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What do we offer

We treat people with chronic or acute pain, with (sports-) injuries, clients who need pre- or post-surgery physiotherapy or rehabilitation or who just want our guidance to stay fit and healthy. Our goal is to help you relieve your pain quickly; to stay free from painkillers; to avoid surgery and future injuries.

Physiotherapy

At our centre, we offer a comprehensive range of physiotherapy services designed to help you achieve optimal health and wellness. Whether you're recovering from an injury, managing a chronic condition, or looking to enhance your overall physical well-being, our dedicated team of experienced physiotherapists is here to support you every step of the way.

Our services include:

  1. Personalized Treatment Plans: We believe in a personalized approach to physiotherapy, tailoring each treatment plan to meet the unique needs and goals of our clients. Whether you require manual therapy, exercise prescription, or specialized techniques, we'll work closely with you to develop a plan that's right for you.
  2. Pain Management: Our physiotherapists are experts in pain management techniques, helping you alleviate discomfort and improve your quality of life. From manual therapy to modalities such as electrical stimulation, (Radiofrequency Therapy) we offer a variety of treatments to address your pain effectively.
  3. Injury Rehabilitation: Whether you've suffered a sports injury, workplace accident, or motor vehicle collision, our team is here to help you recover safely and effectively. We'll guide you through a structured rehabilitation program aimed at restoring function, reducing pain, and preventing re-injury.
  4. Preventive Care: We believe in the power of preventive care to maintain optimal health and prevent future injuries. Through education, exercise programs, and ergonomic assessments, we'll empower you to take control of your health and minimize the risk of ( a future) injury.
  5. Sports Performance Enhancement: Whether you're a professional athlete or a weekend warrior, our physiotherapy services can help you enhance your sports performance and achieve your athletic goals. We'll assess your movement patterns, address any imbalances or weaknesses, and provide targeted interventions to optimize your performance on the field or court.
  6. Manual Therapy: Our skilled physiotherapists are trained in a variety of manual therapy techniques, including joint mobilization, soft tissue mobilization, and myofascial release. These hands-on techniques can help restore mobility, reduce pain, and improve overall function.
  7. Patient Education: We believe in assist in our clients to take an active role in their recovery and long-term health. That's why we provide comprehensive patient education, teaching you about your condition, treatment options, and strategies for self-management.

At Centro Terapéutico Jávea, your health and well-being are our top priorities. Contact us today to schedule an appointment and take the first step towards a healthier, more active life.

Osteopathy

Osteopathy is a holistic therapy, which originated from the United States. The history of osteopathy dates back to the late 19th century when it was founded by Dr. Andrew Taylor Still, an American physician.

Dr. Andrew Taylor Still, born in 1828, was initially trained as a conventional medical doctor. Through experiences in his career, he changed his believes towards health and healing.

Dr. Still developed a set of principles that formed the philosophical basis of osteopathy. He believed in the body's inherent ability to heal itself and emphasized the importance of treating the whole person rather than just the symptoms of disease. He also advocated for the importance of maintaining proper musculoskeletal alignment and function for overall health.

Still's ideas led to the development of osteopathic principles, which include:

    • The body is a unit, and the person is a dynamic integration of body, mind, and spirit.
    • The body possesses self-regulatory mechanisms that promote health and healing.
    • Structure and function are interrelated; dysfunction in one part of the body can affect other parts.
    • Rational treatment is based on understanding the relationship between structure and function and supporting the body's self-healing mechanisms.

Osteopathy is a form of manual therapy that focuses on treatment of musculoskeletal disorders, digestive tract problems and other health issues. Osteopathic practitioners use hands-on techniques to diagnose, treat, and prevent a wide range of conditions.

The main goal is to find the actual root cause of the patient´s problem, and not just treat the symptoms. Often, the cause lies somewhere else then where the pain is being noticed. One of the main principles of Osteopathy is to improve circulation and help the body to continue with its innate ability to heal itself.

Osteopathy is considered to be a holistic therapy because Osteopathy considers the body as a whole, taking into account not only physical symptoms but also the patient's lifestyle, environment, and emotional well-being. Osteopathic practitioners will assess posture, movement patterns, work and home situation, lifestyle aspects (food, nutrition, medication, sports) and other factors to identify underlying issues contributing to the patient's condition

Osteopathic treatment can be any or a combination of these techniques:

  • Manual osteopathic manipulations. Probably the most well-known one, the ´cracking´of the spine, or peripheral joints, to improve mobility immediately.
  • Muscle Energy Techniques (MET). A way of stretching joints and muscles through active contractions and passive movements.
  • Myofascial release. Manual techniques to release tight muscles and fascia. Usually a slightly tender, but very effective way to treat contractures.
  • Visceral manipulations. A gentle ´manipulation´, mild manual techniques to improve organ function. Can be applied to basically all our internal organs.
  • Cranio-Sacral therapy. Gentle mobilisations of the skull. Apart from being a relaxing treatment, it´s also a very effective way to help with headaches, migraines, otitis, sinusitis, eye, jaw and other problems which can appear in the cranium.

TMJ Problems

The TMJ, or temporomandibular joint, is a hinge joint that connects your jawbone (mandible) to your skull's temporal bones, located in front of the ear. This joint allows you to move your jaw up and down and side to side, enabling essential functions such as chewing, talking, and yawning.

The TMJ is a complex joint with a disc between the bones that acts as a cushion and helps facilitate smooth movement. Various muscles, ligaments, and tendons surround and support the TMJ, contributing to its stability and function.

TMJ disorders refers to a group of conditions that cause pain and dysfunction in the TMJ and surrounding muscles. They are often impacting a person's ability to speak, chew, and even sleep comfortably. These disorders can result from factors such as jaw injury, arthritis, teeth grinding (bruxism), misalignment of the teeth or jaw, stress, or excessive chewing. Symptoms of TMJ disorders may include jaw pain, clicking or popping sounds when moving the jaw, difficulty opening or closing the mouth, headaches, earaches, and facial pain.

Treatment for TMJ disorders typically involves conservative (non-surgical) measures such as pain management, jaw exercises, lifestyle modifications, and therapies like physiotherapy or osteopathic treatment to alleviate symptoms and improve jaw function. In some cases, more advanced interventions such as oral appliances, dental adjustments, or surgery may be necessary, depending on the severity and underlying cause of the condition, in which case the client would be referred to a dentist or orthodontist.

Specialized Physiotherapy and/or Osteopathy for TMJ disorders typically involves a multifaceted approach, addressing both the joint mechanics and the surrounding musculature. Therapists may employ various techniques such as manual therapy, exercises, and modalities to alleviate pain, reduce inflammation, and improve jaw mobility. Manual therapy techniques include gentle mobilizations of the cranial bones, cervical spine to restore proper joint alignment, and soft tissue techniques to release tension in the muscles around the jaw. Additionally, therapists may prescribe specific exercises to strengthen weak muscles, improve posture, and promote relaxation of the jaw muscles. Modalities such as Radiofrequency may also be used to complement manual therapy and exercise interventions. As the osteopathic view of the body and its problems recognises that dysfunction in one area can contribute to symptoms in another, overall body alignment, assessing posture or biomechanical issues can be necessary.

Both physiotherapy and osteopathic treatment for TMJ disorders emphasize patient education and self-management strategies to empower individuals in their recovery. Patients may learn techniques for stress reduction, relaxation, and proper jaw mechanics to minimize the recurrence of symptoms. Additionally, therapists may provide guidance on ergonomic modifications, dietary considerations, and lifestyle factors that can impact TMJ health.

Both specialised treatments offer valuable therapeutic options for TMJ disorders, as they consider the structural and functional aspects of the condition, these approaches aim to enhance overall well-being for patients experiencing TMJ-related symptoms.

Neurologic and Orthopaedic Rehabilitation

Neurological physiotherapy is a specialized branch of physiotherapy that focuses on the assessment and treatment of individuals with neurological conditions affecting the central nervous system (brain and spinal cord) and peripheral nervous system (nerves outside the brain and spinal cord). These conditions may result from various causes such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, Parkinson's disease, cerebral palsy, and peripheral nerve injuries.

The primary goals of neurological physiotherapy are to improve functional independence, mobility, and quality of life for individuals affected by neurological conditions. Treatment approaches are tailored to address the specific impairments, limitations, and goals of each individual, with an emphasis on maximizing recovery and optimizing long-term outcomes.

If required Speech- and Occupational Therapists from outside our clinic can be approached to assist.

Orthopaedic rehabilitation is another branch of rehabilitation medicine that focuses on the assessment, treatment, and management of musculoskeletal conditions and injuries (those that affect the bones, joints, muscles, ligaments and tendons). Orthopaedic rehabilitation aims to optimize function, reduce pain, improve mobility, and enhance quality of life for individuals affected by orthopaedic issues.

Common examples in our daily practice include people who need orthopaedic rehabilitation after a knee replacement, a hip – or shoulder replacement. Patients with a partially or completely torn Anterior Cruciate Ligament (ACL-tear) prior to, or after reconstructive surgery. People who suffer meniscus tears in their knees, either after arthroscopy (keyhole surgery) or conservatively treated.

We can treat:

  • Frozen Shoulder (adhesive capsulitis)
  • S.l.a.p. lesions of the Shoulder
  • Rotator cuff injuries
  • Rib injuries
  • Cervical, Thoracic and lumbar spine problems (Herniated Discs)
  • Sacro-Iliac joint problems
  • Hip injuries (groin and sub trochanteric bursitis)
  • Retro patellar Chondropathy
  • Meniscus and ligament injuries of the knee
  • Patellar and Achilles tendinitis
  • Ankle sprains
  • Plantar Fasciitis and Heel spur
  • Osteoarthritis or Post joint replacement surgery

But, in Centro Terapéutico Jávea we can possibly help you with less common orthopaedic injuries as well.

Pilates

Pilates is a physical fitness system developed in the early 20th century by Joseph Pilates. It is a well-known, and scientifically proven way of exercising your body.

Pilates focuses on improving flexibility, strength, and endurance, with an emphasis on core strength and proper body alignment. Many practitioners find Pilates beneficial for improving posture, reducing stress, and enhancing overall physical well-being.

If Pilates classes are taught in the right way, by certified instructors, you will be able to:

  • Improve your posture
  • Get a stronger Core
  • Tone the muscles of your arms, hips, and legs
  • Help your balance
  • Become more agile and flexible in joints and muscles
  • Relieve tension and stress
Classes we run
  • Regular classes, for everybody between 18-90 years of age
  • Clinical Pilates, for those with (minor) injuries or conditions, who need that extra bit of care, correction and supervision.
  • Specialized classes for people with back problems, joint replacements, post-surgery etc.
  • Individual classes, both regular and Clinical
  • Kids Pilates, for healthy kids, or with postural problems. From age 8-18.
Kids Pilates

Pilates for children is a modified form of the Pilates method tailored to meet the needs and capabilities of younger individuals. Pilates exercises can offer numerous benefits for children, including improved posture, flexibility, strength, coordination, and body awareness. Additionally, Pilates can promote relaxation, stress relief, and enhanced concentration, which can be beneficial for children dealing with academic pressures or stress.

Avoid Tech Necks

Unfortunately, children start using electronic devices more, and younger all the time.

Looking down at the screen for prolonged periods can result in a, so called, Tech Neck. A cervical spine in extreme flexion. The forces on the vertebrae and the discs increase, the further we flex our necks (see illustration). Early intervention by means of postural improvement, may prevent problems later in life. Kids Pilates classes are designed to do so.

Overall, Pilates for children can be a fun and effective way to promote physical fitness, mental well-being, and healthy movement habits from a young age. By incorporating Pilates into their routine, children can develop valuable skills and habits that contribute to their overall health and well-being throughout life.

Radiofrequency Therapy (Indiba)

Indiba is a brand name associated with a type of medical technology known as radiofrequency (RF) therapy. RF therapy involves the use of high-frequency energy to heat tissues within the body. This can be used for various therapeutic purposes, including pain relief, tissue regeneration, and cosmetic treatments.

The Indiba brand specifically offers RF therapy devices that are used in various medical and aesthetic treatments. These devices are designed to deliver controlled RF energy to target tissues, promoting healing, collagen production, and other physiological responses. (see below)

Indiba's technology is utilized by healthcare professionals in fields such as physical therapy, sports medicine, dermatology, and aesthetics.

The specific applications and effectiveness of Indiba devices can vary depending on factors such as the type of treatment being performed, the patient's individual characteristics, and the expertise of the healthcare provider administering the therapy.

The effects of RF therapy can be divided into Thermal and Non-Thermal Effects.

  1. Thermal Effect: RF energy generates heat within the tissues through conversion of electromagnetic energy into thermal energy. This heat can penetrate into deeper layers of tissue depending on the frequency and intensity of the RF waves. The controlled heating of tissues can lead to various therapeutic effects:
    • Increased Blood Flow: Heat from RF therapy causes vasodilation, leading to increased blood flow to the treated area. Improved circulation can facilitate the delivery of oxygen and nutrients to tissues, as well as the removal of metabolic waste products, aiding in tissue repair and healing.
    • Muscle Relaxation: Heat-induced vasodilation can also promote relaxation of muscles, helping to alleviate muscle spasms, stiffness, and tension.
    • Pain Relief: The stimulation of sensory nerve fibers by RF-induced heat can interfere with pain signals, providing temporary relief from pain associated with conditions such as arthritis, muscle strains, and joint injuries.
  1. Non-Thermal Effects: In addition to its thermal effects, RF therapy may also exert non-thermal effects on tissues:
    • Cellular Effects: RF energy can influence cellular activity by modulating cellular membrane permeability, ion channel function, and intracellular signaling pathways. This may promote cellular repair, regeneration, and metabolic processes.
    • Collagen Remodeling: RF therapy has been shown to stimulate the production of collagen, a key structural protein in connective tissues such as skin and tendons. By promoting collagen synthesis and remodeling, RF therapy can improve tissue elasticity, firmness, and overall skin quality.
    • Inflammatory Response: RF-induced heat may trigger a localized inflammatory response in tissues, which can stimulate the body's natural healing mechanisms. This may involve the recruitment of immune cells and growth factors to the treated area, promoting tissue repair and regeneration.

Clinical Applications:

RF therapy is used in various clinical settings for the management of musculoskeletal conditions, pain management, rehabilitation, and cosmetic/aesthetic purposes. Common applications include:

    • Musculoskeletal Injuries: RF therapy is often used to reduce pain and inflammation associated with acute and chronic musculoskeletal conditions such as osteoarthritis, tendinitis, bursitis, and ligament sprains.
    • Rehabilitation: RF therapy may complement physiotherapy and rehabilitation programs by enhancing tissue healing, reducing pain, and improving range of motion and muscle function.
    • Cosmetic/Aesthetic Treatments: RF therapy is utilized for non-invasive skin tightening, wrinkle reduction, cellulite reduction, and body contouring procedures. By stimulating collagen production and promoting tissue remodeling, RF therapy can improve the appearance and texture of the skin.

REFERENCES

1 Hernández-Bule, M. L. et al. Electric stimulation at 448 kHz promotes proliferation of human mesenchymal stem cells. Cell PhysiolBiochem 34, 1741-1755, doi:10.1159/000366375 (2014).

2 Hernández-Bule, M. et al. Chondrogenic Differentiation of Adipose-Derived Stem Cells by Radiofrequency Electric Stimulation. Journal of Stem Cell Research & Therapy 7, doi:10.4172/2157-7633.1000407 (2017).

3 Hernández-Bule, M. L. et al. Response of human cancer cells to simultaneous treatment with sorafenib and radiofrequency current. Oncology Letters 22, 807, doi:10.3892/ol.2021.13068 (2021).

4 Hernández-Bule, M. L. et al..Response of neuroblastoma cells to RF currents as a function of the signal frequency. BMC Cancer 19, 889, doi:10.1186/s12885-019-6090-6 (2019).

5 Kumaran, B., Herbland, A. & Watson, T. Continuous-mode 448 kHz capacitive resistive monopolar radiofrequency induces greater deep blood flow changes compared to pulsed mode shortwave: a crossover study in healthy adults. European Journal of Physiotherapy 19, 137-146, doi:10.1080/21679169.2017.1316310 (2017).

6 Tashiro, Y. et al. Effect of Capacitive and Resistive electric transfer on haemoglobin saturation and tissue temperature. International Journal Hyperthermia 33, 696-702, doi:10.1080/02656736.2017.1289252 (2017).

7 Terranova A, V. G. et al. Monopolar capacitive resistive radiofrequency 448 kHz in the post surgical treatment of femoral fracture. INDIBA Revitalizing lives 3, 2 (2008).

Massage Therapy

In Centro Terapéutico Jávea we specialize in providing exceptional massage therapy services tailored to your needs. Whether you're looking for relief from muscle tension, recovering from an injury, or simply looking to relax and unwind, our skilled and certified therapists can assist you. Our range of services includes:

  1. Deep Tissue Massage: Experience targeted relief as our therapists apply firm pressure to release chronic myofascial tension and alleviate knots in muscles, promoting improved mobility and flexibility.
  2. Sports Massage: Tailored to athletes and active individuals, our sports massage techniques focus on enhancing performance, preventing injuries, and accelerating recovery by targeting specific muscle groups.
  3. Relaxation Massage: The more enjoyable, gentler type of massage; escape from the stresses of everyday life with our relaxation massage. Our therapists utilize subtle techniques to promote deep relaxation, reduce stress, and bring both body and mind at ease. 

See the About Us section to read more about our therapists.

Lymphatic Drainage

Lymphatic drainage is a gentle, rhythmical massage treatment performed by our specially trained lymphatic massage therapist. We also offer Pressotherapy, which is lymphatic drainage done by means of cuffs around your legs and/or arms, which are then applying air pressure.

Lymphatic drainage massage is a form of gentle massage that encourages the drainage of lymph nodes and the movement of lymph fluids around the body. It can help relieve symptoms of lymphedema.

The fluid in the lymphatic system helps remove waste and toxins from body tissues, it assists the venous system.

Lymphatic massage aims to improve the flow of lymph fluid, which should reduce swelling. Massaging an area without swelling will make space for fluid to flow to those parts from more congested areas.

For Which type of patient?

Lymphatic massages can benefit people who have a buildup of lymphatic fluid. This may occur due to:

  • cancer and cancer treatments that involve the removal of lymph nodes
  • filariasis, which is an infestation of the lymph nodes by a parasite carried by mosquitoes
  • some types of vascular surgery, such as vein stripping
  • burn scar excision
  • lipectomy, a type of surgery to remove fat from the body
  • infection or trauma in the lymphatic system
  • a buildup of fluid due to deep vein thrombosis
  • health conditions that affect blood flow to the extremities

Lymphatic buildup affects around 1 in 5 females after treatment for breast cancer.

According to a 2021 review, manual lymph drainage may also improve the quality of life in people with fibromyalgia.

Pressotherapy

Pressotherapy is a medical treatment that promotes lymphatic drainage by using air pressure on different parts of the body. By alternating between compression and decompression, it effectively stimulates the lymphatic system.

There are many benefits from pressotherapy. You can enjoy many positive health and beauty benefits from applying pressure waves. You will see improvements to circulatory system disorders and venous issues like varicose veins, tired legs and heavy limbs.

If you want to get fit and healthy, about losing weight, this type of treatment may be for you. By combining pressotherapy, dietary changes and exercise, you will see better results in less time. You can also treat swelling or drain the toxins, fats and liquids that cause cellulite. You will recover skin elasticity, increasing oxygen flow to the body’s tissues and helping them regenerate.

The treatment stimulates the immune system, building up your defences against pathogens, and can even help you lower your blood pressure if you have hypertension. Pressotherapy can also help with digestive problems; when the treatment is applied to the abdomen it stimulates bowel transit and relieves constipation issues.

Elite athletes also use pressotherapy to improve their physical fitness. It is the perfect complement for toning muscles and joints. It also relaxes the muscles, reducing muscle fatigue and preventing pain and cramping. Moreover, it strengthens connective tissues, alleviates stress and tension and reduces muscle spasms.