{"id":2818,"date":"2018-11-02T11:57:00","date_gmt":"2018-11-02T11:57:00","guid":{"rendered":"https:\/\/riberasalud.com\/povisa\/2018\/11\/02\/lumbalgia-que-hacer-frente-al-dolor-lumbar\/"},"modified":"2018-11-02T11:57:00","modified_gmt":"2018-11-02T11:57:00","slug":"lumbalgia-que-hacer-frente-al-dolor-lumbar","status":"publish","type":"post","link":"https:\/\/riberasalud.com\/povisa\/lumbalgia-que-hacer-frente-al-dolor-lumbar\/","title":{"rendered":"Lumbalgia: \u00bfqu\u00e9 hacer frente al dolor lumbar?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><!--[if !mso]><![endif]--><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings>  <o:AllowPNG\/> <\/o:OfficeDocumentSettings><\/xml><![endif]--> <!--[if gte mso 9]><xml> <w:WordDocument>  <w:View>Normal<\/w:View>  <w:Zoom>0<\/w:Zoom>  <w:TrackMoves>false<\/w:TrackMoves>  <w:TrackFormatting\/>  <w:HyphenationZone>21<\/w:HyphenationZone>  <w:PunctuationKerning\/>  <w:ValidateAgainstSchemas\/>  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src=\"https:\/\/2.bp.blogspot.com\/-zpwl6rliJ7s\/W9w6DIUuc2I\/AAAAAAAABVA\/V1eODpBqt3sE5OUfhl4GMiBHK246ltwlACLcBGAs\/s640\/lumbalgia_povisa.jpg\" width=\"640\" \/><\/a><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">La lumbalgia est\u00e1 considerada una de las principales causas de discapacidad en personas mayores de 50 a\u00f1os y los datos se\u00f1alan que afecta al 85% de la poblaci\u00f3n al menos una vez en la vida. Luis Puente, traumat\u00f3logo de Povisa, explica los s\u00edntomas y tratamientos.<\/div>\n<h2 style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\u00bfPor qu\u00e9 se produce el dolor lumbar?<\/h2>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-size: 12pt;\">El dolor lumbar, la <\/span><b style=\"font-size: 12pt;\">lumbalgia<\/b><span style=\"font-size: 12pt;\">o, como se dice popularmente, el lumbago, es una de las patolog\u00edas m\u00e1s comunes en nuestro \u00e1rea. Existen m\u00faltiples causas por las que se puede producir esta patolog\u00eda; las m\u00e1s comunes suelen ser patolog\u00edas m\u00e1s leves y estar relacionadas con contracturas y debilidad en la musculatura lumbar. Otra de las m\u00e1s comunes es la <\/span><b style=\"font-size: 12pt;\">artrosis vertebral<\/b><span style=\"font-size: 12pt;\"> (el tan famoso \u201cdesgaste\u201d). Otras causas que produce dolor en esta zona son las hernias discales, estenosis de canal o la inestabilidad vertebral.<\/span><span style=\"font-size: 12pt;\">&nbsp;<\/span><\/div>\n<h2 style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\u00bfQu\u00e9 debe hacer la persona que comienza a sentir este dolor lumbar?<\/h2>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-size: 12pt;\">Quiz\u00e1s lo primero es pararse a reflexionar si existe alg\u00fan motivo por el que empiece ese dolor (como el cargar pesos o los esfuerzos repetidos) e intentar atajarlo. Intentar darle algo de <\/span><b style=\"font-size: 12pt;\">reposo<\/b><span style=\"font-size: 12pt;\"> y tomar un ciclo de <\/span><b style=\"font-size: 12pt;\">antiinflamatorios<\/b><span style=\"font-size: 12pt;\">para calmar el dolor.<\/span><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Si ese dolor persiste, debe acudir al traumat\u00f3logo para realizar una exploraci\u00f3n y los estudios necesarios para establecer el tratamiento y las pautas necesarias.<span style=\"font-size: 12pt;\">&nbsp;<\/span><\/div>\n<h2 style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\u00bfQu\u00e9 factores deben darse para hablar de <b style=\"mso-bidi-font-weight: normal;\">lumbalgia cr\u00f3nica<\/b>?<\/h2>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">El hecho de que una patolog\u00eda sea aguda o cr\u00f3nica, en traumatolog\u00eda normalmente se establece seg\u00fan la duraci\u00f3n de los s\u00edntomas. Solemos considerar que una patolog\u00eda es cr\u00f3nica cuando los s\u00edntomas contin\u00faan presentes unas seis semanas despu\u00e9s del inicio del cuadro. Sin embargo, existen patolog\u00edas cr\u00f3nicas de la columna como la artrosis o la estenosis de canal en las que se suman la existencia de reagudizaciones puntuales, que necesitar\u00e1n un reajuste del tratamiento.<o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\n<h2>\u00bfPodemos hablar de diferentes estadios de la lumbalgia?&nbsp;<\/h2>\n<p><o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">M\u00e1s que de diferentes estad\u00edos de lumbalgia, quiz\u00e1s lo que m\u00e1s importa diferenciar es entre una <b style=\"mso-bidi-font-weight: normal;\">lumbalgia localizada<\/b> o una lumbalgia que irradia hacia miembros inferiores (ya sea en forma de dolor, hormigueos, calambres\u2026). Una lumbalgia localizada suele indicarnos la existencia de problemas con una etiolog\u00eda m\u00e1s mec\u00e1nica, mientras que el dolor irradiado hacia los miembros inferiores est\u00e1 m\u00e1s relacionado con patolog\u00edas que irriten los nervios que van hacia las piernas o que disminuyan el tama\u00f1o del canal espinal.<span style=\"font-size: 12pt;\">&nbsp;<\/span><\/div>\n<h2 style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\u00bfPodemos prevenir la lumbalgia? \u00bfQu\u00e9 consejos debemos seguir?<\/h2>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Hay dos palabras que siempre les digo a mis pacientes: \u201csentido com\u00fan\u201d. <span style=\"mso-spacerun: yes;\">&nbsp;<\/span>Lo principal para mantener una espalda lo m\u00e1s sana posible es, cuidarla.&nbsp;<span style=\"font-size: 12pt;\">Lo ideal ser\u00eda evitar coger pesos, esfuerzos que impliquen la flexi\u00f3n del tronco. Intentar sentarse bien y tener una buena postura. El ejercicio f\u00edsico que implique el fortalecimiento de la musculatura lumbar y abdominal tambi\u00e9n ayudar\u00e1 a tener menos dolor.<\/span><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Otros de los problemas que m\u00e1s influyen es el peso corporal; hay que intentar evitar tanto el sobrepeso como la obesidad ya que cuanto m\u00e1s peso tenga que soportar nuestra columna, m\u00e1s f\u00e1cil es que \u201cclaudique\u201d y empiecen los s\u00edntomas.<\/div>\n<h2 style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">\u00bfCu\u00e1l es el tratamiento para el dolor lumbar? \u00bfEn qu\u00e9 casos se aplica cirug\u00eda?<\/h2>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><span style=\"font-size: 12pt;\">Lo primero que se intenta siempre en el dolor lumbar es un&nbsp;<\/span><b style=\"font-size: 12pt;\">tratamiento conservador.<\/b><span style=\"font-size: 12pt;\">&nbsp;Va a depender del tipo de patolog\u00eda que estamos tratando.&nbsp;<\/span><span style=\"font-family: &quot;times&quot;; font-size: small; text-align: start;\">Lo b\u00e1sico en un momento agudo es el reposo, tratamiento analg\u00e9sico y antiinflamatorio \u2013se podr\u00e1 a\u00f1adir alg\u00fan relajante muscular cuando hay contracturas asociadas-.<\/span><span style=\"font-size: small;\">&nbsp;<\/span><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<p><\/p>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Adem\u00e1s, existen patolog\u00edas como la hernia discal o la estenosis de canal que pueden tener un componente de dolor neurop\u00e1tico, casos en los que habr\u00eda que a\u00f1adir tratamiento espec\u00edfico. Una vez pasado el momento agudo, estar\u00eda indicada la ayuda de un buen tratamiento rehabilitador junto con el fortalecimiento de la musculatura. Como tratamientos complementarios est\u00e1n los diferentes tipos de infiltraciones que pueden ayudar en el control de los s\u00edntomas.<o:p><\/o:p><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Si el tratamiento conservador fracasa, atenderemos a la cirug\u00eda. Existen otras indicaciones que equilibran m\u00e1s la balanza hacia un tratamiento quir\u00fargico aunque haya transcurrido poco tiempo del tratamiento conservador, como son las inestabilidades vertebrales o la p\u00e9rdida de fuera y\/o sensibilidad.<o:p><\/o:p><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div style=\"margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;\">Desde el servicio de <b style=\"mso-bidi-font-weight: normal;\">Traumatolog\u00eda de Povisa <\/b>diagnosticamos al paciente, identificando las distintas patolog\u00edas y compartiendo con el paciente las pautas a seguir con el tratamiento efectivo. Son fundamentales asimismo las recomendaciones para el buen cuidado y fortalecimiento de la espalda.<o:p><\/o:p><\/div>\n<div style=\"text-align: justify; text-justify: inter-ideograph;\"><\/div>\n<div><\/div>\n<p><!--EndFragment--><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>La lumbalgia est\u00e1 considerada una de las principales causas de discapacidad en personas mayores de 50 a\u00f1os y los datos se\u00f1alan que afecta al 85% de la poblaci\u00f3n al menos una vez en la vida. Luis Puente, traumat\u00f3logo de Povisa, explica los s\u00edntomas y tratamientos. \u00bfPor qu\u00e9 se produce el dolor lumbar? El dolor lumbar, &#8230; <a title=\"Lumbalgia: \u00bfqu\u00e9 hacer frente al dolor lumbar?\" class=\"read-more\" href=\"https:\/\/riberasalud.com\/povisa\/lumbalgia-que-hacer-frente-al-dolor-lumbar\/\" aria-label=\"Leer m\u00e1s sobre Lumbalgia: \u00bfqu\u00e9 hacer frente al dolor lumbar?\">Leer m\u00e1s<\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[31,216],"tags":[],"class_list":["post-2818","post","type-post","status-publish","format-standard","hentry","category-rehabilitacion","category-traumatologia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u25b7 Lumbalgia: \u00bfqu\u00e9 hacer frente al dolor lumbar? 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