{"id":989587,"date":"2020-05-01T16:23:24","date_gmt":"2020-05-01T14:23:24","guid":{"rendered":"https:\/\/www.osteovitalsabadell.cat\/?p=989587"},"modified":"2025-10-28T12:53:15","modified_gmt":"2025-10-28T10:53:15","slug":"que-sabemos-de-la-hernia-discalque-sabemos-de-la-hernia-discal","status":"publish","type":"post","link":"https:\/\/www.osteovitalsabadell.cat\/es\/que-sabemos-de-la-hernia-discalque-sabemos-de-la-hernia-discal\/","title":{"rendered":"\u00bfQu\u00e9 sabemos de la HERNIA DISCAL?\u00bfQu\u00e9 sabemos de la HERNIA DISCAL?"},"content":{"rendered":"
\n

Anatomia de la columna vertebral<\/u><\/strong><\/p>\n\n\n\n

La columna vertebral est\u00e0 formada per la part \u00f2ssia que serien els cossos vertebrals. Entre un cos vertebral i el subjacent hi tenim un disc intervertebral, format per aigua i col\u00b7lagen, que el que far\u00e0 ser\u00e0 esmorteir la carga que rebem per la gravetat i facilitar els diferents moviments que fem amb la columna. Cada un dels discs intervertebrals est\u00e0 format per dos components:<\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4″ colors=\u00bb^\u00bb list_item_content=\u00bbAnell fibr\u00f3s: \u00c9s la part m\u00e9s externa, resistent i flexible del disc.^Nucli polp\u00f3s: \u00c9s la part del centre del disc, \u00e9s m\u00e9s tou i gelatin\u00f3s.\u00bb sc_id=\u00bbsc1588342351200″]<\/p>\n\n\n\n

Qu\u00e8 \u00e9s una h\u00e8rnia discal i quines s\u00f3n les causes d\u2019aparici\u00f3?<\/u><\/strong><\/p>\n\n\n\n

L\u2019h\u00e8rnia discal \u00e9s la sortida del nucli polp\u00f3s a trav\u00e9s d\u2019una fissura de l\u2019anell fibr\u00f3s del disc intervertebral.<\/p>\n\n\n\n

L\u2019h\u00e8rnia discal s\u00f2l apar\u00e8ixer degut a una degeneraci\u00f3 discal causada pel pas dels anys. A mesura que envellim, els discs es van fent menys flexibles, tenen menys aigua, menys col\u00b7lagen i seran m\u00e9s propensos a esquin\u00e7ar-se o trencar-se.<\/p>\n\n\n\n

Normalment el fet de fer moviments repetitius de flexo- extensi\u00f3 d\u2019esquena, girs o transport de material pesant influeix a vegades m\u00e9s que no pas l\u2019edat. Ja que hi ha molta gent jove amb h\u00e8rnies discals, algunes de les quals s\u00f3n asimptom\u00e0tiques.<\/p>\n\n\n\n

Un traumatisme com una caiguda seria estrany que fos el motiu de l\u2019aparici\u00f3 d\u2019una h\u00e8rnia discal.<\/p>\n\n\n\n

Quina \u00e9s<\/u><\/strong> difer\u00e8ncia hi ha entre protrusi\u00f3 i h\u00e8rnia discal?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4″ colors=\u00bb^\u00bb list_item_content=\u00bbProtrusi\u00f3 discal: consisteix en el bombament de l\u2019anell fibr\u00f3s que envolta el disc intervertebral.^H\u00e8rnia discal: \u00e9s la sortida del nucli polp\u00f3s a trav\u00e9s d\u2019una fissura en l\u2019anell fibr\u00f3s del disc intervertebral.\u00bb sc_id=\u00bbsc1588342413708″]<\/p>\n\n\n\n

La difer\u00e8ncia doncs entre protrusi\u00f3 i h\u00e8rnia discal \u00e9s que s\u2019hagi produ\u00eft la sortida del contingut (h\u00e8rnia) o nom\u00e9s deformaci\u00f3 de l\u2019anell fibr\u00f3s, sense sortida del contingut (protrusi\u00f3).<\/p>\n\n\n\n

Quina simptomatologia dona una h\u00e8rnia discal?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^\u00bb list_item_content=\u00bbDolor irradiat cap a la cama seguint el dermatoma del nervi pin\u00e7at. Pot venir acompanyat de dolor lumbar o no. Normalment el dolor cap a la cama \u00e9s pitjor que el dolor lumbar.^Entumiment, debilitat i parest\u00e8sies (formigueig) cap a la cama del costat on hi ha l\u2019h\u00e8rnia discal.^Dolor lumbar, glutis i piramidal.^\u2022 \u201cRed flag\u201d!: quan la simptomatologia \u00e9s bilateral (afectaci\u00f3 a les dues cames o dos bra\u00e7os) i apareixen els seg\u00fcents s\u00edmptomes hem de derivar urgentment:\u00bb sc_id=\u00bbsc1588342548424″]<\/p>\n\n\n

[list list_type=\u00bb1″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4″ colors=\u00bb1^2^3″ list_item_content=\u00bbP\u00e8rdua de for\u00e7a important.^Mal control d\u2019esf\u00ednters, que pot provocar incontin\u00e8ncia o dificultat per orinar, incl\u00fas tenint la bufeta plena.^Anest\u00e8sia en cadira de muntar: P\u00e8rdua de la sensibilitat a les \u00e0rees que tocarien a una cadira de muntar a cavall com la part interna de les cames (adductors), isquiotibials i l\u2019\u00e0rea al voltant del recte.\u00bb sc_id=\u00bbsc1588342692689″]<\/p>\n\n\n\n

Quins factors de risc hi ha?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^\u00bb list_item_content=\u00bbPes: L\u2019exc\u00e9s de pes corporal pot causar estr\u00e9s addicional als discs intervertebrals a nivell lumbar^Tipus de feina: Persones amb feines f\u00edsicament exigents tenen major risc de patir problemes d\u2019esquena. Moviments repetitius com flexionar i extensionar el tronc, emp\u00e8nyer objectes pesants, girar-se de manera continuada a un costat i a l\u2019altre poden augmentar el risc d\u2019aparici\u00f3 d\u2019h\u00e8rnia discal.^Gen\u00e8tica: Algunes persones hereten una predisposici\u00f3 a tenir h\u00e8rnia discal.^Tabac: Es creu que el tabaquisme disminueix l\u2019oxigen a nivell discal, causant que es deteriori m\u00e9s r\u00e0pidament. \u00bb sc_id=\u00bbsc1588342776409″]<\/p>\n\n\n\n

Quins s\u00f3n els factors de prevenci\u00f3 per una h\u00e8rnia discal?<\/u><\/strong><\/p>\n\n\n

[list list_type=\u00bb2″ animation=\u00bb\u00bb actions=\u00bbicon-right-4^icon-right-4^icon-right-4^icon-right-4″ colors=\u00bb^^^\u00bb list_item_content=\u00bbExercici f\u00edsic: Mantenir un bon to muscular a nivell abdominal (transvers de l\u2019abdomen, oblics i recte abdominal) que estabilitza la columna vertebral.^Postura: Mantenir una bona higiene postural, tan quan estem asseguts com quan anem a agafar algun objecte (fent servir la for\u00e7a de les cames, no la del tronc quan aixequem el pes), sobretot si es pesant. Ser\u00e0 important per no patir a nivell discal.^Pes saludable^No fumar\u00bb sc_id=\u00bbsc1588342852697″]<\/p>\n\n\n\n

Quin tractament puc fer si tinc una h\u00e8rnia discal?<\/u><\/strong><\/p>\n\n\n\n

D\u2019entrada no \u00e9s recomanable el tractament quir\u00fargic. L\u2019osteopatia i la fisioter\u00e0pia s\u00f3n una bona eina per comen\u00e7ar a tractar aquest tipus de lesions a nivell conservador. Ser\u00e0 dif\u00edcil reabsorbir aquesta h\u00e8rnia discal per\u00f2 fent un bon treball a nivell estructural (per intentar desbloquejar), a nivell flu\u00eddic (per oxigenar la zona perqu\u00e8 hi arribi m\u00e9s sang) i fins i tot a nivell visceral (\u00f2rgans com l\u2019\u00fater, les trompes, ovaris, bufeta poden estar influint en aquesta lumb\u00e0lgia i tamb\u00e9 a nivell fascial sobretot si hi ha cicatrius per ces\u00e0ria), podem ajudar a disminuir el dolor.<\/p>\n\n\n\n

Tamb\u00e9 ser\u00e0 important fer exercici f\u00edsic sense impacte. Millorant el to muscular i l\u2019elasticitat de la zona abdominal. Exercicis hipopressius, ioga o pilates serien algunes de les opcions m\u00e9s recomanables.<\/p>\n\n\n\n

La nostra dieta, com hem dit abans, tamb\u00e9 ser\u00e0 molt important i sobretot ser\u00e0 important beure aigua perqu\u00e8 aquests discs estiguin ben hidratats.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Anatomia de la columna vertebral La columna vertebral est\u00e0 formada per la part \u00f2ssia que serien els cossos vertebrals. Entre un cos vertebral i el subjacent hi tenim un disc intervertebral, format per aigua i col\u00b7lagen, que el que far\u00e0 ser\u00e0 esmorteir la carga que rebem per la gravetat i facilitar els diferents moviments que…<\/p>\n","protected":false},"author":1,"featured_media":988577,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-989587","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"yoast_head":"\nTratamiento osteop\u00e1tico de hernia discal \u2013 Osteovital Sabadell<\/title>\n<meta name=\"description\" content=\"Conoce c\u00f3mo la osteopat\u00eda mejora el dolor por hernia discal. 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