Haemophilia Rehabilitation Programme
Specialised multidisciplinary rehabilitation focused on joint health, pain management and long-term functional independence.Designed to complement modern haemostatic treatment, this programme addresses the musculoskeletal consequences that persist despite optimal prophylaxis, helping people with haemophilia maintain mobility, confidence and quality of life.
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Why specialised rehabilitation remains essential in modern haemophilia care
Despite major advances in haemostatic treatment and widespread use of primary prophylaxis, musculoskeletal complications remain a significant clinical burden in people with haemophilia (PWH). Joint deterioration, chronic pain and functional limitations continue to affect a substantial proportion of adult patients.
Long-term cohort studies show that joint health may deteriorate over time despite low bleeding rates, particularly in ankle and elbow joints. Approximately 37% of adults demonstrate clinically relevant joint deterioration over a 5–10 year period, with disease severity, joint bleeds and synovitis as key predictors.
Modern haemophilia management requires not only optimal haematological treatment, but also structured, specialised musculoskeletal rehabilitation to preserve function and prevent further disability.
The programme is coordinated by a rehabilitation physician and delivered by a multidisciplinary team with extensive experience in haemophilia-related musculoskeletal disorders. All interventions are performed in close coordination with the patient’s haematology team, ensuring clinical safety and continuity of care.
- Reduce joint and musculoskeletal pain
- Improve mobility, strength and neuromuscular control
- Prevent further joint deterioration
- Restore functional independence
- Increase confidence in physical activity
- Optimise recovery after orthopaedic surgery
- Improve participation in daily life
- Support long-term joint protection
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Medical Director
Dr. Paco Cholbi, MD
Specialist in Physical and Rehabilitation Medicine
The Medifit multidisciplinary haemophilia rehabilitation programme
The programme is coordinated by a rehabilitation physician and delivered by a multidisciplinary team with extensive experience in haemophilia-related musculoskeletal disorders, chronic pain management and complex rehabilitation.
All interventions are performed in close coordination with the patient’s haematology team, ensuring continuity of care and clinical safety.
- Rehabilitation physician
- Specialised physiotherapists
- Occupational therapists
- Clinical psychologists
- Nutritionist
Medical Director
Dr. Paco Cholbi, MD
Specialist in Physical and Rehabilitation Medicine
The Medifit multidisciplinary haemophilia rehabilitation programme
The programme is coordinated by a rehabilitation physician and delivered by a multidisciplinary team with extensive experience in haemophilia-related musculoskeletal disorders, chronic pain management and complex rehabilitation.
All interventions are performed in close coordination with the patient’s haematology team, ensuring continuity of care and clinical safety.
- Rehabilitation physician
- Specialised physiotherapists
- Occupational therapists
- Clinical psychologists
- Nutritionist
How the rehabilitation programme works
Each patient undergoes a comprehensive medical and functional assessment, followed by a personalised rehabilitation plan that may include:
Physical rehabilitation
- Joint-specific physiotherapy, progressive mobilisation and strengthening, neuromuscular and balance training, functional re-education, hydrotherapy and individualised exercise programmes.
Pain and musculoskeletal management
- Chronic pain management strategies, myofascial techniques, management of stiffness and contractures, and ultrasound-guided interventions when indicated.
Education and prevention
- Patient and family education, safe physical activity guidance, bleeding risk awareness during exercise and long-term joint protection strategies.
All interventions are coordinated with the patient’s haemostatic treatment schedule andperformed following administration of clotting factor or non-replacement therapy, ensuring maximum clinical safety.
Stay and treatment at Medifit Syncrosfera, Dénia
During the rehabilitation programme, patients stay on a full-board basis at the Medifit La Sella Center in Dénia, where treatment and accommodation are fully integrated in a structured clinical setting.
Rehabilitation takes place in modern treatment rooms, exercise areas and an indoor therapy pool, allowing for a consistent daily routine under continuous medical and physiotherapy supervision. The calm natural surroundings support focus, recovery and adherence to the programme.
The programme is designed to address rehabilitation in a comprehensive way, supporting both physical recovery and overall balance. Patients are guided in structuring their activities, managing physical load and recovery, and regaining confidence in daily life, always adapted to their individual condition and capabilities.
Family accompaniment is possible, providing additional emotional support during the rehabilitation stay.
At Medifit Reha, we believe that people with haemophilia can lead active, confident and fulfilling lives.
Our commitment is to provide:
- Evidence-based rehabilitation
- Specialist medical supervision
- A safe and motivating environment
- Functional outcomes tailored to each patient
- A reference model for international haemophilia rehabilitation care
You Can Reach Us by Phone at:
Registration and appointments desk
Monday to Friday from 9:00 AM to 6:00 PM
T (+34) 966 495 448
Medifit La Sella Opening Hours
Monday to Friday from 9:00 AM to 5:00 PM
Medifit La Sella
Av. de la Marina Alta 2, 03750 La Sella (Alicante)
References
Ab , Muller
My name is Ab with years of experience with Medifit.
- First time was October 2015 after knee prosthesis from HCB Benidorm to Benitachell: it was wonderful!
- Second time January 2018: was for back surgery at HCB and another stay in Benitachell!
- Third time August 2021 after my wife's long admission to HCB, 2 months rehabilitation in Moraira / Benitachell.
- Fourth time and hopefully the last time! November 2023 for a hip prosthesis in the new HCB Denia and since November 6th rehabilitating at Hotel Danyia in Denia with Medifit.
In my opinion, the best formula for rehabilitation so far!
Amazing help from Ray with transport from the hospital. Nothing seems too much for him, and that's been true all these years (I've known him since 2015). Very kind help from him and the Medifit ladies upon arrival. Everything is considered to make you as comfortable as possible. Being able to get food independently is a huge improvement. Help if needed from Medifit also on-site five days a week. Physical therapy that is very personal and patient, but also experienced - I find it wonderful and professional.
To conclude, I think Medifit with this formula (four days admission for hip or knee surgery) and then 3 weeks of rehabilitation in a beautiful location with absolutely everything you need, has succeeded in thinking about the person behind the patient... Bravo... Bravo... Bravo!
With my thanks to the amazing team at Medifit, I now conclude and wish all new patients for hip or knee prostheses this wonderful experience, despite the initial discomfort (which is just part of the process).
Kind regards,
Ab
