Publication: Síndrome de Dolor Miofascial en Dolor Lumbar
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2013
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Abstract
El Síndrome de Dolor Miofascial (SDM) consiste en un trastorno doloroso que afecta regionalmente a músculos y fascias. Para entender el SDM es imprescindible hablar también detenidamente de los Puntos Gatillo Miofascial (PGM).
La existencia de PGM en la musculatura lumbar nos hace pensar que puede estar muy relacionado con la aparición de la lumbalgia y de hecho, progresivamente desde la primera mitad del siglo XX hasta las publicaciones más recientes se identifica una estrecha relación entre la lumbalgia y los PGM.
Respecto a la etiología parece ser que el sobreuso del músculo, resultado de contracciones musculares sostenidas o repetitivas de bajo nivel, malos hábitos posturales y/o un traumatismo directo en el músculo, pueden favorecer el desarrollo de los PGM.
La realización de un buen diagnostico pasa principalmente por hacer una buena historia clínica, una adecuada exploración del paciente y un detenido examen físico.
En cuanto al tratamiento es necesario que se abarque siguiendo una línea conservadora y multidisciplinar e individualmente para cada paciente. Es muy útil la combinación de diferentes técnicas de fisioterapia así como ayudarse del tratamiento farmacológico.
The Myofascial Pain Syndrome (MPS) consists of a painful disorder that it affects regionally to muscles and fascia. To understand the MPS is indispensable to speak also held up about the Myofascial Trigger Points (MTP) MPS existence about the lumbar musculature makes us think that it can be much related to the appearance of the low back pain and, of fact, progressively from the first half of the 20th century up to the most recent publications a narrow relation is identified between the low back pain and the MPS. With regard to the etiology it seems to be that muscular overuse, ensued from muscular supported or repetitive low-ranking contractions, bad postural habits and/or a direct traumatism in the muscle, can favor the development of the MPS. The accomplishment of a good diagnosis happens principally for doing a good clinical history, a suitable exploration of the patient and an arrested physical examination. As for the treatment it is necessary that is included following a conservative and multidisciplinary line and individually for every patient. There is very useful the combination of different
The Myofascial Pain Syndrome (MPS) consists of a painful disorder that it affects regionally to muscles and fascia. To understand the MPS is indispensable to speak also held up about the Myofascial Trigger Points (MTP) MPS existence about the lumbar musculature makes us think that it can be much related to the appearance of the low back pain and, of fact, progressively from the first half of the 20th century up to the most recent publications a narrow relation is identified between the low back pain and the MPS. With regard to the etiology it seems to be that muscular overuse, ensued from muscular supported or repetitive low-ranking contractions, bad postural habits and/or a direct traumatism in the muscle, can favor the development of the MPS. The accomplishment of a good diagnosis happens principally for doing a good clinical history, a suitable exploration of the patient and an arrested physical examination. As for the treatment it is necessary that is included following a conservative and multidisciplinary line and individually for every patient. There is very useful the combination of different