{"id":19975,"date":"2024-08-29T07:31:11","date_gmt":"2024-08-29T06:31:11","guid":{"rendered":"https:\/\/centrekine.com\/falsa-ciatica-o-sindrome-del-piramidal\/"},"modified":"2025-01-28T11:19:08","modified_gmt":"2025-01-28T10:19:08","slug":"falsa-ciatica-o-sindrome-del-piramidal","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/falsa-ciatica-o-sindrome-del-piramidal\/","title":{"rendered":"Falsa ci\u00e0tica o s\u00edndrome del piramidal"},"content":{"rendered":"

Una patologia que tractem molt sovint a la cl\u00ednica \u00e9s <\/span><\/span>la S\u00edndrome del piramidal, comunament anomenada falsa ci\u00e0tica. T’expliquem que \u00e9s i com es diferencia de la ci\u00e0tica<\/span><\/span><\/strong> .<\/span><\/span><\/p>\n

La S\u00edndrome del piramidal o falsa ci\u00e0tica. Qu\u00e8 \u00e9s i com tractar-ho?<\/span><\/span><\/h2>\n

La s\u00edndrome del piramidal, o falsa ci\u00e0tica, es coneix aix\u00ed per ser <\/span><\/span>una irritaci\u00f3 produ\u00efda al nervi ci\u00e0tic al seu pas pel m\u00fascul piramidal<\/span><\/span><\/strong> .<\/span><\/span><\/p>\n

El piramidal \u00e9s un m\u00fascul triangular i petit que va des del sacre fins al f\u00e8mur<\/span><\/span><\/strong> , i al seu pas es pot creuar perpendicularment amb el nervi ci\u00e0tic. <\/span><\/span>Alhora, el nervi ci\u00e0tic presenta la caracter\u00edstica de no ser constant en totes les persones<\/span><\/span><\/strong> : en algunes persones creua per l’interior del m\u00fascul piramidal i en altres passa molt a prop. Tamb\u00e9 trobem casos en qu\u00e8 el m\u00fascul i el nervi ci\u00e0tic estan m\u00e9s allunyats, i com a conseq\u00fc\u00e8ncia, en aquest tercer grup, la s\u00edndrome \u00e9s menys freq\u00fcent.<\/span><\/span><\/p>\n

Quan la relaci\u00f3 anat\u00f2mica \u00e9s tan estreta l <\/span><\/span>porta moltes vegades a la confusi\u00f3 sobre si realment el pacient pateix una ci\u00e0tica o b\u00e9 la s\u00edndrome del piramidal o falsa ci\u00e0tica<\/span><\/span><\/strong> .<\/span><\/span><\/p>\n

El m\u00fascul piramidal, en combinaci\u00f3 o no d’una irritaci\u00f3 del nervi ci\u00e0tic, pot produir dolor lumbar, o b\u00e9 presentar una simptomatologia molt semblant a la ci\u00e0tica.<\/span><\/span><\/strong> Et diem com les diferenciem.<\/span><\/span><\/p>\n

Com diferenciem la S\u00edndrome del piramidal de la ci\u00e0tica<\/span><\/span><\/h2>\n

Diagn\u00f2stic<\/span><\/span><\/h3>\n

Per distingir les patologies, en primer lloc, el m\u00e9s important ser\u00e0 <\/span><\/span>fer un correcte diagn\u00f2stic diferencial.<\/span><\/span><\/strong> A Centre Kine, un fisioterapeuta o oste\u00f2pata realitzar\u00e0 <\/span><\/span>una exhaustiva anamnesi (entrevista i consulta de l’historial del pacient)<\/span><\/span><\/strong> per <\/span><\/span>con\u00e8ixer els possibles antecedents i causes del problema, aix\u00ed com una exploraci\u00f3 i diferents tests<\/span><\/span><\/strong> .<\/span><\/span><\/p>\n

\u00c9s important <\/span><\/span>definir el tipus de dolor (fins on arriba dins de la mateixa cama, possibles alteracions de la sensibilitat, etc.)<\/span><\/span><\/strong> . Tot seguit podem contrastar mitjan\u00e7ant diagn\u00f2stic per imatge, en concret amb <\/span><\/span>una ecografia muscular<\/span><\/span><\/strong> , per veure l’estat del teixit. Si hi ha dubtes sobre l’abast de la lesi\u00f3, a m\u00e9s, es recomanar\u00e0 una resson\u00e0ncia magn\u00e8tica, per avaluar l’origen del dolor de manera m\u00e9s precisa.<\/span><\/span><\/p>\n

Factors de risc<\/span><\/span><\/h3>\n

La patologia <\/span><\/span>\u00e9s m\u00e9s freq\u00fcent a partir dels 40-50 anys, especialment en les dones.<\/span><\/span><\/strong> Sovint s’associa tamb\u00e9 a <\/span><\/span>persones que passen molt de temps assegudes o conduint<\/span><\/span><\/strong> , o que fan <\/span><\/span>un exercici en concret com el ciclisme o la marxa<\/span><\/span><\/strong> , que comporta moviments que poden sobrecarregar el piramidal.<\/span><\/span><\/p>\n

Diagn\u00f2stic diferencial<\/span><\/span><\/h3>\n

La falsa ci\u00e0tica (S\u00edndrome del piramidal) <\/span><\/span>es diferencia principalment de la ci\u00e0tica perqu\u00e8 passa quan el nervi ci\u00e0tic est\u00e0 irritat a l’\u00e0mbit lumbar.<\/span><\/span><\/strong><\/p>\n

En <\/span><\/span>el cas de la ci\u00e0tica<\/span><\/span><\/strong> , en canvi, <\/span><\/span>el dolor se sol irradiar del genoll cap avall, de vegades fins al peu<\/span><\/span><\/strong> . A m\u00e9s de <\/span><\/span>provocar alteracions de la for\u00e7a, la sensibilitat, o fins i tot als reflexos de la zona.<\/span><\/span><\/strong> Els <\/span><\/span>s\u00edmptomes lumbars tamb\u00e9 s\u00f3n m\u00e9s intensos<\/span><\/span><\/strong> . S’associa tamb\u00e9 a una debilitat de la musculatura lumbop\u00e8lvica, que faran m\u00e9s f\u00e0cil una sobrec\u00e0rrega del mateix piramidal.<\/span><\/span><\/p>\n

En conclusi\u00f3: per saber si estem davant d’una s\u00edndrome piramidal o una ci\u00e0tica \u00e9s fonamental una exploraci\u00f3 per part de personal sanitari, com un <\/span><\/span>fisioterapeuta<\/span><\/span><\/a> , perqu\u00e8 faci una exploraci\u00f3 adequada i el diagn\u00f2stic diferencial.<\/span><\/span><\/strong><\/p>\n

Com tractem a Centre Kine la S\u00edndrome del piramidal?<\/span><\/span><\/h2>\n

Des de Centre Kine, el tractament que recomanem en aquests casos, \u00e9s el conservador, amb l’objectiu abans de <\/span><\/span>relaxar la musculatura afectada, alliberant aix\u00ed el pas del ci\u00e0tic o evitant que s’irriti<\/span><\/span><\/strong> .<\/span><\/span><\/p>\n

Per fer-ho utilitzem, depenent de cada cas concret, t\u00e8cniques com la <\/span><\/span>punci\u00f3 seca<\/span><\/span><\/a> , <\/span><\/span>INDIBA<\/span><\/span><\/a> o diferents t\u00e8cniques de <\/span><\/span>ter\u00e0pia manual<\/span><\/span><\/a> i estiraments<\/span><\/span><\/strong> . En segon lloc, <\/span><\/span>el refor\u00e7 muscular del mateix piramidal i de la musculatura que l’envolta ser\u00e0 b\u00e0sic per evitar tornar a patir la lesi\u00f3.<\/span><\/span><\/strong><\/p>\n

Efectuem tot el proc\u00e9s de forma individualitzada, tenint en compte les capacitats de cada persona.<\/span><\/span><\/strong><\/p>\n

Tingueu en compte que: <\/span><\/span>tractar la s\u00edndrome nom\u00e9s amb medicaci\u00f3 pot alleujar moment\u00e0niament el quadre o dolor, per\u00f2 si no es tracta l’origen, no hi haur\u00e0 una millora a llarg termini, ia la llarga poden apar\u00e8ixer altres patologies associades.<\/span><\/span><\/strong><\/p>\n

Vols saber-ne m\u00e9s?<\/span><\/span><\/h2>\n

Si creus que pateixes aquesta o alguna altra lesi\u00f3 <\/span><\/span>contacta amb nosaltres<\/span><\/span><\/a> . <\/span><\/span>A Centro Kine, el nostre equip de professionals us guiar\u00e0 i us assessorar\u00e0 sobre quin \u00e9s el millor tractament per a tu.<\/span><\/span><\/strong><\/p>\n

Pots fer-ho trucant als tel\u00e8fons: 973 23 37 03-677 56 16 59, per WhatsApp, correu electr\u00f2nic o per mitj\u00e0 del formulari web.<\/span><\/span><\/p>\n

Tenim dues cl\u00edniques a Lleida: Passeig de Ronda, 164 i Santa Cec\u00edlia, 20.<\/span><\/span><\/p>\n

<\/h2>\n
\n

Refer\u00e8ncies<\/span><\/span><\/h2>\n

Jam Dommmerholt\/C\u00e9sar Fern\u00e1ndez-de-les-Pe\u00f1as.\u00a0 <\/span><\/span>Punci\u00f3 seca dels punt\u00f3s gallet. Una estrat\u00e8gia cl\u00ednica basada en l’evid\u00e8ncia<\/span><\/span><\/a> . Elsevier. Segona Edici\u00f3. 2018<\/span><\/span><\/p>\n

Probst D, Stout A, Hunt D. Syndrome Piriformis:\u00a0 <\/span><\/span>A Narrative Review of the Anatomy, Diagnosis, and Treatment<\/span><\/span><\/a> . PM R. 2019 Aug;11 Suppl 1:S54-S63.<\/span><\/span><\/p>\n

Hicks BL, Lam JC, Varacallo M.\u00a0 <\/span><\/span>Piriformis Syndrome<\/span><\/span><\/a> . 2022 Apr 21.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Una patologia que tractem molt sovint a la cl\u00ednica \u00e9s la S\u00edndrome del piramidal, comunament anomenada falsa ci\u00e0tica. T’expliquem que \u00e9s i com es diferencia de la ci\u00e0tica . La S\u00edndrome del piramidal o falsa ci\u00e0tica. Qu\u00e8 \u00e9s i com tractar-ho? La s\u00edndrome del piramidal, o falsa ci\u00e0tica, es coneix aix\u00ed per ser una irritaci\u00f3 […]<\/p>\n","protected":false},"author":1,"featured_media":18825,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1910,1911,1926,1912],"tags":[2308,2309,1918,2056,2310,1946,2311,2077],"acf":[],"yoast_head":"\nFalsa ci\u00e0tica o s\u00edndrome del piramidal - 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\/falsa-ciatica-o-sindrome-del-piramidal\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Falsa ci\u00e0tica o s\u00edndrome del piramidal - Centre Kine\" \/>\n<meta property=\"og:description\" content=\"Una patologia que tractem molt sovint a la cl\u00ednica \u00e9s la S\u00edndrome del piramidal, comunament anomenada falsa ci\u00e0tica. T’expliquem que \u00e9s i com es diferencia de la ci\u00e0tica . La S\u00edndrome del piramidal o falsa ci\u00e0tica. Qu\u00e8 \u00e9s i com tractar-ho? 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