Hi ha poques coses m\u00e9s desesperants que llevar-se al mat\u00ed i descobrir que no pots girar el cap.\u00a0Vols mirar cap a un costat… i el dolor t’ho impedeix.<\/p>\n
Aquesta situaci\u00f3 \u00e9s molt freq\u00fcent i, tot i que espanta molt, en la majoria dels casos no \u00e9s una lesi\u00f3 greu. M\u00e9s del 90% dels dolors cervicals s\u00f3n inespec\u00edfics, \u00e9s a dir, no hi ha una estructura lesionada que expliqui el dolor.<\/p>\n
En aquest article respondrem les preguntes que m\u00e9s ens fan a la consulta.<\/p>\n
Moltes persones pensen que ha estat culpa del coix\u00ed o d’haver dormit en una mala postura.\u00a0La realitat \u00e9s que normalment no hi ha una \u00fanica causa.\u00a0El dolor cervical agut \u00e9s multifactorial i hi poden influir diversos factors:<\/p>\n
En moltes ocasions ni tan sols es pot identificar un desencadenant clar.<\/p>\n
\u00c9s una de les preguntes que m\u00e9s sentim.\u00a0La resposta \u00e9s…<\/p>\n
No necess\u00e0riament.<\/strong><\/p>\n Quan el coll fa molt mal, el sistema nervi\u00f3s protegeix la zona limitant el moviment. Per aix\u00f2 notes tanta rigidesa.<\/p>\n Curiosament, estudis amb elastografia (una t\u00e8cnica que mesura la rigidesa del m\u00fascul) han observat que els m\u00fasculs dolorosos no s\u00f3n m\u00e9s r\u00edgids que els de persones sense dolor cervical. La sensaci\u00f3 de \u00abcontractura\u00bb no sempre correspon a una contractura real.<\/p>\n Probablement no.<\/p>\n \u00c9s f\u00e0cil atribuir el dolor al coix\u00ed perqu\u00e8 el problema apareix en despertar.\u00a0Per\u00f2 la investigaci\u00f3 actual mostra que el dolor cervical \u00e9s molt m\u00e9s complex que una simple mala postura durant la nit.\u00a0De fet, mantenir una postura moltes hores seguides (sigui dormint, treballant o conduint) sembla tenir m\u00e9s import\u00e0ncia que una postura concreta.<\/p>\n No.<\/p>\n Aquest \u00e9s un dels errors m\u00e9s freq\u00fcents: el rep\u00f2s absolut acostuma a retardar la recuperaci\u00f3.<\/p>\n L’evid\u00e8ncia actual recomana continuar movent-se tant com sigui possible, adaptant les activitats al dolor.<\/p>\n No es tracta de for\u00e7ar.\u00a0Es tracta de continuar fent vida dins del que el coll permet.<\/p>\n S\u00ed.<\/p>\n En la fase aguda pot ser molt \u00fatil.\u00a0La ter\u00e0pia manual ajuda a disminuir el dolor, relaxar la musculatura protectora i facilitar que la persona torni a moure el coll amb m\u00e9s comoditat.<\/p>\n Ara b\u00e9.\u00a0Per evitar recaigudes, habitualment tamb\u00e9 cal treballar la mobilitat, recuperar la for\u00e7a i entendre quins factors han contribu\u00eft a l’aparici\u00f3 del dolor.<\/p>\n S\u00ed, per\u00f2 adaptat.<\/p>\n No \u00e9s necessari fer grans entrenaments.\u00a0De fet, una de les recomanacions m\u00e9s interessants \u00e9s fer petits moviments diverses vegades al dia.\u00a0Els anomenats \u00absnacks de moviment\u00bb (2-3 minuts cada una o dues hores) poden ser m\u00e9s \u00fatils que una \u00fanica sessi\u00f3 llarga d’exercici.<\/p>\n S\u00ed.<\/p>\n El dolor cervical sovint es pot referir cap als trapezis, les esc\u00e0pules o l’espatlla.\u00a0Aix\u00f2 no significa necess\u00e0riament que tinguis una lesi\u00f3 a l’espatlla.<\/p>\n Cal consultar un professional si apareixen alguns d’aquests s\u00edmptomes:<\/p>\n Encara que molts episodis milloren en pocs dies, \u00e9s recomanable visitar un fisioterapeuta quan:<\/p>\n L’objectiu no \u00e9s nom\u00e9s disminuir el dolor.\u00a0Tamb\u00e9 identificar qu\u00e8 l’ha provocat, recuperar el moviment i reduir el risc que torni a apar\u00e8ixer.<\/p>\n En la majoria dels casos, entre uns dies i unes poques setmanes, amb una millora progressiva.<\/p>\n S\u00ed. La calor pot alleujar els s\u00edmptomes si \u00e9s el que et resulta m\u00e9s confortable. Algunes persones prefereixen el fred. Cap dels dos accelera la curaci\u00f3, per\u00f2 poden disminuir el dolor temporalment.<\/p>\n No habitualment.<\/p>\n Les proves d’imatge nom\u00e9s estan indicades quan hi ha sospita d’una patologia espec\u00edfica o signes d’alarma. En la gran majoria de dolors cervicals aguts no s\u00f3n necess\u00e0ries.<\/p>\n Quedar-se \u00abclavat\u00bb del coll \u00e9s una situaci\u00f3 molt freq\u00fcent i, encara que impressiona, la majoria de vegades no indica una lesi\u00f3 greu.<\/p>\n Una valoraci\u00f3 adequada permet diferenciar un dolor cervical inespec\u00edfic d’altres problemes que s\u00ed necessiten un tractament espec\u00edfic. A partir d’aqu\u00ed, combinar ter\u00e0pia manual, exercici terap\u00e8utic, educaci\u00f3 i una bona gesti\u00f3 de les c\u00e0rregues \u00e9s el que acostuma a donar els millors resultats.<\/p>\n Hi ha poques coses m\u00e9s desesperants que llevar-se al mat\u00ed i descobrir que no pots girar el cap.\u00a0Vols mirar cap a un costat… i el dolor t’ho impedeix. Aquesta situaci\u00f3 \u00e9s molt freq\u00fcent i, tot i que espanta molt, en la majoria dels casos no \u00e9s una lesi\u00f3 greu. M\u00e9s del 90% dels dolors cervicals […]<\/p>\n","protected":false},"author":140,"featured_media":30032,"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-30031","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\/30031","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=30031"}],"version-history":[{"count":4,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts\/30031\/revisions"}],"predecessor-version":[{"id":30036,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/posts\/30031\/revisions\/30036"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/media\/30032"}],"wp:attachment":[{"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/media?parent=30031"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/categories?post=30031"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/monicablasi.com\/es\/wp-json\/wp\/v2\/tags?post=30031"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\u00c9s culpa del coix\u00ed?<\/h5>\n
M’he de quedar en rep\u00f2s?<\/h5>\n
El massatge ajuda?<\/h5>\n
He de fer exercici encara que em faci mal?<\/h5>\n
\u00c9s normal que el dolor baixi cap a l’espatlla?<\/h5>\n
Quan m’he de preocupar?<\/h5>\n
\n
\n
Preguntes freq\u00fcents (FAQ)<\/h4>\n
Quant dura una torticoli?<\/h5>\n
Puc posar-hi calor?<\/h5>\n
\u00c9s necessari fer una resson\u00e0ncia?<\/h5>\n
Conclusions<\/h4>\n
Refer\u00e8ncies cient\u00edfiques<\/h4>\n
\n