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magazine 2012/2
with varying degrees of osteoarthritis often
come to him. One thing is of absolute
importance to the physician when dealing
with his knee patients: breaking through the
pain barrier or, as he calls it, the “continu-
ous inhibition reflex”! “It is important to
understand,” he explains, “that pain hinders
everything. Happiness, motivation, quality of
life. And, above all else, movement. The body
cries out with every step: Stop, it hurts!” To
silence the great inhibitor, Prof. Castropil
prescribes many of his osteoarthritic pa-
tients the GenuTrain A3 knee support. The
3 As in the name stand for “Anti”, “Arthros”
and “Algos” (“against joint pain”). As a rule,
the physician prescribes the active support
to patients in the early to advanced stages
of osteoarthritis. “We encourage them to
put the support on immediately after they
get up, and to wear it for two to four weeks,”
he recommends. He sees pain reduction and
strengthening of the muscles – particularly
the quadriceps – as the decisive factors.
This, he believes, prevents the “specter of
atrophy” from arising. “The result is that
patients often do not want to take off the
support at all any more after four weeks.”
This is understandable, if you consider that
the corresponding knee scores (IKDC) have
significantly improved, as demonstrated by
Prof. Castropil’s tests.
“Envelope of functions”
For minor osteoarthritis at stage 1, as well as
for knee complaints resulting from over-
straining or instability, Prof. Castropil prefers
to recommend the GenuTrain P3 (“Permanent
Patella Protection”) active support to his
patients – to improve the guidance of the
patella. He stresses that it fits excellently
into the “envelope of functions” concept.
This approach to treatment originally comes
from the USA. The “envelope of functions”
Pictures: Bauerfeind Store Sao Paulo
Giant rainforests, heavenly coasts – Brazil is nature’s paradise, and it is increasingly
becoming a haven for sports enthusiasts too. The country is currently experiencing a real
fitness boom, and health centers, which offer orthopedic care as well as medical aids, fit
well into this exercise scheme. The treatments provided by Prof. Wagner Castropil also
follow an integrative concept.
Looking good on the beach –
and staying healthier too
Higienópolis Health Center, São Paulo
More and more Brazilians want to take up
sports. With some of the world’s greatest
sporting events, such as the 2014 Football
World Cup and the 2016 Olympic Games, due
to be held on home soil, Brazil’s distinctive
enthusiasm for sport may give rise to more
work for people in medical professions, such
as the São Paulo-based orthopedic special-
ist Prof. Wagner Castropil, for example. The
specialist in sports medicine and his twenty
colleagues at the VITA clinic, the largest pri-
vate orthopedic clinic in the city, treat around
5,000 patients per month. Prof. Castropil him-
self performs around 150 shoulder operations
and 200 knee operations each year, albeit in
cooperating hospitals rather than at the VITA
clinic. “People often just used to run once
around the block, but now they want to run
a marathon,” he says, describing the problem
of overambition, which can lead to injuries.
“Or they want to look good running along the
beach.” The physician believes that it is not
just the latest fitness boom that is responsi-
ble for the steep increase in patient numbers,
but also the clinic’s favorable location in
terms of transport links – a decisive factor
in a city known for its constant traffic jams.
In the land of the Sugarloaf mountain and
the Copacabana, the sea has a great deal of
attractive appeal. The same is true of health
centers in favorable locations. São Paulo is
notorious for its constant traffic jams. “It is
important for our patients to be able to get
to us quickly and easily,” says the physician.
The Higienópolis Health Center, which houses
the VITA clinic, is on the outskirts of the huge
metropolis of São Paulo, the third largest city
in the world.
Pain – the great inhibitor
Prof. Castropil treats patients of all ages,
including many people suffering from osteo-
arthritis and even former Olympic judokas.
He describes how 50- to 55-year-old patients
Prof. Wagner Castropil checks whether the GenuTrain P3 fits correctly on his patient.