Dolor lumbar, una causa frecuente de incapacidad

Dolor lumbar, una causa frecuente de incapacidad

El 80 % de la población sufre dolor lumbar en algún momento de su vida.

El dolor lumbar, también denominado dolor de riñones, de espalda o de la cintura, es una de los motivos más frecuentes de consulta médica y una de las principales causas de baja laboral.

El 80% de la población ha sufrido o sufrirá algún episodio de dolor lumbar durante su vida. La mayoría de estos episodios son de corta duración y suelen curar sin secuelas. Sin embargo, en un pequeño porcentaje de pacientes el dolor continuará o los episodios se repetirán con frecuencia interfiriendo e impidiendo sus actividades habituales. Estas lumbalgias se denominan crónicas o recurrentes.

Causas de dolor lumbar

En la mayoría de los pacientes no se encuentra una causa clara que explique el origen del dolor lumbar. Es lo que se denomina lumbalgia inespecífica.

El dolor se puede originar en el disco intervertebral, cuando se rompe o degenera, o en las articulaciones facetarias posteriores.
Pruebas diagnósticas

En los pacientes con lumbalgias esporádicas y de corta duración (menor de 2 meses) no aporta nada solicitar pruebas diagnósticas complementarias como la radiología simple o la resonancia magnética. Estas pruebas pueden incluso ser contraproducentes para el paciente, al aparecer imágenes supuestamente “malas” que en la mayoría de los casos son hallazgos casuales sin relación con el dolor y que aparecen también en personas asintomáticas que nunca han tenido dolor lumbar.

La resonancia magnética sólo debería solicitarse en pacientes con dolor lumbar o ciática de larga evolución o en los que aparezcan signos de posible gravedad como fiebre, dolor nocturno o sintomatología neurológica. En aquellos casos con sospecha de infección o neoplasia también es la prueba de elección.

Prevención y tratamiento

Dentro de las medidas para prevenir la aparición de dolor lumbar o disminuir el número de episodios, la principal es mantener una buena forma física potenciando la musculatura abdominal y dorsolumbar , que es la encargada de estabilizar la columna. La práctica habitual de ejercicio y la pérdida de peso son muy recomendables.

En el trabajo hay que adoptar posturas que no sobrecarguen la columna sobre todo a la hora de levantar pesos o movilizar cargas.

Hay que recordar la importancia de doblar las rodillas en el momento de levantar cualquier peso.

El tratamiento inicial debe consistir en analgésicos y antinflamatorios para combatir el dolor. No se debe hacer reposo absoluto sino ir paulatinamente realizando las actividades que el dolor permita. La mayoría de los cuadros van a remitir sin secuelas en una o dos semanas.

En aquellos pacientes con dolor de larga evolución puede ser beneficioso la rehabilitación o el uso de infiltraciones facetarias. La rizolisis es una técnica percutánea que se realiza bajo anestesia local y que permite el control del dolor en un número elevado de pacientes.

En aquellos pacientes en que todos estos procedimientos no han sido exitosos y el dolor lumbar persiste durante más de dos años siendo incapacitante, se plantea la cirugía.

La cirugía actúa sobre los segmentos vertebrales afectados fusionándolos para así combatir el dolor

Combatir las faltas creencias

En los últimos años se ha demostrado en diversos estudios que uno de los tratamientos con mayor eficacia para los pacientes con dolor lumbar es la terapia cognitivo conductual.

El paciente con dolor lumbar lo sufre en un contexto social o familiar determinado donde recibe “información” generalmente negativa sobre su padecimiento, muchas veces incluso por parte de los profesionales sanitarios. Frases como “tiene usted una columna de 80 años” o no debe hacer deporte o esfuerzos son escuchadas con frecuencia en las consultas médicas. El paciente tiene sensación de tener un problema serio, que le va a incapacitar para toda la vida y que incluso le puede llevar a una silla de ruedas. Se ha demostrado que los pacientes que tienen estas falsas creencias sobre su dolor lumbar tienen peor pronóstico de recuperación.

Hay que comunicar al paciente la verdad y combatir las falsas creencias. Esto es, que el dolor lumbar en general es autolimitado, que una vez que pase el cuadro agudo se puede reincorporar al trabajo, realizar esfuerzos y llevar una vida normal donde la actividad física debe estar presente y que no se trata de ningún problema grave.

Dr. Andres Barriga

34 Comments so far

Cristina RafaelEscrito en  4:26 am - Feb 6, 2021

Hola, necesitaría cita para dolor en mi espalda producidos por problemas de caderas o por las piernas q creo q están desniveladas Eso me ha producido desviación de espalda y ahora tengo muchos dolores en las lumbares . Tengo 38 años y cada vez me va a más los dolores . Necesitaría cita con ustedes para que me lo diagnosticaran y me dieran una solución . Gracias.

IsabellEscrito en  4:31 am - Feb 11, 2021

I’ve been surfing online more than 4 hours today, yet I never found any interesting article like yours.

It’s pretty worth enough for me. In my view, if all web
owners and bloggers made good content as you did, the internet
will be much more useful than ever before.

My webpage – CBD for anxiety

FayeEscrito en  8:05 am - Feb 16, 2021

Great post. I was checking continuously this blog and I’m inspired!
Extremely useful info specially the remaining phase :
) I take care of such information a lot. I used
to be looking for this certain info for a very long time.
Thanks and good luck.

Here is my site – best CBD oil for pain

MerlinEscrito en  5:12 am - Feb 18, 2021

I’m not sure where you are getting your info, but
great topic. I needs to spend some time learning much more or understanding
more. Thanks for magnificent info I was looking for this
information for my mission.

Have a look at my web blog … CBD gummies for sale

PhilomenaEscrito en  3:25 am - Feb 20, 2021

First of all I would like to say superb blog!
I had a quick question that I’d like to ask if you don’t mind.
I was interested to know how you center yourself and clear your mind prior to writing.
I have had a hard time clearing my thoughts in getting my ideas out.
I truly do enjoy writing however it just seems like the first 10 to 15 minutes are usually lost just trying to figure out how to begin. Any ideas or hints?
Cheers!

Here is my web site … best CBD for dogs

ErrolEscrito en  11:28 am - Feb 22, 2021

Thank you for any other wonderful article. The place
else could anybody get that type of info in such a perfect approach of writing?
I have a presentation subsequent week, and I’m on the look for
such info.

Here is my web blog best cbd oil for sleep

HermanEscrito en  6:15 pm - Feb 22, 2021

You need to be a part of a contest for one of the greatest blogs on the web.
I will recommend this website!

Also visit my blog; CBD oil near me

TeraEscrito en  8:41 pm - Feb 22, 2021

Wow, this article is fastidious, my younger sister is
analyzing these things, so I am going to inform her.

Here is my blog; cbd gummies for pain

PansyEscrito en  9:26 pm - Feb 22, 2021

you are really a good webmaster. The website loading velocity is amazing.

It sort of feels that you are doing any unique trick.
Also, The contents are masterpiece. you have performed a excellent
process on this matter!

Stop by my webpage – cannabidiol gummies

MerrillEscrito en  10:00 pm - Feb 22, 2021

Hello there! Do you know if they make any plugins to protect against
hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any recommendations?

Feel free to visit my blog post … cbd for dogs

SherylEscrito en  11:37 pm - Feb 22, 2021

Hello, I want to subscribe for this weblog to obtain most up-to-date updates, thus where can i do it
please assist.

my web page :: cbd sleep

KendrickEscrito en  4:47 am - Feb 23, 2021

An outstanding share! I have just forwarded this onto a friend who had
been doing a little research on this. And he actually ordered
me lunch simply because I stumbled upon it for him…
lol. So allow me to reword this…. Thanks for
the meal!! But yeah, thanks for spending the time to
discuss this issue here on your internet site.

Look into my web site :: best cbd oil for dogs with arthritis

WinstonEscrito en  4:49 am - Feb 23, 2021

I always spent my half an hour to read this web site’s articles
or reviews daily along with a mug of coffee.

Visit my page :: CBD for sale

JaneEscrito en  5:46 am - Feb 23, 2021

Hi there, I found your website via Google even as searching
for a similar subject, your site got here up, it seems great.
I have bookmarked it in my google bookmarks.
Hi there, simply changed into aware of your blog thru Google, and found that it
is truly informative. I am going to watch out for brussels.
I will be grateful for those who continue this in future.

Many people will likely be benefited out of your writing.
Cheers!

My webpage CBD gummies for

ZaraEscrito en  7:16 pm - Feb 23, 2021

I know this if off topic but I’m looking into starting
my own blog and was wondering what all is required to get
setup? I’m assuming having a blog like yours
would cost a pretty penny? I’m not very internet smart
so I’m not 100% certain. Any suggestions or advice would be greatly appreciated.
Thank you

Feel free to surf to my page: cbd oil for dogs

LaraeEscrito en  10:15 pm - Mar 20, 2021

I am curious to find out what blog platform you have been working with?
I’m experiencing some minor security issues with my latest site and
I’d like to find something more secure. Do you have any suggestions?

Feel free to surf to my blog post; CBD gummies for anxiety

MaxwellEscrito en  11:26 am - Mar 21, 2021

Very good post. I will be going through some of these issues as well..

Also visit my blog CBD gummies for sleep

RomaineEscrito en  2:00 pm - Mar 21, 2021

Hey there! I simply wish to give you a huge thumbs up for the great information you have
got here on this post. I am coming back to your website for more soon.

Here is my web blog :: best CBD gummies

CristineEscrito en  4:10 pm - Mar 21, 2021

I was recommended this website via my cousin. I am now not
positive whether this submit is written through him as
no one else understand such detailed approximately my
problem. You’re amazing! Thank you!

Also visit my web site … CBD gummies for pain

IndianaEscrito en  5:08 pm - Mar 21, 2021

Hi there to every one, the contents present at this
web site are truly amazing for people knowledge, well,
keep up the good work fellows.

Feel free to visit my web page: best CBD gummies

ElbertEscrito en  10:47 pm - Abr 7, 2021

Touche. Great arguments. Keep up the amazing spirit.

my blog … buy delta 8 thc near me

RashadEscrito en  10:55 pm - Abr 7, 2021

Every weekend i used to pay a visit this site, because i want enjoyment, for the
reason that this this website conations actually fastidious funny
information too.

Also visit my web-site – delta 8 thc for sale

HarveyEscrito en  10:21 pm - Abr 11, 2021

My coder is trying to convince me to move to .net from PHP.
I have always disliked the idea because of the costs. But he’s tryiong none the less.
I’ve been using WordPress on a variety of websites for
about a year and am anxious about switching to another platform.
I have heard excellent things about blogengine.net.

Is there a way I can import all my wordpress content
into it? Any kind of help would be really appreciated!

Review my web page delta 8

DixieEscrito en  1:39 am - Abr 12, 2021

I am sure this post has touched all the internet people, its really really good post on building up new blog.

Have a look at my blog – CBD gummies for pain

DorthyEscrito en  4:05 am - Abr 12, 2021

Thanks for your marvelous posting! I certainly enjoyed reading it,
you could be a great author. I will always bookmark your blog and will eventually come back in the future.
I want to encourage yourself to continue your great writing,
have a nice holiday weekend! 0mniartist asmr

StewartEscrito en  5:34 pm - Abr 12, 2021

It’s a pity you don’t have a donate button! I’d without a doubt donate to
this superb blog! I suppose for now i’ll settle for
book-marking and adding your RSS feed to my Google account.
I look forward to new updates and will talk about this blog with my
Facebook group. Talk soon!

my website :: delta 8

HiramEscrito en  6:40 pm - Abr 12, 2021

I am curious to find out what blog system you’re utilizing?
I’m having some minor security problems with
my latest blog and I would like to find something more
risk-free. Do you have any recommendations?

Here is my web blog … buy delta 8

BrianneEscrito en  6:47 pm - Abr 12, 2021

Hi there i am kavin, its my first occasion to commenting anywhere, when i read this article
i thought i could also make comment due to this brilliant post.

Also visit my homepage – CBD gummies for sale

RosalinaEscrito en  9:23 pm - Abr 12, 2021

I could not resist commenting. Exceptionally well written!

Here is my blog best CBD gummies

CarolineEscrito en  11:39 pm - Abr 12, 2021

Stunning story there. What happened after? Thanks!

My blog; cbd products

KirstenEscrito en  12:57 am - Abr 13, 2021

Thanks for sharing such a pleasant thought, piece of writing is fastidious, thats
why i have read it entirely

Here is my web blog; CBD gummies for anxiety

EricEscrito en  2:04 am - Abr 13, 2021

Hello to every one, the contents present at this website are genuinely remarkable for people experience, well, keep up the nice work fellows.

Feel free to surf to my web site; CBD gummies for sleep

RodEscrito en  5:47 am - Abr 13, 2021

You are so cool! I do not think I have read a single thing like that before.
So good to find somebody with some unique thoughts on this issue.
Really.. thank you for starting this up.
This site is something that is required on the internet,
someone with a little originality!

my web site :: where to buy delta 8

RainaEscrito en  6:19 am - Abr 13, 2021

This post offers clear idea in favor of the new users of
blogging, that really how to do blogging and site-building.

Here is my homepage :: delta 8 thc for sale

Deja un comentario