Riješite se bolova i ograničenog pokreta u ramenu!

Detaljnim pregledom i ciljanim planom i programom rehabilitacije riješiti ćemo Vas problema s ramenom brzo i dugoročno!

MMA fighter Đani Barbir

Problemi s ramenom su vrlo česti i iznimno ograničavajući

If these questions are familiar to you znači da trebate pomoć. 

Sve navedene probleme možete i trebate riješiti!

Uspostavite funkciju ramena i zaigrajte omiljeni sport!

We understand that you have tried almost all solutions and think that there is no solution for you. 

Probleme s ramenima smo u našoj ordinaciji riješili velikom broju naših pacijenata te su se SVI vratili u stanje prije boli i ograničenja!

We can do the same for you!



Cupping course

Frozen shoulder

What is a frozen shoulder?

Frozen shoulder or adhesive capsulitis is a condition that affects the shoulder joint and manifests itself as shoulder pain and stiffness within the joint that can last as long as 1 to 3 years! In the syndrome of frozen shoulder, there is a thickening and swelling of the joint capsule, which causes considerable pain and greatly reduces the range of movement in the joint itself. Since the shoulder joint is the most mobile joint in the human body, the thickening of its capsule will also cause a serious deficit in the functioning of the entire arm. The lack of hand function will cause a major problem in the daily functioning of the patient at work and other daily duties and activities. 

There are 3 stages of Frozen Shoulder Syndrome: 

  1. Faza “smrzavanja” – faza u kojoj se razvija izrazita bol u ramenu prilikom pokreta koja se sa vremenom pogoršava i po noći je jača, prva faza može trajati 6 do 9 mjeseci
  2. Faza smrznutog ramena – bol se smanjuje no pokret u ramenu postaje sve manji, dolazi do nemogućnosti obavljanja svakodnevnih aktivnosti, ova faza može trajati 4 do 12 mjeseci
  3. Faza “odmrzavanja” – pokret u ramenu se vraća u normalan opseg i bol se znatno smanjuje, zadnja faza može trajati 6 mjeseci do godinu dana
Frozen shoulder
Magnetska rezonanca smrznutog ramena

Symptoms and diagnosis of frozen shoulder

Symptoms:

  • shoulder pain that increases when moving
  • shoulder pain that increases during sleep
  • reduced mobility of the shoulder joint
  • inability to perform daily activities due to pain and limited mobility  

 

Diagnostics:

  • medical history - to determine if there is an older injury or deficit in the shoulder joint area
  • clinical examination - a medical doctor or physiotherapist will perform a detailed examination of the shoulder joint to determine the level of pain and whether there is a deficit in shoulder movement 
  • X-ray – is done to determine if there are other problems in the shoulder joint such as arthritis or bone fracture
  • MRI or ultrasound - show a detailed examination of soft tissues to determine whether there is a rupture in the rotator cuff muscles 

Physical therapy and rehabilitation

Goals of physical therapy in frozen shoulder:

  • reduce / eliminate shoulder pain 
  • increase the quality of sleep with a decrease in nighttime shoulder pain
  • increase the range of movement in the shoulder joint
  • restore normal shoulder function 
  • return to everyday activities without pain and with normal shoulder joint movement
 
Types of therapy and their action: 
  • dry needling - serves to relax the musculature of the shoulder girdle with which we consequently increase the range of movement and reduce pain in the shoulder, it also stimulates the regeneration process in the shoulder joint
  • medical flossing - special rubber bands make compression on the shoulder joint with which we restore the range of movement and reduce pain in the shoulder 
  • cupping - with the achedaway cupping device we soothe inflammation, stimulate local circulation and reduce pain in the shoulder joint
  • myofascial release - by releasing the fascia we achieve greater mobility and free movement of the shoulder joint
  • kinesiotaping - serves as an auxiliary technique to maintain and enhance the effects of dry needling, medical flossing, cupping, myofascial relaxation and therapeutic exercises 
  • mobility exercises – povećavaju mobilnost odnosno pokretljivost ramenog zgloba i uspostavljaju normalnu funkciju zgloba
  • strength exercises – razvijaju snagu mišića ramenog obruča i preveniraju ponovno javljanje smrznutog ramena 
 
Frozen shoulder dry needling
FAQ

Najčešća pitanja u vezi smrznutog ramena

As you can see at the beginning of the page where we explain what exactly a frozen shoulder is, the shoulder problem with this diagnosis can last up to 3 years! 

If you do not want to “drag” this problem for so long, we would advise you to visit a physiotherapist as soon as possible. 

Every patient and every problem is completely individual. When one patient may need 2 therapies to resolve the problem, another may need 5 therapies for the same diagnosis.

In order to know more about your problem and prognosis, we need to examine you and perform the first treatment.

At the end of the therapy, we give you detailed instructions on what exercises you need to do and how to perform them to prevent the return of Frozen Shoulder Syndrome. 

If you exercise regularly and keep your shoulder joint in optimal mobility and the shoulder girdle muscles in optimal strength, the problem should not return. 

Why our therapy?

Progress after the first treatment.

We work on quick and long-term solutions for the problem and after the first treatment you will feel improvement and relief of the symptoms.

Friendly clinic

In our clinic, we maintain a pleasant and friendly atmosphere so that you do not have additional stress.

There's no maintenance

We provide effective and long-term solutions for your problem in order for you to save money and time!

Track and field athlete Lucija Cvitanović

Targeted rehabilitation plan

1. step: Book an appointment with us

By e-mail, message or call we will book you the first appointment in which we will find out and explain the exact problem.

2. step: Rehabilitation plan and program

In cooperation with you, we create an individual, fast and effective rehabilitation plan and program that will surely lead you to optimal condition.

3. Return to normal life

Finally you will be pain free again and move with ease.

Reviews of our patients

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Anja GrgicAnja Grgic
11:50 13 Dec 22
I booked the first appointment based on a recommendation due to long-term problems with the lumbar region, cervical spine, migraines, tingling in the feet and sciatica in both legs. With the first treatment, we solved the inflammation and pain in the upper back and trapezius, for which I ended up in the emergency room before arriving. With the second treatment I no longer feel sciatica or tingling in my feet. My body is recovering phenomenally every day. I booked a third appointment, so long-term constant problems (12 years!!!) Toni solved in just 3 treatments. I am delighted with the approach and professionalism of physiotherapist Toni. It is not enough to say that I am grateful and sincerely recommend it from the bottom of my heart.
Bojan MihalicekBojan Mihalicek
21:30 17 Nov 22
I came with a problem of the cervical and lumbar spine (which lasts 15 years), tingling in the legs (as a consequence of sciatica), and injury of the ankle and Achilles tendon of the leg from a year ago. He solved all my problems with dry needling and chiropractic techniques. Tony is extremely accessible and explains everything he does in detail. Expertise, customer relationship, and communication are at a very high level. I would definitely recommend him to anyone who has not been helped by conventional techniques.
Bernard ButoracBernard Butorac
21:10 17 Nov 22
I came to Tony through the recommendation of a handball player friend and I did not regret it. In several treatments, he solved the problem of a painful cervical spine and jaw that was painful to the movement and bite. The mobility of the jaw is very important to me because I'm in the singing business. The boyfriend also came with a problem with the cervical and lumbar spine, tingling in the legs, and injury to the wrist and tendon of the leg. He solved our problems with dry needling and chiropractic techniques. Toni is very approachable and everything he does he explains in detail, and also without hesitation you can ask him anything you want to know, so we let him in without fear. Business, expertise, customer relationship, and communication 5+.
Vesna KlanacVesna Klanac
17:44 28 Oct 22
After two dry needling treatments, my shoulder and neck loosened up, and the tension eased enough that after two months I finally have no headaches and no more dizziness. After the third dry needling treatment, the remaining pain on the right side, like muscle tension, has almost disappeared. I'm looking forward to the last treatment. Although it is known as a painful treatment, it was very tolerable for me, and it even seemed very relaxing. I am very glad that I found Toni on IG.
Sonja BrajkinaSonja Brajkina
04:31 12 Oct 22
Physio Toni is a very pleasant, educated and humble young person, who knows his job without much mystification and philosophy "hits the head" and immediately goes to solve the problem as quickly as possible and more than successfully. In communication, he is also pleasant and measured, adapts to the patient and has wide knowledge and can talk to him about various topics, which makes the treatment even easier and leads to the feeling that the treatment lasts much shorter than it really does.So successful in my case that after 9 months of almost vegetating due to enormous pain, after the first treatment, I started walking at least 5 km a day, and after the second I started again working out! I can only recommend this young expert in his field and say a big thank you to him.
IlonaIlona
10:11 26 Sep 22
If I could give 100 stars, it would be small. It's actually hard for me to put together impressions and sentences and to fully express how grateful I am. What a relief after years of shoulder discomfort and inability to rotate, when you finally manage to rotate your shoulder all the way. No pain! Tony's expertise, knowledge, and love for his job are evident in his every sentence. The problem is approached directly, without BS, immediately tells what and how to expect. I had high expectations that he exceeded. Tony, thank you!
IvoIvo
16:37 24 Jul 22
The man, without any philosophy, quickly and efficiently solved the problem of the lower spine, which had followed me for more than five years and which I thought would remain chronic. I recommend everyone to go and let Tony examine him and decide which solution is best. Tony, thank you again!
Janja MuzinaJanja Muzina
07:42 14 May 22
I'm gonna use the kids 'dictionary and say," I don't like dry needling!". With the recommendation of a friend who I talked to about the pain I was living with due to a messy life and long hours of computer work, I came to Tony for treatment. During the treatment, Tony eased my pain by talking and explaining. I went back for another treatment. Today I live without pain and I recommend Tony to everyone for his professionalism, expertise and human approach with respect to the client.
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5 things to do before visiting a physical therapist (Croatian language)

Find out what you need to do before a first visit to a physical therapist. Carrying out these steps will enable you to have more successful and faster rehabilitation process!

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5 things to do before visiting a physical therapist (Croatian language)

Find out what you need to do before a first visit to a physical therapist. Carrying out these steps will enable you to have more successful and faster rehabilitation process!

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