exposicion lumbalgia sanidad

7/25/2019 EXPOSICION LUMBALGIA SANIDAD

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LUMBALGIA

MEDICO SERUMISTA DE LA SANIDAD FAP: NEIL SALINAS ANGULO

PISCO-2016


2/16

INTRODUCCION

Alta prevalen!a 2" a#$a %e &a'a la&(ral ) 1* a#$a %e

!napa!%a% la&(ral (n$#lta +a$ ,re#ente en aten!n pr!+ar!a. Ep!%e+!(l(/!a: G#a$ %e Cooperacin

Europea de Ciencia y Tecnologa lal#+&al/!a p#e%e a,etar al 34 %e la$

per$(na$ en al/5n +(+ent( %e $# v!%a. L(anter!(r $#/!ere #e 7 %e a%a 10 $#'et($ten%r8 %(l(r l#+&ar en al/5n +(+ent( %e $#v!%a

En el 2019 en la SANIDAD FAP ,#er(n aten%!%($


3/16


4/16

CONCEPTOD(l(r en la e$pal%a &a'a ( ;(na l#+&ar entre la$

#lt!+a$ ($t!lla$ ) la ;(na /l#te ar %e: I+p(ten!a ,#n!(nal Irra%!a!n a +!e+&r($ !n,er!(re$ C(ntrat#ra +#$#lar


5/16

Eiopaogenia

1.- Ca#$a$ +e8n!a$


6/16

Eiopaogenia

2.- Ca#$a$ n( +e8n!a$ ( A(+pa>a%( %e e&re )( $nt(+a$ /enerale$.Ca#$a$ %e l#+&al/!a n( +ean!a Ina+at(r!a$ E$p(n%!l!t!$ !n,e!($a

E$p(n%!l!t!$ &r#el($!a an#!l($ante e$p(n%!l(%!$!t!$


7/16

CLA!I"ICACION #eg$n elie%pode e&olucin del

dolor Agudo: +en($ %e 6 $e+ana$El 90 4 re+!te a l($ %a$.

!u'agudo: %e 6-12 $e+ana$

Crnico: +a$ %e 12 $e+ana$

Recurrene: $e rep!te

(n per!(%($ l!&re$ %e H +e$e$.


8/16

CLA!I"ICACION

Se/5n elTIPO%e %(l(r: Lu%'algia aguda ine#peci(ca o dolor co%$n) en

e$ta%( /eneral pa!ente entre 20 a 29 a>($ %(l(r en re/!(n

l#+&($ara nal/a$ ) +#$l($. Dolor radicular) el %(l(r en #na p!erna e$ +a$ !nten$( #e el%(l(r en la e$pal%a $e !rra%!a /eneral+ente a p!e$ ( %e%($$en$!&!l!%a% ( pare$te$!a$ (n la +!$+a %!$tr!!(n %el %(l(ra+&!($ +(t(re$ ) ree'($

Dolor #o#pec*o#o de paologia e#pinal gra&e) t#+(r (!n,e!(n verte&ral en,er+e%a%e$ !na+at(r!a$ (+(e$p(n%!l!t!$ ) la$ ,rat#ra$


9/16


10/16

!E+ALE! DE ALARMA

E%a% +a)(r a 90 ( +en(r a 20 a>($ Per%!%a %e pe$( !nepl!a&le F!e&re +a)(r a H p(r +a$ %e 3 ?(ra$:

!n,e!n Pre$en!a %e ,at(r %e r!e$/( para

!n,e!n< $(n%a #r!nar!a !n,e!n

#t8neaB= Ma$ %e 3 $e+ana$ %e ev(l#!n: pen$ar en

ne(pla$!a Tra#+at!$+( D(l(r n( !n#!%( (r +(v!+!ent($ ($t#ra$ (


11/16

E,ploracion (#ica

!igno de la##eguepo#ii&o ) C#an%( $epr(%#e %(l(r (neleva!n %e p!erna ?a$ta

H0 /ra%($ p(r e$t!ra+!ent(%el nerv!( t!ene #na$en$!&!l!%a% %el794 ) nae$pe!!%a% %el264%!a/n($t!( %era%!#l(pat!a

-alorar %o&ilidad en

.e,in/ e,en#in yroacin a 01 grado#


12/16

Prue'a#co%ple%enaria#) Analt!a: $(l( #an%( $($pe?e+($ en,er+e%a%

$!$t@+!a R: $! la %#ra!n %el %(l(re$ +a)(r a #n +e$

TAC) val(ra!(n $(l( ($ea RNM)pr#e&a %e ele!n: per+!te val(rar el ?#e$( el

%!$( ) e$tr#t#ra$ ne#rale$ Gan%agra(a) %ete!n pre(; %et#+(re$


13/16

TRATAMIENTO

Anal/@$!($ ) AINE$


14/16

TRATAMIENTO

Ant!%epre$!v($ tr!l!($ ) ?eter(l!($ C(rt!(!%e$ !ta+!na$ ne#r(tr(pa$: 1 6 12 3REDUCEN

E!PA!MO 4 CALAMBRE!5 $#elen !r a$(!a%a$ a (tra$

$#$t (+( anal/@$!($ e' DOLONEUROION Pr(tet(re$ /8$tr!($: O+epra;(l 20+/ 23? Ran!t!%!na 190+/12?

MEDIDA! "ARMACOL2GICA!


15/16

Pre&encin


16/16

JJJGRACIAS

POR LAATENCIKN

.e$pal%a.(r/

exposicion lumbalgia sanidad

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