{"id":97768,"date":"2018-08-29T10:51:28","date_gmt":"2018-08-29T08:51:28","guid":{"rendered":"https:\/\/www.physio.cat\/hernia-discal-tratamiento\/"},"modified":"2023-11-08T18:48:19","modified_gmt":"2023-11-08T17:48:19","slug":"que-es-hernia-discal-tratamiento","status":"publish","type":"post","link":"https:\/\/www.physio.cat\/es\/que-es-hernia-discal-tratamiento\/","title":{"rendered":"La Hernia discal: tratamiento, secretos y curiosidades"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><span id=\"result_box\" class=\"short_text\" lang=\"es\" tabindex=\"-1\">\u00bfQU\u00c9 ES LA&nbsp;<em><strong>HERNIA DISCAL<\/strong><\/em>?<\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\"><strong>La&nbsp;<span class=\"\">Hernia<\/span>&nbsp;Discal es una&nbsp;<span class=\"\">afecci\u00f3n<\/span><\/strong>&nbsp;<span class=\"\">consecuencia del deterioro<\/span>&nbsp;del disco intervertebral&nbsp;<strong><span class=\"\">que consiste en el<\/span>&nbsp;<span class=\"\">desplazamiento<\/span>&nbsp;<span class=\"\">del n\u00facleo pulposo<\/span><\/strong>, el centro del disco intervertebral,&nbsp;<strong><span class=\"\">y ejerce<\/span>&nbsp;presi\u00f3n sobre el Saco Dural<\/strong>, el centro de la m\u00e9dula o una ra\u00edz&nbsp;<span class=\"\">nerviosa<\/span><span class=\"\">.<\/span><\/span><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"348\" src=\"https:\/\/www.physio.cat\/wp-content\/uploads\/2018\/08\/3040-HERNIA-DISCAL.jpg\" alt=\"hernia discal y saco dural\" class=\"wp-image-5308\" title=\"\" srcset=\"https:\/\/www.physio.cat\/wp-content\/uploads\/2018\/08\/3040-HERNIA-DISCAL.jpg 500w, https:\/\/www.physio.cat\/wp-content\/uploads\/2018\/08\/3040-HERNIA-DISCAL-150x104.jpg 150w, https:\/\/www.physio.cat\/wp-content\/uploads\/2018\/08\/3040-HERNIA-DISCAL-300x209.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"result_box\" class=\"short_text\" lang=\"es\" tabindex=\"-1\">\u00bfCOMO SE PRODUCE UNA&nbsp;<em>HERNIA DISCAL<\/em>?<\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\"><strong>El mecanismo de deterioro es<\/strong>, habitualmente, un mecanismo&nbsp;<strong>de deshidrataci\u00f3n<\/strong>&nbsp;que se asocia al envejecimiento del disco intervertebral causado por la fuerza de gravedad.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">John Nachelson i la fuerza de gravedad<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">El Dr. John Nachelson demostr\u00f3 que, de manera natural,<strong>&nbsp;el disco intervertebral se deshidrata a lo largo de las horas del d\u00eda y pierde altura<\/strong>. Adem\u00e1s, a\u00f1adi\u00f3 tambi\u00e9n que&nbsp;<strong>durante las horas de descanso el disco se rehidrata para retornar a su altura natural<\/strong>. Es decir que:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Cuando llega la noche y nos vamos a dormir somos ligeramente m\u00e1s bajos que cuando nos levantamos por la ma\u00f1ana.<\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">Por lo tanto,&nbsp;<strong>un correcto descanso nocturno de 8 horas de media<\/strong>, es uno de los motivos m\u00e1s importantes a la hora de conservar<strong>&nbsp;una columna vertebral con buena salud.<\/strong><\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"result_box\" class=\"short_text\" lang=\"es\" tabindex=\"-1\">Causas&nbsp;<span class=\"\">que provocan<\/span>&nbsp;la&nbsp;<em>Hernia de Disco<\/em>.<\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Habitualmente, las causas que m\u00e1s favorecen este tipo de afecciones&nbsp;<strong>son aquellas que impiden el funcionamiento hidr\u00e1ulico natural del disco intervertebral<\/strong>&nbsp;y su correcta rehidrataci\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sobrecargas laborales<\/strong>, sean por exceso de peso o exceso de horas sentados en una silla.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cuanto m\u00e1s se mantienen estas razones a lo largo del tiempo m\u00e1s aumenta el deterioro del anillo fibroso<\/strong>, hasta desencadenar un mecanismo de extrusi\u00f3n que expulse el n\u00facleo pulposo, produciendo as\u00ed, la hernia discal.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><img decoding=\"async\" src=\"https:\/\/dolordeespaldaycuello.com\/wp-content\/uploads\/2014\/07\/hernia-discal1.jpg\" alt=\"hernia de disco\" title=\"\"><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Grados de gravedad de una hernia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Estas afecciones se pueden separar en dos grupos:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fase de protusi\u00f3n discal<\/strong>:&nbsp;<em>estado inicial<\/em>&nbsp;de la hernia que se produce cuando la parte posterior del disco intervertebral empieza a bombear a causa de la presi\u00f3n del n\u00facleo, pero&nbsp;<strong>a\u00fan no se ha producido la extrusi\u00f3n<\/strong>, la salida del n\u00facleo.<\/li>\n\n\n\n<li><strong>Fase de extrusi\u00f3n<\/strong>:&nbsp;<em>estado avanzado<\/em>&nbsp;de la hernia que se produce en el momento de la expulsi\u00f3n del n\u00facleo pulposo, que es cuando se puede atrapar seriamente una ra\u00edz nerviosa.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">El grado o&nbsp;<strong>la intensidad del dolor depende<\/strong>, en gran medida,&nbsp;<strong>de la velocidad en la que se produce<\/strong>&nbsp;este tipo de trastorno.<\/span><\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">Si esta afecci\u00f3n se va produciendo de forma progresiva, durante mucho tiempo,&nbsp;<strong>el grado de dolor es mucho menor<\/strong>.&nbsp;<em>Incluso, se dan casos en que la persona no es consciente de que padece una lesi\u00f3n de este tipo ya que, pr\u00e1cticamente, no da ninguna sintomatolog\u00eda.<\/em><\/span><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\"><span class=\"\">Estad\u00edsticamente<\/span>, se considera que hay alrededor de&nbsp;<strong>un 30% de la poblaci\u00f3n que sufre una hernia discal y no sabe que la t<\/strong><\/span><strong>iene.<\/strong><\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">En cambio,&nbsp;<strong>cuando este mecanismo se produce de manera acelerada<\/strong>, en un espacio de tiempo m\u00e1s corto, es cuando&nbsp;<strong>hay la reacci\u00f3n inflamatoria<\/strong>&nbsp;con un cuadro de dolor mucho m\u00e1s agudo que podr\u00eda llegar a ser seriamente invalidante, incluso quir\u00fargico.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tratamiento de la hernia discal<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">Las hernias de disco tienen una relaci\u00f3n directa con afecciones como&nbsp;<a href=\"https:\/\/www.physio.cat\/es\/la-ciatica-es\/\">la ci\u00e1tica<\/a>, y consecuentemente unos protocolos de tratamiento muy similares.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El primer objetivo es la&nbsp;<strong>confortabilidad del paciente<\/strong>. Reducir la inflamaci\u00f3n y, por tanto, el cuadro de dolor.\nEl siguiente paso es la&nbsp;<strong>recuperaci\u00f3n de la movilidad<\/strong>&nbsp;mediante tratamientos en fisioterapia antiinflamatoria.\nFinalmente, se recomienda&nbsp;<strong>terapia preventiva y reeducaci\u00f3n postural<\/strong>&nbsp;para mejorar las condiciones f\u00edsicas del paciente, reduciendo al m\u00e1ximo las probabilidades del retorno de la afecci\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mejorar el tono muscular, practicando ejercicio f\u00edsico moderado.<\/li>\n\n\n\n<li><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">Reeducaci\u00f3n de la postura de la espalda&nbsp;<em>(por ejemplo sillas y mesas adecuadas a la hora de trabajar o estudiar)<\/em>.\n<\/span><\/li>\n\n\n\n<li><span id=\"result_box\" class=\"\" lang=\"es\" tabindex=\"-1\">Mejorar las condiciones del descanso nocturno&nbsp;<em>(tales como encontrar un buen colch\u00f3n para la cama)<\/em>.\n<\/span><\/li>\n\n\n\n<li>Hacer una revisi\u00f3n peri\u00f3dica con tu especialista de confianza.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>Si sufres dolor agudo o te ves impedido \/ a por culpa de estos tipos de dolencias, por favor,&nbsp;<a href=\"https:\/\/www.physio.cat\/es\/contacto\/\">contacta con nosotros<\/a>. Somos especialistas tratando el dolor de espalda.\nVivir soportando esta carga es algo muy duro \u2026 Podemos ayudarte!<\/strong><\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Esta semana el Sr. Hugas nos cuenta los secretos y curiosidades detr\u00e1s del Hernia Discal. Sus tipolog\u00edas, causas y tratamientos disponibles.<\/p>\n","protected":false},"author":2,"featured_media":84484,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[211,216],"tags":[233,231,232,382],"class_list":["post-97768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulos","category-osoptatia-esp","tag-dolor-de-espalda","tag-hernias","tag-hernias-discales","tag-mal-desquena-es"],"_links":{"self":[{"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/posts\/97768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/comments?post=97768"}],"version-history":[{"count":0,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/posts\/97768\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/media\/84484"}],"wp:attachment":[{"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/media?parent=97768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/categories?post=97768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.physio.cat\/es\/wp-json\/wp\/v2\/tags?post=97768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}