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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Manuela Bandelló

Excelente trato y gracias al doctor Nebreda, ya no tengo dolor!!!

Montse Perarriera

Response from the owner:Muchas gracias por tu valoración Montse! Un saludo

Jorge Alberto Mora Christian

El Dr Duca es un profesional de los que ya no quedan, atento, implicado y te saca una sonrisa cuando crees tu problema es el fin del mundo! Muchas gracias y seguid con el buen trabajo!

jose vleazquez

Excelente atención y trato, especialmente de mi fisio Estrella

Juan Yuste

Molt satisfactoria

Response from the owner:Gràcies Juan per la teva sinceritat i confiança en MIVI Salut Salutacions

Anabel Bolado (Aska)

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Esperanza Navarro

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Leny Zuñiga

Trabajo en el colectivo de limpieza desde hace más de 20 años he venido a la Quiron de San cugat para realizame un bloqueo de facetas cervical y lumbar para el dolor , mi experiencia ha sido maravillosa no tengo nada de dolor ha desaparecido por completo,me ha atendido un equipo encantador gracias a la unidad del dolor de la Quiron San Cugat

I

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Iván García Rojas

Muy amables y grandes profesionales!

Miguel Gonzalez

Un gran equipo humano y profesional. Lo recomiendo al 100%. Me he rehabilitado en dos ocasiones y no dudaría en volver con ellos, destacar sobre todo a Alicia, fisioterapeuta con experiencia y muy buena persona. Te sientes como en casa. Gracias por todo.