{"id":39529,"date":"2018-08-22T22:04:22","date_gmt":"2018-08-22T22:04:22","guid":{"rendered":""},"modified":"2018-08-23T09:59:58","modified_gmt":"2018-08-23T09:59:58","slug":"pateixes-de-dolor-despatlla-la-clau-es-un-bon-diagnostic","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/pateixes-de-dolor-despatlla-la-clau-es-un-bon-diagnostic\/","title":{"rendered":"Pateixes de dolor d&#8217;espatlla? La clau \u00e9s un bon diagn\u00f2stic"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n<p>Actualment el\u00a0<strong>dolor d&#8217;espatlla<\/strong>\u00a0\u00e9s molt freq\u00fcent, per\u00f2 no tots els dolors d&#8217;espatlla s\u00f3n iguals. Tot\u00a0<strong>dependr\u00e0 de l\u2019estructura lesionada<\/strong>\u00a0(m\u00fascul, tend\u00f3, lligament, c\u00e0psula, bursa, cart\u00edlag, os\u2026)\u00a0<strong>i del motiu de la lesi\u00f3<\/strong>.<\/p>\n<p>Per entendre b\u00e9\u00a0<strong>l&#8217;espatlla<\/strong>, hem de tenir en compte que\u00a0<strong>\u00e9s l&#8217;articulaci\u00f3 de tot el cos amb m\u00e9s mobilitat, per\u00f2 aquesta gran mobilitat va en detriment de la estabilitat<\/strong>. \u00c9s molt complicat ser m\u00f2bil i estable al mateix temps, tot i aix\u00ed el cos ho intenta amb una anatomia molt complexa.<\/p>\n<div class=\"body\">\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 600px; height: 255px;\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/articulacion-hombro.jpg\" alt=\"\" \/><\/p>\n<p style=\"text-align: center;\"><em>Les fletxes indiquen la direcci\u00f3 cap a on tiren els m\u00fasculs.\u00a0<\/em><\/p>\n<p style=\"text-align: justify;\">Per una banda,\u00a0<strong>la clau de la mobilitat la trobem en l&#8217;esc\u00e0pula<\/strong>, que ha de ser molt lliure per permetre al\u00e7ar el bra\u00e7 per sobre dels 90\u00b0, per exemple.\u00a0<strong>La clau de l\u2019estabilitat la trobem en tots els petits m\u00fasculs<\/strong>(supraespin\u00f3s, infraespin\u00f3s, subescapular\u2026)\u00a0<strong>que treballen amb una precisi\u00f3 alt\u00edssima per mantenir el cap de l&#8217;h\u00famer sempre al seu lloc<\/strong>, com un engranatge perfecte. Gr\u00e0cies a aquests mecanismes podem fer moviments ampl\u00edssims i precisos al mateix temps, com llan\u00e7ar una pilota, clavar un clau amb un martell o rentar-nos el cap quan ens dutxem.<\/p>\n<p style=\"text-align: justify;\">Les\u00a0<strong>causes del dolor de l&#8217;espatlla<\/strong>\u00a0els podem englobar en tres grans grups:<\/p>\n<p style=\"text-align: justify;\"><ul class=\"checklist nobottommargin\" style=\"font-size:14px;line-height:29px;\">\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>Els\u00a0<strong>moviments repetitius<\/strong>, generalment a la feina o per gestos esportius, que generen irritaci\u00f3 i inflamaci\u00f3 als teixits tous. Aqu\u00ed ens apareixen les tendinitis i tendinosis, com la del supraespin\u00f3s o del manegot dels rotadors, les bursitis i les capsulitis.<\/li>\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>Els\u00a0<strong>traumatismes<\/strong>, com les caigudes o els impactes directes, generant luxacions d&#8217;espatlla o fractures a l&#8217;os.<\/li>\n<li class=\"nv3-checklist\"><i class=\"fas fa-check\"><\/i>La pr\u00f2pia\u00a0<strong>edat<\/strong>, amb el desgast de les estructures i la degeneraci\u00f3 de tendons i cart\u00edlags.<\/li>\n<\/ul>\n\n<p><strong>Cada estructura provoca un tipus de dolor d\u2019espatlla diferent<\/strong>: cremant, punxant, irritant, dif\u00fas\u2026 I en punts diversos: davant o darrera de l\u2019espatlla,\u00a0 que baixen cap al colze i s\u2019irradien pel bra\u00e7 o que pugen pel coll amunt\u2026 A m\u00e9s, poden variar segons l&#8217;activitat o el moment del dia.<\/p>\n<p>Per aix\u00f2 cal una bona exploraci\u00f3 de l&#8217;espatlla, per\u00a0<strong>detectar exactament quina estructura est\u00e0 castigada i el motiu<\/strong>, ja que sense aquesta exploraci\u00f3 no es pot plantejar un tractament espec\u00edfic.<\/p>\n<p>A partir d\u2019aquesta exploraci\u00f3, el\u00a0<a href=\"http:\/\/www.claranebot.es\/ca\/blog\/xavi-palau-especialista-en-lesions-esportives\" target=\"_blank\" rel=\"noopener\">fisioterapeuta-oste\u00f2pata<\/a>\u00a0realitzar\u00e0 el tractament m\u00e9s indicat.\u00a0<strong>Abordar\u00e0 les estructures danyades, per\u00f2 sense oblidar totes les compensacions que ha realitzat el cos per adaptar-se a la lesi\u00f3 i seguir essent funcional.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-42230\" src=\"https:\/\/osteo9.com\/wp-content\/uploads\/2014\/11\/dolor-hombro-xavi-palau.jpg\" alt=\"\" width=\"400\" height=\"266\" srcset=\"https:\/\/webo9.aux.com.es\/wp-content\/uploads\/2014\/11\/dolor-hombro-xavi-palau.jpg 400w, https:\/\/webo9.aux.com.es\/wp-content\/uploads\/2014\/11\/dolor-hombro-xavi-palau-300x200.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Aquest\u00a0<a href=\"http:\/\/www.claranebot.es\/ca\/tractaments\/fisioterapia-esportiva\" target=\"_blank\" rel=\"noopener\"><strong>tractament<\/strong><\/a>\u00a0pot passar per\u00a0<strong>la reharmonitzaci\u00f3 de l\u2019articulaci\u00f3<\/strong>\u00a0(ossos), \u00a0el treball sobre m\u00fasculs sobrecarregats i d\u2019altres inhibits, sobre els lligaments i les f\u00e0scies o sobre el teixit nervi\u00f3s del bra\u00e7.<\/p>\n<p>Igualment ser\u00e0 imprescindible\u00a0<strong>una pauta d\u2019exercicis personalitzats per realitzar a casa<\/strong>, dia a dia, per readaptar aquesta articulaci\u00f3 a la vida di\u00e0ria i a l\u2019activitat esportiva.<\/p>\n<p>Com he explicat, l\u2019espatlla \u00e9s una articulaci\u00f3 complexa i el seu tractament no \u00e9s f\u00e0cil. Per\u00f2 agafant la lesi\u00f3 a temps, quan comen\u00e7a a fer mal, amb una exploraci\u00f3 del fisioterapeuta-oste\u00f2pata ben feta i el tractament correcte, tant a la consulta com amb els exercicis a domicili, el dolor d\u2019espatlla no ens ha de portar gaires problemes.<\/p>\n<\/div>\n[\/vc_column_text]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div><div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div><div class=\"promo-box-wrap  \" ><div class=\"promo-box \" style=\"background-color: #f4f4f4;border-color: #fa5b24;\"><div class=\"promo center\" data-style=\"center\" style=\"background-color: #f4f4f4;\"><div class=\"promo-desc\"><span style=\"font-size: 17px; line-height: 22px;\">\n<p>Si est\u00e0s interessat \/ a en aquest tractament,\u00a0<a href=\"https:\/\/osteo9.com\/ca\/contacte\" target=\"_blank\" rel=\"noopener\">contacta amb nosaltres<\/a>\u00a0per reservar la teva hora.<\/p>\n<h5>Osteo9\u00a0cuidem de tu.<\/h5>\n<\/span><\/div><div class=\"promo-action\"><a href=\"https:\/\/osteo9.com\/ca\/contacte\" class=\"simple-button orange small\" target=\"_blank\">Contacta'ns<\/a><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_column_text]\n<h5>Autores<\/h5>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\"col_full employee_wrap nobottommargin clearfix\"><div class=\"vc_col-sm-12 wpb_column column_container  \" data-wow-delay=\"0s\"><div class=\"team-member\"><div class=\"team-image\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-del-xavi-palau\/\"><img decoding=\"async\" src=\"https:\/\/webo9.aux.com.es\/wp-content\/uploads\/2015\/10\/xavi-palau-n.jpg\" alt=\"Xavi Palau - Fisioterapeuta i oste\u00f2pata\" title=\"Xavi Palau - Fisioterapeuta i oste\u00f2pata\"><\/a><span>Fisioterapeuta i oste\u00f2pata<\/span><\/div><div class=\"team-desc\"><a href=\"https:\/\/webo9.aux.com.es\/ca\/curriculum-vitae-del-xavi-palau\/\"><h4>Xavi Palau<\/h4><\/a><\/div><ul class=\"team-skills\"><\/ul><\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]\n[\/vc_column_inner][\/vc_row_inner]<div class=\"separator  \" style=\"padding-top: 20px; padding-bottom: 20px; \" ><hr class=\"blank_divider\" ><\/div>[vc_column_text css_animation=&#8221;fadeIn&#8221;]\n<h5>Si t\u2019ha agradat aquest article, et convidem a que ho comparteixis en las tevas xarxes socials favorites. Ho agra\u00efm sempre!<\/h5>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>Actualment el\u00a0dolor d&#8217;espatlla\u00a0\u00e9s molt freq\u00fcent, per\u00f2 no tots els dolors d&#8217;espatlla s\u00f3n iguals. Tot\u00a0dependr\u00e0 de l\u2019estructura lesionada\u00a0(m\u00fascul, tend\u00f3, lligament, c\u00e0psula, bursa, cart\u00edlag, os\u2026)\u00a0i del motiu de la lesi\u00f3.<\/p>\n","protected":false},"author":229,"featured_media":42227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[79,71],"tags":[],"class_list":["post-39529","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteo-i-fisio-esportiva-9","category-xavi-palau-14"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pateixes de dolor d&#039;espatlla? 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