{"id":39800,"date":"2014-04-08T17:42:22","date_gmt":"2014-04-08T17:42:22","guid":{"rendered":""},"modified":"2014-04-08T17:42:22","modified_gmt":"2014-04-08T17:42:22","slug":"periostitis-tibial-aquell-dolor-a-la-tibia-que-apareix-al-correr-i-ens-obliga-a-parar","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/periostitis-tibial-aquell-dolor-a-la-tibia-que-apareix-al-correr-i-ens-obliga-a-parar\/","title":{"rendered":"Periostitis tibial: aquell dolor a la tibia que apareix al c\u00f3rrer i ens obliga a parar"},"content":{"rendered":"<div class=\"field_image\"><img decoding=\"async\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/periostitis-tibial-corredor.jpg\" title=\"periostitis-tibial-corredor.jpg\" alt=\"periostitis-tibial-corredor.jpg\" \/><\/div>\n<div class=\"body\">\n<div>\n<p style=\"text-align: justify;\">Pot ser que <strong>molts corredors haguem patit <\/strong>alguna vegada un <strong>dolor intens a la part anterior de la t\u00edbia<\/strong>. Una sensaci\u00f3 de blau que a mesura que va augmentant l&#39;entrenament va essent m\u00e9s dolorosa i abasta una superf\u00edcie cada vegada m\u00e9s gran, sempre a la vora de la t\u00edbia . Qu\u00e8 \u00e9s aquest dolor? A qu\u00e8 es deu? Qu\u00e8 podem fer-hi?<\/p>\n<p style=\"text-align: justify;\">La <strong>periostitis tibial \u00e9s la inflamaci\u00f3 del periosti de la t\u00edbia<\/strong>, una membrana enganxada a l&#39;os que li serveix de protecci\u00f3, entre altres propietats. Per la seva alta irrigaci\u00f3 sangu\u00ednia i la seva gran quantitat de receptors nerviosos \u00e9s <strong>una membrana molt sensible, molt irritable i molt dolorosa.<\/strong><\/p>\n<p style=\"text-align: justify;\">Aquesta inflamaci\u00f3 t\u00e9 un causant, el m\u00fascul <strong>tibial posterior<\/strong>, que irrita el periosti per un mecanisme de <strong>fricci\u00f3 cont\u00ednua.<\/strong><\/p>\n<p><a href=\"http:\/\/www.laradibuixa.blogspot.com\" target=\"_blank\"><img decoding=\"async\" alt=\"tibial posterio periostitis tibial\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/tibial-posterior.jpg\" style=\"width: 235px; height: 400px; margin-left: 20px; margin-right: 20px; float: right;\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">Si observem el recorregut del <strong>tibial posterior<\/strong> veurem que <strong>s&#39;origina a la part posterior de la t\u00edbia i del peron\u00e9<\/strong>, molt a prop del genoll, i <strong>descendeix en contacte directe amb la t\u00edbia fins arribar a la planta del peu<\/strong> (escafoides, II falca i base dels metatarsians) passant per la part interna del turmell. I aquest recorregut t\u00e9 una funci\u00f3 molt important, subjectar l&#39;arc del peu (el pont) i <strong>mantenir-lo elevat <\/strong>a cada pas. Vindria a ser alguna cosa aix\u00ed com un amortidor del peu.<\/p>\n<p style=\"text-align: justify;\">Fins aqu\u00ed tot funciona d&#39;acord amb la biomec\u00e0nica del cos, llavors on \u00e9s el problema? Per qu\u00e8 ens fa mal al c\u00f3rrer? <strong>El problema est\u00e0 quan li demanem al tibial posterior que mantingui elevat durant molt de temps i\/o en males condicions l&#39;arc del peu<\/strong>. Aquest sobreesfor\u00e7 per mantenir l&rsquo;amortiment estable a cada pas que fem en c\u00f3rrer genera la irritaci\u00f3. A causa del contacte directe que hi ha entre m\u00fascul i periosti, <strong>hi ha una fricci\u00f3 excessiva<\/strong> que el periosti \u00e9s incapa\u00e7 de suportar i acaba amb la inflamaci\u00f3, i a <strong>m\u00e9s quil\u00f2metres fregant, m\u00e9s irritaci\u00f3 i m\u00e9s dolor.<\/strong><\/p>\n<p style=\"text-align: justify;\">Les <strong>causes<\/strong> m\u00e9s freq\u00fcents de la periostitis tibial poden venir per un <strong>augment brusc dels quil\u00f2metres<\/strong>, sobretot per <strong>asfalt<\/strong> que \u00e9s m\u00e9s dur i amorteix menys l&#39;impacte, <strong>una adaptaci\u00f3 no progressiva<\/strong> en el cas de nous corredors, un desgast de les <strong>sabatilles<\/strong> o l&#39;\u00fas de unes sabatilles no adequades, i <strong>canvis en la morfologia del cos del corredor<\/strong>, des dels ossos dels peus, genolls, malucs, fins i tot del sacre i la columna.<\/p>\n<p style=\"text-align: justify;\">La primera mesura d&#39;actuaci\u00f3 ser\u00e0 <strong>parar de c\u00f3rrer<\/strong>, interrompre els entrenaments i <strong>aplicar gel<\/strong> per disminuir la periostitis. En segon lloc, revisar el motiu tenint en compte les causes possibles, i despr\u00e9s acudir a un professional com un <strong><a href=\"http:\/\/www.claranebot.es\/tratamientos\/fisioterapia-deportiva\" target=\"_blank\">fisioterapeuta<\/a><\/strong> o <strong><a href=\"http:\/\/www.claranebot.es\/tratamientos\/osteopatia-deportiva\" target=\"_blank\">oste\u00f2pata<\/a><\/strong> per <strong>valorar l&#39;origen biomec\u00e0nic del problema<\/strong>, eliminar la inflamaci\u00f3 del periosti, reduir la sobrec\u00e0rrega del tibial posterior i els m\u00fasculs sin\u00e8rgics, aix\u00ed com totes les compensacions que hagin aparegut, i pautar una rutina de <strong>readaptaci\u00f3 a l&#39;exercici.<\/strong><\/p>\n<p style=\"text-align: justify;\">Cal tenir en compte que una<strong> periostitis tibial mal curada<\/strong> o fins i tot no tractada (ignorada) <strong>pot portar problemes severs fins i tot a la fractura per estr\u00e8s de la t\u00edbia.<\/strong><\/p>\n<p style=\"text-align: justify;\"><em>Il&middot;lustraci\u00f3 de&nbsp;<a href=\"http:\/\/www.laradibuixa.blogspot.com\" target=\"_blank\">www.laradibuixa.blogspot.com<\/a><\/em><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pot ser que molts corredors haguem patit alguna vegada un dolor intens a la part anterior de la t\u00edbia. Una sensaci\u00f3 de blau que a mesura que va augmentant l&#39;entrenament va essent m\u00e9s dolorosa i abasta una superf\u00edcie cada vegada m\u00e9s gran, sempre a la vora de la t\u00edbia . Qu\u00e8 \u00e9s aquest dolor? A [&hellip;]<\/p>\n","protected":false},"author":229,"featured_media":40313,"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-39800","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>Periostitis tibial: aquell dolor a la tibia que apareix al c\u00f3rrer i ens obliga a parar | Blog Osteo9<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/webo9.aux.com.es\/ca\/periostitis-tibial-aquell-dolor-a-la-tibia-que-apareix-al-correr-i-ens-obliga-a-parar\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Periostitis tibial: aquell dolor a la tibia que apareix al c\u00f3rrer i ens obliga a parar | Blog Osteo9\" \/>\n<meta property=\"og:description\" content=\"Pot ser que molts corredors haguem patit alguna vegada un dolor intens a la part anterior de la t\u00edbia. 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