Inyecciones locales multipuntuales con corticosteroide para el síndrome de estrés tibial medial: un nuevo enfoque

I Medina, A Jurado, DJ Magee, J Vas

Resumen


El síndrome de estrés medial de la tibia (SEMT) constituye una de las afecciones más comunes del miembro inferior. Los resultados obtenidos con terapias convencionales en esta patología son dispares. La infiltración local de corticoides ha mostrado producir efectos favorables en el tratamiento de diversos problemas musculoesqueléticos. El efecto de la infiltración local multipuntual de un corticoide en combinación con un anestésico se estudió en 47 pacientes (29 hombres y 18 mujeres, con una edad media de 23.8) afectos de SEMT. La consulta directa y el examen físico se emplearon para valorar los resultados. Los pacientes fueron valorados una vez a la semana tras la primera aplicación durante las primeras cuatro semanas y 3 meses después del tratamiento. El nivel de actividad en ausencia de síntomas fue registrado en cada caso. Los resultados de la infiltración multipuntual se determinaron comparando los niveles de actividad en ausencia de síntomas preintervención y posintervención y la capacidad de los deportistas para volver a los niveles de actividad presintomáticos. Los resultados sugieren que este tratamiento reduce el tiempo de recuperación y mejora los resultados funcionales.


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Palabras clave


síndrome de estrés tibial medial, Dolor de espinillas, Inyección de corticoesteroides

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DOI: http://dx.doi.org/10.24310/riccafd.2013.v2i3.6196

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