Physiotherapy

TI-FISIO is a clinic specialising in general musculoskeletal, orthopaedic, neurological and sports rehabilitation, founded by physiotherapist Riccardo Gervasoni with the aim of providing a multidisciplinary, high-quality service to people suffering from pain and the conditions associated with it. Our highly qualified team works using a multidisciplinary approach based on evidence-based practice and, when necessary, state-of-the-art equipment. A centre dedicated to delivering personalised, high-quality rehabilitation.

Your rehabilitation journey begins with a comprehensive functional assessment of biomechanical factors and pain-related aspects to accurately identify the primary problem. Based on this evaluation, the physiotherapist will develop a treatment programme tailored exclusively to the individual, taking into account personal goals and expectations. Throughout the rehabilitation process, we will work to the best of our ability to help you return to your normal daily activities.

Thanks to our fully equipped rehabilitation gym, we can develop a specific exercise programme tailored to each patient's condition, aimed at reducing and eliminating pain and postural dysfunctions related to the demands of daily life, sports injuries or surgical procedures. When necessary, the programme is complemented by state-of-the-art electrical stimulation devices. It has been widely demonstrated that an active approach is always beneficial in the management of pain.

Musculoskeletal physiotherapy focuses on the treatment of disorders affecting the musculoskeletal system (such as lower back pain, neck pain, shoulder pain or pain involving any other joint) and the peripheral nervous system. It includes manual therapy (mobilisations and manipulations), therapeutic exercise and pain management techniques. The majority of patients who visit a physiotherapist do so because pain is their primary complaint. Musculoskeletal physiotherapy addresses the needs of most of these patients.

From the after-effects of surgery to disorders of the central nervous system such as Parkinson’s disease and neurodegenerative conditions such as multiple sclerosis (MS), neurological physiotherapy intervenes through a multifactorial and intensive method, making use of the plasticity of the nervous system and its ability to create new neuromotor pathways in order to achieve the most complete possible recovery of impaired functions.

Some examples of conditions effectively treated by neurological physiotherapy include: Parkinson’s disease, Huntington’s disease, multiple sclerosis, ischaemic or haemorrhagic stroke, cerebellar deficits, ataxia, dystonia and muscular dystrophy, spinal cord injuries caused by trauma or cancer.

Geriatric physiotherapy is intended for older adults affected by chronic conditions associated with ageing. This type of treatment requires a holistic approach, as it often involves not a single condition but the identification of the most appropriate therapeutic intervention within a complex medical history. The main areas of intervention include the musculoskeletal, nervous and cardiorespiratory systems, including in patients who have undergone surgery or have underlying medical conditions.

The goal of treatment is to prevent injuries, maintain independence in daily activities and promote functional recovery.

Rheumatological conditions affect the musculoskeletal system as well as internal organs such as the brain, heart and lungs, together with the nervous and circulatory systems. In some cases, these conditions can also affect younger individuals, not only older adults.

Rheumatological physiotherapy is aimed at maintaining joint and muscle function in order to preserve the patient's independence. It also includes techniques designed to help control and manage the associated pain.

Among the most common rheumatological conditions are rheumatoid arthritis, systemic lupus erythematosus, polymyositis or dermatomyositis, scleroderma and polyarteritis nodosa.

Vestibular rehabilitation is a specialised form of physiotherapy designed for people experiencing dizziness, vertigo and balance disorders caused by dysfunctions of the vestibular system. Through a personalised rehabilitation programme, it helps improve balance, reduce symptoms and restore confidence in everyday movements. Treatment combines targeted exercises, balance retraining and movement strategies tailored to each patient's condition, with the aim of improving stability, reducing the risk of falls and enhancing quality of life.

Proprioceptive rehabilitation is part of the rehabilitation process and helps patients regain the ability to recognise the static or dynamic position of their joints in space, independently of vision. Patients who benefit from this type of treatment include those recovering from trauma, those with persistent or chronic pain, and people who have experienced neurological damage, such as stroke or traumatic injuries to the nervous system.

It consists of specific exercises that increase body awareness by stimulating particular receptors.

It has been shown that this type of rehabilitation reduces the risk of recurrence.

Neurodynamic physiotherapy is a treatment technique that focuses on the mobilisation of the nervous system and the management of pain by restoring the normal movement and gliding of nerves within their surrounding tissues. This approach is integrated into standard physiotherapy sessions, allowing the physiotherapist to specifically assess and treat the nervous tissue and the structures surrounding it.

Whenever a nerve is compressed, trapped or stretched beyond its normal physiological limits, it may respond by producing symptoms such as altered sensation, pain and, in more severe cases, impaired nerve conduction leading to weakness in the muscles supplied by the affected nerve.

Through selective movements, specific postures and manual treatment along the course of the nerve, it is possible to assess and treat both the nervous system and the surrounding tissues.

The most common causes of nerve-related pain include disc herniation, muscle tightness, osteophytes, spinal osteoarthritis and tissue fibrosis.

The temporomandibular joint (TMJ), formed by the mandibular condyle articulating with the temporal bone and supported by important muscular, capsular and ligamentous structures, is commonly affected by a variety of dysfunctions. TMJ treatment aims to restore normal joint mobility and reduce pain.

Dysfunctions involving the TMJ may cause symptoms not only in the joint itself but also in nearby areas, including the shoulders, eyes, spine, throat and teeth.

• Deep Tissue Massage
• Sports Massage
• Relaxation Massage
• Myofascial Therapy

Lymphatic drainage, also known as manual lymphatic drainage, is a specialised type of massage designed to restore and promote the circulation of the lymphatic system (lymph nodes, lymphatic vessels, spleen and thymus). It acts on the main lymph node stations and is applied directly to the lymphatic vessels. This technique can be used on any area of the body. Depending on the region being treated, a different and specific massage technique will be applied. Lymphatic drainage is indicated for the treatment and prevention of lymphoedema, lipoedema, post-traumatic oedema, post-surgical oedema and haematomas.

To perform this technique, our professionals complete dedicated specialist training.

When a muscle is subjected to overload, improper mechanical loading or a direct traumatic injury, a microscopic muscle contracture (trigger point) may develop, resulting in a localised pain syndrome. The pain may also be felt in an area different from where the trigger point is located. Treatment includes the application of direct manual techniques, fascial therapy, muscle treatment and stretching, with the aim of relaxing these muscle fibres and restoring their normal supply of oxygen and nutrients.

Home physiotherapy. For people who are unable to come to our clinic, we offer a home service provided by all our therapists, with the same quality of physiotherapy available at our centre.