{"id":5705,"date":"2019-11-05T00:42:54","date_gmt":"2019-11-04T22:42:54","guid":{"rendered":"https:\/\/clinicasandalf.com\/?p=5705"},"modified":"2026-08-19T21:50:13","modified_gmt":"2026-08-19T19:50:13","slug":"prolapso-discal-diagnostico-dolor-lumbar","status":"publish","type":"post","link":"https:\/\/clinicasandalf.com\/es\/prolapso-discal-diagnostico-dolor-lumbar\/","title":{"rendered":"Prolapso discal: un diagn\u00f3stico aplicado con demasiada frecuencia"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5705\" class=\"elementor elementor-5705 elementor-1654\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2fd74ecd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2fd74ecd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-468940ee\" data-id=\"468940ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f62d1b1 elementor-widget elementor-widget-text-editor\" data-id=\"6f62d1b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Muchas personas conocen esta situaci\u00f3n: aparece un dolor repentino en la zona lumbar tras un movimiento r\u00e1pido o despu\u00e9s de levantar peso. En pocos d\u00edas puede irradiarse por el gl\u00fateo y la parte posterior del muslo hasta la pantorrilla. Es un dolor agudo y constante que incluso puede despertar por la noche, y los analg\u00e9sicos habituales, como el paracetamol, quiz\u00e1 no lo alivien. Con frecuencia se solicita de inmediato una resonancia magn\u00e9tica de la columna lumbar, a veces incluso sin una exploraci\u00f3n f\u00edsica previa. La prueba suele mostrar una protrusi\u00f3n o hernia discal en L5\/S1 y, en ocasiones, tambi\u00e9n en L4\/L5, que puede interpretarse r\u00e1pidamente como la causa del dolor.<\/p>\n<p>Sin embargo, esta conclusi\u00f3n no siempre es correcta. Una hernia discal visible en la resonancia puede ser un hallazgo casual y no guardar relaci\u00f3n con los s\u00edntomas. Diversos estudios internacionales han mostrado que las alteraciones discales son frecuentes incluso en personas sin dolor.<\/p>\n<p>El dolor lumbar es una de las causas m\u00e1s habituales de baja laboral y puede tener muchos or\u00edgenes. A menudo se debe a irritaci\u00f3n o inflamaci\u00f3n del nervio ci\u00e1tico, pero tambi\u00e9n puede proceder de contracturas musculares o de cambios avanzados en la articulaci\u00f3n de la cadera.<\/p>\n<p>El primer paso para llegar al diagn\u00f3stico correcto es una anamnesis detallada: cu\u00e1ndo y c\u00f3mo comenz\u00f3 el dolor, qu\u00e9 tipo de dolor es, d\u00f3nde se localiza y qu\u00e9 lo provoca o alivia. Despu\u00e9s se realiza una exploraci\u00f3n f\u00edsica completa. El <a href=\"https:\/\/clinicasandalf.com\/es\/equipo-medico\/dr-alf-neuhaus-cirujano-ortopedico\/\">Dr. Alf Neuhaus<\/a> incluye la valoraci\u00f3n de la zona media de la columna y de ambas caderas y rodillas, adem\u00e1s de comprobar si existen signos neurol\u00f3gicos.<\/p>\n<p>En pacientes mayores de 40 a\u00f1os tambi\u00e9n pueden ser \u00fatiles radiograf\u00edas de la pelvis y la columna lumbar con el equipo digital disponible en las <a href=\"https:\/\/clinicasandalf.com\/es\/instalaciones-clinica-benalmadena\/\">instalaciones de Cl\u00ednica Sandalf<\/a>, para descartar causas \u00f3seas. Seg\u00fan los hallazgos, puede iniciarse tratamiento con <a href=\"https:\/\/clinicasandalf.com\/es\/especialidades-medicas\/fisioterapia-rehabilitacion-benalmadena\/\">fisioterapia<\/a>, acupuntura, medicaci\u00f3n oral o una infiltraci\u00f3n dirigida de la ra\u00edz nerviosa afectada. La resonancia magn\u00e9tica se valora especialmente cuando el tratamiento no produce el efecto esperado o la exploraci\u00f3n detecta signos neurol\u00f3gicos, como ausencia de reflejos o una p\u00e9rdida importante de fuerza muscular.<\/p>\n<p>Si tiene alguna pregunta sobre las hernias discales u otro problema ortop\u00e9dico, no dude en <a href=\"https:\/\/clinicasandalf.com\/es\/contacto-clinica-sandalf\/\">contactar con nosotros<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Un hallazgo en una resonancia no siempre explica el dolor lumbar; la exploraci\u00f3n cl\u00ednica es esencial.<\/p>\n","protected":false},"author":1,"featured_media":1658,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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