Assessment, diagnosis and treatment of musculoskeletal pain and conditions affecting muscles, tendons, joints and nerves.

The most common problems include:

After surgery, a fracture or trauma, it may be necessary to progressively restore mobility, strength and function.

We design personalised postoperative and post-traumatic rehabilitation programmes following:

Sports injury rehabilitation is aimed at both professional and amateur athletes who need to restore function after an injury and gradually return to physical activity.

The rehabilitation physician can assess the injury and its functional consequences and establish a personalised programme that may include physiotherapy, therapeutic exercise, restoration of mobility and strength, and progressive return to physical activity.

When required by the patient's individual needs, we work together with the Sports Medicine Unit of Hospital Sant Joan de Déu and barnaclínic+, also located at the Epsilon Physio Centre, ensuring continuity between injury treatment, functional recovery and a safe return to sport.

Neurological rehabilitation aims to restore or compensate for functional impairments caused by diseases or injuries affecting the central or peripheral nervous system.

The goal is not only to restore movement, but to ensure that movement is functional and enables patients to regain the highest possible level of independence in their daily lives.

It may be indicated, among other situations, following:

Facial paralysis rehabilitation requires a specific assessment of facial muscle function and any potential consequences resulting from facial nerve injury.

Treatment is coordinated with other specialists in facial paralysis surgery.

At barnaclínic+ we offer a specialist approach that may include:

Cancer and some of its treatments can cause pain, loss of strength, mobility limitations, fatigue, neuropathy, impaired wound healing or lymphoedema, among other effects.

Cancer rehabilitation can help prevent, treat or reduce these problems during and after treatment.

The aim is to promote functional recovery, preserve independence and reduce the impact that the disease and its treatments may have on everyday life.

We provide specialist care for patients experiencing effects associated with, among others:

Lymphoedema and lipoedema are different conditions that can cause swelling, discomfort and functional limitations.

Lymphoedema is caused by an impairment of the lymphatic system and can also develop following certain cancer treatments or surgical procedures. At barnaclínic+ we have experience in managing limb, breast and facial lymphoedema, including cases associated with cancer treatment.

Lipoedema primarily affects the fatty tissue of the limbs and can cause pain, heaviness and functional difficulties.

Assessment by a rehabilitation physician makes it possible to establish a personalised treatment plan, which may include specialist physiotherapy, therapeutic exercise, self-care measures and, when indicated, compression garments, with the aim of improving symptoms, mobility and quality of life.

Disorders of the temporomandibular joint (TMJ) can cause jaw pain, difficulty or limitations when opening the mouth, and discomfort that may extend to the neck, ear or head.

The rehabilitation physician can perform a functional assessment to identify the structures involved and establish a personalised treatment plan, which may include specific TMJ rehabilitation, physiotherapy, functional retraining and, in certain cases, botulinum toxin injections.

When necessary, treatment is provided through a multidisciplinary approach involving other professionals engaged in the diagnosis and treatment of temporomandibular disorders.

Rehabilitation after amputation aims to achieve the highest possible level of independence and function.

Advances in materials and prosthetic technology now provide increasingly lightweight and functional solutions, which must be selected individually according to each person's characteristics and needs.

Treatment may include:

Treatment begins with an assessment carried out by a physician specialising in Physical Medicine and Rehabilitation.

In addition to reviewing the previous diagnosis, we assess the functional consequences of the disease or injury: which movements have been lost, where pain occurs, which muscles are weak, which activities are difficult and to what extent the problem affects the patient's independence.

Based on this assessment, we establish the rehabilitation goals and an individualised treatment plan.

Musculoskeletal ultrasound makes it possible to examine muscles, tendons, ligaments, joints and certain nerve structures in real time.

It can help the rehabilitation physician refine the diagnosis and also enables certain ultrasound-guided interventional procedures to be performed with greater precision.

In certain patients, minimally invasive ultrasound-guided procedures may be indicated to precisely target the structure responsible for pain or functional impairment.

The indication always depends on the diagnosis and the individual characteristics of each patient.

The specialist may prescribe different pharmacological treatments and injection techniques to manage pain, inflammation, spasticity or other conditions.

Depending on the medical indication, available options include ultrasound-guided injections and botulinum toxin treatment.

Clinical physiotherapy forms part of rehabilitation treatment and is prescribed according to the goals established during the medical assessment.

The programme may address, among other aspects: mobility, muscle strength, balance, coordination, gait, motor control, pain and functional recovery.

Therapeutic exercise plays a fundamental role. Reducing pain does not always mean that the underlying problem has been corrected. Restoring the ability of muscles and joints to perform their functions correctly helps consolidate the results and prevent recurrence.

Physical Medicine and Rehabilitation also includes the prescription of orthoses, prostheses, assistive devices and therapeutic garments.

The rehabilitation physician determines which device may be most appropriate and how to integrate it into the patient's recovery process and efforts to regain independence.

When indicated, the assessment can be complemented by tools such as baropodometry and biomechanical analysis, particularly in patients with functional musculoskeletal impairments or problems related to sports and physical activity.

The rehabilitation process is led by rehabilitation physicians in Barcelona, who carry out a medical and functional assessment, establish recovery goals and design a personalised treatment plan.

The rehabilitation physician does more than prescribe physiotherapy: they identify the affected structures and functions, establish a diagnosis and functional prognosis, and determine which treatments and healthcare professionals should be involved at each stage of the process.

The Department is led by Dr Conxita Closa, a specialist in Physical Medicine and Rehabilitation at barnaclínic+, Head of the Rehabilitation Department at Hospital Clínic Barcelona and Medical Director of Epsilon Physio.

Dr Closa has extensive clinical, teaching and research experience in Physical Medicine and Rehabilitation and in coordinating multidisciplinary teams focused on functional recovery.

barnaclínic+ patients can undergo their recovery programme at Epsilon Physio Sports Medical Center, a centre specialising in rehabilitation, physiotherapy and functional recovery, with barnaclínic+ as its medical partner.

Epsilon Physio is a rehabilitation centre in central Barcelona with 1,200 m² of facilities dedicated to diagnosis, treatment and functional recovery, including a functional recovery area and dedicated spaces for individualised treatments.

Under the medical direction of Dr Conxita Closa, rehabilitation physicians and physiotherapists work together to design programmes tailored to each patient's needs and goals, with access to assessment and treatment tools such as ultrasound, biomechanical analysis and baropodometry.

The Sports Medicine Unit of Hospital Sant Joan de Déu and barnaclínic+ is also located at the Epsilon Physio Centre, facilitating coordination, when required, with sports medicine specialists, sports physiotherapists and professionals specialising in return to physical activity.

Our team includes professionals specialising in musculoskeletal rehabilitation, neurological rehabilitation, post-surgical and post-traumatic rehabilitation, sports rehabilitation, facial paralysis, cancer rehabilitation, lymphoedema, TMJ disorders, amputee rehabilitation and ultrasound-guided interventions.

Dr Sandra Vázquez, a specialist in Physical Medicine and Rehabilitation at Hospital Clínic Barcelona and barnaclínic+, focuses particularly on peripheral facial paralysis, cancer rehabilitation and lymphoedema, TMJ disorders, musculoskeletal ultrasound and ultrasound-guided interventions.

No two recovery processes are exactly the same.

The disease or injury, the patient's previous functional status and, above all, the activities each person needs to regain determine the treatment goals.

For this reason, we design individualised rehabilitation plans focused on functional outcomes, monitoring progress and adapting treatment to the different stages of recovery.

Physical Medicine and Rehabilitation now has diagnostic and therapeutic tools that enable increasingly precise treatments.

Depending on the indication, we integrate musculoskeletal ultrasound, ultrasound-guided interventions, specialist physiotherapy, therapeutic exercise, injections, botulinum toxin, physical therapies, biomechanical assessment and orthotic and prosthetic prescription, among other options.

Rehabilitation is a cross-disciplinary medical specialty. Depending on the cause and consequences of the disease or injury, our rehabilitation physicians work closely with other specialists and healthcare professionals to address each patient's different needs.

barnaclínic+'s integration within the Hospital Clínic Barcelona environment facilitates coordination with specialists in Traumatology and Orthopaedics, Neurology, Neurosurgery, Oncology, Oral and Maxillofacial Surgery, Otorhinolaryngology, Cardiology, Urology, Gynaecology and other specialties whenever required.

In addition, the Epsilon Physio Centre is home to the Sports Medicine Unit of Hospital Sant Joan de Déu and barnaclínic+, with which we work closely when recovery requires a sports medicine assessment, sports physiotherapy, return-to-exercise rehabilitation or a gradual and safe return to sport.

This ability to coordinate care allows us to address not only the injury or disease itself, but also its functional consequences and each patient's specific goals.