{"id":3022,"date":"2021-07-05T07:34:05","date_gmt":"2021-07-05T05:34:05","guid":{"rendered":"https:\/\/crarbcn.com\/?p=3022"},"modified":"2021-07-05T07:38:54","modified_gmt":"2021-07-05T05:38:54","slug":"hernia-discal-tratamiento-postquirurgico","status":"publish","type":"post","link":"https:\/\/crarbcn.com\/es\/hernia-discal-tratamiento-postquirurgico\/","title":{"rendered":"Hernia discal: tratamiento postquirurgico"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><span style=\"color:#34575b\" class=\"has-inline-color\">Caso realizado por Marina Gonzalo Morata, veterinaria rehabilitadora de CRAR<\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Hoy al blog de CRAR &#8211; Centro de Rehabilitaci\u00f3n Animal de Referencia, especialistas en fisioterapia veterinaria en Barcelona queremos compartir el caso de Nina, perra hembra de 9 a\u00f1os de raza Teckel. <strong><em>\u00bfA ver si adivin\u00e1is qu\u00e9 patolog\u00eda neurol\u00f3gica sufri\u00f3?<\/em><\/strong> \u00a1Exacto! Una hernia discal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nina, perra hembra de 9 a\u00f1os, como buena teckel, fue diagnosticada de <strong>hernia discal<\/strong>por los compa\u00f1eros de <strong><a href=\"https:\/\/www.hvmontjuic.com\/\">Hospital Veterinari Montjuic<\/a><\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nina se present\u00f3 en consulta con paraparesia no ambulatoria de forma aguda. Despu\u00e9s de realizar resonancia magn\u00e9tica y TC se encontr\u00f3 :<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Una hernia discal tipo Hansen I a nivel de L1-L2 lateralizada a la derecha.<\/li><li>Una hernia discal de peque\u00f1o tama\u00f1o cronificada a nivel de L2-L3 izquierda.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_1-1.png\" alt=\"\" data-id=\"3009\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_1-1.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3009\" class=\"wp-image-3011\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_1-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_1-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_2-1.png\" alt=\"\" data-id=\"3012\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_2-1.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3012\" class=\"wp-image-3014\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_2-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_2-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_3-1.png\" alt=\"\" data-id=\"3015\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_3-1.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3015\" class=\"wp-image-3017\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_3-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Resonancia_hernia_discal_3-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><\/ul><figcaption class=\"blocks-gallery-caption\">Im\u00e1genes de resonancia cedidas por Hospital Veterinari Montjuic.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Por este motivo el equipo de neurolog\u00eda de HV Montjuic entraron a quir\u00f3fano urgentemente para realizar <strong>hemilaminectomia L1-L2 derecha y fenestraci\u00f3n discal de T13-L1 i L1-L2<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Una vez Nina recibi\u00f3 el alta hospitalaria le recomendaron iniciar <strong>terapia de rehabilitaci\u00f3n<\/strong> <strong>postquirurgica<\/strong> en nuestro centro.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Primera valoraci\u00f3n funcional<\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Examen f\u00edsico general:<\/strong> condici\u00f3n corporal 4\/9<\/li><li><strong>Examen neurol\u00f3gic:<\/strong> paraparesia no ambulatoria, marcha de rodillas, estado mental normal, pares craneales normales, respuesta propioceptiva ausente bilateralmente en extremidades posteriores, reflejos espinales mantenidos en ambas extremidades posteriores. Movilidad de la cola mantenida.<\/li><li><strong>Din\u00e1mica:<\/strong> los propietarios sacan a Nins a pasear con un arn\u00e9s posterior, se coloca bien para orinar y defecar. No se rasca orejas.<\/li><li><strong>Est\u00e1tica:<\/strong> postura sentada, se mantiene un segundo en standing, mayor tono muscular en extremidad posterior izquierda que derecha.<\/li><li><strong>Examen ortop\u00e9dic:<\/strong> normal.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Objectivos del tratamiento de rehabilitaci\u00f3n<\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Control <strong>dolor\/inflamaci\u00f3n<\/strong>.<\/li><li>Fortalecimiento <strong>musculatura<\/strong>.<\/li><li>Mejorar <strong>postura<\/strong> en estaci\u00f3n y su incorporaci\u00f3n a la <strong>marcha<\/strong>.<\/li><li>Favorecer <strong>plasticidad neuronal<\/strong>.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Plan de rehabilitaci\u00f3n<\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El plan de rehabilitaci\u00f3n consisti\u00f3 en 2 sesiones semanales, las primeras semanas, y despu\u00e9s sesiones m\u00e1s espaciadas hasta conseguir el alta de mantenimiento en casa. Se pautaron:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong><a href=\"https:\/\/crarbcn.com\/es\/la-hidroterapia-en-el-crar\/\">Hidroterapia<\/a><\/strong> en cinta subacu\u00e1tica.<\/li><li><strong><a href=\"https:\/\/crarbcn.com\/es\/terapia-laser-el-paso-a-paso-de-su-uso-en-veterinaria\/\">L\u00e1ser<\/a><\/strong><\/li><li><strong><a href=\"https:\/\/crarbcn.com\/es\/indiba-la-radiofrecuencia-en-rehabilitacion-veterinaria\/\">Radiofrecuencia<\/a> <span style=\"color:#4ab69f\" class=\"has-inline-color\">-INDIBA<\/span><\/strong>.<\/li><li><strong><a href=\"https:\/\/crarbcn.com\/es\/electroacupuntura-en-medicina-veterinaria\/\">Acupuntura.<\/a><\/strong><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Hidroterapia_hernia_discal_CRAR-1.png\" alt=\"\" data-id=\"3000\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3000\" class=\"wp-image-3002\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Hidroterapia_hernia_discal_CRAR-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Hidroterapia_hernia_discal_CRAR-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/INDIBA_hernia_discal_CRAR-2.png\" alt=\"\" data-id=\"3003\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3003\" class=\"wp-image-3005\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/INDIBA_hernia_discal_CRAR-2.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/INDIBA_hernia_discal_CRAR-2-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Cavaletti_hernia_discal_CRAR-1.png\" alt=\"\" data-id=\"3006\" data-full-url=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Cavaletti_hernia_discal_CRAR-1.png\" data-link=\"https:\/\/crarbcn.com\/?attachment_id=3006\" class=\"wp-image-3008\" srcset=\"https:\/\/crarbcn.com\/wp-content\/uploads\/Cavaletti_hernia_discal_CRAR-1.png 300w, https:\/\/crarbcn.com\/wp-content\/uploads\/Cavaletti_hernia_discal_CRAR-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/li><\/ul><figcaption class=\"blocks-gallery-caption\">T\u00e9cnicas de rehabilitaci\u00f3n: hidroterapia, INDIBA, cavaletti.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Se instauraron rutinas de rehabilitaci\u00f3n neurol\u00f3gicas para casa, unos 5-10 minutos diversas veces al d\u00eda, masajes, y se recomendaron modificaciones en el ambiente para ayudar a mantener la espalda recta y mejorar la postura. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Estas rutinas son una parte importante de la rehabilitaci\u00f3n pasiva en este tipo de casos, son ejercicios sencillos que comentamos siempre en las primeras visitas, como las <a href=\"https:\/\/www.youtube.com\/watch?v=fYKq8IxDqZM&amp;list=PLKojMz6gZ94y4r0VAe1mtyg11sNwsE1kw&amp;index=4&amp;ab_channel=CRARCentredeRehabilitaci%C3%B3AnimaldeRefer%C3%A8ncia\">movilitzaciones pasivas<\/a> y <a href=\"https:\/\/www.youtube.com\/watch?v=Vsa9OtJ_-04&amp;list=PLKojMz6gZ94y4r0VAe1mtyg11sNwsE1kw&amp;index=5&amp;ab_channel=CRARCentredeRehabilitaci%C3%B3AnimaldeRefer%C3%A8ncia\">estimulaci\u00f3n neurol\u00f3gica<\/a> con diferentes est\u00edmulos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"color:#4ab69f\" class=\"has-inline-color\">Evoluci\u00f3n<\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">En el siguiente video queremos ense\u00f1aros la evoluci\u00f3n de Nina durante el tratamiento de fisioterapia postquir\u00fargica de su hernia discal, desde el momento que llega a CRAR hasta que finaliza las 12 sesiones de rehabilitaci\u00f3n.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Hernia discal (Hansen I) en un Teckel | CRAR BCN\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/mS0qrFg6qLM?feature=oembed\"  allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>La exploraci\u00f3n neurol\u00f3gica<\/strong> ha mejorado: paraparesia ambulatoria muy leve, reacciones posturales presentes bilaterales, hemisalto presente en extremidad posterior izquierdo y muy lento en la derecha.<\/li><li> Cuando anda a paso r\u00e1pido se observa <strong>buena coordinaci\u00f3n<\/strong>, a pesar de que hay un acortamiento en la fase de vuelo, sobre todo en la extremidad posterior izquierda.<\/li><li><strong>No<\/strong> hay <strong>dolor <\/strong>del raquis.<\/li><li>Buen control de esf\u00ednteres.<\/li><li>Hace los ejercicios en casa sin problema y cuando van de paseo en plano aguanta hasta 1 hora seguida.<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Las lesiones medulares son una de las principales patolog\u00edas tratadas en los centros de rehabilitaci\u00f3n veterinaria en Estados Unidos, Canad\u00e1 y Europa, no obstante, en Espa\u00f1a todav\u00eda falta trabajo divulgativo del beneficios de la fisioterapia.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>La fisioterapia aumenta la perfusi\u00f3n tisular, que favorece la reconexi\u00f3n de la transmisi\u00f3n de las se\u00f1ales nerviosas que se han visto afectadas por las lesiones espinales. Despu\u00e9s de una hemilaminectomia es importante, adem\u00e1s de un buen control del dolor del paciente, promover el retorno de la funci\u00f3n motora y movilidad, respetando en todo momento el reposo de la actividad intensa. <\/em><\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/crarbcn.com\/referencies\/\"><span style=\"color:#4ab69f\" class=\"has-inline-color\"><strong>\u00bfQuieres referirnos un caso?<\/strong><\/span><\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hoy en el blog de CRAR &#8211; Centro de Rehabilitaci\u00f3n Animal de Referencia, especialistas en fisioterapia veterinaria en Barcelona queremos compartir el caso de Nina, perra hembra de 9 a\u00f1os de raza Teckel. \u00bfA ver si adivin\u00e1is qu\u00e9 patolog\u00eda neurol\u00f3gica sufri\u00f3? \u00a1Exacto! Una hernia discal.<\/p>\n","protected":false},"author":2,"featured_media":3029,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","_joinchat":[],"footnotes":""},"categories":[44],"tags":[145,140],"class_list":["post-3022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-es","tag-fisioterapia-es","tag-rehabilitacion-es"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hernia discal: tratamiento postquirurgico - CRAR BCN<\/title>\n<meta name=\"description\" content=\"Queremos compartir el caso de Nina, perra de raza Teckel. \u00bfA ver si adivin\u00e1is qu\u00e9 patolog\u00eda neurol\u00f3gica sufri\u00f3? \u00a1Exacto! 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