Villasanta Lab

09/11/2025

Tutti pensano che il gomito sia solo una cerniera.

Falso.

È un diplomatico che ogni giorno media tra due mondi in guerra: la forza della spalla e la precisione della mano.

Guarda l’immagine. Dentro quel piccolo incastro tra omero, radio e ulna si nasconde una delle meccaniche più intelligenti del corpo. Ogni volta che prendi un bicchiere, digiti sul telefono o tiri una palla, il gomito deve stabilizzare come una spalla, ruotare come un polso, e farlo senza mai lamentarsi.

Eppure basta una piccola perdita di equilibrio (una spalla rigida, un polso bloccato, un computer usato troppo) e il gomito comincia a protestare con un messaggio chiaro: dolore laterale o mediale, le classiche tendinopatie laterali (LET) o mediali (MET) del gomito.

Per chi non è del mestiere. Il dolore al gomito non è un problema locale. È un effetto collaterale di un sistema che ha perso coordinazione. Se la spalla non accompagna e il polso non segue, il gomito resta nel mezzo.. e paga il conto.

Per i colleghi clinici: articolazione omero-ulnare (trocleare), radio-omerale, radio-ulnare prossimale: sinergia di flesso-estensione e prono-supinazione. Stabilità statica e dinamica sostenuta dal complesso collaterale mediale (UCL) e laterale (LCL), dal legamento anulare, dalla capsula anteriore e dal contributo dei muscoli stabilizzatori.

Pattern frequente: deficit di controllo scapolare e overuse estensorio che portano ad una LET, con coinvolgimento tipico dell’ECRB.

Pattern opposto (meno frequente): scarsa coordinazione scapolare e crollo del polso in flessione/ulnardeviazione con aumento della tensione nei flessori-pronatori che porta ad una MET.

Approccio consigliato: de-tensioning scapolo-omerale, ripristino della rotazione radio-ulnare, rieducazione neuromotoria fine distale e carico progressivo specifico su estensori o flessori-pronatori, con progressione calibrata sul quadro clinico.

E quindi?

Non rinforzare solo l’avambraccio.
Rieduca la catena: spalla–gomito–mano.
Perché il dolore al gomito non nasce dalla debolezza.. ma dalla disconnessione.

“Il gomito non cede perché è fragile.
Cede perché è rimasto solo a mediare una guerra tra spalla e mano.”

Fai questo test: stendi il braccio, ruota lentamente il palmo in su e poi in giù.
Dove senti la tensione? Verso il polso? Verso la spalla? Proprio sul gomito?

Il gomito non ti tradisce.
Si stanca solo di fare da paciere tra due estremi che non si parlano più.

Post divulgativo a scopo educativo.
Non sostituisce la valutazione fisioterapica personalizzata.

08/11/2024

When we don't breathe with proper diaphragmatic technique, whether due to a restriction, stress, etc., we over-use our secondary respiratory muscles in the neck and shoulders. One muscle that gets caught up in that pattern is the omohyoid. When overworked or restricted, the omohyoid can create quite a lot of tightness and spasm in the neck, especially affecting side-to-side movement.

08/11/2024

✨"This is a great visual! Fascia is fascinating and it is connected from our tongue to our toes!

👉🏼There is no separation in the body, and one part always affects another part in some way.
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👉🏼The tongue’s connection to the toes through myofascial structures, also called soft tissues.
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👉🏼This helps us understand the whole body effects of tethered oral tissues
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👉🏼The tongue doesn’t function in isolation or alone, these connections reveal the interdigitated movement system and need to address more than the mouth when babies have oral restrictions, Torticollis, postural asymmetries, tightly curled toes and more."
👅➡️👣

- 👅➡️👣
Original credit to: Tom Meyers LMT, NCTMB, ARP
Credit: Michelle Emanuel OTR/L

19/07/2024

08/02/2022

PSOAS: THE SOUL MUSCLE
The importance of psoas for our health, vitality and emotional well-being.
The psoas is the deepest and most stabilizing muscle of the human body, which affects our structural balance, width of movement, joint mobility and functioning of the abdominal organs.
It is the only muscle that connects the spine to the legs, responsible for keeping us standing and allowing us to lift our legs to walk.
A healthy psoas stabilizes the spine and provides support through the trunk, also forming a good shelf for the abdominal organs.
Some recent studies also consider psoas, a perception organ composed of bio-intelligent tissue that literally embodies our deepest desire for survival and flourishing. That is, he is the primary messenger of the central nervous system, so he is also considered as a spokesperson of emotions. This is because the psoas is connected to the diaphragm through the connective tissue or fascia, so it is affected both in breathing, and in fear reflection.
An accelerated lifestyle and stress generates adrenaline that chronically tense the psoas, preparing it to run, get into action or shrink to protect us.
If we constantly keep the psoas in tension due to stress, over time it begins to shorten and harden. This will make our posture and functions of the organs residing in the abdomen difficult, giving way to back pain, sciatica, disc problems, hip degeneration, painful menstruation or digestive problems.
On the other hand, a tense psoas sends signals of tension to the nervous system, interferes with the movement of fluids and affects diaphragmatic breathing. In fact, the psoas is so intimately involved in the basic physical and emotional reactions, that when it is chronically tense, it is sending the body continuous signs of danger, so it can impact the exhaustion of l the superrenal glands and the immune system.
This situation is aggravated by the way we sit or by the poses of our daily habits, which reduce our natural movements and tighten the muscle even more.
A released psoas allows the front of the thighs much longer and allows the legs and pelvis to move more fluently and independently. Improves the position of the spine and the entire torso, with the subsequent impact on improving the functions of the abdominal organs, in the breathing and in the heart.
When we cultivate the health of our psoas our vital energies are revived and reconnected with our creative potential.
In some oriental philosophies to the psoas is known as the “muscle of the soul”, a main energy center of the body. The more flexible and strong the psoas is, the more our vital energy will be able to flow through bones, muscles and joints.
The psoas would be like an energy sewer organ, a core that connects us to the Earth, allowing us to create a firm, balanced support from the center of our pelvis.
Thus, the spine extends and through it, our entire vitality can flow.

Carmen Patricia Parigiani

08/02/2022

A less frequently considered source of carpal tunnel symptoms is the rotator cuff. Instability in the shoulder often results in spasm of an elbow muscle called the pronator teres. It can compress the median nerve, creating carpal tunnel symptoms.

08/02/2022

When you lean your head back, that motion is actually supposed to begin at T4, well below your neck. Many have a rigid upper thoracic spine, leaving this motion to be done ONLY by the neck. This can result in instability and degeneration over time.

21/01/2022

Tre piccoli, ma importanti suggerimenti, che consiglio ad ogni mio paziente, dopo un efficace trattamento Bowen.

Bowen Therapy can help your body heal itself but you can assist by following these 3 important after care suggestions:
1. WALK to help your body adjust, keep everything moving, free restrictions
2. WATER helps to lubricate your tissues and flush out toxins
3. WAIT gives your body time to respond, each treatment keeps working on your body for at least 5 days

31/10/2021