Lumbar Myofascial Syndrome

What is

The myofascial syndrome of the lumbar region is a picture of muscle pain sustained over time caused by persistent contracture of a muscle or muscle group. This is, among all, the most frequent cause of pain in the dorsal region.

This contracture is characterized by presenting as a tense, palpable band in the muscle (the contracture), which presents increased consistency and which when pressed produces pain in the area of the contracture or in the path of the muscle.

Causes

Generally this type of contracture is triggered as a consequence of overloads produced by other situations such as degeneration and deterioration of the intervertebral disc, a herniated disc or a facet syndrome among others. Other factors such as inadequate postures, traffic accidents or some jobs with inadequate habits can produce them.

  • Inadequate postures.
  • Hip dysmetry (height difference).
  • Dysmetria in the lower extremities (difference in the length of the legs).
  • Knee valgus (inclination of the knee inward).

Symptoms

  • Pain in the area of muscle contracture.
  • Distant and distant pain from the contracted area
  • Contracture with limitation of mobility

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis, physical examination and, if necessary, support of imaging tests. Focusing especially on detecting the origin and cause of the pain.

Complementary tests

An MRI and/or CT scan may be performed to assess whether there are lesions in discs or joints that are the cause of this persistent muscle contracture.

Treatment

  • Non-interventional treatment: treatment of existing lesions in the discs or adjacent joints that produce and/or promote muscle contracture. This will allow the results obtained to be prolonged in time.
    • Therapeutic exercise: active physiotherapy treatments in which the muscles responsible for protecting the area are developed.
    • Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.
  • Interventional treatments:
    • Ultrasound-guided blockade of fascial planes
    • Botulinum toxin treatments
    • Ozone treatments

Here begins your life without pain

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Our customers say

A .E.
Encantado con la atención
Alicia Salinas
Laura Nogales Cuello
Fátima Escobar
Años de dar vueltas y no encontrar alivio, y el doctor Rubén Algarra en solo 2 semanas no es que me haya aliviado, es q el dolor ha desaparecido.
Tanto el como su equipo, desde secretaría, enfermera y demás personal del quirófano una empatía y una amabilidad de 100.
Josep Ma Cisa
Un tracte professional i a la vegada molt proper. Et fan sentir com quan et cuida la família, t'ajuden d'una manera molt propera

Res més a dir que gràcies!
ANA M Heras
Dr. Xavier Morales
Panreac
Después de mucho tiempo pasándolo mal cada día con dolores de cabeza , en la clínica del dolor de Sant Cugat y en especial el doctor Duca y su equipo me realizaron una intervención que me fue genial y mi vida a cambiado 100%
Solo tengo palabras de agradecimiento para el Doctor Duca y su equipo son formidables y su manera de trabajar es impresionante.
Lo recomiendo de todo corazón .
Gracias por todo.
Saludos
Silvia
Alba De la Puente Granados
Todo perfecto, son unas profesionales amabilísimas. Me ayudaron con un dolor lumbar que ni con rehabilitación pude aliviar. Incluso me ayudaron a gestionar una incidencia administrativa por parte de mi mutua que me impedía acceder al tratamiento. Muy recomendables!!
L T
Muy buenos profesionales. Bien organizado. Puntuales y eficientes. Me ayudaron mucho. Desde la recepción a los sanitarios. En especial, Fran el fisioterapeuta que me designaron, fue estupenda su labor para mi recuperación. Gracias!!!
Leticia Rubio
El trato es inmejorable. Muy profesionales. Total y absoluta confianza en el Dr. Del Cojo, profesional y humano.
Rita eficiente, profesional y cercana.
Solo palabras de agradecimiento

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