{"id":1535,"date":"2017-02-03T13:39:34","date_gmt":"2017-02-03T13:39:34","guid":{"rendered":"http:\/\/traumare.com\/?p=1535"},"modified":"2017-02-07T07:53:36","modified_gmt":"2017-02-07T07:53:36","slug":"la-epicondilitis","status":"publish","type":"post","link":"https:\/\/traumare.com\/ca\/la-epicondilitis\/","title":{"rendered":"L&#8217;epicondilitis, detecci\u00f3 i tractament"},"content":{"rendered":"<p>Des del <strong>servei de fisioter\u00e0pia esportiva de Traumare a Lleida<\/strong>, implicats com estem en les lesions esportives, volem parlar sobre algunes de les lesions m\u00e9s comuns.<\/p>\n<p>Explicar i resumir d&#8217;una manera f\u00e0cil com es produeixen, quines mesures adoptar per evitar-les i, en \u00faltima inst\u00e0ncia, com tractar-les mitjan\u00e7ant un bon tractament de fisioter\u00e0pia.<\/p>\n<p>Parlarem en aquest article sobre\u00a0<strong>l&#8217;epicondilitis.<\/strong><\/p>\n<p>L&#8217;epicondilitis, coneguda tamb\u00e9 com a <strong>colze de tennista<\/strong>, \u00e9s la inflamaci\u00f3 i la disminuci\u00f3 de qualitat dels tendons que s&#8217;insereixen en la part lateral del colze, que \u00e9s la musculatura epicond\u00edlea.<\/p>\n<p>Aquesta musculatura epicond\u00edlea treballa en realitzar l&#8217;acci\u00f3 d&#8217;extensi\u00f3 de nina i supinaci\u00f3 de l&#8217;avantbra\u00e7, o dit d&#8217;una altra manera portar la punta dels dits cap al sostre en cas d&#8217;extensi\u00f3, i girar l&#8217;avantbra\u00e7 cap a fora amb els palmells cap amunt en cas de la supinaci\u00f3.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1541\" src=\"http:\/\/traumare.com\/wp-content\/uploads\/2017\/02\/Traumare-CentreMedic-fisioterapia-esportiva-epicondilo-extension-1.jpg\" alt=\"\" width=\"540\" height=\"418\" srcset=\"https:\/\/traumare.com\/wp-content\/uploads\/2017\/02\/Traumare-CentreMedic-fisioterapia-esportiva-epicondilo-extension-1.jpg 540w, https:\/\/traumare.com\/wp-content\/uploads\/2017\/02\/Traumare-CentreMedic-fisioterapia-esportiva-epicondilo-extension-1-300x232.jpg 300w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/p>\n<p><strong>Quina \u00e9s la simptomatologia m\u00e9s freq\u00fcent en una epicondilitis?<\/strong><\/p>\n<ul>\n<li>Dolor en la part externa del colze.<\/li>\n<li>Incapacitat per realitzar alguns moviments com utilitzar un raspall de dents, o un ganivet.<\/li>\n<li>Dolor a la pressi\u00f3 a la zona de la lesi\u00f3 (epic\u00f2ndil, que \u00e9s la part externa del colze).<\/li>\n<li>Dolor o quedar-se sense for\u00e7a a l&#8217;hora d&#8217;aixecar un element simple com un got o una ampolla.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Per quins\u00a0motius podem sofrim aquesta lesi\u00f3?<\/strong><\/p>\n<p>Alguns dels m\u00e9s comuns s\u00f3n:<\/p>\n<ul>\n<li>Per un impacte sobre la zona lateral del colze.<\/li>\n<li>Per la realitzaci\u00f3 de moviments repetitius que incloguin l&#8217;extensi\u00f3 de la nina i la supinaci\u00f3 de l&#8217;avantbra\u00e7.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Aquesta segona causa es d\u00f3na tant en l&#8217;esportiu com en la vida quotidiana i molt lligada tamb\u00e9 al m\u00f3n laboral.<\/p>\n<p>Encara que es vulgui enfocar l&#8217;<strong>epicondilitis<\/strong>\u00a0des d&#8217;un punt de vista esportiu, des de l&#8217;equip de fisioter\u00e0pia no podem obviar que moltes de les tasques di\u00e0ries al m\u00f3n laboral obliguen a realitzar la mateixa activitat durant un llarg per\u00edode de temps i en moviments repetitius, posats de treballs com els de secretari, inform\u00e0tic, enginyer, administratiu\u2026, professions com la de jardiner, mec\u00e0nic, fuster i aquells treballs en qu\u00e8 es realitzin moviments repetitius i for\u00e7ats amb la m\u00e0 i avantbra\u00e7.<\/p>\n<p>Podr\u00edem dir que moltes de les activitats, fins i tot quotidianes, que realitzem poden arribar a provocar una epicondilitis, per aix\u00f2 \u00e9s molt important tenir una bona higiene postural en realitzar aquestes activitats.<\/p>\n<p>En l&#8217;esport s\u00f3n aquells esportistes que realitzen moviments repetitius o que sotmetin a gran esfor\u00e7 les extremitats superiors els que estan m\u00e9s exposats a sofrir aquesta lesi\u00f3.<\/p>\n<p>En esports com el b\u00e0squet o el tennis sempre ha estat habitual trobar-se i tractar aquest tipus de lesi\u00f3, per\u00f2 \u00e9s en el p\u00e0del on s&#8217;estan detectant \u00faltimament un creixent nombre de lesions, a causa de l&#8217;enorme pr\u00e0ctica d&#8217;aquest esport, per\u00f2 tamb\u00e9 al fet que la higiene postural no sempre \u00e9s la correcta.<\/p>\n<p>\u00c9s molt important tenir una bona higiene postural en realitzar aquestes activitats, per aix\u00f2, \u00e9s recomanable consultar a un expert quan es comen\u00e7a a practicar un esport, a fi d&#8217;evitar males conductes o \u201cvicis\u201d quan es practica el mateix.<\/p>\n<p>Tot i aix\u00ed, en la nostra naturalesa est\u00e0 ser\u00a0competitius i tractar sempre de superar-nos, per la qual cosa lesions com l&#8217;<strong>epicondilitis<\/strong>\u00a0o la <strong>tenditinis<\/strong>\u00a0(que tractarem en un altre article) segueixen arribant a les nostres consultes de fisioter\u00e0pia.<\/p>\n<p>\u00c9s tan important per al pacient com per al fisioterapeuta, poder detectar la lesi\u00f3 el m\u00e9s aviat possible, \u00e9s per aix\u00f2 que anem a tractar d&#8217;explicar cadascuna de les fases de la lesi\u00f3.<\/p>\n<p>Des de la fisioter\u00e0pia es podrien separar 3 fases clares i definides dins de la lesi\u00f3.<\/p>\n<ul>\n<li>Una primera fase on el <strong>dolor apareix a l&#8217;inici de l&#8217;exercici<\/strong>, i a poc a poc va desapareixent, fins que torna durant el rep\u00f2s posterior.<\/li>\n<li>Una segona fase m\u00e9s aguda on el<strong> dolor est\u00e0 present constantment<\/strong> i s&#8217;accentua amb el moviment.<\/li>\n<li>Una tercera fase, que podr\u00edem nomenar com a cr\u00f2nica quan <strong>el dolor \u00e9s continu i insidi\u00f3s<\/strong> que pot portar-te a abandonar la pr\u00e0ctica esportiva o laboral.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>En la fase pr\u00e8via on el jugador o el treballador nota una petita mol\u00e8stia o una sobrec\u00e0rrega de la musculatura, ja <strong>\u00e9s recomanable acudir al fisioterapeuta o professional<\/strong> per poder fer una valoraci\u00f3 i o b\u00e9 tractar-ho el m\u00e9s aviat possible o prendre mesures preventives per evitar que evolucioni cap a una epicondilitis.<\/p>\n<p>Per tractar aquesta lesi\u00f3, el fisioterapeuta ha de realitzar una exploraci\u00f3 i valoraci\u00f3 per posteriorment planificar un tractament i saber en quina fase de la patologia es troba l&#8217;esportista i poder realitzar el tractament que m\u00e9s es adecue al seu estat. Les diferents t\u00e8cniques que podrien usar-se en fisioter\u00e0pia serien:<\/p>\n<ul>\n<li><strong>Tractar la zona cervical<\/strong> per detectar si pot existir una contractura a nivell cervical que pogu\u00e9s agreujar la lesi\u00f3.<\/li>\n<li><strong>Ter\u00e0pia manual<\/strong>, mobilitzacions, manipulacions del colze i nina quan existeix un d\u00e8ficit de mobilitat en els ossos.<\/li>\n<li><strong>Massoter\u00e0pia<\/strong> amb la finalitat de disminuir la tensi\u00f3 de la musculatura epicond\u00edlea.<\/li>\n<li><strong>Punci\u00f3 seca<\/strong> dels punts gallets actius de la musculatura extensora.<\/li>\n<li><strong>Massatge transvers profund<\/strong> en la inserci\u00f3 del tend\u00f3 si no est\u00e0 molt irritat i inflamat, que pot ser amb els dits o amb els ganxos (fibr\u00f3lisi diacutanea).<\/li>\n<li><strong>Estiraments musculars<\/strong>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Sandra Godia<\/strong> &#8211; Fisioterapeuta<\/p>\n<p>Col\u00b7legiada 10406<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Des del servei de fisioter\u00e0pia esportiva de Traumare a Lleida, implicats com estem en les lesions esportives, volem parlar sobre algunes de les lesions m\u00e9s comuns. Explicar i resumir d&#8217;una manera f\u00e0cil com es produeixen, quines mesures adoptar per evitar-les i, en \u00faltima inst\u00e0ncia, com tractar-les mitjan\u00e7ant un bon tractament de fisioter\u00e0pia. Parlarem en aquest<\/p>\n","protected":false},"author":1,"featured_media":1536,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[76,75],"tags":[77,78],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L&#039;epicondilitis, detecci\u00f3 i tractament - TRAUMARE<\/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:\/\/traumare.com\/es\/la-epicondilitis\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L&#039;epicondilitis, detecci\u00f3 i tractament - TRAUMARE\" \/>\n<meta property=\"og:description\" content=\"Des del servei de fisioter\u00e0pia esportiva de Traumare a Lleida, implicats com estem en les lesions esportives, volem parlar sobre algunes de les lesions m\u00e9s comuns. Explicar i resumir d&#8217;una manera f\u00e0cil com es produeixen, quines mesures adoptar per evitar-les i, en \u00faltima inst\u00e0ncia, com tractar-les mitjan\u00e7ant un bon tractament de fisioter\u00e0pia. 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