{"id":39569,"date":"2015-04-28T15:41:44","date_gmt":"2015-04-28T15:41:44","guid":{"rendered":""},"modified":"2015-11-30T11:46:07","modified_gmt":"2015-11-30T11:46:07","slug":"la-fasciitis-plantar-corredors-activem-les-alarmes-no-es-un-dolor-de-broma","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/la-fasciitis-plantar-corredors-activem-les-alarmes-no-es-un-dolor-de-broma\/","title":{"rendered":"La fasci\u00eftis plantar. Corredors, activem les alarmes, no \u00e9s un dolor de broma."},"content":{"rendered":"<div class=\"field_image\"><\/div>\n<div class=\"body\">\n<div>\n<p style=\"text-align: justify;\">En moltes ocasions ignorem els dolors fins que apareixen. Per\u00f2 quan ens fa mal una part del cos, s\u2019activen les alarmes. I si, a m\u00e9s, aquest dolor ens impedeix entrenar amb normalitat, arriba el caos.<\/p>\n<p style=\"text-align: justify;\">Aquest \u00e9s el cas de la <strong>fasci\u00eftis plantar<\/strong>, gran desconeguda fins que apareix i s\u2019instaura al nostre peu. Ens boicoteja els entrenaments, i <strong>ens pot fer la punyeta durant moltes setmanes si no la detectem i la tractem a temps<\/strong>.<\/p>\n<p style=\"text-align: justify;\"><strong>Identificar la fasci\u00eftis plantar \u00e9s molt f\u00e0cil: un dolor a la planta del peu, generalment a la part del tal\u00f3; m\u00e9s intens al mat\u00ed, quan posem el peu a terra, i que va desapareixent lleugerament al llarg dels primers 25 minuts<\/strong>. Per\u00f2 la fasci\u00eftis plantar \u00e9s tra\u00efdora. Quan ens confiem i sortim a c\u00f3rrer pensant que ja ha marxat, torna a apar\u00e8ixer i amb tota la seva intensitat.<\/p>\n<h5 style=\"text-align: justify;\"><strong>Quin \u00e9s motiu desencadenant?<\/strong><\/h5>\n<p style=\"text-align: justify;\">En la gran majoria dels casos \u00e9s un problema mec\u00e0nic de la cama. Per\u00f2 quina \u00e9s la pe\u00e7a que falla? Per on es desmunta l\u2019estructura?<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" style=\"width: 200px; height: 129px; margin-left: 10px; margin-right: 10px; float: left;\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/correr-fascitis-plantar.png\" alt=\"dolor a la planta del peu al c\u00f3rrer, fasci\u00eftis plantar\" \/>Hem d\u2019entendre que <strong>la mec\u00e0nica del peu \u00e9s for\u00e7a complexa. Es tracta d\u2019un conjunt de 26 ossos, 33 articulacions, 17 lligaments i 33 m\u00fasculs, amb tres funcions molt diferents, <\/strong>quasi oposades: <strong>rebre l\u2019impacte de tot el cos, amortir el pes i impulsar la nova passa<\/strong>. Tot aix\u00f2 ben sincronitzat, a alta velocitat i amb molta for\u00e7a.<\/p>\n<p><img decoding=\"async\" style=\"width: 150px; height: 124px; margin-left: 10px; margin-right: 10px; float: right;\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/arco-plantar.jpg\" alt=\"arco plantar\" \/><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"text-align: justify;\">Quin paper hi juga la f\u00e0scia plantar? <\/span><strong style=\"text-align: justify;\">La f\u00e0scia \u00e9s un element que funciona com la corda d\u2019un arc<\/strong><span style=\"text-align: justify;\">. Aquesta corda situada a la planta<\/span><span style=\"text-align: justify;\">del peu, est\u00e0lligadaen un extrem al tal\u00f3, i en l\u2019altre a la base dels dits. <\/span><strong style=\"text-align: justify;\">La seva funci\u00f3 principal \u00e9s fer d\u2019amortidor de l\u2019arc plantar<\/strong><span style=\"text-align: justify;\">. Es considera que la f\u00e0sc<\/span><span style=\"text-align: justify;\">ia absorbeix un 60% de l\u2019impacte del pes del cos, i la seva viscoelasticitat \u00e9s capa\u00e7\u00a0<\/span><span style=\"text-align: justify;\">de restituir aquesta energia a cada pas o salt.<\/span><\/p>\n<p style=\"text-align: justify;\">Per\u00f2 com d\u00e8iem abans, <strong>hi ha elements que poden alterar aquesta funci\u00f3<\/strong> i provocar que la f\u00e0scia treballi m\u00e9s del compte i que se sobreestiri. Descobrir el motiu de l\u2019alteraci\u00f3 \u00e9s la clau del<strong> diagn\u00f2stic.<\/strong><\/p>\n<ul class=\"type1\">\n<li style=\"text-align: justify;\"><strong>Un peu pla<\/strong>. No \u00e9s m\u00e9s que la caiguda de l\u2019arc plantar, on la f\u00e0scia est\u00e0 m\u00e9s estirada que del compte i no \u00e9s capa\u00e7 de retenir i amortir.<\/li>\n<li style=\"text-align: justify;\"><strong>Un exc\u00e9s d\u2019arc <\/strong>ens portaria a tot el contrari. Una f\u00e0scia molt curta, sotmesa a una gran tracci\u00f3, i que sobresol\u00b7licitem a cada passa.<\/li>\n<li style=\"text-align: justify;\">Una <strong>hipertonia o escur\u00e7ament dels bessons i\u00a0isquiotibials<\/strong>, que generen tensi\u00f3 sobre la f\u00e0scia per la continu\u00eftat miofascial entre ells.<\/li>\n<li style=\"text-align: justify;\">Una <strong>debilitat dels m\u00fasculs de la part interna de la cama<\/strong>. Hem dit que el 60% de l\u2019absorci\u00f3 de l\u2019impacte la realitza la f\u00e0scia plantar. La resta queda repartida entre els m\u00fasculs interns (tibial anterior i posterior, extensor propi del gros i flexors dels dits) i la morfologia pr\u00f2pia de l\u2019arc.<\/li>\n<li style=\"text-align: justify;\">I d\u2019altres com la <strong>rigidesa del dit gros <\/strong>del peu, que condicionaria la torsi\u00f3 necess\u00e0ria per adaptar el peu en la fase d\u2019impuls. La <strong>limitaci\u00f3 de la rotaci\u00f3 del maluc,\u00a0una cama llarga<\/strong>&#8230;<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Hi ha d\u2019altres factors que estan directament implicats en l\u2019aparici\u00f3 de la fasci\u00eftis plantar, com \u00e9s el <strong>mal cal\u00e7at<\/strong>. Pot ser un cal\u00e7at inadequat per a l\u2019esport que estem practicant, inadequat per a les caracter\u00edstiques del nostre peu, o simplement que estigui gastat i toqui renovar-lo. Un <strong>augment brusc en el volum dels entrenaments<\/strong>. Un terreny per c\u00f3rrer massa dur, com <strong>l\u2019asfalt<\/strong>. La poca elasticitat muscular, la falta d\u2019hidrataci\u00f3 i la mala alimentaci\u00f3 en general, l\u2019estr\u00e8s, etc.<\/p>\n<p style=\"text-align: justify;\">Si no es vigila, i es segueix corrent ignorant la mol\u00e8stia pensant que marxar\u00e0 sola, els problemes poden ser molt\u00a0 m\u00e9s grans: trencaments de la pr\u00f2pia f\u00e0scia, ruptures musculars per sobre \u00fas o sobrecompensacions, condropaties rotulianes, dolor al maluc i, fins i tot, a les lumbars.<\/p>\n<h5 style=\"text-align: justify;\"><strong>Qu\u00e8 cal fer si notem que ens molesta la planta del peu? <\/strong><\/h5>\n<p style=\"text-align: justify;\">Primer de tot deixar de c\u00f3rrer temporalment (en el cas que siguem corredors). <strong>C\u00f3rrer \u00e9s l\u2019element m\u00e9s lesiu per la fasci\u00eftis plantar<\/strong>. A partir d\u2019aqu\u00ed cal buscar quina \u00e9s la pe\u00e7a que falla. Canviar de cal\u00e7at o de terreny pot ser de gran ajuda, per\u00f2 <strong>la lesi\u00f3 no marxar\u00e0 sola, caldr\u00e0 ajudar-la. Per aix\u00f2 caldr\u00e0 analitzar tots els elements i pautar un bon <a href=\"http:\/\/osteo9.com\/?p=39878\" target=\"_blank\">tractament fisioosteop\u00e0tic<\/a><\/strong>, tant a la consulta com a casa. Exercicis d\u2019estirament o de tonificaci\u00f3, propiocepci\u00f3 espec\u00edfica, o CORE. T\u00e8cniques miofascials i de punts gatell, manipulacions articulars, inducci\u00f3 miofascial, embenats o fibr\u00f2lisi.<\/p>\n<p style=\"text-align: justify;\"><strong>Ser\u00e0 el mateix <a href=\"http:\/\/osteo9.com\/?p=39794\" target=\"_blank\">fisioterapeuta\/oste\u00f2pata<\/a> qui ens pautar\u00e0 la tornada a l\u2019activitat. Una reintroducci\u00f3 progressiva i controlada<\/strong>. L\u2019objectiu no \u00e9s la immobilitat, tot el contrari. En etapes inicials ser\u00e0 interessant mantenir l\u2019activitat, per\u00f2 evitar impacte. Poden ser bons aliats la bici, la nataci\u00f3, el rem, el pilates&#8230; i progressivament anar solapant la recuperaci\u00f3 de la f\u00e0scia amb el c\u00f3rrer, fins arribar a la <strong>recuperaci\u00f3 total.<\/strong><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>En moltes ocasions ignorem els dolors fins que apareixen. Per\u00f2 quan ens fa mal una part del cos, s\u2019activen les alarmes. I si, a m\u00e9s, aquest dolor ens impedeix entrenar amb normalitat, arriba el caos. Aquest \u00e9s el cas de la fasci\u00eftis plantar, gran desconeguda fins que apareix i s\u2019instaura al nostre peu. Ens boicoteja [&hellip;]<\/p>\n","protected":false},"author":229,"featured_media":41151,"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-39569","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>La fasci\u00eftis plantar. 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