{"id":12138,"date":"2021-02-07T10:34:42","date_gmt":"2021-02-07T10:34:42","guid":{"rendered":"http:\/\/www.dumitra.net\/blog\/?p=12138"},"modified":"2021-02-08T05:48:57","modified_gmt":"2021-02-08T05:48:57","slug":"ruptura-de-biceps-femural-sau-intindere-diagnostic-recomandari-exercitii","status":"publish","type":"post","link":"https:\/\/www.dumitra.net\/blog\/?p=12138","title":{"rendered":"Ruptur\u0103 de biceps femural sau \u00eentindere? Despre diagnostic, recomand\u0103ri, exerci\u021bii"},"content":{"rendered":"
\"\"<\/a>La scurtarea musculaturii coapsei posterioare \u0219i expansiunea celulitei, printre altele, contribuie statul mult pe scaun.<\/div>\n
– A\u0219a \u0219i, care-i noutatea? P-asta o \u0219tim, o v\u00e2ntur\u0103 to\u021bi, pe toate paginile. Zi-ne ceva nou, c\u0103 tot te urm\u0103rim…<\/div>\n
– P\u0103i, uite, scurt\u00e2ndu-se musculatura ischiogambierilor (partea din spate, superioar\u0103, a picioarelor), bazinul este \u00eempins \u00een fa\u021b\u0103 (retroversie) \u0219i hop \u0219i durerile de spate, lombare \u0219i toracale. O posibilitate….<\/div>\n
– Bun, \u0219i de ce m\u0103 intereseaz\u0103 asta pe mine?<\/div>\n
Nu \u0219tiu c\u00e2t\/dac\u0103 intereseaz\u0103, dar \u0219tiu cu certitudine (\u0219i m-am g\u00e2ndit c\u0103 poate fi util s\u0103 povestesc din experien\u021ba foarte recent\u0103) c\u0103, de pild\u0103, dup\u0103 o lun\u0103 \u00een care nu mi-am putut folosi piciorul st\u00e2ng dec\u00e2t pentru un mers t\u00e2r\u0219\u00e2it (suspiciune de leziune biceps femural dup\u0103 o neaten\u021bie de-a mea \u00een timpul antrenamentului de arte mar\u021biale<\/strong><\/em>), am avut, \u00een plus, \u0219i ni\u0219te dureri lombare cumplite, iar musculatura piciorului atrofiat\u0103, pielea flasc\u0103, \u00een mai pu\u021bin de o lun\u0103, de nerecunoscut dup\u0103 at\u00e2t de pu\u021bin timp de la nefericita \u00eent\u00e2mplare.<\/div>\n
\"\"<\/a>Primele daune \u00een timpul \u0219i imediat dup\u0103 eveniment:<\/strong><\/em><\/div>\n
– un trosnet \u00eenfundat \u0219i sec ca de lemn scos din loca\u0219ul lui,<\/div>\n
– teama iminent\u0103 c\u0103 femurul va r\u0103m\u00e2ne \u00een afara \u0219oldului,<\/div>\n
– senza\u021bia c\u0103 ceva a ie\u0219it din locul de unde st\u0103 de obicei, c\u0103 \u201delasticul\u201d care lega cele dou\u0103 p\u0103r\u021bi s-a \u00eentins peste limit\u0103, iar segmentele s-au \u00eendep\u0103rtat ca dou\u0103 pl\u0103ci tectonice,<\/div>\n
– paralizie, amor\u021beal\u0103 aproape instantanee a piciorului de la \u0219old p\u00e2n\u0103 \u00een talp\u0103,<\/div>\n
– lipsa oric\u0103rei capacit\u0103\u021bi de a mi\u0219ca oarecum normal, controlat, piciorul,<\/div>\n
– senza\u021bie de arsur\u0103 puternic\u0103 de sus, de la inser\u021bia fesierului, pe coapsa posterioar\u0103, \u0219i p\u00e2n\u0103 \u00een spatele genunchiului,<\/div>\n
– mers aproape imposibil (de\u0219i m-am dus t\u00e2r\u00e2\u0219-gr\u0103pi\u0219 p\u00e2n\u0103 acas\u0103 de team\u0103 s\u0103 nu \u00eel sperii pe Marius, dac\u0103 l-a\u0219 fi chemat la sal\u0103 s\u0103 m\u0103 ia… \u0219tiu, g\u00e2ndire de blond\u0103…. \ud83d\ude42 )<\/div>\n
– durere surd\u0103 \u0219i \u00een \u0219old,<\/div>\n
Dup\u0103 o s\u0103pt\u0103m\u00e2n\u0103:<\/strong><\/em><\/div>\n
– picior umflat,<\/div>\n
– musculatur\u0103 mic\u0219orat\u0103 mult \u0219i complet flasc\u0103, zona din spatele genunchiului de \u201dfermitatea\u201d unei mingi dezumflate,<\/div>\n
– piele l\u0103sat\u0103 la la o persoan\u0103 de 70, <\/div>\n
– v\u00e2n\u0103t\u0103i ca dup\u0103 ciocanul de \u0219ni\u021bel pe traiectoria \u00eentinderii (de la interiorul coapsei p\u00e2n\u0103 \u00een spatele genunchiului)<\/div>\n
– dureri intense noaptea, mai ales la schimbarea pozi\u021biei (piciorului \ud83d\ude42 ),<\/div>\n
– dureri ca ni\u0219te arsuri ascu\u021bite, paralizante, la cobor\u00e2tul (mai ales) \u0219i urcatul sc\u0103rilor, la mers, amplitudinea pasului mult redus\u0103,<\/div>\n
– senza\u021bia c\u0103 nu-mi pot controla genunchiul, c\u0103-mi \u201dfuge\u201d,<\/div>\n
– abia la trei zile am ajuns la medic.<\/div>\n
Diagnostic, recomand\u0103ri:\"\"<\/a><\/strong><\/em><\/div>\n
– \u201dsuspiciune leziune biceps femural\u201d,<\/div>\n
– Vimovo \u0219i Mydocalm,<\/div>\n
– Diclac gel \u0219i Lioton  – unguente\/ de 3-4 ori pe zi,<\/div>\n
– aplica\u021bii ghea\u021b\u0103 c\u00e2te 20 de minute, la interval de 2 ore,<\/div>\n
– picior ridicat permanent pe o pern\u0103, de la genunchi p\u00e2n\u0103 la c\u0103lc\u00e2ie,<\/div>\n
– o s\u0103pt\u0103m\u00e2n\u0103 evitat mers \u0219i stat \u00een picioare,<\/div>\n
– ecografie musculo-scheletal\u0103, dac\u0103 durerile persist\u0103 \u0219i dup\u0103 o\"\"<\/a> s\u0103pt\u0103m\u00e2n\u0103,<\/div>\n
– reluarea ectivit\u0103\u021bii fizice (kinetoterapie) la o lun\u0103 de la terminarea tratamentului.<\/div>\n
Nerecomandat:<\/strong><\/em><\/div>\n
– masajul timp de o lun\u0103,<\/div>\n
– bandajarea piciorului doar pe un segment – risc tromboz\u0103; piciorul, dac\u0103 insi\u0219ti s\u0103 \u00eel bandajezi, recomandat e s\u0103 o faci de la v\u00e2rful degetului mare \u0219i p\u00e2n\u0103 la \u0219old, nepres\u00e2nd, l\u0103s\u00e2nd o distan\u021b\u0103 c\u00e2t s\u0103 intre cu u\u0219urin\u021b\u0103 un deget \u00eentre bandajul elastic \u0219i piele,<\/div>\n
– efortul fizic intens minimum o lun\u0103.<\/div>\n
Dup\u0103 o lun\u0103:<\/strong><\/em><\/div>\n
– picior dezumflat, v\u0103n\u0103t\u0103i remise \u00een totalitate, <\/div>\n
– dificultate la mers, la p\u0103\u0219irea spre \u00eenainte a piciorului, mers u\u0219or t\u00e2r\u0219\u00e2it, pas mic,<\/div>\n
– u\u0219oare arsuri, chiar \u0219i noaptea, \u00een dou\u0103 zone din spatele piciorului,<\/div>\n
– senza\u021bia de genunchi care \u201dfuge\u201d, incontrolabil,<\/div>\n
– zona din spatele genunchiului de consisten\u021ba unei mingi dezumflate (datorat\u0103 unor lame de lichid – zice ecografia ulterioar\u0103),<\/div>\n
– la pip\u0103ire, \u201dabsen\u021ba\u201d tendoanelor din spatele genunchiului – lucru care m-a determinat, abia dup\u0103 o lun\u0103, s\u0103 fac o ecogra<\/div>\n
fie musculo-scheletal\u0103; \u0219i asta mai mult pentru lini\u0219tea interioar\u0103 a… celorlal\u021bi.<\/div>\n
Exerci\u021bii fizice f\u0103cute \u00een prima lun\u0103 dup\u0103 eveniment:<\/strong><\/em><\/div>\n
– doar partea superioar\u0103 a corpului: bra\u021be, spate, abdomen – din pozi\u021bii statice, la aparate.<\/div>\n
– am \u00eencercat \u0219i exerci\u021bii u\u0219oare pentru partea inferioar\u0103, dar semnalele de arsur\u0103 puternic\u0103 \u00een bicepsul femural m-au calmat,<\/div>\n
– \u00eencercare ( \u00een dou\u0103 r\u00e2nduri) de doar 5 minute de a pedala static -rezultat dificil, reapari\u021bia durerii \u00een bicepsul femural, deci – nu!<\/div>\n
 <\/div>\n
Exerci\u021bii fizice f\u0103cute la o lun\u0103 dup\u0103 eveniment:<\/strong><\/em><\/div>\n
– exerci\u021bii de \u00eenc\u0103lzire a p\u0103r\u021bii inferioare,<\/div>\n
– genuflexiuni u\u0219oare, f\u0103r\u0103 amplitudine, cu o band\u0103 elastic\u0103,<\/div>\n

\"\"<\/p>\n

– u\u0219oare fand\u0103ri fa\u021b\u0103, f\u0103r\u0103 amplitudine, cu banda elastic\u0103, pe un steper \u0219i cu sprijinal m\u00e2inilor,<\/div>\n
– exerci\u021bii de stretching dup\u0103 fiecare set de genuflexiuni\/fand\u0103ri, cu mare precau\u021bie, cu \u00eentinderi progresive,<\/div>\n
– exerci\u021bii de \u00eent\u0103rire a cvadricepsului \u0219i a fesierilor + ischiogambieri la aparate, cu minime greut\u0103\u021bi sau complet f\u0103r\u0103.<\/div>\n
La o lun\u0103 \u0219i jum\u0103tate de la eveniment:<\/strong><\/em><\/div>\n
– mers aproape normal, cu o u\u0219oar\u0103 jen\u0103 la p\u0103\u0219irea spre \u00eenainte,<\/div>\n
– dureri lombare cumplite zile multe, la r\u00e2nd (stretching dedicat pentru spate \u0219i fesieri, senza\u021bie pl\u0103cut\u0103 imediat dup\u0103 \u0219i c\u00e2teva ore bune \u00eenc\u0103),<\/div>\n
– masaj u\u0219or \u0219i senza\u021bie de u\u0219urare a mersului imediat dup\u0103,<\/div>\n
– genuflexiuni\/fand\u0103ri cu amplitudine, cu mici greut\u0103\u021bi pe umeri,<\/div>\n
– u\u0219oare \u0219i controlate exerci\u021bii de tip \u201d\u00eendrept\u0103ri\u201d.<\/div>\n
Revin cu exerci\u021biile care mie mi-au prins bine pentru recuperare.<\/div>\n
 <\/div>\n
\u00cen foto, at\u00e2ta deschidere bilateral\u0103 c\u00e2t am putut, deocamdat\u0103, \u00een condi\u021biile explicate mai sus.<\/div>\n","protected":false},"excerpt":{"rendered":"

La scurtarea musculaturii coapsei posterioare \u0219i expansiunea celulitei, printre altele, contribuie statul mult pe scaun. – A\u0219a \u0219i, care-i noutatea? P-asta o \u0219tim, o v\u00e2ntur\u0103 to\u021bi, pe toate paginile. Zi-ne ceva nou, c\u0103 tot...<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[4,9,1,162],"tags":[1699,1702,1697,1701,1700,1698],"class_list":["post-12138","post","type-post","status-publish","format-standard","hentry","category-personal","category-sanatate","category-sport","category-tonifiere","tag-ce-sa-faci-dupa-o-ruptura-intindere-de-biceps-femural","tag-cum-se-vindeca-in-cat-timp-o-intindere-sau-ruptura-de-biceps-femural","tag-diagnostic-ruptura-intindere-biceps-femural","tag-exercitii-recupepare-biceps-femural-intindere-biceps-femural","tag-masaj-ruptura-intindere-biceps-femural","tag-recuperare-ruptura-intindere-biceps-femural"],"_links":{"self":[{"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/posts\/12138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12138"}],"version-history":[{"count":18,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/posts\/12138\/revisions"}],"predecessor-version":[{"id":12164,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=\/wp\/v2\/posts\/12138\/revisions\/12164"}],"wp:attachment":[{"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dumitra.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}