#50 Stress test, YES or NO?

The year 2018 has begun, and in this short time you've surely had the opportunity to make some adjustments to your beloved bike, buy some accessories (or receive them from the Three Wise Men), or even tune up your car's bike rack, thinking about that mountain trip you're going to take as soon as you have time.

When it comes to our passion (cycling), we spare no effort. That's fine, but do we have the same attitude when it comes to our health? Do we take care of our body as well as we do our bike? Do we check our heart with the same care we give to waxing our bike chain?

Many people get used to "getting by" year after year, taking only their feelings into account, unaware that many problems don't show up in the early stages and that proper prevention can be of great help to our health.

We're responsible cyclists here, not only with the environment but also with ourselves, so let's review some aspects you should keep in mind when assessing your physical condition. Yes, yes, today we are going to talk in depth about the SPORTS MEDICAL EXAMINATION .

What tests can be performed during a sports medical examination?

Depending on our goal, we can follow one or more protocols. The complete model includes the following steps:

1.- Interview and information gathering : in this first phase, the doctor gathers the patient's main personal data and reviews his or her medical history (previous operations, chronic injuries, illnesses, etc.).

2.- Taking anthropometric measurements : height, weight, body fat index, etc.

3.- Exploration: It has several phases.

  • Taking vital signs : such as blood pressure or heart rate.
  • Spirometry : A test that evaluates the condition of the lungs by measuring the air they are able to inhale and exhale. The patient is asked to breathe through their mouth and exhale through a small tube to measure airflow.
  • Examination of the locomotor system to assess possible injuries.
  • Electrocardiogram : Evaluates heart rhythm and function by recording the heart's electrical activity. This is important for diagnosing potential heart and lung problems early.
  • General strength and flexibility tests . This is another opportunity to discover any injuries you may not be aware of or to see how you're handling those that have become chronic.

4.- The stress test: They are usually performed on a treadmill or stationary bike. In this test, we perform progressive increases in the workload, with a maximum duration of between ten and fifteen minutes. It is essential to perform an electrocardiogram before the test, and have a specialist monitor the test during its performance and for at least three to five minutes during recovery. With this test, we will perform a direct gas analysis (measuring the oxygen consumed and carbon dioxide eliminated by our body), allowing an exact determination of maximum oxygen consumption and the precise detection of our aerobic and anaerobic thresholds.

5.- Blood analysis: it is advisable to perform a complete blood count (red blood cells, white blood cells, platelets), analyze the erythrocyte sedimentation rate (red blood cells) to detect infections, and perform a biochemical study to determine the concentration of different chemical substances in our body (glucose, creatine, uric acid, cholesterol).

6.- Urine analysis : With this simple test, we can determine if we have an autoimmune, kidney, or systemic disease, such as diabetes or urinary tract infections.

When is a medical check-up recommended and what tests should be included?

In general, doctors recommend having a complete medical check-up once a year , whether we are athletes or not, just to see how our health is, although in reality most people only go to the doctor when we already have a problem. If we're going to start a new sport and it's going to become part of our routine, the need for this medical examination becomes even more pressing, since we need to know if our body is ready for it. If this sporting activity isn't new to us, but we know we're going to be doing it very intensely , training hard, and competing in competitions (whether professional or not), the convenience of going to the doctor and getting a full checkup increases even more.

We strongly recommend that you check on your health at least once a year , see your doctor, and he or she will advise you on which of the tests we mentioned above are most appropriate for you.

January is a perfect month to get this checkup done, because psychologically we're more willing to make improvements in our lives, and because the Christmas holidays mark a significant break in the cycling world, and the season picks up again after the holidays. This pre-season period is an ideal time to do a health checkup.

Okay, you've convinced me, I'm going to get my medical checkup. Where do I go?

Fortunately, in many Spanish cities, we have sports and health centers where we can get these tests done.

MADRID :

School of Professional Specialization in Physical Education and Sports Medicine

This center is affiliated with the Faculty of Medicine of the Complutense University of Madrid. It has a teaching laboratory where you can undergo all types of tests (medical history, physical examination, resting electrocardiogram, spirometry, kinanthropometry, cardiovascular fitness test, and detailed personalized reports). They also perform specific tests according to your sport (footprint analysis, asthma, musculoskeletal system, nutrition). You must wear sports clothes and if you want you can shower after finishing. The price can vary depending on the patient's age and the tests performed, but it typically costs €110 and must be paid in advance and via bank transfer. https://www.ucm.es/escueladeporte/laboratorio-escuela

Medical Service of the Madrid City Council

Here are some tests aimed at all audiences: - competitive athletes. - people who practice popular sports. - people who need to know their health to do physical exercise Individual appointments must be made at any of the Sports Medicine Centers located in the Municipal Sports Centers, either by phone or in person (see the section on in-person appointments). Medical examinations for athletes are provided throughout the year at the municipal sports centers of Aluche, Concepción, Daoiz and Velarde I, Moscardó Gymnasium, José María Cagigal, Moratalaz, Palomeras, Plata and Castañar, Pradillo, and Vicente del Bosque. The rates are: Adult (27 to 64 years): 14.00 euros (basic) and 27.00 euros (special). Youth (15 to 26 years): 11.20 euros (basic) and 21.60 euros (special). Children (up to 14 years): 8.40 euros (basic) and 16.20 euros (special). Over 65s: 4.20 euros (basic) and 8.10 euros (special). People with disabilities: 4.20 euros (basic) https://sede.madrid.es/portal/site/tramites/menuitem.1f3361415fda829be152e15284f1a5a0/?vgnextoid =4b1ddd9d6baed010VgnVCM2000000c205a0aRCRD&vgnextchannel=ae29a38813180210VgnVCM100000c90da8c0RCRD

Medical Service of the Las Rozas City Council

Basic fitness checks are performed here in all the medical services of the various facilities, upon request. Checks are also provided for federation cards, diving certificates, and fitness tests for admission to competitive events, among other things. In addition, medical examinations with stress tests are available for all users who wish to participate, tailored to their individual needs. Additional tests such as electrocardiograms and spirometry are also available. The medical examination with stress test costs €41.20, the medical examination with additional tests costs €27.80, the medical examination for membership registration costs €12.80, and the medical examination for the senior physical activity program is free. http://www.rozasdeportes.org/contenido.php?idc=38

Reebok Sports Club Madrid

At the Reebok Sports Club in Madrid, you can also undergo a stress test with gas analysis (VO2max), a sports physical, a lactate test, a sports medicine consultation, a body composition study (kineanthropometry), obtain sports certifications for federated sports, and all types of analytics. They have two centers, one in the city of Madrid and another in Pozuelo de Alarcón. - Madrid: in the ABC Serrano Shopping Center (C/ Serrano, 61). - Pozuelo: Sports Club Promenade, 4 Member rates are always slightly cheaper; here are the rates for non-members: Medical recognition and federation card (€46.00) Blood Analysis (€97.00) Sports Medicine Consultation (€70.00) Sports Medical Checkup (€50.00) Electrocardiogram (ECG) (€36.00) Spirometry (€47.00) Cineanthropometric Study (€47.00) Stress Test with Gas Analysis (€113.00) Sports Medical Examination (RMD) (€140.00) Field Test (€115.00) Lactate Test (€113.00) Lactate transition test (€140.00) Anaerobic Assessment without gas analysis (€50.00) Strength Rating (€92.00) Flu Vaccine (€22.00) Food intolerance test (€578.00) Vitagenes genetic test (€495.00) 24h Sports Holter (€105.00) 48h sports Holter (€161.00) Holter heart rate 24h (€76.00) 24h blood pressure Holter (€60.00) ECHO (Echocardiogram) (€99.00) http://www.reebokclub.com/top/centro-medico-ohp/medicina-deportiva/tarifas-medicina-deportiva/

Complete list of centers where you can undergo a sports physical examination in Spain:

ANDALUSIA

Andalusian Center for Sports Medicine http://www.ctcd.junta-andalucia.es camd.ctcd@juntadeandalucia.es Headquarters Beatriz Manchón Roundabout. Cartuja Island s/n (CAR) 41092 – SEVILLE Dr. Leocricia Jiménez López, Director. Dr. José Naranjo, Dr. Javier Alonso, Dr. Francisco Gallardo, Dr. Ramón Centeno. 955 062024 Provincial Headquarters C/ Isla Fuerteventura s/n. 04071 Almería Dr. Lucía Valenzuela, Dr. José Luis Gómez, Dr. Juan José Ferrer 950 257048 South Bay Complex. Paseo Virgen del Carmen s/n 11100 San Fernando (Cádiz) Dr. Carmen Vaz, Dr. Eva Mª Fernández 670 948160 Fax: 956-253189 Municipal Sports Facilities. Pl Vista Alegre s/n 14003 CÓRDOBA Dr. Bernardo Viana 957355185 Fax: 957 355188 San Juan de Dios Hospital. San Juan de Dios Street, s/n, 18001 Granada Dr. Carlos de Teresa, Dr. Socorro Navarrete 958 291426 958 291426 camd.granada.ctcd@juntadeandalucia.es La Garza Sports Park. La Fernandina Road. 23700 Jaén Dr. Raimundo Prieto Fax: 953 634706 Carranque Sports Facilities. Santa Rosa de Lima Avenue, s/n. 29007 Málaga Dr. Carlos Melero, Dr. Yolanda Ruiz, Dr. Encarnación Tenza 951 035730 Fax: 951 035732 camd.malaga.ctcd@juntadeandalucia.es Huelva Sports City. Manuel Siurot Avenue, s/n. 21004 Huelva Dr. Ana Ortiz, Dr. Rodolfo Ortiz 670-945102 Fax: 959 015912 camd.huelva.ctcd@juntadeandalucia.es Antares Club. Seville. Dr. Tomás Calero 95 4296900 Fax: 95 4296901 Medisport. Seville. Dr. Ana Redondo 95 4296465/4297050 Fax: 95- 4296154 Exercise Physiology Laboratory, Faculty of Medicine, University of Granada. Dr. Ángel Gutiérrez and Dr. Manuel J. Castillo 958-243540/649440833 648440850 cts262@ugr.es; gutierre@ugr.es; mcgarzon@ugr.es; Municipal Sports Board of Granada. Dr. José de la Plata and Dr. Miguel A. Gallo 958 127888 Fax: 958 127888 miguelangelgallo@pmdgranada.org; josedelaplata@pmdgranada.org Sports Medicine Service. 02 Neptuno Wellness Center. C/ Neptuno s/n. 18004 Granada Dr. Juan Carlos de la Cruz Márquez 958 260726 Jerez Municipal Sports Department. Medical Service. Jerez de la Frontera. Dr. Fermín Plata 956 312245 School of Physical Therapy and Sports Medicine, Málaga. Dr. Victor Fernandez Pastor 95 2131573/74/2210177 Fax: 95 2137283 vifp@uma.es Cadiz School of Physical Therapy and Sports Medicine. Dr. Manuel Rosety 95 6015201 medical-school.deporte@uca.es Sports Foundation. Malaga City Council. La Trinidad Sports Center. Dr. Ana Navarro 95 2429833 Los Bermejales University Sports Center. Sports Activities Service. University of Seville. Seville. Dr. Laura Pascual, Dr. Miguel Fernández 95 4487717 Fax: 95 4487727 Dr. Martin Angel Luna Gomez. Cordoba. 957 488021 Sports Nutrition. Huelva Dr. José Luis Camacho 959 802305 Fax: 959 322763 nutridepor@ono.com Gestimedic Sports Medical Examinations: Dr. D. Héctor Pellín Bermúdez. Sports Medicine Consultations: Dr. Consuelo García Antúnez 954 933122 Fax: 954 933123 gestimedic@cardiplus.com; www.cardiplus.com Other Centers in Seville: Sato-Santa Justa Municipal Sports Boards of: Two Sisters The Rinconada Saint John of Aznalfarache Medsport SL Institute Cádiz Dr. Fría 645 909 972 – 617 682 043 Tel and Fax: 902 021992 info@institutomedsport.com

ARAGON Regional Center for Sports Medicine of the General Council of Aragon. Zaragoza. Dr. José Luis Terreros, Dr. Maite Aragonés, 976 791000 Dr. José María Echevarri, Dr. Juan J. Lacleta

Functional Assessment Laboratory of Physical Activity. Faculty of Medicine. University of Zaragoza. Dr. José Antonio Casajus 976 761000 Sports Medicine Clinic of Dr. Pedro Manonelles Marqueta, Zaragoza Dr. Pedro Manonelles 976 237129 Fax: 976 237129 manonelles@eresmas.net Sports Medicine Center. Zaragoza Dr. Fco José Sarasa 976 494409 fjsarasa@encomix.es VO2 Sports Medicine and Physiotherapy Center. Huesca. Dr. Fernando Sarasa 974 244134 Fax: 974-244134 centrovo2@correo.ecomputer.es Vital Point Medical Center. Zaragoza. Dr. Abel Gago 976 467150 Dr. Armando Guillén Fax: 976 467151 Sports Medicine Consultation. Dr. Pilar Aznar Dr. Pilar Aznar 976 439593 Fax: 976 439593 Stadium Casablanca Sports Club. Zaragoza. Dr. Bernardo Monje 976 791070 Fax: 976 791078 ASTURIAS Medical Center. Municipal Sports Board. Gijón. Dr. Esther Álvarez 98 5181708 Fax: 98 5364460 sportsmaintenance.pdm@ayto.gijon Regional Sports Medicine Unit. Department of Sports Medicine. Avilés Municipal Sports Foundation. Dr. Nicolás Terrados and Dr. Javier Landaluce 98 5567831/985-525443 Fax: 98 5563448 Oviedo School of Physical Medicine and Sports Medicine. Dr. Miguel del Valle 98 5109522 Fax: 98 5109525 adelal@uniovi.es TORENO Clinic. Dr. Luis Alonso 985 251700 Fax: 985 251634 Sports Club. Royal Covadonga Cultural Group. Gijón Dr. Miguel del Valle 985 5276540

BALEARICS

Sports Assessment Center. Balearic School of Sport. Ministry of Culture, Education, and Sports. Príncipes de España Sports Center. Palma de Mallorca. Dr. María Alos 971 432183 Dr. Elena Ugarriza Fax: 971 431724 cesucre@ebe.es GAMESMA - Mallorca Sports Medicine Office Dr. Teo Cabanes – Dr. Bartomeu Marí Physicians specializing in Physical Education and Sports Medicine. C/ Font i Monteros, 22 ground floor. 07003-Palma de Mallorca. Telephone and fax 971-723355 Department of Sports Medicine. Palau Municipal d'Esports. Municipal Institute of Esports. Palma de Mallorca City Council. Dr. Eduardo Ribot 971 739941/2 Fax: 971 453414 Department of Sports Medicine. Palau Municipal d'Esports. Municipal Sports Institute. Palma de Mallorca City Council. Dr. Eduardo Ribot 971 739941/2 Fax: 971 453414 Femesport. Sports Medicine Center. Palma de Mallorca. Dr. Miguel Chiacchio 600413171 Fax: 971 734746 Center for Physiotherapy and Sports Dietetics. Municipal Sports Medicine Service. Physiotherapist and Director of the Juan Alloza Roselló Center 971 714961 Sports Medicine Office. Department of Education, Culture and Sports. Island Council of Menorca. Mahon. Dr. Fernando Salom 971 354173 gabinet-medesport@cime.es Sports Medicine Office. Ibiza and Formentera Island Council Dr. César Ramos 971 310254 gabinetmedicinaesportiva@cief.es

CANARY ISLANDS

Canary Islands Sports Support Center. General Directorate of Sports. Government of the Canary Islands. Las Palmas de Gran Canaria. Dr. Luis Apolinario Rodríguez, Dr. Antonio Ramos. 928 3724344 Fax: 928 455554 laporad@gobiernodecanarias.org Sports Medicine Service. Insular Sports Institute. Gran Canaria Sports City. Las Palmas de Gran Canaria. Dr. Luis Espino / Dr. Elsa Florido 928 317075/0511 Fax: 928 311377 Sports Medicine Service. Municipal Swimming Pool. Santa Lucía Town Hall. Neighborhood. Dr. Pablo Rodríguez 928 798006 Canary Islands Sports Support Center. General Directorate of Sports. Government of the Canary Islands. Santa Cruz de Tenerife. Dr. Antonio Pintor Díaz 922 606000 CEREMEDE. Sports Medical Examination Center. La Laguna Dr. José Luis Álvarez 922 264658 Fax: 922 315048 Sports Medicine. Santa Cruz de Tenerife. Dr. Blanco 922 740426/740575 doctorblanco@telefonica.net Fax: 922 740675 Sports Medicine Center. Puerto de La Cruz City Council. Dr. Antonio Javier González Pérez 922 388339 Fax: 922 384080 http://lanzarotedeporte.com Sports Medicine Center. Telde City Council. Dr. Javier Hernández Campos 928 013413 Sports Medicine Center. Lanzarote Island Council. Arrecife. Lanzarote. Dr. Augusto Usón 928 810367 Fax: 928 800561 CANTABRIA Government of Cantabria. Ministry of Culture, Tourism, and Sport. Regional Center for Sports Medicine. Sports Center. Avenida del Deporte S/N. Santander. Dr. Carmen Toyos, Dr. Mª Luisa Cajigas Dr. José Manuel Morago LMX afternoon JV tomorrow 942239944 Sports Medical Center. Torrelavega. Dr. Begoña Manuz 942 892347 Fax: 942 085106

CASTILLA-LA MANCHA

Toledo Provincial Council. Sports Medicine Center. Toledo. Dr. María del Valle Guío 925 259353 Fax: 925 259426 vguio@diputoledo.es General Medicine and Sports Medicine. Toledo. Dr. Fernando Jiménez 925 210757 and Fax www.ctv.es/USERS/docjimenez docjimenez@ctv.es Municipal Sports Institute of Albacete. Dr. Vicente Ferrer 967 511128 Dr. Luis Martínez Riaza Fax: 967 503744 ferrerlopezv@terra.es Municipal Sports Board. Municipal Sports Center. Guadalajara. 949 210659 Fax: 949 247073

CASTILLA Y LEÓN

Regional Center for Sports Medicine of Castile and León. Valladolid. Avda./Real de Burgos s/n Dr. Ernesto Candau (Director of the Center). 983 255400 Fax: 983 266104 ceremede@grs.sacil.es Sports Clinic. Valladolid Dr. Jesús Losa 983 380511 Fax: 983 137799 www.geocities.com/HotSprings/5016 cdeportiva@usuarios.retecal.es Atlas Sports Medicine Center. Aranda de Duero (Burgos) Dr. Luis González Lago 947 511768 Dr. Claudia Acosta Torres Fax: 947 058651 Sports Medicine Office. Municipal Sports Institute. Miranda de Ebro (Burgos). Dr. Fernando Herrero, Dr. Koro Quevedo 947 335319 Sports Medicine Unit. Hospital No. Sª de Regla, León Dr. José Luis Conty: 24-hour telephone, Monday to Sunday: 629710165 jlconty@teleline.es Sanasport. Sports Medicine Clinic. León. Dr. Belén Gutiérrez 987 218148 Sports medical examinations: mxv (afternoons) Fax: 987 218147 clinic@sanasport.com San Marcos Clinic. Sports Medicine Unit. Salamanca. Center Director. Alberto Romero 923 261128 Mobile: 659844353

CATALONIA

CONSELL CATALÀ DE L'ESPORT GENERALITAT DE CATALUNYA • OWN SPORTS MEDICINE CENTERS Level 2: Center de Medicina de l'Esportiu - Center D'estudis d'Alt Performance Esportiu (CEARE): Dr. Assumpta Estruch aestruch@gencat.net Tel. 93.480.49.00 Fax 99.480.49.11 Sports Medicine Center Territorial Representation of Sports in Girona. St. Catherine's Hospital Dr. Jordi Sitjà jordisitja@comg.es Tel. 972.18.26.00 Sports Medicine Center Territorial Representation of l'Esport in Lleida. National Institute of Physical Education of Catalonia (INEFC) Dr. Ferran Pifarré fpifarre@inefc.es Tel. 973.27.20.22 Fax 973.27.59.41 Sports Medicine Center Territorial Representation of Sports in Tarragona Dr. Ignasi de Yzaguirre ignasi.izaguirre@gencat.net Tel. 977.25.14.87 Fax 977.25.14.93 • Accredited Sports Medicine Centers Level 2: Manresa Sports Medicine Center Dr. Carme Comellas comellas@tecnoassis.com Tel. 93.872.49.31 Fax. 93.872.49.31 Functional Assessment Center of the School of Medicine, Physical Education and Sports of the University of Barcelona. Servei d'Esports of the University of Barcelona Dr. Antonio Turmo turmo@car.edu Tel. 93.403.40.16 Level 3: Center d'Alt Performance Esportiu (CAR) Dr. Vicky Pons vpons@car.edu Tel. 93.589.15.72 Fax 93.675.41.06 Regional Sports Medicine Center (La Selva). Sta. Coloma de Farnes. Dr. Jordi Sitja 619682539 jordisitja@comg.es TEKNON Medical Center. Barcelona. Dr. Ignacio Sitges, Dr. Juan García-Nieto, Dr. Gil Rodas 932906404 Fax: 93-4175617 imesport@imesport.com FIATC Foundation Clinic. Barcelona. Dr. Balius Juli, Dr. Daniel Brotons 93 2053213 Fax: 93 2806280 Mutual of Terrassa. Sports Medicine Unit. Terrassa. Dr. José Salvador Sánchez 93 7365050 Fax: 93 7365059 Sports Medicine Unit. Sant Pau and Sta. Tecla Hospital. Tarragona. Dr. Manel González 977 259900/11 mgperis@sv.tecla.es; lsansal@sv.tecla.es; Sports Medicine and Health Promotion Unit Dr. Joaquim Guasch Bosch Terres de l'Ebre Clinic Plaça Joaquim Bau 6-8; CP 43500 Tortosa (Tarragona) 977 588200 jguasch@clinicatortosa.com Web: www.cterresbre.com and Fax: 977 588195 Sports Medicine Unit. “Sant Joan” Reus University Hospital. Dr. Francisco Rubio, Dr. Luis Franco 977 308305 Fax: 977 308305 Sports Medicine Unit. Amposta Specialty Center. Dr. Francisco Rubio 977 700050 Fax: 977 702894 Sports Medicine Unit. La Selva Regional Hospital. Access to Cala S. Francisco No. 5, 17300 Blanes, Girona. Dr. Javier Solana, Alberto Padilla 972 357037 Fax: 972 357037 Badalona L-Esport Medicine Unit. Camí de Sant Jeroni de la Murtra, 60.08917 Badalona Mr. Eduard Ribas 93 4603900 93 5074710

ESTREMADURA

Department of Physiology. Faculty of Physical Activity and Sport. University of Extremadura. Cáceres Campus. Dr. Marcos Maynar 927 257460 mmaynar@unex.es Fax: 927 257461 Sports Medicine Center SL Cáceres. Dr. Ángel Martín Castellanos 927 231877

GALICIA

Galician Sports Technique Center. Pontevedra. Dr. Fernando Huelin 986 854437 huelin.trillo@cmpont.es Fax:986-847510 Lugo Rehabilitation Center SL Dr. Jesús Vázquez Gallego and Dr. Charo Solana Galdámez rehabilitationlugo@mundo-r.com Sports Medicine Consultation at Fatima Hospital (R/Vía Norte, nº 48.36206 Vigo, Pontevedra) Dr. Juan José Crespo Salgado

RIOJA

Adarraga Sports Development Center. Department of Education, Culture, Youth, and Sports. Autonomous Community of La Rioja. Logroño. Dr. Vicente Elías 609892617 Fax: 94 1209023 Vicente.elias@teleline.es Dr. Pereda Clinic (Teaching Center of the University of Valladolid) Dr. Pablo Pereda González 94 1234455 cpt-fadura@ej-gv.es Fax: 94 1234455

MADRID

Regional Center for Sports Medicine of the Community of Madrid. World Swimming Center 86. Madrid. Dr. Mª Teresa Lara Dr. Juan Carlos Segovia Dr. Mª Jesús del Castillo 91 7203564 medicina.deportiva@madrid.org Municipal Sports Institute. Madrid City Council. Eight Sports Centers in Madrid. Dr. Victor Gonzalez Llorente 91 5471282 Aluche General Fanjul Avenue, 14 Dr. Glez. Murado, Dr. Calvo Manzano 91 7062868 idmaluche@munimadrid.es Pilar Neighborhood Monforte de Lemos, 13 and 15 Dr. Juanes Morales, Dr. Tortosa Alameda 91 3147943 idmbpilar@munimadrid.es Conception C/ José del Hierro, s/n Dr. Marín Sánchez, Dr. Cerqueira Fernández 91 4039020 idmconcepción@munimadrid.es Chamartín Plaza del Perú, s/n Dr. León Sáez, Dr. Diego Lobo, and Dr. Cruz Martínez 91 3501223 Fax: 91 3501338 idmchamartin@munimadrid.es J. Mª Cagigal C/ Santa Pola, s/n Dr. Heredia Domínguez; Dr. Casín González 91 5413716 idmjimcagigal@munimadrid.es Moratalaz C/ Valdebernardo, s/n Dr. De Paul Sanchez; Dr. Loncan Molleda 91 7727121 idmmoratalaz@munimadrid.es Fax: 91 7720964 Moscardó Pilar de Zaragoza, 93 Dr. Vieites Alén; Dr. Alonso Peña 91 3553201 idmgmoscardo@munimadrid.es Dovecotes Arganda Tram, c/v Avda. de la Albufera Dr. Chamorro Sánchez; Dr. Álvarez Fidalgo 91 7774901 Fax. 91 3803656 idmpalomeras@munimadrid.es Daoiz and Velarde C/ Alberche, 21 Dr. Keyvan Eliassi; Dr. Segura Torado 91 4338950 idmdvelarde@munimadrid.es Arganzuela Integrated Center C/ Canarias, 17 91 5063610 idmestacionsur@munimadrid.es School of Physical Therapy and Sports Medicine. Complutense University. Madrid. Director: Dr. Julio Legido 91 3941367 Fax: 91-3941366 Physicians: Dr. Fco Javier López Silvarrey, Dr. Francisco Miguel, Dr. Pilar Martín Escudero, Dr. Juan José Ramos, Dr. Juan Carlos Segovia Martínez www.ucm.es/info/meddepor mededepo@med.ucm.es; miguelto@med.ucm.es; Sports Performance Assessment and Control Center. Department of Human Performance. National Institute of Physical Education. Madrid. Dr. FJ Calderón/ Mr. Pedro J Benito 91 3364070 91 3364012 franciscojavier.calderon@upm.es Príncipe Sport's Sports Medical Clinic. Madrid. Dr. Ángel Durantez 91 4579874/0021 adurantezp@meditex.es Fax 91 3441205 Principe Sport's II Medical Center SPA. Madrid. Dr. Rosa Martínez-Aedo Ollero 91 3840416 Fax: 91 3840414 Sports Medicine Service. Alcobendas City Council. Dr. Jesús Novella. Dr. Pablo Gasque 91 6597699 Fax: 91 6597699 José Caballero Sports Center. (Barajas Highway Km 1.4) 91 6587113 Valdelasfuentes Sports City (C/M Cervantes, 4) 91 6587110 DEYRE Medical Center, Madrid Dr. Juan José Ramos, Dr. María Jesús del Castillo and Dr. María Luisa Ramón 91 5591174 Oberón Sports and Medical Center. Sagrada Familia Sports Center. Dr. Javier San Miguel 91 3050110 Fax: 91 3015671 polideportivo@psfmadrid.com Nenúfar Medical Center. San José de Valderas. Alcorcón. Dr. Javier García (Manager) 91 6102678/6106046 Dr. Javier Lolo Fax:91 6372264 javiergp@nenufar.e.telefonica.net Medical Service. Municipal Sports Center "El Val." Alcalá de Henares. Dr. José María Calvillo 91 8820689 Medical Service. Dehesa de Navalcarbón Municipal Sports Center Department of Sports. Las Rozas City Council. Dr. Tomás Aparicio 916374531/53 Fax: 91 6372264 Cea Bermúdez SL Medical Office Dr. Concepción Pozo 91 3993025/5495244 Fax: 91 5445502 info@cea61.com Coslada Municipal Sports Council. “El Olivo” Pavilion Dr. José Manuel Hernández 91 6696643 Physical Exercise and Sports Unit. ASEPEYO Hospital. Coslada. Dr. Cristóbal Rodríguez 91 6735011 ext. 6016 Center for Sports Medicine and Physiotherapy. Estudiantes Basketball Club. Madrid. Dr. Juan José Pérez, Dr. Fernando Glez. Frade, Dr. Andrés Soriano areadeservicios@clubestudiantes.com 91 5619176 Fax: 91 5613251 MAPFRE Polyclinic. Madrid Tennis Federation. Fuencarral Dr. Abad Dr. Cerrato 91 7364070 Integral Sports Medicine Center, Villanueva de la Cañada Dr. Ana Mª Martín Morell 91 8118200 Dr. Miguel Jurado Gómez Sports Medicine Center "DEPORTEVITAL" Dr. Rosa Vidal Maneiro 91 8928702 617468541 SPE Health. Majadahonda (Madrid) Dr. Ángel Durantez 91 63844412 info@spesalud.com OHP Sports Medicine Center. Reebok Sports Club. Madrid C/ Serrano, 61. ABC Shopping Center, floor 6. 28806 Madrid. 91 4260507 Dr. María Jesús Núñez and Dr. López Chicharro centromedico.madrid@reebokclub.com http://www.reebokclub.com OHP Sports Medicine Center. Reebok Sports Club. Pozuelo Club Deportivo Promenade, 4, 28223 Pozuelo de Alarcón. 28223 Madrid 91 7997084 Dr. María Jesús Núñez and Dr. López Chicharro centromedico.lafinca@reebokclub.com http://www.reebokclub.com Spanish Institute of Sports Health. General Pardiñas, 69 91 563 61 90 - 644 044 077 info@iesade.es http://www.iesade.es

MURCIA

Infanta Cristina High Performance Center. Center for Research and Study of Athletes' Health (CIESD). Los Alcázares, Murcia. Dr. José Antonio Villegas, Dr. Martínez Rocamora 968574897 Fax: 968 575636 juana.aleman@carm.es Juan XXI Medical Center. Murcia. Dr. José Luis Mtnez Romero, Dr. Francisco Esparza 968 238510/200647 Fax: 968 238301 cmjuan23@yahoo.es Central Physiology Unit. Catholic University of Murcia, UCAM. Guadalupe Road, s/n. Murcia. Dr. José Antonio Villegas 968 278757 Sports Medicine Service. San Javier City Council. Dr. José Sánchez Martínez. 968 573105 Municipal Institute of Games and Sports of Lorca. Dr. Joaquín Vicente 968 468300 Fax: 968 441183 La Flota Clinic. Murcia. Dr. Esparza, Dr. José Abenza 968 232250 Fax: 968 232250 Sports Medicine Center. University of Murcia. Murcia. Dr. Miguel Pagán 968 367117 Fax: 968 364145 mpagan@um.es Sports Medicine Clinic. Lorca. Dr. Juan Miguel Morillas 968 444929 Sports Medicine Service. Municipal Sports Hall. Molina del Segura. Dr. Armando 968 643000 Sports Medicine Service. Fuente Álamo City Council. Sports Medicine Center (Indoor Municipal Pool). Cartagena City Council. Dr. Antonio Pastor 968 310827 Fax: 968 310827 medicinedeporte@ayto-cartagena.es

NAVARRE

Navarra Sports Medicine and Research Center. Pamplona. Dr. Esteban Gorostiaga 948-427857 / 948292626 Medical and Sports Consulting. Pamplona Dr. JJ Aquilino Samanes. 948 170260 Fax: 948 170260 aquilinosamanes@wanadoo.es KINES. Pamplona. Dr. José Mª Urrutia 948 238887 SURVEY. Pamplona. Dr. Marisa Mtnez Zazo 948 177058 948 177058 marisamz@telefonica.net LACIDE-PRECOR. Pamplona. Dr. Alberto Modrego 948 175781 Fax: 948 175781 Sports Medicine Center. Pamplona. Dr. Xabier Garaioa. 948 171821 xgaraoia@jet.es Coronary Club. Pamplona. Dr. Pedro Sanz 948 152047 Fax: 948 233450 sanzp@hotmail.com Sports Medicine Service. Tudela City Council. Pamplona Street, 18 Responsible: Dr. Luis Segura 948 823266 Fax: 948 823266 www.geocities.com/HotSprings/Spa/1340 medicodeportivo@tudela.es Other Doctors: Dr. A. Esquiroz 948 172833 Dr. M. Mendiburu 948 220380
THE BASQUE COUNTRY Technical Sports Improvement Center "FADURA" – BASQUE COUNTRY Dr. Xavier Leybar and Dr. Josean Lekue de los Chopos, s/n. Madura Sports City. 48990-GETXO – Bizkaia- 944 302250 cpt-fadura@ej-gv.es Fax: 944 301819 EKISE (Basque Sports Association of Medina). Dr. Teresa Gaztañaga 636301020 ekeztg@euskalnet.net Bailén Medical Center. Bilbao. Dr. Alfonso Angulo; Dr. Francisco Angulo; Dr. Juan M. Santiesteban 944 399961 cbailen@euskalnet.net Fax: 94 399962 Sports Medicine Service. Sports House. Provincial Council of Vizcaya. Bilbao. Dr. Javier Bilbao 94 4410904 cbailen@euskalnet.net Osasunkirol, Health and Sports. Hondartza Sports Center. Hondarribia-Fuenterrabia Dr. José F. Aramendi 943 636033 Fax: 943 636033 ok.jose@i2000.es Sports Medicine. Vitoria-Gasteiz. Dr. Gandía, Dr. Zunzunegui, Dr. Goyenechea 945 161080 Fax: 945 161392 mdeportiva@vitoria-gasteiz.org Municipal Sports Institute. Santurtzi. Dr. Leguina 94 4836625 Physiotherapist: Felipe Martínez Fax:94 4837903 abonos@imd-sanrtzi.es Tinko Kirol Medikuntza. Donostia-San Sebastián. Dr. JC Izaguirre, Dr. JI Cilveti 943 213322 Quiron Clinic. Kirolbidea SL. Donostia-San Sebastián. Dr. Ricardo Jiménez, Dr. Guillermo Murguía 943 437118 Guipuzcoan Football Federation. Donostia-San Sebastián. Dr. José Manuel González Aramendi 943 463022 Virgen del Pilar Health Center. Donostia-San Sebastián. Dr. José Manuel González Aramendi 943 327020 Fax: 943 274952 Dr. Gotzom Laucirica. Gernika-Lumo laucirika@euskalnet.net Tel and fax 94 6255580 Guipúzcoa Polyclinic. Miramón Avenue, 174. 20009 San Sebastián, Guipúzcoa. Dr. Enrique Pérez de Ayala 943 002800 medicinadeportiva@policlinicagipuzkoa.com

VALENCIA

Sports Technique Center. General Directorate of Sports Department of Education and Culture. Generalitat Valenciana. Alicante. Dr. Javier Soro 965251183 Dr. Dan Radut Fax: 96 5910571 medi-depor03@gua.es Institute of Sports Medicine. Municipal Sports Foundation. Valencia. Pso Pechina, 42, 46008 Valencia Dr. Luis García del Moral 96 3613062 Fax: 96 3695458 imd@imedeo.com Functional Assessment Laboratory. Physical Education and Sports Medicine Unit. Castellón Provincial Hospital Consortium Dr. Joaquín Montoliu 964 359700 Infisport-Novodieta. Castellón. Dr. Manuel Arasa, Dr. Joaquín Montoliu 964 251888 Studesport. Valencia. Dr. Rafael Gallego Concha Bosca 96 3824694 Saguntina Sports Medicine Clinic. Sagunto Dr. Juan Alberto Aliaga 96 2650730 clininsac@comv.es International Center for the Recovery of Athletes (CIRD) - La Calderona Dr. Cesar Cobian 96 1699400 (Extension 814) Fax: 96 1699417 ccobian@lacalderona.com FOR MORE INFORMATION ON SPORTS MEDICINE CENTERS IN SPAIN: Spanish Federation of Sports Medicine (FEMEDE) www.femede.es Dr. Juan José González Iturri 948 265360 Fax: 948 174325 Federation of Associations of Physicians Specializing in Physical Therapy and Sports Medicine (FEDAMEFIDE) Dr. Francisco Miguel Tobal.