Home 2020 | Fisioterapia en Bogotá 🧿 Telerehabilitación ✅

Physiotherapy in Bogotá

ADRIANA LUCÍA RAMÍREZ BONILLA

Physiotherapy in Bogotá

ADRIANA LUCÍA RAMÍREZ BONILLA

Fysiopuntura helps people who are physically active and empowers them to manage their pain without pain killers and helps them restore and keep their mobility and independence so they can continue to stay active in their daily and work activities, their family and recreational activities and living a healthy lifestyle.

Or are you tired and frustrated with treatments and therapies that offer only temporary relief to your pain and symptoms and cause side effects in your body?

Or have you had negative experiences with the Health System and are looking for a comprehensive physical therapy treatment that sees your body as a holistic system instead of fragmenting it?

Are you seeking professional advice and help because your daily life, your job, your recreational activities and active lifestyle are being limited by pain, inflammation, stiffness, lack of mobility, strength or balance and you don’t know what to do?

Or have you been told that your problem is due to your age, and there is nothing that can be done and you should just accept it?

Or are you health conscious and are ready to optimize your lifestyle and wellness?

Or have you been told that your problem is due to your age, and there is nothing that can be done and you should just accept it?

Or are you health conscious and are ready to optimize your lifestyle and wellness?

Or are you tired and frustrated with treatments and therapies that offer only temporary relief to your pain and symptoms and cause side effects in your body?

Or have you had negative experiences with the Health System and are looking for a comprehensive physical therapy treatment that sees your body as a holistic system instead of fragmenting it?

If you have questions about my services or if TeleRehabilitation is appropriate for your medical condition, or about cost, duration and availability of appointments or if you just need more information, click the button below and answer the questionnaire so I can better help you.

Click on the video to see how Adriana Ramírez and Online physiotherapy can help you …

DO YOU WANT HELP?

Claim my free tips below and put them into practice to start feeling better today.

Schedule a free phone consultation to speak to the Physical Therapist and determine if TeleRehabilitation is right for you and how it can help you.

Schedule a tele-session to know exactly what is happening with your body and receive professional advice to start transforming the quality of your life from day one.

DO YOU WANT HELP?

Claim my free tips below and put them into practice to start feeling better today.

Schedule a free phone consultation to speak to the Physical Therapist and determine if TeleRehabilitation is right for you and how it can help you.

Schedule a tele-session to know exactly what is happening with your body and receive professional advice to start transforming the quality of your life from day one.

TELEREHABILITATION

20+ years of experience helping physically active people reduce pain and treating orthopedic and sports injuries from the root.

AT HOME PHYSIOTERAPY

We use the power of movement to relieve pain, help you regain your quality of life and return to your favorite activities.

ACUPUNCTURE

We treat your pain without pain meds, side effects or dependencies. We’ll help you return to your favorite activities.

We treat your injury from the root, not just the symptoms. This is why our customers rarely come back due to the same injury.

Learn how to manage your problem so you don´t become dependent on the health system.

WHY SHOULD YOU CHOOSE US?

We have more than two decades of experience working in War Trauma, Orthopedics and Sports Rehabilitation in Colombia and in the U.S.

We offer holistic, natural and highly effective treatments that integrate Eastern and Western treatment approaches

Our treatment deals with the root cause of the problem and teaches you how to prevent it from coming back

We speak English and Spanish

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📣 What I love about online Physiotherapy sess

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FREQUENTLY ASKED QUESTIONS …

Is it better, to use ice or heat, or both?

Using ice is only convenient for the first 48-72 hours of injury to prevent and control initial inflammation after trauma or injury. After this time, it is convenient to use heat if there are symptoms of pain and muscle tightness. But the excessive use of heat tends to cause inflammation, so it's best to limit its use to 15-20 minutes a day. Alternating the use of ice and heat in specific ways and times is best than the use of any of these alone for cases of chronic inflammation.

Should I stretch before or after exercise?

Stretching is only appropriate at the end of the exercise or sports practice. Stretching before performing physical activity predisposes you to injury during exercise. Before you exercise or practice sports, it's necessary to warm up very well and prepare the body tissues to the demands it's going to be exposed to.

What exercises are good for “X” problem?

This is a very broad question and it can't be answered without having more information and a detailed clinic history of the person we're talking about. For exercise to have beneficial effects and not contribute to injury, it must be prescribed after a clinical assessment. Such assessment should include for example, whether or not there is pain, existing range of motion, strength, flexibility, joint stability, joint biomechanics of that individual, age, goals, pre-existing systemic conditions, traumatic history, surgical history, etc. As you can see, it'd be irresponsible to prescribe or download exercises from the internet as the risk of injury in this context is high.

Is acupuncture really effective?

Yes. This technique has been around for over 5.000 years for a reason, it works. For many years, science wasn't able to explain the mechanism involved in its effectiveness, reason why they used to refer to it as placebo therapy or simply ineffective, despite the fact that people reported improvement in their symptoms and overall health over and over. More recently, science has been able to measure and demonstrate that there are changes in electrical conduction at acupuncture points despite the fact that when opening a cadaver, there's no physical evidence that acupuncture points exist. Likewise, biochemical changes in the body have been recorded. Changes such as the release of endorphins, enkephalins and opioids by the body itself. These substances have the function of reducing pain. The Health Organization (WHO), strongly recommends the use of acupuncture for a long list of problems, many of them being pain management. With the opioid crisis in the world, acupuncture is #1 in the treatment of chronic pain. Also, it doesn't have side effects and does not create dependency.

Is it true what the expression “no pain no gain”, says?

It really depends on what kind of pain we are talking about. It is important to differentiate whether the pain being experienced is due to the exercise performed or due to the use of inappropriate technique during the exercises and tissue injury. Pain due to physical exercise that is symmetrical (on both sides), and occurs one or two days after exercise and fades away in one or two days is normal and does not imply injury. Asymmetric pain (on one side, a single joint) that doesn't improve after a couple of days and persists for weeks suggests the possibility of an injury and should be diagnosed and treated by a health professional to prevent future complications.

The exercises make me sore, I don't like feeling like this after exercise

As we said in the previous question, this type of pain is not a sign of injury but if the pain is too strong and limits your ability to move normally, it's an indicator that the intensity of the exercise performed was much higher than what your body is normally used to do. In that case, reducing the intensity of your exercises a little is appropriate.

What is and how does physical therapy work?

Physical therapy uses posture and movement of the human body to restore or maximize its ability to carry out our daily activities, work and recreational activities with the highest level of ease and comfort to maintain a good quality of life. Physiotherapy or Physical Therapy uses natural techniques that when used over a period of time create cumulative effects that teach your body healthier ways to move. Since the effect is cumulative, two or three sessions of Physiotherapy are not enough to reach that state in which the body memorizes the new posture or movement so it becomes automatic. It takes time to break old habits that have been gestating for years and replace them for new ones.

How does acupuncture work and what is it good for?

Acupuncture uses the science of the energetic points and meridians in which Qi (Vital Energy) flows in our body. It’s a very complex system which when properly stimulated with acupuncture needles, it restores the energetic balance of the whole body system producing beneficial effects and often times a total and permanent cure. Like Physiotherapy, the effects of acupuncture are cumulative, meaning, several treatment sessions are required to reach and maintain results. Resolving stagnation and energy movement patterns that have been created for years and have caused physical symptoms takes time to resolve. Restoring the balance of a system that is suffering doesn't happen overnight but in many cases it is possible. In some cases, a person notices improvement and even remission of their symptoms in a single session. This varies from person to person and according to the type of problem we are treating. However, even in this type of “miracle cure” in one session, more sessions may be necessary in order to treat the cause and not just the symptom of the problem. This can only be determined by a trained acupuncturist and will vary with each patient, your condition and its response to treatment.

My balance is not as good as it used to be, does it mean I'm old?

Balance problems exist at any age depending on traumatic history and if they received medical and/or therapeutic treatment at the time, level of physical activity, strength deficits, flexibility and neuromuscular coordination. With age, because the neuromuscular system reacts slower and because frequently the level of physical activity has been reduced this causes an accelerated loss of balance. But loss of balance can be improved with proper exercises and a lot of consistency. There are people 80+ physically active years with a balance that exceeds that of some people of 40-50 years. That said, although there is a predisposition for balance to decrease with the passing of years, it is a factor highly determined by the level of physical activity of a person and totally trainable. Balance problems can improve with treatment. I invite you to read my blog about this topic.

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What is the difference between receiving massages and doing physical therapy?

Massage is a passive modality (someone else or yourself rub your body while the body or the massaged part remains relaxed) which works on soft tissues improving their circulation, mobility and elasticity. Physical therapy uses the posture and movement of the human body to restore or maximize its ability to carry out our daily activities, work and recreational activities with the highest level of ease and comfort to maintain a good quality of life. Physical Therapy can use passive techniques like different soft tissue mobilization techniques (massage), taping, heat, ice, electrostimulation, ultrasound and laser among others; and uses active techniques such as physical exercise, postural reeducation and body movement, education in healthy lifestyles and ergonomics.

Is it better to do yoga or Pilates?

It depends on the constitution, condition of the musculoskeletal system, pathology- if there is one, goals and technique with which each one is performed. Both can be useful depending on these and other individualized factors. Both of them, in the wrong condition and with the wrong technique can cause damage or aggravate a problem.

I twist my ankles frequently since I was young, is there anything I can do or is my body like this and I must accept it?

No, the normal body, does not twist (called sprain) its ankles or any other joint. If this happens, it is because there are factors that have predisposed your ankles to function poorly and these factors have not been addressed. This problem is fully treatable, regardless of how many years you have had it. I invite you to read my blog on this topic.

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I used to play sports but I was injured and I think it's better not to play sports again so as not to get injured again. Is this what is best for me?

No, significantly reducing the level of physical activity has negative consequences at the cardiovascular, osteo and neuromuscular level. The right thing to do is to get diagnosed and treated by experts in your type of injury and gradually return to your level of physical activity. If due to age, degenerative changes or greater risk than benefit with the level of activity you were following prior to injury, the previous activity should be modified or activities more appropriate to the specific situation of the person should be sought. Regardless of age and pathology, physical activity is not optional, it is a must to maintain health, independence and quality of life for everyone.

I have bad posture, Should I use a posture corrector?

No, you need to be assessed and instructed by a physical therapist on exercises to strengthen your muscles and healthy habits so as not to perpetuate the problem. Using a posture corrector will cause additional muscle weakness and exacerbate your problem.

What is the color and resistance sequence in the elastic bands (theraband) used to exercise?

From light to strong: yellow, red, green, blue, black, gray, gold.

What benefits does acupuncture combined with Physical Therapy offer?

Both techniques complement each other and they mutually potentiate the positive effects of each other. Acupuncture is fast acting treating pain. Physical Therapy helps maintain results and prevent a relapse when it teaches you how to handle your body in a biomechanically friendly manner. It also promotes the normal qualities of movement: mobility, strength, flexibility, balance, agility and coordination. Both modalities improve blood circulation and reduce swelling. So you get a faster recovery and from the root cause, without side effects or dependencies.