{"id":12710,"date":"2023-02-07T18:30:51","date_gmt":"2023-02-07T17:30:51","guid":{"rendered":"https:\/\/centrekine.com\/dolor-de-talo-neuropatia-de-baxter-simptomes-i-tractament\/"},"modified":"2023-03-23T23:36:31","modified_gmt":"2023-03-23T22:36:31","slug":"dolor-talo-neuropatia-baxter-simptomes-tractament","status":"publish","type":"post","link":"https:\/\/old.centrekine.com\/ca\/dolor-talo-neuropatia-baxter-simptomes-tractament\/","title":{"rendered":"Dolor de tal\u00f3: neuropatia de Baxter, s\u00edmptomes i tractament"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Avui a <\/span><a href=\"https:\/\/centrekine.com\/\"><b>Centre Kine<\/b><\/a><span style=\"font-weight: 400;\">\u00a0 veurem en qu\u00e8 consisteix una s\u00edndrome associada al <\/span><b>dolor de tal\u00f3: la neuropatia de Baxter, s\u00edmptomes i tractament.<\/b><span style=\"font-weight: 400;\"> No et perdis el nostre <\/span><a href=\"https:\/\/centrekine.com\/blog\/\"><span style=\"font-weight: 400;\">blog <\/span><\/a><span style=\"font-weight: 400;\">per a con\u00e8ixer els detalls.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Qu\u00e8 \u00e9s la Neuropatia de Baxter?<\/b><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">La malaltia de Baxter \u00e9s un tipus de <\/span><b>neuropatia focal<\/b><span style=\"font-weight: 400;\"> molt comuna: un <\/span><b>atrapament del nervi<\/b><span style=\"font-weight: 400;\">. Aquest atrapament correspon al 20% dels casos de dolor persistent en la <\/span><b>zona del retropeu<\/b><span style=\"font-weight: 400;\"> o la seva part posterior, formada per astr\u00e0gal i calcani. (1)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Abans de con\u00e8ixer en profunditat aquesta afecci\u00f3, definim aquests conceptes:<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Neuropaties focals: atrapaments dels nervis<\/span><\/h3>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Les <\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/informacion-de-la-salud\/diabetes\/informacion-general\/prevenir-problemas\/neuropatias-diabeticas\/focales#:~:text=Los%20atrapamientos%20de%20los%20nervios%20ocurren%20cuando%20los%20nervios%20quedan,que%20las%20personas%20sin%20diabetes.\" target=\"_blank\" rel=\"noopener\"><b>neuropaties focals<\/b><\/a><span style=\"font-weight: 400;\"> s\u00f3n un tipus de malaltia que poden malmetreels nervis de manera individual. Els atrapaments dels nervis, o les<\/span><b> s\u00edndromes d&#8217;atrapament<\/b><span style=\"font-weight: 400;\">, s\u00f3n el tipus m\u00e9s com\u00fa de neuropatia focal.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Aquestes afeccions ocorren quan els nervis que passen a trav\u00e9s de conductes estrets queden comprimits o atrapats. El tipus m\u00e9s com\u00fa \u00e9s la <\/span><a href=\"https:\/\/centrekine.com\/que-es-el-sindrome-del-tunel-carpiano\/\" target=\"_blank\" rel=\"noopener\"><b>s\u00edndrome del t\u00fanel carpi\u00e0.<\/b><\/a><\/p>\n<p>&nbsp;<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Anatomia, nervis del peu i nervi Baxter<\/span><\/h3>\n<p><img loading=\"lazy\" class=\"alignnone size-medium wp-image-12697\" title=\"centre-kine-blog-neuropatia-baxter-anatomia\" src=\"https:\/\/centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-300x300.jpg\" alt=\"Anatomia cama\" width=\"300\" height=\"300\" srcset=\"https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-300x300.jpg 300w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-1024x1024.jpg 1024w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-150x150.jpg 150w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-768x768.jpg 768w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-100x100.jpg 100w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-290x290.jpg 290w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia-800x800.jpg 800w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-anatomia.jpg 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Quan un pacient presenta <\/span><b>dolor al tal\u00f3<\/b><span style=\"font-weight: 400;\">, \u00e9s habitual que l&#8217;associem a problemes relacionats amb la pres\u00e8ncia d&#8217;<\/span><a href=\"https:\/\/es.wikipedia.org\/wiki\/Espol%C3%B3n_calc%C3%A1neo\" target=\"_blank\" rel=\"noopener\"><b>esper\u00f3 calcani<\/b><\/a><span style=\"font-weight: 400;\"> o a una disfunci\u00f3 de la f\u00e0scia plantar o <\/span><b>fasci\u00eftis plantar<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Per a distingir-les correctament \u00e9s fonamental con\u00e8ixer l&#8217;<\/span><a href=\"https:\/\/ssl.adam.com\/content.aspx?productid=118&amp;pid=5&amp;gid=003182&amp;site=riverviewssl.adam.com&amp;login=RIDG9829\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">anatomia de la cama.<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">El <\/span><b>nervi tibial<\/b><span style=\"font-weight: 400;\"> posterior est\u00e0 format pels seg\u00fcents nervirs:\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcani medial<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plantar medial<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plantar lateral<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Ens referim a la <\/span><b>s\u00edndrome de Baxter<\/b><span style=\"font-weight: 400;\">, quan es produeix un atrapament en la primera branca del<\/span> <a href=\"https:\/\/images.app.goo.gl\/ZHW5rvaj1FoESb3z7\"><b>nervi plantar lateral<\/b><\/a><span style=\"font-weight: 400;\">, tamb\u00e9 conegut com a<\/span><b> nervi de Baxter.<\/b><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Causes de la neuropatia de Baxter<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Els principals motius que poden donar lloc a aquesta patologia s\u00f3n: (2)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 40px;\"><b>1.Trastorns biomec\u00e0nics<\/b><span style=\"font-weight: 400;\">: Comunament originats per la pres\u00e8ncia d&#8217;un peu pla.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tendinosi Aqu\u00edl\u00b7lea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disfunci\u00f3 del tibial posterior<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"padding-left: 40px;\"><b>2.Mecanismes de compressi\u00f3<\/b><span style=\"font-weight: 400;\">: En el seu pas per la tuberositat calcani medial.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Esper\u00f3 calcani<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fasciotomia plantar<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">En el cas dels esportistes tamb\u00e9 es pot produir per una <\/span><b>hipertr\u00f2fia del m\u00fascul quadrat plantar<\/b><span style=\"font-weight: 400;\"> i abductor de <\/span><i><span style=\"font-weight: 400;\">l&#8217;h\u00e0l\u00b7lux<\/span><\/i><span style=\"font-weight: 400;\">\/primer dit. (3)<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>S\u00edmptomes de la s\u00edndrome de Baxter<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">El <\/span><a href=\"https:\/\/centrekine.com\/quien-te-cuida\/\"><span style=\"font-weight: 400;\">nostre equip de terapeutes<\/span><\/a><span style=\"font-weight: 400;\"> tracta habitualment amb pacients que sofreixen <\/span><b>dolor en el retropeu<\/b><span style=\"font-weight: 400;\"> de manera persistent. Aquesta simptomatologia es pot produir per diferents causes i a m\u00e9s, poden coexistir diferents entitats cl\u00edniques en una mateixa persona.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Per aix\u00f2, fins i tot detectant la pres\u00e8ncia d&#8217;un problema en la f\u00e0scia plantar, s&#8217;ha de valorar un possible <\/span><b>atrapament <\/b><span style=\"font-weight: 400;\">d&#8217;aquesta branca del <\/span><b>nervi plantar lateral<\/b><span style=\"font-weight: 400;\">, amb major atenci\u00f3 si el pacient refereix algun d&#8217;aquests <\/span><b>s\u00edmptomes<\/b><span style=\"font-weight: 400;\">: (1) (2)<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sensaci\u00f3 de co\u00efssor i formigueig en el cinqu\u00e8 dit del peu.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Palpaci\u00f3 dolorosa en el recorregut del nervi<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atr\u00f2fia en la musculatura abductora del dit petit(en casos avan\u00e7ats)<\/span><\/li>\n<\/ul>\n<h2><b>Tractament per a la neuropatia de Baxter<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">El <\/span><b>tractament <\/b><span style=\"font-weight: 400;\">per a la <\/span><b>malaltia de Baxter<\/b><span style=\"font-weight: 400;\"> aquesta afecci\u00f3 dependr\u00e0 de l&#8217;origen del problema, no obstant aix\u00f2, hi ha uns certs aspectes molt comuns amb el tractament d&#8217;una fasciopat\u00eda plantar: (4)<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Disminuci\u00f3 de les c\u00e0rregues que irriten la regi\u00f3 i augmenten la simptomatologia mitjan\u00e7ant exercici.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u00e8cniques destinades al treball del nervi:<\/span>\n<ul>\n<li><a href=\"https:\/\/centroimpulso.es\/neurodinamica-concepto-y-aplicacion-en-fisioterapia\/#:~:text=%C2%BFQu%C3%A9%20es%20la%20neurodin%C3%A1mica%3F,la%20mecanosensibilidad%20del%20tejido%20neural.\" target=\"_blank\" rel=\"noopener\"><b>Neurodin\u00e0mia<\/b><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Neuromodulaci\u00f3 percut\u00e0nia<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\"><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treball mitjan\u00e7ant <\/span><b>exercici terap\u00e8utic de la musculatura<\/b><span style=\"font-weight: 400;\"> relacionada per a augmentar les seves capacitats sense augmentar la simptomatologia.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/centrekine.com\/puncion-seca\/\"><b>Punci\u00f3 seca<\/b><\/a><span style=\"font-weight: 400;\">: en certs casos pot ser beneficiosa per a la reducci\u00f3 del dolor relacionat amb la musculatura per on passa el nervi.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00das de la INDIBA per a baixar la irritaci\u00f3 i inflamaci\u00f3 dels teixits,\u00a0<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"alignnone size-medium wp-image-12701\" title=\"centre-kine-blog-neuropatia-baxter-puncio-seca\" src=\"https:\/\/centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-300x200.jpg\" alt=\"Neuropat\u00eda de Baxter punci\u00f3 seca\" width=\"300\" height=\"200\" srcset=\"https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-300x200.jpg 300w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-1024x684.jpg 1024w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-768x513.jpg 768w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-434x290.jpg 434w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca-1536x1026.jpg 1536w, https:\/\/old.centrekine.com\/wp-content\/uploads\/2023\/02\/centre-kine-blog-neuropatia-baxter-puncion-seca.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><b>Demana ajuda a Centre Kine<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><b>Centre Kine<\/b><span style=\"font-weight: 400;\"> fa 30 anys que apliquem aquest <\/span><a href=\"https:\/\/centrekine.com\/tratamientos\/\"><b>tipus de tractaments<\/b><\/a><span style=\"font-weight: 400;\">. Despr\u00e9s de valorar el teu cas i extreure un diagn\u00f2stic, aplicarem un tractament fet a mida per a tu.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Si sospites que pateixes neuropatia de Baxter o un altre trastorn, posa&#8217;t en contacte amb nosaltres:<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emplena aquest <\/span><a href=\"https:\/\/centrekine.com\/contacto\/\"><span style=\"font-weight: 400;\">formulari<\/span><\/a><span style=\"font-weight: 400;\"> amb la teva consulta i et respondrem en menys de 24 hores.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Truca&#8217;ns per tel\u00e8fon: 973 23 37 03<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contacta&#8217;ns per WhatsApp: 677 56 16 59<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Escriu-nos un correu: <\/span><a href=\"mailto:info@centrekine.com\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">info@centrekine.com<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">De <\/span><b>dilluns a divendres<\/b><span style=\"font-weight: 400;\">, de <\/span><b>8.00 h a 21.00 h<\/b><span style=\"font-weight: 400;\">, pots visitar-nos en les nostres dues cl\u00edniques a Lleida:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.google.com\/maps\/d\/embed?mid=13Rd-cV0r3PpbC6tO2LbONu0MMxY\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Passeig de Ronda, 164<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.google.com\/maps\/d\/embed?mid=13Rd-cV0r3PpbC6tO2LbONu0MMxY\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Carrer Sant Cec\u00edlia, 20<\/span><\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><b>Refer\u00e8ncies<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">(1) Moreno Garc\u00eda MS, Del R\u00edo-Mart\u00ednez PS, Yanguas Barea N, Baltan\u00e1s Rubio P. Hindfoot pain: Baxter neuropathy. Reumatol Clin. 2017 Mar-Apr;13(2):123. English, Spanish. doi: 10.1016\/j.reuma.2016.05.002. Epub 2016 Jun 27. PMID: 27365275.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(2) Mill\u00e1n Arredondo I, Monte Gonz\u00e1lez JC, Gonz\u00e1lez Nieto J, Moreno Casado MJ. Neuropat\u00eda de Baxter: hallazgos en RM y consideraciones etiol\u00f3gicas. Radiologia. 2014; 56:772.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(3) Lechevalier D, Bial\u00e9 L, Glanowski C, Imbert I, P\u00e9roux E, Banal F. Baxter&amp;#39;s syndrome. Joint Bone Spine. 2016 Oct; 83(5):583. doi: 10.1016\/j.jbspin.2016.02.005. Epub 2016 Mar 25.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(4) Morrissey D, Cotchett M, Said J.; Bari A, Prior T, Griffiths IB, Rathleff MS, Gulle H, Vicenzino B, Barton CJ. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. Br J Sports Med. 2021 Oct; 55(19):1106-1118. doi: 10.1136\/bjsports-2019-101970. Epub 2021 Mar 30. PMID: 33785535;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"Avui a Centre Kine\u00a0 veurem en qu\u00e8 consisteix una s\u00edndrome associada al dolor de tal\u00f3: la neuropatia de Baxter, s\u00edmptomes i tractament. No et perdis el nostre blog per a&#8230;","protected":false},"author":15,"featured_media":12699,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[310,786,315],"tags":[642,1044,893,858,643,1048,1051,1042,1046,651],"acf":[],"_links":{"self":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12710"}],"collection":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/comments?post=12710"}],"version-history":[{"count":2,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12710\/revisions"}],"predecessor-version":[{"id":12712,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/posts\/12710\/revisions\/12712"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media\/12699"}],"wp:attachment":[{"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/media?parent=12710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/categories?post=12710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.centrekine.com\/ca\/wp-json\/wp\/v2\/tags?post=12710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}