{"id":29939,"date":"2026-07-07T14:21:45","date_gmt":"2026-07-07T12:21:45","guid":{"rendered":"https:\/\/monicablasi.com\/?p=29939"},"modified":"2026-07-07T14:21:45","modified_gmt":"2026-07-07T12:21:45","slug":"tendinopatia-aquilles-preguntes-frequents","status":"publish","type":"post","link":"https:\/\/monicablasi.com\/es\/tendinopatia-aquilles-preguntes-frequents\/","title":{"rendered":"Tendinopatia d&#8217;Aquil\u00b7les: preguntes freq\u00fcents que ens fan a consulta"},"content":{"rendered":"<h5>Qu\u00e8 \u00e9s exactament una tendinopatia d&#8217;Aquil\u00b7les?<\/h5>\n<p>\u00c9s una alteraci\u00f3 del tend\u00f3 que uneix els m\u00fasculs del panxell amb el tal\u00f3.<\/p>\n<p>Durant molts anys es parlava de \u00abtendinitis\u00bb, per\u00f2 avui sabem que en la majoria dels casos no hi ha una inflamaci\u00f3 cl\u00e0ssica. El que trobem \u00e9s un tend\u00f3 que ha perdut part de la seva capacitat per suportar c\u00e0rrega (1,4).<\/p>\n<h5>Per qu\u00e8 em fa mal si no corro?<\/h5>\n<p>\u00c9s una de les preguntes m\u00e9s habituals.<\/p>\n<p>La tendinopatia d&#8217;Aquil\u00b7les no \u00e9s exclusiva dels corredors o dels esportistes.<\/p>\n<p>Pot apar\u00e8ixer en persones que:<\/p>\n<ul>\n<li>Caminen moltes hores a la feina.<\/li>\n<li>Han augmentat l&#8217;activitat f\u00edsica de cop.<\/li>\n<li>Han comen\u00e7at a entrenar despr\u00e9s d&#8217;un per\u00edode sedentari.<\/li>\n<li>Han canviat de cal\u00e7at.<\/li>\n<li>Tenen poca for\u00e7a als bessons o al soli.<\/li>\n<\/ul>\n<p>El tend\u00f3 respon a la c\u00e0rrega que rep. Quan aquesta supera la seva capacitat d&#8217;adaptaci\u00f3, poden apar\u00e8ixer els s\u00edmptomes (4).<\/p>\n<h5>Per qu\u00e8 em fa m\u00e9s mal al mat\u00ed?<\/h5>\n<p>La rigidesa matinal \u00e9s un dels signes m\u00e9s caracter\u00edstics de la tendinopatia d&#8217;Aquil\u00b7les.<\/p>\n<p>Durant la nit el tend\u00f3 passa moltes hores sense rebre c\u00e0rrega. Quan ens aixequem i comencem a caminar, els primers passos solen ser els m\u00e9s molestos.<\/p>\n<p>Molts pacients descriuen aquesta sensaci\u00f3 com si el tend\u00f3 estigu\u00e9s \u00abencarcarat\u00bb o \u00abrovellat\u00bb.<\/p>\n<h5>He de deixar de fer esport?<\/h5>\n<p>No.<\/p>\n<p>Aquesta \u00e9s probablement una de les idees que m\u00e9s han canviat en els \u00faltims anys.<\/p>\n<p>Les investigacions actuals indiquen que el rep\u00f2s absolut acostuma a ser contraproduent. El tend\u00f3 necessita rebre una c\u00e0rrega adequada per estimular els processos d&#8217;adaptaci\u00f3 i recuperaci\u00f3 (1,2,3).<\/p>\n<p>Aix\u00f2 no significa ignorar el dolor, sin\u00f3 adaptar temporalment l&#8217;activitat mentre es treballa la recuperaci\u00f3.<\/p>\n<h5>Caminar \u00e9s bo o dolent?<\/h5>\n<p>Dep\u00e8n.<\/p>\n<p>Si caminar provoca un augment clar del dolor durant moltes hores o empitjora els s\u00edmptomes l&#8217;endem\u00e0, probablement la c\u00e0rrega \u00e9s excessiva.<\/p>\n<p>En canvi, si el dolor es mant\u00e9 estable o disminueix progressivament, caminar acostuma a formar part del proc\u00e9s de recuperaci\u00f3.<\/p>\n<p>La clau \u00e9s trobar la dosi adequada d&#8217;activitat.<\/p>\n<h5>Els estiraments s\u00f3n suficients?<\/h5>\n<p>No.<\/p>\n<p>Els estiraments poden ajudar a millorar la mobilitat i la sensaci\u00f3 de tensi\u00f3, per\u00f2 per si sols no solucionen el problema.<\/p>\n<p>Actualment sabem que el tractament principal \u00e9s el treball progressiu de for\u00e7a (1,2,3).<\/p>\n<p>Els tendons necessiten est\u00edmuls mec\u00e0nics progressius per recuperar la seva capacitat de suportar c\u00e0rrega.<\/p>\n<h5>Quins exercicis solen funcionar millor?<\/h5>\n<p>Els programes amb m\u00e9s evid\u00e8ncia cient\u00edfica inclouen:<\/p>\n<ul>\n<li>Elevacions de talons.<\/li>\n<li>Exercicis de bessons.<\/li>\n<li>Exercicis de soli.<\/li>\n<li>Treball de for\u00e7a progressiu.<\/li>\n<li>Progressions cap a activitats m\u00e9s explosives quan el tend\u00f3 ja ho tolera.<\/li>\n<\/ul>\n<p>La c\u00e0rrega es va augmentant gradualment segons l&#8217;evoluci\u00f3 de cada persona (1,2).<\/p>\n<h5>Quant temps es tarda a recuperar?<\/h5>\n<p>La recuperaci\u00f3 dels tendons requereix paci\u00e8ncia.<\/p>\n<p>Els casos lleus poden millorar en poques setmanes.<\/p>\n<p>Quan el problema fa mesos que existeix, \u00e9s habitual que la recuperaci\u00f3 necessiti entre 3 i 6 mesos de treball progressiu.<\/p>\n<p>L&#8217;objectiu no \u00e9s nom\u00e9s que desaparegui el dolor, sin\u00f3 que el tend\u00f3 recuperi la seva capacitat funcional.<\/p>\n<h5>Quins tractaments tenen m\u00e9s evid\u00e8ncia cient\u00edfica?<\/h5>\n<p>Segons les guies cl\u00edniques actuals, l&#8217;exercici terap\u00e8utic progressiu continua sent el tractament de primera elecci\u00f3 (2).<\/p>\n<p>Altres eines que poden ajudar en determinats casos s\u00f3n:<\/p>\n<ul>\n<li>Fisioter\u00e0pia.<\/li>\n<li>Educaci\u00f3 del pacient.<\/li>\n<li>Modificaci\u00f3 de la c\u00e0rrega esportiva.<\/li>\n<li>Ter\u00e0pia manual com a complement.<\/li>\n<li>Treball de for\u00e7a global de l&#8217;extremitat inferior.<\/li>\n<\/ul>\n<p>Cap tecnologia substitueix la necessitat que el tend\u00f3 torni a carregar de forma progressiva.<\/p>\n<h5>Quan hauria de consultar un professional?<\/h5>\n<p>\u00c9s recomanable consultar si:<\/p>\n<ul>\n<li>El dolor dura m\u00e9s de 2 o 3 setmanes.<\/li>\n<li>Notes molta rigidesa al mat\u00ed.<\/li>\n<li>Tens dificultat per caminar.<\/li>\n<li>Has deixat de fer esport per culpa del dolor.<\/li>\n<li>Els s\u00edmptomes empitjoren progressivament.<\/li>\n<\/ul>\n<p>Com abans es detecta el problema, m\u00e9s f\u00e0cil acostuma a ser recuperar la funci\u00f3 normal del tend\u00f3.<\/p>\n<h5>Refer\u00e8ncies cient\u00edfiques<\/h5>\n<ul>\n<li><a href=\"https:\/\/bjsm.bmj.com\/content\/47\/4\/188\" target=\"_blank\" rel=\"noopener\"><em><strong>(1) Malliaras P, Barton CJ, Reeves ND, Langberg H.<\/strong><\/em><\/a><br \/>\nExercise for tendinopathy: Is there a role for heavy slow resistance?<br \/>\nBritish Journal of Sports Medicine (2013)<\/li>\n<li><a href=\"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2024.0302\" target=\"_blank\" rel=\"noopener\"><em><strong>(2) Martin RL et al.<\/strong><\/em><\/a><br \/>\nAchilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024.<br \/>\nJournal of Orthopaedic &amp; Sports Physical Therapy.<\/li>\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7249277\/\" target=\"_blank\" rel=\"noopener\"><em><strong>(3) Silbernagel KG, Hanlon S, Sprague A.<\/strong><\/em><\/a><br \/>\nCurrent Clinical Concepts: Conservative Management of Achilles Tendinopathy.<br \/>\nJournal of Athletic Training (2020)<\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38605548\/\" target=\"_blank\" rel=\"noopener\"><em><strong>(4) O&#8217;Neill S, Rio E, Docking S et al.<\/strong><\/em><\/a><br \/>\nMidportion Achilles Tendinopathy Revision 2024.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Qu\u00e8 \u00e9s exactament una tendinopatia d&#8217;Aquil\u00b7les? \u00c9s una alteraci\u00f3 del tend\u00f3 que uneix els m\u00fasculs del panxell amb el tal\u00f3. Durant molts anys es parlava de \u00abtendinitis\u00bb, per\u00f2 avui sabem que en la majoria dels casos no hi ha una inflamaci\u00f3 cl\u00e0ssica. El que trobem \u00e9s un tend\u00f3 que ha perdut part de la seva [&hellip;]<\/p>\n","protected":false},"author":140,"featured_media":29941,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","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":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-29939","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"_links":{"self":[{"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts\/29939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/users\/140"}],"replies":[{"embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/comments?post=29939"}],"version-history":[{"count":1,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts\/29939\/revisions"}],"predecessor-version":[{"id":29942,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts\/29939\/revisions\/29942"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/media\/29941"}],"wp:attachment":[{"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/media?parent=29939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/categories?post=29939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/tags?post=29939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}