{"id":39817,"date":"2014-09-09T10:06:01","date_gmt":"2014-09-09T10:06:01","guid":{"rendered":""},"modified":"2014-09-09T10:06:01","modified_gmt":"2014-09-09T10:06:01","slug":"la-sindrome-del-piramidal-la-falsa-ciatica","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/la-sindrome-del-piramidal-la-falsa-ciatica\/","title":{"rendered":"La s\u00edndrome del piramidal: la falsa ci\u00e0tica"},"content":{"rendered":"<div class=\"field_image\"><img decoding=\"async\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/sindrome-piramidal_0.jpg\" title=\"sindrome-piramidal.jpg\" alt=\"sindrome-piramidal.jpg\" \/><\/div>\n<div class=\"body\">\n<div>\n<p style=\"text-align: justify;\">De vegades pot apareix <strong>un fort dolor a la part de darrere de la cama, que baixa des del gluti fins al genoll i el peu<\/strong>, seguint tot el trajecte del nervi ci\u00e0tic, fins i tot amb formigueig i p\u00e8rdua de for\u00e7a. Es fan proves com radiografies, resson\u00e0ncies i TAC de columna per\u00f2 tot est\u00e0 correcte, no hi ha evid\u00e8ncia d&#39;<a href=\"http:\/\/www.teknon.es\/web\/moreta\/lumbago\/hernia-discal-lumbar\" target=\"_blank\">h\u00e8rnia discal<\/a> lumbar que afecti al nervi ci\u00e0tic. Llavors, qu\u00e8 pot ser?<\/p>\n<p style=\"text-align: justify;\">Realment hi ha un atrapament del <a href=\"http:\/\/ca.wikipedia.org\/wiki\/Nervi_ci%C3%A0tic\" target=\"_blank\">nervi ci\u00e0tic<\/a>, per\u00f2 no per culpa d&#39;una h\u00e8rnia discal, sin\u00f3 pel <a href=\"http:\/\/ca.wikipedia.org\/wiki\/M%C3%BAscul_piramidal_de_la_pelvis\" target=\"_blank\">m\u00fascul piramidal<\/a>. Aix\u00f2 \u00e9s la <strong>s\u00edndrome del piramidal: un atrapament del nervi ci\u00e0tic per una compressi\u00f3 muscular.<\/strong><\/p>\n<p><img decoding=\"async\" alt=\"S\u00edndrome del piramidal i la seva relaci\u00f3 amb el nervi ci\u00e0tic\" src=\"http:\/\/osteo9.com\/wp-content\/uploads\/musculo-piramidal-nervio-ciatico.jpg\" style=\"width: 300px; height: 284px; margin: 10px; float: right;\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>El m\u00fascul piramidal se situa a la part profunda de la pelvis<\/strong>, per dins del gluti, i \u00e9s el responsable, entre d&#39;altres, de girar la cama cap a fora. <strong>Quan est\u00e0 molt tens i carregat<\/strong> a causa de males postures, activitats esportives inadequades, fins i tot al sedentarisme, <strong>pot pressionar el nervi ci\u00e0tic i generar la s\u00edndrome del piramidal<\/strong>.<\/p>\n<p style=\"text-align: justify;\">El nervi i el m\u00fascul estan en contacte directe. Qualsevol exc\u00e9s de tensi\u00f3 o escur\u00e7ament del m\u00fascul piramidal provocar\u00e0 una compressi\u00f3 i una irritaci\u00f3 del nervi ci\u00e0tic, provocant els <strong>s\u00edmptomes de la s\u00edndrome del piramidal: dolor al trajecte del nervi, sobretot a la zona gl\u00fatia, cuixa, genoll i cama, entumiment i p\u00e8rdua de for\u00e7a i de reflexos.<\/strong> El dolor pot arribar fins a la zona lumbar confonent m\u00e9s encara el diagn\u00f2stic amb una h\u00e8rnia discal lumbar.<\/p>\n<p style=\"text-align: justify;\"><strong>El tractament de la s\u00edndrome del piramidal no \u00e9s complicat, per\u00f2 cal fer una bona valoraci\u00f3 pr\u00e8via<\/strong> per no confondre-ho amb una veritable compressi\u00f3 ci\u00e0tica per una h\u00e8rnia discal. En aquest cas el fisioterapeuta i l&#39;oste\u00f2pata, mitjan\u00e7ant els seus tests de valoraci\u00f3, diagnosticaran i determinaran la magnitud de la lesi\u00f3 i el tractament a seguir.<\/p>\n<p style=\"text-align: justify;\">En tots els casos <strong>cal tractar el propi m\u00fascul piramidal<\/strong>, amb t\u00e8cniques conservadores o m\u00e9s invasives en funci\u00f3 de la gravetat i la cronicitat de la lesi\u00f3. Generalment <strong>caldr\u00e0 tractar les estructures adjacents, tant musculars com articulars<\/strong> (maluc, pelvis, columna, sacre, genoll&#8230;) per millorar la funcionalitat de tot el sistema.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>De vegades pot apareix un fort dolor a la part de darrere de la cama, que baixa des del gluti fins al genoll i el peu, seguint tot el trajecte del nervi ci\u00e0tic, fins i tot amb formigueig i p\u00e8rdua de for\u00e7a. Es fan proves com radiografies, resson\u00e0ncies i TAC de columna per\u00f2 tot est\u00e0 [&hellip;]<\/p>\n","protected":false},"author":229,"featured_media":40560,"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-39817","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 s\u00edndrome del piramidal: la falsa ci\u00e0tica | 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\/la-sindrome-del-piramidal-la-falsa-ciatica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La s\u00edndrome del piramidal: la falsa ci\u00e0tica | Blog Osteo9\" \/>\n<meta property=\"og:description\" content=\"De vegades pot apareix un fort dolor a la part de darrere de la cama, que baixa des del gluti fins al genoll i el peu, seguint tot el trajecte del nervi ci\u00e0tic, fins i tot amb formigueig i p\u00e8rdua de for\u00e7a. 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