{"id":4094,"date":"2023-09-24T11:01:51","date_gmt":"2023-09-24T09:01:51","guid":{"rendered":"https:\/\/www.fisiobalance.cat\/hernia-discal-tipos-sintomas-y-tratamiento-de-fisioterapia\/"},"modified":"2023-10-04T15:58:52","modified_gmt":"2023-10-04T13:58:52","slug":"hernia-discal-tipus-simptomes-i-tractament-de-fisioterapia","status":"publish","type":"post","link":"https:\/\/www.fisiobalance.cat\/ca\/hernia-discal-tipus-simptomes-i-tractament-de-fisioterapia\/","title":{"rendered":"H\u00c8RNIA DISCAL: TIPUS, S\u00cdMPTOMES I TRACTAMENT DE FISIOTER\u00c0PIA"},"content":{"rendered":"

L’h\u00e8rnia discal lumbar i la lumb\u00e0lgia s\u00f3n lesions que comporten una simptomatologia que alteren la salut i repercuteix en diferents \u00e0rees de la vida: laborals, socials i econ\u00f2miques.<\/em><\/p>\n

Entre el 80-90% de la poblaci\u00f3 patir\u00e0 una crisi de mal d’esquena en algun moment de la vida.<\/em><\/p>\n

 <\/p>\n

Qu\u00e8 \u00e9s una h\u00e8rnia discal?<\/h2>\n

L’h\u00e8rnia discal<\/strong> es pot produir als diferents segments de la columna vertebral, cervical, dorsal o lumbar.<\/p>\n

El discs intervertebrals est\u00e0 format per un anell fibr\u00f3s i el seu nucli polp\u00f3s.<\/strong><\/p>\n

Estem parlant d\u00b4una h\u00e8rnia discal quan es lesiona l\u00b4anell fibr\u00f3s i el nucli<\/strong> comen\u00e7a a despla\u00e7ar-se fora del seu espai.<\/p>\n

Una h\u00e8rnia es defineix com el despla\u00e7ament localitzat del disc m\u00e9s enll\u00e0 dels l\u00edmits de lespai discal<\/p>\n

\"\"<\/p>\n

Hi ha diferents tipus d’H\u00e8rnies Discals:<\/h2>\n
    \n
  1. Protrusi\u00f3<\/strong>: quan l’anell fibr\u00f3s s’abomba per pressi\u00f3 del nucli.<\/li>\n
  2. Prolapse<\/strong>: Quan l’anell fibr\u00f3s ja s’ha trencat i deixen que parteix del nucli surti, per\u00f2 sense arribar als lligaments.<\/li>\n
  3. Extrusi\u00f3<\/strong>: Quan l’anell est\u00e0 molt malm\u00e8s i el nucli travessa els lligaments que mantenen la columna vertebral.<\/li>\n
  4. Segrest<\/strong>: El nucli se separa completament de les fibres de l’anell.<\/li>\n<\/ol>\n

     <\/p>\n

    Signes i s\u00edmptomes<\/h2>\n

    Els s\u00edmptomes depenen del nivell vertebral de l’h\u00e8rnia discal i del nervi que estigui irritant.<\/p>\n

    Entre els s\u00edmptomes m\u00e9s comuns ens trobem:<\/p>\n

      \n
    • Dolor cervical, dorsal o lumbar.<\/li>\n
    • Limitaci\u00f3 de mobilitat.<\/li>\n
    • Formigueig en extremitats inferiors (parest\u00e8sies).<\/li>\n
    • Disminuci\u00f3 de la for\u00e7a als membres inferiors.<\/li>\n
    • Rigidesa i manca de flexibilitat de la columna vertebral.<\/li>\n
    • Aparici\u00f3 de contractures musculars.<\/li>\n<\/ul>\n

      El 85% dels pacients amb h\u00e8rnies discals agudes milloren sense tractament quir\u00fargic.<\/p>\n

       <\/p>\n

      \"ciatica<\/p><\/blockquote>\n

      \"hernia<\/p>\n

       <\/p><\/blockquote>\n

      Factors de risc<\/h2>\n

      A part del desgast natural associat al pas del temps, hi ha altres factors que poden augmentar la probabilitat de patir una h\u00e8rnia de disc. Con\u00e8ixer aquests factors et pot ajudar a prevenir lesions futures.<\/p>\n

        \n
      • Carregar pesos inadequadament. Una incorrecta t\u00e8cnica i\/o seq\u00fc\u00e8ncia de la contracci\u00f3 de la musculatura per aixecar objectes pesants augmenta la probabilitat de tenir una h\u00e8rnia de disc.<\/li>\n
      • Girar\/ rotar el cos (columna vertebral) mentre aixeques un objecte pot tamb\u00e9 fer malb\u00e9 estructures discals.<\/li>\n
      • El sobrep\u00e8s fa augmentar la pressi\u00f3 als discos intervertebrals<\/strong> de la teva columna lumbar.<\/li>\n
      • Activitats repetitives que sobrecarreguen la columna. (activitats laborals).<\/li>\n
      • Una musculatura estabilitzadora de la columna vertebral (mult\u00edfidus…) feble i un d\u00e8ficit de control motor afavoreix patir un deteriorament preco\u00e7 d’estructures capsuloligamentoses i discals.<\/li>\n<\/ul>\n

         <\/p>\n

        Com es produeixen?<\/h2>\n

        Per racions m\u00faltiples com un traumatisme o moviment brusc.<\/p>\n

        Una de les conseq\u00fc\u00e8ncies \u00e9s la degeneraci\u00f3 de l’anell fibr\u00f3s degut al deteriorament natural del pas del temps i dels moviments repetitius.<\/p>\n

         <\/p>\n

        Correlaci\u00f3 dels resultats de la RMN i la simptomatologia<\/h2>\n

        Despr\u00e9s d’estudis d’aut\u00f2psies:<\/p>\n

        Es corrobora que a l’edat de 50 anys el 85%-95% mostren evid\u00e8ncia de degeneraci\u00f3 discal a l’aut\u00f2psia.<\/p>\n

        Entre el 20%-28% de pacients asimptom\u00e0tics tenen h\u00e8rnies i, la majoria, evid\u00e8ncia de malaltia discal degenerativa. Encara m\u00e9s, s’ha demostrat que ni tan sols en els subjectes simptom\u00e0tics hi ha correlaci\u00f3 entre les troballes RNM i la cl\u00ednica<\/strong><\/p>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        L’h\u00e8rnia discal lumbar i la lumb\u00e0lgia s\u00f3n lesions que comporten una simptomatologia que alteren la salut i repercuteix en diferents \u00e0rees de la vida: laborals, socials i econ\u00f2miques. Entre el 80-90% de la poblaci\u00f3 patir\u00e0 una crisi de mal d’esquena en algun moment de la…<\/p>\n","protected":false},"author":3,"featured_media":4023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[247],"tags":[],"class_list":["post-4094","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia-ca"],"yoast_head":"\nH\u00c8RNIA DISCAL: TIPUS, S\u00cdMPTOMES I TRACTAMENT DE FISIOTER\u00c0PIA - Fisiobalance % %<\/title>\n<meta name=\"description\" content=\"La hernia discal se produce en los diferentes segmentos de columna vertebral, cervical, dorsal o lumbar, de las personas de todas las edades.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fisiobalance.cat\/ca\/hernia-discal-tipus-simptomes-i-tractament-de-fisioterapia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00c8RNIA DISCAL: TIPUS, S\u00cdMPTOMES I TRACTAMENT DE FISIOTER\u00c0PIA - 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