Qué tan gravemente la Fibromialgia afecta sus pies

El tratamiento con fibromialgia debe extenderse desde la parte superior de la cabeza hasta la punta de los dedos de los pies, literalmente. Aunque los pies no son la ubicación más propensa a experimentar dolor por fibromialgia, en un artículo reciente publicado en la revista  Arthritis Research and Therapy , aproximadamente la mitad de los 202 pacientes con fibromialgia estudiados informaron problemas en los pies.

“La compensación del dolor en el pie produce dolor en las rodillas, caderas y espalda baja”, dice Dennis Frisch, DPM, un podólogo privado en Boca Raton, Florida. Si ya está lidiando con los síntomas de la fibromialgia, se agrega dolor que no necesitas Además, el dolor en el pie aumenta el riesgo de que te caigas y tengas una lesión o simplemente seas menos activo de lo que quisieras.

Lo más probable es que con la fibromialgia conozcas el dolor que otras personas simplemente ignoran. “En general, debido a que las personas con fibromialgia tienen mayor sensibilidad al dolor y menor tolerancia al dolor, son más sensibles al dolor en todas partes”, dice el Dr. Frisch. De hecho, los expertos creen que al menos una de cada cuatro personas tiene dolor en el pie, pero muchas, si no la mayoría, simplemente no reciben tratamiento.

Reconectando los puntos

También hay fuentes comunes de dolor en el pie que no están directamente relacionadas con la fibromialgia, pero pueden intensificarse al tener esta afección. Un ejemplo es el neuroma de Morton, una ampliación benigna de un nervio que causa un hormigueo y un dolor punzante entre el tercer y cuarto dedo del pie. Esta condición desagradable se puede tratar con in yecciones de cortisona o cirugía.

La fascitis plantar es también una fuente común de dolor en el pie. Con esta condición, el tejido conectivo blando debajo del pie se inflama y duele. A menudo es el resultado de malas elecciones en el calzado. Elegir un arco de soporte puede ayudar a prevenir el dolor.

Ser activo a pesar del dolor en el pie

El problema con el dolor en el pie, dice Frisch, es que se convierte en un círculo vicioso. Debido a que las personas con fibromialgia a menudo se sienten fatigadas, es posible que no realicen la actividad física necesaria para sentirse mejor. Sin embargo, si comienzan a tratar de desarrollar actividad física, inicialmente pueden sentir cierta incomodidad o incluso lastimarse los pies, culpar a la fibromialgia y dejar de intentar ser activo. “Generalmente, para la fibromialgia, la recomendación es caminar”, agrega Frisch.

Si desea moverse con fibromialgia y evitar dolores innecesarios en el pie, intente seguir estos pasos:

  • Reúnase con su doctor Debería, por supuesto, ver a su podiatra si siente dolor en los pies. Pero reunirse con su podólogo o médico cuando está tratando de comenzar un régimen de ejercicios podría ayudarlo a tomar mejores decisiones y mantener sus pies sanos.
  • Elige los zapatos correctos. “Asegúrate de tener el zapato adecuado para la actividad que vayas a hacer”, aconseja Frisch. Si puede pagarlo, vale la pena pagar un poco más por un zapato de calidad que ayudará a prevenir el dolor. Busque zapatos que tengan una amplia caja para los dedos de los pies, un arco de apoyo y una suela que brinde tanto soporte como flexibilidad.
  • Comience suavemente. La fibromialgia es una afección algo impredecible, dice Frisch. En un buen día, es posible que tengas la tentación de exagerar el ejercicio o usar un tacón demasiado alto; opta por la moderación si quieres evitar el dolor.
  • Esperar y aceptar algunas molestias. Un poco de incomodidad cuando comienzas un programa de ejercicios no es inusual. Pero si siente dolor, es hora de llamar a su médico.
  • Cambia a los tacones más bajos para el uso diario.  Si te encantan los talones, mantener la altura hasta aproximadamente una pulgada es lo mejor para tus síntomas de fibromialgia, dice Frisch. Si realmente quieres lucir un tacón más alto, empaca tus zapatos cómodos en un bolso grande para que puedas hacer un cambio rápido y cómodo. Por último, recuerda Frisch, recuerda que tu podiatra puede tratar el dolor en el pie y hacer recomendaciones para un mejor calzado y otros cambios pero no puede abordar la gran imagen de la fibromialgia. Un enfoque de equipo médico es aún mejor para el manejo completo de la fibromialgia.

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