applications

  • Deep tissue penetration with power up to 12 W in continuous mode
  • Pulsating mode for immediate pain relief
  • Painful shoulder
  • Hip arthrosis
  • Epicondylitis
  • Carpal tunnel syndrome
  • Patellar tendonitis
  • Lumbar pain
  • Achilles tendonitis
  • Back pain


Core Concept and Assessment Training

The core is based on a set of clinical biomechanical osteoarticular muscle groups, especially the central part of the body, including dorsal lumbar rachis, pelvis, and hips, which allows us stability in the spine coordinated by the motor control system; when it is subjected to external and internal forces for its training it is of useful importance since the trunk and the extremities participate

The assessment of the Core applies different kinematic and dynamometric techniques, it is important to highlight that its operation depends on maximum strength, resistance strength, intra and intermuscular coordination, motor control, and proprioceptive control.

The objective is to prevent lumbopelvic injuries, optimization of performance in order to improve the stability of the athlete with precision and agility, the ideal is to perform exercises that exercise the flexors, extensors, lateralizers and rotators, the most effective safe are sample dog, bug Dead and planks, taking into account the frequency, intensity and equal volume through the iliolumbar proprioceptive exercise program and waist dissociation, the upper and lower limbs are necessary for coordination of the Core stability of the same in the sports field.

Pointer Dead bug Iron


Borghuis, J; Hof, A and Lemmink, K. (2008) The importance of sensory motor control in provide stability core stability. Sports medicine, 38, 11, 893-916.

McGill SM (2007) Low back disorders: evidence-based prevention and rehabilitation, 2nd.ed. champaing: Human Kinetic.

Van Dieen, JH; Luger, T and Van der Eb, J. (2012) Effects of fatigue on trunk stability in elite gymnasts. Eur J Appl Physiol. 112 (4): 1307–13 .:

Vera-García, FJ; Elvira, JL; Brown, SH and McGill, SM. (2007) Effects of abdominal stabilization maneuvers on the control of spine motion and stability against sudden trunk perturbations. J Electromyogr Kinesiol. 17 (5): 556–67

Vera-García, FJ; Barbado, D; Moreno-Pérez, V; Hernández-Sánchez, S; Juan-Recio, C and Elvira, JLL. (2015) Core stability: Evaluation and training criteria. Rev Andal Med Sport, 8 (2): 79-85.

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Physical therapists are specialists in the movement who assist people in reducing pain, improving or restoring mobility, and remaining active throughout life. However, there are a few myths that frequently discourage patients from seeking treatment. It’s time to dispel 7 common myths about physical therapy:

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Physical Therapy can provide Relief for Lower Back Pain

What type of work is most appropriate depends on the cause

If you’re suffering from low back pain that lasts longer than a few weeks Your doctor may recommend you to a physical therapist. While simple methods like applying heat or cold or using pain relief pills available over the counter might help, the best treatment for back pain is to exercise and other treatments under the direction of physical therapy.

“First and foremost, we attempt to figure out the kind of back pain we’re experiencing,”  Are you dealing with chronic or acute pain, and what’s the root of the problem? “We perform tests to determine the type of treatment that will perform best,”.

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