Fisioterapia deportiva: Tratando fascitis plantar.

La fisioterapia deportiva: una gran herramienta contra la fascitis plantar.

Hace unas semanas, los médicos de Los Ángeles Lakers, equipo de la NBA, informaban de que Pau Gasol sería baja indefinida a consecuencia de una lesión muy común en deportistas, como la fascitis plantar. Hasta el pasado viernes, el baloncestista español no ha podido volver a jugar y, aun así, se ha quejado de que continúa arrastrando molestias que merman su capacidad de juego.

No era la primera vez que Gasol sufría esta lesión, pues ya la padeció algunas temporadas. Curiosamente, su amigo y compañero de selección, Juan Carlos Navarro, también la ha padecido de forma reiterada y ha condicionado su actividad. En los atletas, este problema suele ser muy común y, lamentablemente, también recurrente, por lo que a muchos de ellos les trae de cabeza.

La fisioterapia deportiva cuenta con una serie de terapias paliativas y preventivas que sirven de gran ayuda contra la fascitis plantar. Pero, antes de nada, quizá convenga definir este problema y establecer sus causas.

¿Qué es la fascitis plantar?

En esencia, este problema se define como una inflamación del tejido grueso situado en la planta del pie. Este fenómeno ocurre cuando esta zona -que forma el arco del pie- se estira o se sobrecarga en exceso, lo que produce su abultamiento y un dolor muy característico e intenso. Es muy frecuente en los deportistas que corren largas distancias o se emplean sobre superficies blandas o desiguales. También lo es en aquellos cuya actividad requiere saltos o caídas bruscas.

Pero además de en deportistas, la fascitis plantar también se puede dar en el común de la población, principalmente en las personas que utilizan un calzado inadecuado con el que sufre el arco del pie, en las que tienen sobrepeso o en las que han sufrido problemas de tendón de Aquiles. Esta afección provoca un dolor intenso especialmente al iniciar una actividad tras el reposo, pero también al finalizar una larga caminata o al subir o bajar escaleras.

fascitis plantar

La fisioterapia deportiva y la fascitis plantar:

Acudir a un fisioterapeuta siempre será una buena idea para paliar los síntomas de este problema y evitar que vuelva a aparecer en el futuro. Este profesional conoce una serie de técnicas para aminorarlo, pero también determinadas rutinas que explicar a los afectados para reducir las probabilidades de que recurran en la fascitis.

Es cierto que es un problema muy difícil de evitar una vez aparece por primera vez, sin embargo, un cambio en determinados hábitos puede conseguir que las personas que realizan actividad física frecuente lo esquiven. Entre las diversas técnicas que la fisioterapia deportiva aplica para aliviar el dolor y la inflamación asociados a esta patología se encuentran los siguientes:

  • Masaje transverso profundo: Aplicando la técnica de Cyriax. Es uno de los procedimientos más empleados en la fisioterapia deportiva y con él se consigue tanto paliar el dolor como reordenar las fibras de colágeno del pie.
  • Masaje de descarga: De toda la carga del pie. A través de él, se logrará rebajar la tensión que sufre esta parte del cuerpo a consecuencia de la fascitis plantar.
  • Electroterapia: Existen distintos métodos para aplicarla y es muy efectiva debido a que consigue rebajar la inflamación en buena medida, lo que a su vez ayuda a reducir el dolor. Se suele emplear mediante corrientes dinámicas o ultrasonidos, principalmente.

La importancia de establecer unas rutinas:

Realizar un buen estiramiento antes, durante y después de la actividad deportiva es un aspecto fundamental para evitar la aparición de la fascitis plantar. Un fisioterapeuta deportivo explicará siempre a las personas que acudan a su consulta una serie de ejercicios que, de hacerse de forma rutinaria, contribuirán a que la planta del pie no sufra problemas. Algunos de los más frecuentes son los siguientes:

Estando en pie, se deben apoyar las manos en una pared y colocar el pie afectado un poco detrás del otro, con el talón completamente apoyado y esta pierna recta. A continuación, se debe mover el cuerpo hacia delante poco a poco y mantener durante unos segundos la posición.

Uno muy sencillo y efectivo es poner a rodar una pelota o una lata fría debajo de la planta del pie. Preferentemente, la persona lo ha de realizar sentada.

Colocar el pie afectado sobre una sábana o toalla e intentar doblarla con los dedos.
También sentada y con la pierna cruzada, la persona ha de realizar presiones longitudinales con el pulgar de su mano desde el talón hacia los dedos. Lo debe hacer en las zonas doloridas e ir aumentando la presión poco a poco mientras realiza el ejercicio.

Al finalizar la actividad deportiva, es muy recomendable aplicar hielo o meter el pie en agua muy fría entre 15 y 20 minutos para aliviar la inflamación.

La fascitis plantar es un problema recurrente que puede llegar a desmoralizar a las personas que lo han padecido varias veces. Sin embargo, nunca hay que desesperar y a buen seguro un profesional fisioterapeuta conseguirá reducir sus molestias y prevenir su aparición.

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