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Reto: Lumbalgia inespecífica

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Reto: Lumbalgia inespecífica

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About this activity

Tratamiento

Created by

Miguel Angel Gutierrez Cruz
Miguel Angel Gutierrez Cruz
Mexico

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Reto: Lumbalgia inespecífica
 

Reto: Lumbalgia inespecíficaOnline version

Tratamiento

by Miguel Angel Gutierrez Cruz
1

El problema de los antidepresivos es que se consiguen su efecto entre las 3 y 4 semanas.

2

La educación del paciente y el reposo en cama. regular son fundamentales en el manejo.

3

El paracetamol está indicado como medicamento de primera elección.

4

Dormir en cama durante más de una semana siempre acelera la recuperación.

5

El masaje disminuye el dolor y aumenta la capacidad funcional cuando se asocia a ejercicio y auto cuidado.

6

Se recomienda considerar el uso de relajantes musculares en pacientes con dolor lumbar y espasmo muscular de 3 a 7 días y no más de 2 semanas por somnolencia, mareo y dependencia.

7

La aplicación de calor local ayuda para el alivio del dolor.

8

Las intervenciones no farmacológicas eficaces incluyen ejercicios supervisados, fisioterapia y programas de ejercicios en casa.

9

Los AINEs de uso breve suelen ser la primera opción farmacológica para dolor lumbar agudo si no hay contraindicaciones.

10

Los antidepresivos se usan para la lumbalgia crónica y se prefieren los benzodiacepinicos.

 
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