{"id":19585,"date":"2022-04-04T12:09:00","date_gmt":"2022-04-04T11:09:00","guid":{"rendered":"https:\/\/centrekine.com\/protrusion-discal-lumbar-o-hernia\/"},"modified":"2025-01-27T11:02:44","modified_gmt":"2025-01-27T10:02:44","slug":"hernia-o-protrusio-discal-que-son-en-que-es-diferencien-simptomes-diagnostic-i-tractament","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/hernia-o-protrusio-discal-que-son-en-que-es-diferencien-simptomes-diagnostic-i-tractament\/","title":{"rendered":"H\u00e8rnia o protrusi\u00f3 discal? qu\u00e8 s\u00f3n, en qu\u00e8 es diferencien, s\u00edmptomes, diagn\u00f2stic i tractament"},"content":{"rendered":"<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Si sents <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">debilitat a les cames, dolor a la part baixa de l&#8217;esquena que irradia cap a la cama o gluti i et costa flexionar el tronc<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> podries patir una protrusi\u00f3 discal lumbar o una h\u00e8rnia discal. T&#8217;ho expliquem.<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Qu\u00e8 \u00e9s una h\u00e8rnia i en qu\u00e8 es diferencia duna protrusi\u00f3 discal<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Una h\u00e8rnia discal \u00e9s <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">una lesi\u00f3 del disc intervertebral<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (o nucli polp\u00f3s), que <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">consisteix en el seu despla\u00e7ament cap a l&#8217;arrel nerviosa<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Com a conseq\u00fc\u00e8ncia, est\u00e0 possible compressi\u00f3 del nervi, pot provocar <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">simptomatologia neurol\u00f2gica<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> a la zona afectada, aix\u00ed com cap a les seves zones inervades.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Existeixen <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">diversos tipus d&#8217;h\u00e8rnies discals classificades segons la seva localitzaci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . En general les <\/span><span style=\"vertical-align: inherit;\">m\u00e9s freq\u00fcents <\/span><strong><span style=\"vertical-align: inherit;\">es <\/span><\/strong><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">donen a les zones lumbar<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> i <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">cervical<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . <\/span><span style=\"vertical-align: inherit;\">en una <\/span><strong><span style=\"vertical-align: inherit;\">deformaci\u00f3, sense trencament, del disc intervertebral<\/span><\/strong><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Els discos intervertebrals amb les l\u00e0mines, els pedicles i les ap\u00f2fisis articulars de les v\u00e8rtebres adjacents creen l&#8217;espai per on passen els nervis espinals. Els discos intervertebrals estan formats per un anell fibr\u00f3s exterior, un nucli polp\u00f3s i les plaques terminals cartilaginoses que ancoren el disc a les seves vertebres.<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Factors de risc<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Hi ha factors que predisposen a l&#8217;aparici\u00f3 d&#8217;h\u00e8rnies o protrusions discals com:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Predisposici\u00f3 gen\u00e8tica<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sobrep\u00e8s<\/span><\/span><\/strong><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Degeneraci\u00f3 articular<\/span><\/span><\/strong><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Deshidrataci\u00f3 del nucli pop\u00f3s<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Microtraumatismes<\/span><\/span><\/strong><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sobreesfor\u00e7: <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">flexi\u00f3-extensi\u00f3 repetitiva amb sobrec\u00e0rrega<\/span><\/span><\/strong><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Atr\u00f2fia i manca de for\u00e7a de la musculatura<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> paravertebral<\/span><\/span><\/li>\n<\/ul>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Quins s\u00edmptomes causa una h\u00e8rnia o una protrusi\u00f3 discal lumbar?<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Patir algun o diversos s\u00edmptomes que descriurem a continuaci\u00f3 podria indicar l&#8217;exist\u00e8ncia d&#8217;una h\u00e8rnia o protrusi\u00f3:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sents <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">mal d&#8217;esquena<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , que <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">s&#8217;intensifica en sedestaci\u00f3 per l&#8217;augment de pressi\u00f3 al disc intervertebral<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Notes <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dolor radicular<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , present a la sortida d&#8217;una arrel nerviosa que est\u00e0 associada amb la <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">p\u00e8rdua o disminuci\u00f3 de la funci\u00f3 sensorial o motora del nervi i per tant de les extremitats<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Has observat una <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">limitaci\u00f3 de l&#8217;amplitud de mobilitat de l&#8217;esquena<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Dificultat en realitzar la flexi\u00f3 de tronc<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Pateixes <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">debilitat a les extremitats superiors (bra\u00e7os) o inferiors (cames)<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Si \u00e9s el vostre cas, un especialista hauria d&#8217;estudiar i avaluar el teu cas.<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Com se n&#8217;efectua el diagn\u00f2stic<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Per determinar l&#8217;exist\u00e8ncia o no d&#8217;h\u00e8rnies o protrusions s&#8217;efectua:<\/span><\/span><\/p>\n<ul>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Anamnesi i historial cl\u00ednic del pacient<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Avaluaci\u00f3 de possibles <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">antecedents de lumb\u00e0lgies, lesions vertebrals<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> &#8230;<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Examen f\u00edsic<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Avaluaci\u00f3 del <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">nivell de dolor del pacient<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , d&#8217;amplitud de <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">mobilitat i balan\u00e7 muscular<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Complementant amb proves diagn\u00f2stiques per identificar possibles causes.<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Resson\u00e0ncia magn\u00e8tica<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (RNM). \u00c9s la prova delecci\u00f3 quan se sospita una h\u00e8rnia o protrusi\u00f3 discal a causa de la seva important capacitat de visualitzaci\u00f3 dels teixits tous.<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Radiografia<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (RX). Per avaluar l&#8217;alineaci\u00f3 general de la columna, detectar fractures o canvis degeneratius.<\/span><\/span><\/li>\n<li><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Tomografia computada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (TC). Permet avaluar h\u00e8rnies discals calcificades o qualsevol proc\u00e9s patol\u00f2gic que pot resultar en destrucci\u00f3 \u00f2ssia.<\/span><\/span><\/li>\n<\/ul>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Com es tracta<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">El tractament en una h\u00e8rnia discal pot <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">ser lent i perllongat<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Sol comen\u00e7ar amb un curt per\u00edode de <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">rep\u00f2s relatiu<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , no total, en qu\u00e8 s&#8217;intenta mantenir al m\u00e0xim l&#8217;activitat normal, sempre que el dolor ho permeti, per\u00f2 reduint c\u00e0rregues en entrenament o posicions mantingudes que augmentin els s\u00edmptomes.<\/span><\/span><\/p>\n<p><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Mantenir exercici f\u00edsic moderat, que no empitjori els s\u00edmptomes, \u00e9s sempre una bona opci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> a tots aquells pacients que no presentin una lesi\u00f3 \u00f2ssia, tamb\u00e9 als pacients amb radiculopatia aguda en el context d&#8217;una h\u00e8rnia discal.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">El <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">tractament conservador, i no quir\u00fargic, sol ser suficient en la majoria dels casos<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . En aquest sentit, <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">la <\/span><\/span><\/strong><a href=\"https:\/\/centrekine.com\/treatments1\/fisioterapia\/\"><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">fisioter\u00e0pia<\/span><\/span><\/strong><\/a><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> millorar\u00e0 els s\u00edmptomes i dolors neurop\u00e0tics<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Quan el tractament conservador no \u00e9s suficient, i en cas que els s\u00edmptomes siguin aut\u00e8nticament greus, es pot recomanar <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">el tractament quir\u00fargic, que t\u00e9 com a objectiu alliberar l&#8217;arrel nerviosa afectada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Com et podem ajudar a Centre Kine?<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">A Centre Kine us guiem durant tot el proc\u00e9s de recuperaci\u00f3.<\/span><\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/centrekine.com\/quien-te-cuida\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Un fisioterapeuta o oste\u00f2pata<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , far\u00e0 primer <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">una exhaustiva valoraci\u00f3 del teu cas<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Un cop efectuada l&#8217;an\u00e0lisi t&#8217;indicar\u00e0 <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">un programa personalitzat de recuperaci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Les t\u00e8cniques que aplicarem varien en cada cas. En general se solen aplicar en conjunt: <\/span><\/span><a href=\"https:\/\/centrekine.com\/puncion-seca\/\"><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">punci\u00f3 seca<\/span><\/span><\/strong><\/a><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , estiraments, <\/span><\/span><\/strong><a href=\"https:\/\/centrekine.com\/treatments1\/masaje\/\"><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">massatge<\/span><\/span><\/strong><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u2026<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">La <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">INDIBA<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> \u00e9s una bona opci\u00f3 <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">quan el dolor \u00e9s agut<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> per reduir-lo i <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">normalitzar el to muscular, i accelerar el proc\u00e9s de recuperaci\u00f3<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Es pautar\u00e0 sempre <\/span><\/span><strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">exercici terap\u00e8utic per poder refor\u00e7ar la musculatura implicada<\/span><\/span><\/strong><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , aix\u00ed com exercicis de mobilitat generals.<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Si sospites que podries tenir una h\u00e8rnia o protrusi\u00f3 discal, presentes s\u00edmptomes semblants o b\u00e9 t&#8217;han diagnosticat d&#8217;algun dels anteriors o tens dubtes, truca&#8217;ns al n\u00famero de tel\u00e8fon 973233703 o envia&#8217;ns un WhatsApp al 677561659<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Estem a la teva disposici\u00f3 a les <\/span><\/span><a href=\"https:\/\/centrekine.com\/ca\/contacte\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">dues cl\u00edniques de Lleida<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> : Passeig de Ronda 164 i Santa Cec\u00edlia 20 (Cappont).<\/span><\/span><\/p>\n<hr \/>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Fonts:<\/span><\/span><\/h2>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Rodr\u00edguez JJ, B\u00e9 JM, Umbr\u00eda A. <\/span><\/span><a href=\"https:\/\/www.fmc.es\/es-abordaje-diagnostico-terapeutico-lumbalgia-atencion-articulo-resumen-S1134207201753819\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Abordatge diagn\u00f2stic i terap\u00e8utic de la lumb\u00e0lgia en atenci\u00f3 prim\u00e0ria<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . FMC 2001;8:152-63.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Granat KP, Marras WS. <\/span><\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7644956\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">The influence of trunk muscle coactivity on dynamic spinal loads<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Spine 1995;20(8):913-9<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Avui D, Brooks P, Blyth F, Buchbinder R. <\/span><\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21665125\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">L&#8217;epidemiologia low back pain<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> .Best practice and research clinical rheumatology 2010;<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Buckwalter JA. <\/span><\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7660243\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Aging and degeneration of the human intervertebral disc<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Spine 1995;20(11):1307-14.<\/span><\/span><\/li>\n<li><a href=\"https:\/\/neurorgs.net\/docencia-index\/uam\/tema13-hernia-discal-lumbar\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">https:\/\/neurorgs.net\/docencia-index\/uam\/tema13-hernia-discal-lumbar\/<\/span><\/span><\/a><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Amin RM, Andrade NS, Neuman BJ. <\/span><\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5685963\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Lumbar Disc Herniation<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . Curr Rev Musculoskelet Med. 2017 Dec;10(4):507-516. doi: 10.1007\/s12178-017-9441-4. PMID: 28980275; PMCID: PMC5685963.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Wang JJ, Xu ML, Zeng HZ , Zheng LD, Zhu <\/span><\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34429142\/\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">SJ<\/span><\/span><\/a><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> , Jin C, Zeng ZL, Cheng LM, R Zhu. <\/span><span style=\"vertical-align: inherit;\">J Orthop Surg Res. 2021 Aug 24;16(1):527. doi: 10.1186\/s13018-021-02677-i. PMID: 34429142; PMCID: PMC8383414.<\/span><\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Si sents debilitat a les cames, dolor a la part baixa de l&#8217;esquena que irradia cap a la cama o gluti i et costa flexionar el tronc podries patir una protrusi\u00f3 discal lumbar o una h\u00e8rnia discal. T&#8217;ho expliquem. Qu\u00e8 \u00e9s una h\u00e8rnia i en qu\u00e8 es diferencia duna protrusi\u00f3 discal Una h\u00e8rnia discal \u00e9s [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18822,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1910,1911,1926,2072,1912],"tags":[1914,2069,1972,2073,1918,2078,2075,2076,2018,2077],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u00e8rnia o protrusi\u00f3 discal? qu\u00e8 s\u00f3n, en qu\u00e8 es diferencien, s\u00edmptomes, diagn\u00f2stic i tractament - Centre Kine<\/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:\/\/centrekine.com\/ca\/hernia-o-protrusio-discal-que-son-en-que-es-diferencien-simptomes-diagnostic-i-tractament\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00e8rnia o protrusi\u00f3 discal? qu\u00e8 s\u00f3n, en qu\u00e8 es diferencien, s\u00edmptomes, diagn\u00f2stic i tractament - Centre Kine\" \/>\n<meta property=\"og:description\" content=\"Si sents debilitat a les cames, dolor a la part baixa de l&#8217;esquena que irradia cap a la cama o gluti i et costa flexionar el tronc podries patir una protrusi\u00f3 discal lumbar o una h\u00e8rnia discal. 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