{"id":5654,"date":"2023-04-04T12:06:13","date_gmt":"2023-04-04T12:06:13","guid":{"rendered":"https:\/\/remafibc.com\/?p=5654"},"modified":"2023-04-03T12:31:52","modified_gmt":"2023-04-03T12:31:52","slug":"esguince-de-tobillo","status":"publish","type":"post","link":"https:\/\/remafibc.com\/?p=5654","title":{"rendered":"El esguince de tobillo"},"content":{"rendered":"

\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?<\/strong><\/p>\n

\"\"<\/p>\n

<\/strong><\/strong><\/p>\n

El tratamiento conservador produce desequilibrios, atrofia muscular, hiperlaxitud, \u00f3 exceso de rigidez y con ello patrones de movimiento aberrante que influyen en la reincidencia de la misma lesi\u00f3n \u00bb el esguince\u00bb. Y el problema lo tenemos en el inicio y es la valoraci\u00f3n del grado del esguince y el diagn\u00f3stico final donde no se sabe de la gravedad real en la capacidad  de distensi\u00f3n de los ligamentos afectados. Aunque si, lo puede ser si nos basamos en los s\u00edntomas y no en los signos, que estamos midiendo, como es el grado del dolor e impotencia que encontramos en el paciente e integraci\u00f3n de los mismos.<\/p>\n

En cuanto a los AINES se ha demostrado que no act\u00faan desinflamando la zona local, sino que pueden bloquear diferentes v\u00edas qu\u00edmicas de afectaci\u00f3n en cuanto a la reacci\u00f3n en cascada a partir del \u00e1cido araquid\u00f3nico AA.<\/p>\n

El uso anticipado y exagerado del fr\u00edo puede hacer que la inflamaci\u00f3n no sea resolutiva para la lesi\u00f3n del paciente ya que la inflamaci\u00f3n se da para reparar el tejido da\u00f1ado una vez higienizado el ambiente \u00e1cido de da\u00f1o en el tejido.<\/p>\n

La carga anticipada y desmedida puede dar pie al empeoramiento pero el screed nos dice que cuanto antes comencemos a cargar antes empezaremos a caminar con normalidad.<\/p>\n

Como es l\u00f3gico pensar, un apoyo o carga sin control no s\u00f3lo hace que empeore la parte inflamatoria sobre todo a nivel del seno del tarso, sino que adem\u00e1s al producir dolores agudos en ciertos patrones de movimiento, estamos creando patrones aberrantes de movimiento que tendr\u00e1n una adaptaci\u00f3n y desequilibrios neuromusculares al no haber quitado el mecanismo de defensa reaccional muscular, ya que los m\u00fasculos funcionan como los airbags de un coche contray\u00e9ndose para que la estructura sufra lo menos posible.<\/p>\n

Por todo ello, desde nuestra cl\u00ednica<\/a> proponemos el tratamiento con  Resecci\u00f3n Manual Fibroconectiva  que consiste en la aplicaci\u00f3n sistem\u00e1tica de las manos adapt\u00e1ndolas con distintos ejes de presi\u00f3n y direcci\u00f3n de los planos tisulares de  las zonas anat\u00f3micas corporales donde el tejido conectivo se queda alterado influyendo en las fases reactivas qu\u00edmicas  que si no se tratan correctamente se cronifican. REMAFIBC<\/strong> tiene como hilo conductor la p\u00e9rdida de elasticidad de este tejido que compone la mayor parte de nuestro organismo, con un orden por planos de lo mas cr\u00f3nico a lo m\u00e1s agudo y de lo m\u00e1s profundo a lo m\u00e1s superficial.<\/p>\n

Y un peque\u00f1o apunte pero important\u00edsimo en cualquier lesi\u00f3n o golpe traum\u00e1tico con dolor agudo e impotencia funcional jam\u00e1s tirar de palancas forzando el sistema articular pues podemos producir  un s\u00edndrome compartimental, pero eso en otro post!<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?<\/p>\n","protected":false},"author":1,"featured_media":5656,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[1],"tags":[69,67,49,46,71,70,68],"class_list":["post-5654","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-diagnostico","tag-esguince","tag-lesion","tag-remafibc","tag-reseccion","tag-tobillo","tag-tratamiento"],"yoast_head":"\nEl esguince de tobillo - Remafibc<\/title>\n<meta name=\"description\" content=\"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/remafibc.com\/?p=5654\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El esguince de tobillo - Remafibc\" \/>\n<meta property=\"og:description\" content=\"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/remafibc.com\/?p=5654\" \/>\n<meta property=\"og:site_name\" content=\"Remafibc\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-04T12:06:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"472\" \/>\n\t<meta property=\"og:image:height\" content=\"315\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/#\\\/schema\\\/person\\\/eb1f3873fac3a494251d8f98eec6c926\"},\"headline\":\"El esguince de tobillo\",\"datePublished\":\"2023-04-04T12:06:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654\"},\"wordCount\":510,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/esguince2.jpg\",\"keywords\":[\"diagn\u00f3stico\",\"esguince\",\"lesi\u00f3n\",\"Remafibc\",\"resecci\u00f3n\",\"tobillo\",\"tratamiento\"],\"articleSection\":[\"Uncategorized\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/remafibc.com\\\/?p=5654#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654\",\"url\":\"https:\\\/\\\/remafibc.com\\\/?p=5654\",\"name\":\"El esguince de tobillo - Remafibc\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/esguince2.jpg\",\"datePublished\":\"2023-04-04T12:06:13+00:00\",\"description\":\"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/remafibc.com\\\/?p=5654\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#primaryimage\",\"url\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/esguince2.jpg\",\"contentUrl\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/esguince2.jpg\",\"width\":472,\"height\":315,\"caption\":\"Esguince de tobillo\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/?p=5654#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/remafibc.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"El esguince de tobillo\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/#website\",\"url\":\"https:\\\/\\\/remafibc.com\\\/\",\"name\":\"Remafibc\",\"description\":\"Tu fisioterapeuta en Madrid\",\"publisher\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/remafibc.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/#organization\",\"name\":\"Remafibc\",\"url\":\"https:\\\/\\\/remafibc.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2022\\\/07\\\/LOGO_REMAFIBC_WEB_SINR_Mesa-de-trabajo-1.png\",\"contentUrl\":\"https:\\\/\\\/remafibc.com\\\/wp-content\\\/uploads\\\/2022\\\/07\\\/LOGO_REMAFIBC_WEB_SINR_Mesa-de-trabajo-1.png\",\"width\":2922,\"height\":726,\"caption\":\"Remafibc\"},\"image\":{\"@id\":\"https:\\\/\\\/remafibc.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.instagram.com\\\/remafibc\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/remafibc.com\\\/#\\\/schema\\\/person\\\/eb1f3873fac3a494251d8f98eec6c926\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"http:\\\/\\\/remafibc.com\"],\"url\":\"https:\\\/\\\/remafibc.com\\\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"El esguince de tobillo - Remafibc","description":"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/remafibc.com\/?p=5654","og_locale":"es_ES","og_type":"article","og_title":"El esguince de tobillo - Remafibc","og_description":"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?","og_url":"https:\/\/remafibc.com\/?p=5654","og_site_name":"Remafibc","article_published_time":"2023-04-04T12:06:13+00:00","og_image":[{"width":472,"height":315,"url":"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"admin","Tiempo de lectura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/remafibc.com\/?p=5654#article","isPartOf":{"@id":"https:\/\/remafibc.com\/?p=5654"},"author":{"name":"admin","@id":"https:\/\/remafibc.com\/#\/schema\/person\/eb1f3873fac3a494251d8f98eec6c926"},"headline":"El esguince de tobillo","datePublished":"2023-04-04T12:06:13+00:00","mainEntityOfPage":{"@id":"https:\/\/remafibc.com\/?p=5654"},"wordCount":510,"commentCount":0,"publisher":{"@id":"https:\/\/remafibc.com\/#organization"},"image":{"@id":"https:\/\/remafibc.com\/?p=5654#primaryimage"},"thumbnailUrl":"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg","keywords":["diagn\u00f3stico","esguince","lesi\u00f3n","Remafibc","resecci\u00f3n","tobillo","tratamiento"],"articleSection":["Uncategorized"],"inLanguage":"es","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/remafibc.com\/?p=5654#respond"]}]},{"@type":"WebPage","@id":"https:\/\/remafibc.com\/?p=5654","url":"https:\/\/remafibc.com\/?p=5654","name":"El esguince de tobillo - Remafibc","isPartOf":{"@id":"https:\/\/remafibc.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/remafibc.com\/?p=5654#primaryimage"},"image":{"@id":"https:\/\/remafibc.com\/?p=5654#primaryimage"},"thumbnailUrl":"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg","datePublished":"2023-04-04T12:06:13+00:00","description":"\u00bfPor qu\u00e9 se sigue tratando el esguince de tobillo de manera convencional, cuando la evidencia cient\u00edfica y cl\u00ednica pone de manifiesto justamente lo contrario?","breadcrumb":{"@id":"https:\/\/remafibc.com\/?p=5654#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/remafibc.com\/?p=5654"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/remafibc.com\/?p=5654#primaryimage","url":"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg","contentUrl":"https:\/\/remafibc.com\/wp-content\/uploads\/2023\/04\/esguince2.jpg","width":472,"height":315,"caption":"Esguince de tobillo"},{"@type":"BreadcrumbList","@id":"https:\/\/remafibc.com\/?p=5654#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/remafibc.com\/"},{"@type":"ListItem","position":2,"name":"El esguince de tobillo"}]},{"@type":"WebSite","@id":"https:\/\/remafibc.com\/#website","url":"https:\/\/remafibc.com\/","name":"Remafibc","description":"Tu fisioterapeuta en Madrid","publisher":{"@id":"https:\/\/remafibc.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/remafibc.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/remafibc.com\/#organization","name":"Remafibc","url":"https:\/\/remafibc.com\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/remafibc.com\/#\/schema\/logo\/image\/","url":"https:\/\/remafibc.com\/wp-content\/uploads\/2022\/07\/LOGO_REMAFIBC_WEB_SINR_Mesa-de-trabajo-1.png","contentUrl":"https:\/\/remafibc.com\/wp-content\/uploads\/2022\/07\/LOGO_REMAFIBC_WEB_SINR_Mesa-de-trabajo-1.png","width":2922,"height":726,"caption":"Remafibc"},"image":{"@id":"https:\/\/remafibc.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.instagram.com\/remafibc\/"]},{"@type":"Person","@id":"https:\/\/remafibc.com\/#\/schema\/person\/eb1f3873fac3a494251d8f98eec6c926","name":"admin","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/secure.gravatar.com\/avatar\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b752b8d28f34b6dd3d653d21011679fbe6bc4d022bb8fc43be8ab306e04fb50f?s=96&d=mm&r=g","caption":"admin"},"sameAs":["http:\/\/remafibc.com"],"url":"https:\/\/remafibc.com\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/posts\/5654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/remafibc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5654"}],"version-history":[{"count":2,"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/posts\/5654\/revisions"}],"predecessor-version":[{"id":5658,"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/posts\/5654\/revisions\/5658"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/remafibc.com\/index.php?rest_route=\/wp\/v2\/media\/5656"}],"wp:attachment":[{"href":"https:\/\/remafibc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/remafibc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/remafibc.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}