{"id":20150,"date":"2013-12-08T11:45:00","date_gmt":"2013-12-08T10:45:00","guid":{"rendered":"https:\/\/centrekine.com\/fisioterpaia-deportiva-la-periostitis-tibial\/"},"modified":"2025-01-29T08:39:42","modified_gmt":"2025-01-29T07:39:42","slug":"fisioterpaia-esportiva-la-periostitis-tibial","status":"publish","type":"post","link":"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/","title":{"rendered":"FISIOTERPAIA ESPORTIVA: La periostitis tibial"},"content":{"rendered":"

Avui parlar\u00e9 d\u00b4un cas molt t\u00edpic entre corredors i triatletes. Una lesi\u00f3 que sol afectar tant els esportistes principiants com els m\u00e9s experimentats: la periostitis tibial.<\/span><\/span><\/p>\n

Com a exemple tenim el cas de Tito P., gran triatleta i amb una llarga experi\u00e8ncia en aquest m\u00f3n, que fa 15 dies que est\u00e0 patint una forta <\/span><\/span>periostitis del tibial posterior<\/span><\/span><\/strong> , i aix\u00ed ens ho narra:<\/span><\/span><\/p>\n

“Hola Aitor, estic patint una periostitis de gran calibre al l\u00edmit de la fissura de l’os. Fa 15 dies que la pateixo i amb una mica de rep\u00f2s, algun massatge al tibial posterior i ultrasons no ha estat suficient. Avui he anat al Dr. per fer una injecci\u00f3 d’oz\u00f3 i m’ha receptat una crema que es diu Ipsodol. durant uns dies…”.<\/span><\/span><\/p>\n

La <\/span><\/span>periostitis<\/span><\/span><\/strong> \u00e9s una inflamaci\u00f3 del periosti (membrana que recobreix l’os). La zona m\u00e9s comuna on se sol mostrar aquesta lesi\u00f3 \u00e9s a nivell de la t\u00edbia. Sol produir-se en \u00e8poques on s’incrementa el volum d’entrenament, ja que l’augment de l’impacte del peu contra el terra fa que els m\u00fasculs tibials traccionin cont\u00ednuament sobre la seva inserci\u00f3 \u00f2ssia i que es cre\u00ef una vibraci\u00f3 constant que fa que el periosti s’acabi inflamant.<\/span><\/span><\/p>\n

Les causes principals d’aquesta lesi\u00f3 poden ser la utilitzaci\u00f3 d’un cal\u00e7at inadequat o desgastat, entrenar-se en superf\u00edcies massa dures, el pes del corredor, una t\u00e8cnica de carrera no gaire bona, tenir les cames arquejades o la hiperpronaci\u00f3 als peus. Tot i aix\u00f2, la causa m\u00e9s habitual sol ser un exc\u00e9s de c\u00e0rrega en els entrenaments. M’explico: a qualsevol entrenament cal seguir una progressi\u00f3. Cal donar temps al cos perqu\u00e8 s’acostumi als canvis i s’adapti a les rutines noves. Com m\u00e9s progressives siguin les c\u00e0rregues d’entrenament, millor les assimilar\u00e0 el cos.<\/span><\/span><\/p>\n

Tito pateix aquesta lesi\u00f3 notant un dolor profund i intens a la zona interna de la cama, sobretot quan corre. Segons li va dir el seu traumat\u00f2leg, el diagn\u00f2stic \u00e9s una periostitis de gran calibre al l\u00edmit de la fissura de l’os, i \u00e9s que hi ha una lesi\u00f3 molt m\u00e9s greu encara, que \u00e9s la fractura o fissura per estr\u00e8s de la t\u00edbia, que sol estar molt lligada a la periostitis i que es pot donar com a conseq\u00fc\u00e8ncia d’aquesta si no se soluciona i seguim entrenant amb normalitat.<\/span><\/span><\/p>\n

En aquests casos, el primer que s’hauria de fer tal com li ha recomanat el traumat\u00f2leg, \u00e9s intentar disminuir la c\u00e0rrega d’entrenament amb impacte. Aix\u00f2 no vol dir fer un rep\u00f2s absolut. Sempre es pot fer un entrenament que impliqui altres disciplines com la nataci\u00f3 i el ciclisme, que permetin mantenir en forma la musculatura.<\/span><\/span><\/p>\n

\u00c9s important intentar baixar aquesta inflamaci\u00f3 del periosti mitjan\u00e7ant diverses t\u00e8cniques, entre elles les que li estan aplicant a Tito: ozonoter\u00e0pia, cremes antiinflamat\u00f2ries, fred, ultrasons, etc., per\u00f2 des del meu punt de vista el treball m\u00e9s important que s’hauria de fer i en el que s’hauria d’insistir \u00e9s el de la <\/span><\/span>ter\u00e0pia manual<\/span><\/span><\/strong><\/span><\/a> . Cal intentar treballar la musculatura implicada (bessons, soli i tibials) juntament amb les parts toves annexes. Fins que el m\u00fascul tibial posterior, bessons i soli no estiguin amb el to normalitzat, i estiguin en cont\u00ednua hipertonia, aquests continuaran fent tracci\u00f3 a la inserci\u00f3 de la t\u00edbia i la inflamaci\u00f3 continuar\u00e0 present. Per tant, penso que cal aquest treball de desc\u00e0rrega manual mitjan\u00e7ant t\u00e8cniques profundes i mans expertes.<\/span><\/span><\/p>\n

B\u00e0sics, i molt importants, seran tamb\u00e9 els estiraments. Tindran un paper fonamental en la resoluci\u00f3 daquesta lesi\u00f3. L’estirament de bessons i soli s\u00f3n absolutament imprescindibles. A m\u00e9s, cal afegir l’estirament espec\u00edfic del m\u00fascul tibial posterior.<\/span><\/span><\/p>\n

Hi ha tamb\u00e9 embenats neuromusculars que poden ajudar, encara que no sempre. Hauria de ser el seu fisioterapeuta qui li ensenyi a posar-los-hi, amb quina tensi\u00f3 ia quina al\u00e7ada.<\/span><\/span><\/p>\n

I, finalment, si la causa de la lesi\u00f3 \u00e9s biomec\u00e0nica, ja sigui per una mala t\u00e8cnica de c\u00f3rrer o per una mala trepitjada, si no es corregeix la manera d’entrenar-se suprimint vicis adquirits o posant una plantilla en el cas de mala empremta, la lesi\u00f3 no desapareixer\u00e0 completament. En aquests casos, seria interessant fer-se un estudi biomec\u00e0nic de la marxa al pod\u00f2leg per determinar la causa biomec\u00e0nica concreta.<\/span><\/span><\/p>\n

Cada fisioterapeuta t\u00e9 la seva manera de treballar i utilitza t\u00e8cniques que ha anat aprenent al llarg de la seva formaci\u00f3, i les aplica en funci\u00f3 dels resultats que ha obtingut amb lexperi\u00e8ncia en pacients. Jo destacaria diverses t\u00e8cniques per al tractament d’aquesta lesi\u00f3: <\/span><\/span>massatge esportiu<\/span><\/span><\/strong> profund de la musculatura implicada; <\/span><\/span>t\u00e8cniques miofascials<\/span><\/span><\/strong><\/span><\/a> ; <\/span><\/span>fibr\u00f2lisi diacut\u00e0nia<\/span><\/span><\/strong><\/span><\/a> (“ganxos” per a la destrucci\u00f3 de possibles adher\u00e8ncies a nivell de la inserci\u00f3 amb la t\u00edbia); estiraments anal\u00edtics, i embenat neuromuscular.<\/span><\/span><\/p>\n

Espero que hagi estat del teu inter\u00e8s. <\/span><\/span>
\nUna abra\u00e7ada, <\/span><\/span>
\nJordi Segura. <\/span><\/span>
\nDirector i oest\u00f2pata de Centre Kine.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Avui parlar\u00e9 d\u00b4un cas molt t\u00edpic entre corredors i triatletes. Una lesi\u00f3 que sol afectar tant els esportistes principiants com els m\u00e9s experimentats: la periostitis tibial. Com a exemple tenim el cas de Tito P., gran triatleta i amb una llarga experi\u00e8ncia en aquest m\u00f3n, que fa 15 dies que est\u00e0 patint una forta periostitis […]<\/p>\n","protected":false},"author":1,"featured_media":18670,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[2004],"tags":[1932,2254,2011,2379,2380],"acf":[],"yoast_head":"\nFISIOTERPAIA ESPORTIVA: La periostitis tibial - 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\/fisioterpaia-esportiva-la-periostitis-tibial\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FISIOTERPAIA ESPORTIVA: La periostitis tibial - Centre Kine\" \/>\n<meta property=\"og:description\" content=\"Avui parlar\u00e9 d\u00b4un cas molt t\u00edpic entre corredors i triatletes. Una lesi\u00f3 que sol afectar tant els esportistes principiants com els m\u00e9s experimentats: la periostitis tibial. Com a exemple tenim el cas de Tito P., gran triatleta i amb una llarga experi\u00e8ncia en aquest m\u00f3n, que fa 15 dies que est\u00e0 patint una forta periostitis […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/\" \/>\n<meta property=\"og:site_name\" content=\"Centre Kine\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-08T10:45:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-29T07:39:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/centrekine.com\/wp-content\/uploads\/2024\/08\/fisioterapia-deportiva-periostitis-tibial.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1\" \/>\n\t<meta property=\"og:image:height\" content=\"1\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"angel_rfgr2l1f\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"angel_rfgr2l1f\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/\",\"url\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/\",\"name\":\"FISIOTERPAIA ESPORTIVA: La periostitis tibial - Centre Kine\",\"isPartOf\":{\"@id\":\"https:\/\/centrekine.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/centrekine.com\/wp-content\/uploads\/2024\/08\/fisioterapia-deportiva-periostitis-tibial.jpg\",\"datePublished\":\"2013-12-08T10:45:00+00:00\",\"dateModified\":\"2025-01-29T07:39:42+00:00\",\"author\":{\"@id\":\"https:\/\/centrekine.com\/#\/schema\/person\/79e773377c569a732ef029f5ee675192\"},\"breadcrumb\":{\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/#primaryimage\",\"url\":\"https:\/\/centrekine.com\/wp-content\/uploads\/2024\/08\/fisioterapia-deportiva-periostitis-tibial.jpg\",\"contentUrl\":\"https:\/\/centrekine.com\/wp-content\/uploads\/2024\/08\/fisioterapia-deportiva-periostitis-tibial.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/centrekine.com\/ca\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"FISIOTERPAIA ESPORTIVA: La periostitis tibial\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/centrekine.com\/#website\",\"url\":\"https:\/\/centrekine.com\/\",\"name\":\"Centre Kine\",\"description\":\"Fisioter\u00e0pia, Osteopatia i ter\u00e0pies globals a Lleida\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/centrekine.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ca\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/centrekine.com\/#\/schema\/person\/79e773377c569a732ef029f5ee675192\",\"name\":\"angel_rfgr2l1f\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/centrekine.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/ad8b00593a2116f47595bdc03abd51a8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/ad8b00593a2116f47595bdc03abd51a8?s=96&d=mm&r=g\",\"caption\":\"angel_rfgr2l1f\"},\"url\":\"https:\/\/centrekine.com\/ca\/author\/angel_rfgr2l1f\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"FISIOTERPAIA ESPORTIVA: La periostitis tibial - Centre Kine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/centrekine.com\/ca\/fisioterpaia-esportiva-la-periostitis-tibial\/","og_locale":"ca_ES","og_type":"article","og_title":"FISIOTERPAIA ESPORTIVA: La periostitis tibial - Centre Kine","og_description":"Avui parlar\u00e9 d\u00b4un cas molt t\u00edpic entre corredors i triatletes. 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