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Dor ciática: o que é, sintomas e tratamentos

    fisioterapeuta examinando paciente

    Muitas vezes confundida com doença, a dor ciática é, na verdade, um sintoma derivado de outros problemas. Por isso, em aproximadamente 90% das vezes, as dores são causadas pela hérnia de disco, pela ruptura ou deslocamento dos discos. Já os outros 10% podem ser causados por espasmos ou fadiga de músculos da região do glúteo. “Esses problemas são criados pela repetição de atividades físicas pesadas e posturas incorretas”, explica a fisioterapeuta especialista em coluna vertebral Silvia Canevari Barros.

    O que é a dor ciática?

    A dor ciática é uma inflamação ou irritação do nervo mais longo do nosso corpo, o nervo ciático. Além disso, ele também é muito volumoso, podendo ter a espessura de um dedo. Portanto, quando essa estrutura neurológica é afetada, a dor pode se estender da região lombo-sacra até o pé, passando por glúteo, coxa e lateral da perna. Essa dor é descrita pelos pacientes como uma dor profunda, como se fosse no osso.

    Possíveis causas

    “Esses problemas são criados pela repetição de atividades físicas pesadas e posturas incorretas”, explica a fisioterapeuta especialista em coluna vertebral Silvia Canevari Barros. O nervo ciático é o mais longo do corpo humano, e está localizado entre a região lombar e a parte mais baixa das pernas e passando pelas nádegas. “Ele é responsável pela sensibilidade, mobilidade e articulações dos membros inferiores” esclarece a especialista.

    Quando há uma inflamação ou compressão nesse nervo, pode ocorrer a dor ciática. Por isso, quem sofre com ela geralmente reclama de fisgadas, queimação e formigamento na região do glúteo com irradiação para coxa panturrilha podendo até provocar formigamento no pé. “Em alguns casos, a dor é tão forte que a sensibilidade da perna diminui ou a pessoa tem dificuldade para se movimentar”, alerta a fisioterapeuta.

    Na maioria dos casos, há um aumento gradual da dor, que pode piorar depois de ficar em pé ou sentado, dor durante a noite, ao espirrar, tossir ou rir e ao se dobrar para frente. “A dor ocorre mais frequentemente de um só lado, mas pode aparecer nas duas pernas.” Para identificar as causas da dor ciática é fundamental realizar um exame clínico feito por um profissional especializado. Existem exames clínico específicos que determinam as causas suspeitas. “Eles podem mostrar reflexos anormais ou ausentes, ou fraqueza ao dobrar o joelho ou ao movimentar os pés”, explica Silvia.

    Sintomas de dor ciática

    A dor ciática pode se apresentar de diferentes formas, por isso, se você:

    • Tem uma sensação de queimação, formigamento ou dormência na perna;
    • Sente dor acompanhada de choques intermitentes nas nádegas que se prolongam para baixo, por trás ou pelo lado da coxa e/ou perna;
    • Percebe dificuldades ao realizar certos movimentos, como sentar ou levantar;
    • Sofre com a perda de sensibilidade e da função intestinal ou da bexiga.

    Dentre outros sintomas, estes podem ser decorrentes da ciática, ou seja, algum problema com o nervo ciático, causado, comumente, por uma compressão ou inflamação.

    Tratamentos

    O tratamento não deve ser direcionado para dor no ciático, já que ela geralmente é causada por outra doença. “Muitos pacientes fazem uso frequente ou prolongado anti-inflamatórios, analgésicos ou injeções, mas isso pode mascarar o problema e o paciente possivelmente terá novas recorrências da dor”, previne.

    A fisioterapeuta Silvia Canevari Barros, proprietária do ITC Vertebral – Unidade Americana e Jundiaí e Membro da Associação Brasileira de Reabilitação da Coluna, afirma que com os avanços da área da Reconstrução Músculo Articular (RMA), o tratamento é realizado no Instituto por uma equipe de fisioterapeutas especialistas em patologias da coluna vertebral, que tem como objetivo descomprimir este nervo. Através de um tratamento não convencional utiliza aparelhos modernos de tração eletrônica e descompressão dinâmica além, das principais técnicas de Terapia Manual. Em conjunto são realizados exercícios de estabilização estática e dinâmica, a fim de evitar novos episódios.

    “Nosso foco é reabilitar a coluna, evitar a cirurgia e devolver a segurança tão necessária para as atividades diárias.”
    Sendo assim, após o tratamento o paciente é motivado a continuar a prática de atividade física
    com orientação da especialista Silvia Barros.

    Método exclusivo e cientificamente comprovado de combate a dor ciática que você só encontra no ITC Vertebral. 

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