About us

Andriy Babko

M.D., – orthopaedic trauma surgeon (20+ years of experience)

Taras Zamorsky

Ph.D. – Chief physical therapist of the clinic, orthotist

Natalia Samoilenko

Physical therapist, certified nurse

Olha Bunyatyan

Physical and rehabilitation medicine doctor

Kateryna Kolyushko

Assistant physical therapist, certified nurse

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Why Choose Us

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Experienced Doctors

We employ highly qualified specialists

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Short Wait Times

We respond to inquiries within a few hours

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Over 20 Years in Business

We have been doing rehabilitation for a long time and we know how to help you

Frequently Asked Questions

Adhesive capsulitis of the shoulder or frozen sholder syndrome: symptomes and causes

Adhesive capsulitis (or frozen shoulder syndrome) is one of the most common disorders that causes pain in the shoulder. It is diagnosed in 60% of patients who complain of the following symptoms: pain, stiffness, and loss of normal range of motion in the shoulder. It affects mainly people ages 40 to 60 — women more often than men.
Mostly, adhesive capsulitis affects patients with diabetes.
The science doesn’t know yet what precisely causes the adhesive capsulitis. There is a hypothesis that the cause of adhesive capsulitis is dystrophic changes in the capsule and synovial membrane of the joint, leading to changes in the structure of the joint itself – the joint capsule becomes inflamed and thickens significantly. This leads to fibrosis (connective tissue replaces normal tissue in the articular cavity), and this process is accompanied by a sharp constant pain and significant limitation of movement of the upper limb.

Treatment of adhesive capsulitis

Treatment of adhesive capsulitis should be started promptly. Delay in seeking medical treatment will lead to a difficult and prolonged recovery. A meeting with a doctor will allow you to determine the correct diagnosis and receive a recommendation on the treatment and motion recovery.
The treatment for adhesive capsulitis is focused on relieving pain, reducing inflammation, restoring the shoulder’s normal range of motion, and muscle strengthening in the upper limb.
Stabilization of movements in the shoulder joint is achieved through the use of supporting bandages or kinesiology tapes.
To maintain the range of motion in the shoulder joint and prevent adhesions, kinesiotherapy is recommended.
Manual techniques (massage, etc.) are also used in treating the frozen shoulder, as well as physiotherapy equipment (phonophoresis with hydrocortisone cream, magnetic-laser therapy, electromyostimulation of the shoulder muscles).
As a rule, the doctor prescribes nonsteroidal anti-inflammatory drugs (NSAID) for the patient.
In Kyiv, you can contact “Maysternya Ruhu” Orthopaedic Rehabilitation Center, where you can simultaneously receive the rehabilitation treatment from highly qualified physical therapists.
It is also necessary to understand the importance of the patient’s self-exercising at home according to a previously developed program, and this is a key condition for a full recovery.

Periarthritis of the shoulder joint (scapulohumeral periarthritis): symptoms, treatment

Periarthritis (inflammation of the soft tissues) of the shoulder joint is an old name that has recently been used to refer to shoulder joint problems that are not related to damage of the ligaments and other structures of the shoulder joint, bone fractures, or other serious injuries.
Periarthritis is understood primarily as a complex of the following symptoms: pain, limitation of movement, but with the availability of modern diagnostic methods, first of all MRI (magnetic resonance imaging), medical ultrasound (diagnostic sonography), an accurate diagnosis could be made and the correct methods of treatment could be prescribed.
Usually, adhesion capsulitis, impingement syndrome, arthritis, partial violation of the integrity of the rotator cuff, damage of the articular lip may be called the scapulohumeral periarthritis.
An experienced orthopedic trauma surgeon can make a correct diagnosis with the help of special motor tests.
In Kyiv, you can contact the Maysternya Ruhu Orthopedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment regimen together with a team of highly qualified physical therapists.

Epicondylitis (tennis elbow): symptoms & treatment

Epicondylitis, or tennis elbow, is a common disease that occurs as a result of overloading the muscles that extend the wrist joint. The patient experiences pain with certain movements of the elbow and wrist joints.
Lesion (inflammation) occurs at the site of muscle attachment to a small tubercle of the ulna, namely to the upper layer of the bone – the periosteum. Epicondylitis can be external (lateral) or internal (medial).
Treatment of consists in unloading (namely, reducing physical activity) of the muscles of the forearm.
The first step toward epicondylitis recovery is to give your arm proper rest. This means that you will have to stop or decrease participation in sports, heavy work activities, and other activities that cause painful symptoms.
Usually, pain symptoms disappear within four weeks.
A special elbow support sling or brace may also help relieve symptoms of tennis elbow.
The use of cold in combination with massage can also give a positive result.
In apparatus physiotherapy, phonophoresis with hydrocortisone and magnetic laser therapy are used to treat epicondylitis.
The practice of injection therapy with anti-inflammatory drugs is widespread.
In some cases, when conservative methods do not give a positive result, an operative method of treatment may be offered.
In Kyiv, you can contact the Maysternya Ruhu Orthopedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment regimen together with a team of highly qualified physical therapists.

The rectus-adductor syndrome

The rectus-adductor syndrome is a disease caused by chronic overload of the muscles that adduct the thigh and lower abdominal muscles, as a result of inflammation of their attachment points.
There is pain in the hip joint, which spreads along the inner thigh and into the lower abdomen.
The pain is felt when running, jumping, kicking the ball; during rest, the pain disappears.
The rectus-adductor syndrome is treated by limiting physical activity, prescribing anti-inflammatory nonsteroidal drugs, local injection therapy (steroid drugs, PRP), taping and kinesiotherapy, which is aimed at improving the balance of the muscles of the lower back and lower limbs.
The average duration of treatment is one to three months.
In Kyiv, you can contact the Maysternya Ruhu Orthopaedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment scheme together with a team of highly qualified physical therapists.

Coxarthrosis, osteoarthritis of the hip joint, deforming arthrosis: causes, symptoms, treatment

By these names we mean one disease that leads to degenerative changes and destruction of the hip joint. Deforming arthrosis can be both unilateral and bilateral. The causes of coxarthrosis can be different: congenital malformations, joint injuries, overweight, constant overload, age-related changes, malnutrition, problems in a lower back, scoliosis, etc. …
The main symptom of coxarthrosis may be pain in the joint area, which spreads along the front and outer surfaces of the thigh. At first, pain occurs at certain positions of the limb when performing physical activities, then later pain can occur at rest and during the sleep.
Other signs of the disease may be joint stiffness, limb shortening, lameness.
There are four degrees of coxarthrosis, which differ in the stages of joint deformation and limitation of movement. The main method for diagnosing coxarthrosis is X-ray examination, computer tomography.
The main methods of treating coxarthrosis include:
1. Unloading of the joint: reducing the patient’s weight, using additional support (stick, crutches), individual orthopaedic insoles.
2. Intra-articular injections of chondroprotectors, plasma-lifting of the hip joint.
3. Physical therapy (kinesiotherapy) is an important part of treatment, it improves blood circulation in the joint, normalizes metabolic processes, strengthens weakened muscles that stabilize the joint.
4. Hardware physiotherapy: muscle myostimulation, magnetic laser and magnetotherapy, phonophoresis with chondroprotectors on the joint area.
5. Massage and soft tissue manual techniques.
6. Traction therapy of the hip joint.

If the treatment does not give positive results, or in the presence of 3-4 degrees of the disease, a surgery treatment is suggested to replace the hip joint with an artificial one, which is called hip arthroplasty.
While planning such an operation, it is important to carry out preoperative preparation, this will strengthen the patient’s physical condition, prepare the necessary muscles that will stabilize the endoprosthesis, improve coordination and thereby prevent trauma.
The success of the operation will be determined by timely and correct rehabilitation, both preoperative and postoperative, starting as early as possible.
In Kyiv, you can contact the Maysternya Ruhu Orthopaedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment regimen together with a team of highly qualified physical therapists.

Plantar fasciitis (heel spur): causes, symptoms, treatment

Plantar fasciitis is an inflammation of the periosteum of the calcaneus, to which the plantar fascia is attached. The muscles that form the arch of the foot are attached to the plantar fascia. The periosteum begins to grow, an outgrowth is formed, which looks like a spur on an x-ray. Susceptible to plantar fasciitis are patients with a hollow foot, flat feet, overweight people, those who wear uncomfortable shoes.
With plantar fasciitis, the muscles of the foot are in constant tension.
Constant muscle tension leads to trauma of the attachment site of the fascia.
Treatment consists of anti-inflammatory therapy and stretching of the spasmodic muscles of the foot.
The symptoms of the disease are pain in the heel area. The pain may be intermittent at first, occurs at the beginning of the movement, and then disappears. In the future, the pain intensifies and becomes constant.
Anti-inflammatory therapy may include the use of non-steroidal anti-inflammatory drugs and physiotherapy (phonophoresis with hydrocortisone, magnetic laser therapy).
Steroid injection therapy, or PRP, can be used.
Sometimes X-ray therapy is used for plantar fasciitis.
A prerequisite for the treatment of plantar fasciitis is the manufacture and constant wearing of individual orthopedic insoles, which support the inflamed area on the foot.
Night orthesis can also be used to stretch and relax the spasmodic muscles of the foot.
Plantar fasciitis can be treated from several weeks to six months, it all depends on the method of treatment and individual specifics.
In Kyiv, you can contact the Maysternya Ruhu Orthopaedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment regimen together with a team of highly qualified physical therapists, as well as make individual insoles and orthoses for the treatment of plantar fasciitis.

Complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), causalgia, reflex neurovascular dystrophy (RND) Causes, symptoms, treatment

Sudeck’s atrophy is a neurodystrophic disease that occurs after injuries or surgical interventions on the limb, accompanied by a long immobilization period.
The signs of Sudeck’s syndrome are edema, discoloration of the skin, fever of the limb, constant burning pain, sensory disorder, stiffness, trophic disorders of the skin and nails, thickening of the fingers.
There are three stages of the disease, depending on the severity of the symptoms.
The cause of illness of Sudeck’s atrophy is still not clear, but there is a tendency to it for people with an increased psycho-emotional state.
The trigger can be a sharp pain for several days after injury, significant swelling, improper manipulations with the limb.
Sudeck’s atrophy can last for about 7 months and requires timely diagnosis and treatment. Without proper treatment it can lead to a patient disability.
The main task in the treatment of RSD is the correction of the patient’s emotional state, timely pain relief and removal of edema.
While taking sedatives for pain relief, non-steroidal anti-inflammatory drugs are used, and the edema is removed with decongestants.
It is important in the first few days after the injury, to fix the limb in an elevated position (this will ensure the outflow of lymph from the hand); cold is used to relieve pain and prevent edema.
Futher, the main method of treatment will be kinesiotherapy, which is combined with physiotherapy.
The following physiotherapeutic methods are used: phonophoresis with hydrocortisone and chondroxide, myostimulation of the muscles, magnetic laser therapy, electrophoresis with bischofite.
In combination with physiotherapy methods, massage of the neck area and upper limbs can also be used.
Dynamic orthoses are also used for the affected limb, which significantly speeds up the recovery of the hand.
In Kyiv, you can contact the Maysternya Ruhu Orthopaedic Rehabilitation Center, where you can get advice and decide on a rehabilitation treatment scheme together with a team of highly qualified physical therapists, as well as order individual dynamic orthoses for the treatment of Sudeck’s atrophy.

Magnetotherapy as a treatment method (Magnet therapy, magnetic therapy)

Physiotherapy treatment based on the use of a magnetic field.
The main therapeutic effect of magnetotherapy is the removal of edema and hematomas, pain relief.
Magnetotherapy is mainly used in traumatology and orthopedics.
Magnetic therapy devices can be either constant or pulsed, and can be combined with other methods of physiotherapy (for example, magnetic laser therapy).
Magnetotherapy is usually easily tolerated at any age. The use of magnetotherapy is limited by general contraindications.
The procedure can last up to 30 minutes (depending on the indications), the course of treatment is 10 – 15 procedures.
In Kyiv, you can receive a magnetotherapy procedure at the Maysternya Ruhu Orthopaedic Rehabilitation Center.

Achilles bursitis: causes, symptoms, treatment

Achilles bursitis is an inflammation of the bursa around the heel and the place where the achilles tendon attached to the calcaneus.
Achilles bursitis reveal itself as pain, swelling, and an increase in temperature in the area of the calcaneus.
The pain limits normal movement, and lameness appears.
Achilles bursitis can lead to complete rupture of the Achilles tendon and surgical treatment.
Achilles bursitis is diagnosed mainly by ultrasound examination or MRI.
The causes of achillobursitis:
Constant physical overstrain during sports, frequent wearing of flat-soled shoes and shoes with a hard heel, trauma, anatomical predisposition to overloading the Achilles tendon.
Treatment consists in unloading the achilles tendon, for this it is necessary to stop doing any sports for 3-4 weeks.
It is recommended to wear shoes with low heels; if the integrity of the Achilles tendon is violated, the foot is fixed with a special orthosis and it is recomended to use crutches.
Prescribe non-steroidal anti-inflammatory drugs, phonophoresis with hydrocortisone, electrophoresis with steroids, magnetotherapy.
After reducing inflammation and pain, kinesiotherapy is started.
Physical activity restores full motion in the joint and strengthens the Achilles tendon. Full recovery can take several months.
In Kyiv, you can contact the Maysternya Ruhu Orthopaedic Rehabilitation Center, where you can get advice and decide on the scheme for the rehabilitation treatment of achillobursitis together with a team of highly qualified physical therapists.

Bekhterev's disease / Bechterew's disease / Ankylosing spondylitis (AS) Causes, symptoms, treatment

Ankylosing spondylitis is a systemic autoimmune disease that causes ankylosis (growth) of the joints in the spine and large joints.
Basically, the hip and shoulder joints are affected, sometimes small (peripheral) joints can be affected too.
According to the affected areas, several forms of the disease are distinguished, and several degrees of damage are also distinguished.
The main types of diagnostics are X-ray, CT.
The first signs of ankylosing spondylitis are lesions of the lumbar-iliac joints, which can be seen on X-ray examination.
Patients lose mobility in the spine, hip joints, breathing becomes more difficult.
The success of the treatment of ankylosing spondylitis depends on early diagnosis, the prescription of systemic treatment in the form of immunosuppressants and anti-inflammatory therapy.
From physiotherapy, electrostimulation of the muscles of the spine, phonophoresis with hydrocortisone on the spine, magnetotherapy are usually prescribed.
Traction therapy of the spine is widely used.
The main idea in treatment of ankylosing spondylitis is attributed to systemic and continuous physiotherapy exercises, which can support and maintain a sufficient range of motion in the spine and joints.
With significant deformities of the musculoskeletal system, patients are recomended to surgical treatment.
In Kyiv, you can contact the Orthopaedic Rehabilitation Center “Maysternya Ruhu”, where you can get advice and decide on the rehabilitation treatment regimen for ankylosing spondylitis together with a team of highly qualified physical therapists.

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