{"id":21084,"date":"2026-09-24T13:11:18","date_gmt":"2026-09-24T13:11:18","guid":{"rendered":"https:\/\/grup-policlinic.com\/ca\/?p=21084"},"modified":"2026-09-25T11:32:59","modified_gmt":"2026-09-25T11:32:59","slug":"lesquinc-mal-curat-o-dolor-cronic-al-turmell","status":"publish","type":"post","link":"https:\/\/grup-policlinic.com\/ca\/lesquinc-mal-curat-o-dolor-cronic-al-turmell\/","title":{"rendered":"L&#8217;esquin\u00e7 mal curat o dolor cr\u00f2nic al turmell"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Quan el turmell no s\u2019acaba de recuperar<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aproximadament <strong>1 de cada 4-5 esquin\u00e7os<\/strong> pot deixar seq\u00fceles si no es tracta correctament, especialment si \u00e9s de grau moderat o greu.<br>Aquesta situaci\u00f3 es coneix com a <strong>\u00abesquin\u00e7 mal curat\u00bb<\/strong> o <strong>\u00abdolor cr\u00f2nic de turmell\u00bb<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La majoria dels pacients arriben a la consulta setmanes o mesos despr\u00e9s d\u2019una tor\u00e7ada, habitualment a la part externa del turmell (lligament lateral extern), arran de la pr\u00e0ctica esportiva o d\u2019un mal gest.<br>En molts casos, hi ha <strong>lesions associades dels lligaments, dels tendons o del cart\u00edlag articular<\/strong> que no es van diagnosticar a temps.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Factors de risc d\u2019un esquin\u00e7 mal curat<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infravalorar l\u2019esquin\u00e7 i no acudir al metge.<\/li>\n\n\n\n<li>No seguir el tractament adequat (embenats incorrectes, manca de rep\u00f2s o de fisioter\u00e0pia).<\/li>\n\n\n\n<li>Lesions greus que, fins i tot tractades, deixen fibrosi o inestabilitat.<\/li>\n\n\n\n<li>Reprendre la pr\u00e0ctica esportiva massa aviat.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1 de cada 4-5 esquin\u00e7os pot deixar algun grau de seq\u00fcela cr\u00f2nica si no es tracta de manera \u00f2ptima.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Qu\u00e8 causa la inestabilitat cr\u00f2nica del turmell?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Laxitud dels lligaments:<\/strong> els lligaments lesionats repetidament poden esdevenir inefica\u00e7os i perdre la seva funci\u00f3 estabilitzadora.<\/li>\n\n\n\n<li><strong>P\u00e8rdua de propiocepci\u00f3:<\/strong> el turmell perd reflexos autom\u00e0tics d\u2019equilibri despr\u00e9s d\u2019una immobilitzaci\u00f3 o per manca d\u2019\u00fas.<\/li>\n\n\n\n<li><strong>Debilitat muscular:<\/strong> la manca prolongada de moviment o d\u2019exercici debilita els m\u00fasculs estabilitzadors.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>Per aix\u00f2 insistim en la import\u00e0ncia del tractament preco\u00e7 i d\u2019una rehabilitaci\u00f3 adequada des de l\u2019inici.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Factors predisposants<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hiperlaxitud dels lligaments (m\u00e9s freq\u00fcent en dones).<\/li>\n\n\n\n<li>Alteracions del recolzament del peu: peu buit, pla o pronat.<\/li>\n\n\n\n<li>Esports amb sobrec\u00e0rrega repetida del turmell: futbol, b\u00e0squet, p\u00e0del, c\u00f3rrer\u2026<\/li>\n\n\n\n<li>Cal\u00e7at inadequat (xancletes, ballarines, talons alts o sabatilles esportives sense subjecci\u00f3 lateral).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>On es localitza la lesi\u00f3 en un esquin\u00e7 mal curat?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De m\u00e9s a menys freq\u00fc\u00e8ncia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ruptura del <strong>lligament peroneoastragal\u00ed anterior (LPAA)<\/strong> o del <strong>peroneocalcani (LPC)<\/strong>.<\/li>\n\n\n\n<li>Lesions dels <strong>tendons peroneals<\/strong>.<\/li>\n\n\n\n<li><strong>Pin\u00e7aments articulars<\/strong> per fibrosi despr\u00e9s de la cicatritzaci\u00f3.<\/li>\n\n\n\n<li><strong>Lesions osteocondrals del cart\u00edlag<\/strong> de l\u2019astr\u00e0gal o de la t\u00edbia.<\/li>\n\n\n\n<li><strong>Fibrosi o sinovitis del si del tars.<\/strong><\/li>\n\n\n\n<li><strong>Lesi\u00f3 del lligament deltoidal (intern)<\/strong> o <strong>de la sindesmosi tibioperoneal.<\/strong><\/li>\n\n\n\n<li><strong>Fractures associades<\/strong> (cinqu\u00e8 metatarsi\u00e0, mal\u00b7l\u00e8ol extern, astr\u00e0gal, calcani).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"658\" src=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_-1024x658.png\" alt=\"\" class=\"wp-image-21354\" srcset=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_-1024x658.png 1024w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_-300x193.png 300w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_-768x493.png 768w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_-1536x986.png 1536w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/localitzar-esquinc_mal_curat_grup-policlinic_.png 1800w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Com pots saber si el teu esquin\u00e7 s\u2019ha cronificat?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consulta si, despr\u00e9s de <strong>8-12 setmanes<\/strong>, notes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dolor persistent a la part externa, anterior o interna del turmell.<\/li>\n\n\n\n<li>Esquin\u00e7os repetits sense causa aparent.<\/li>\n\n\n\n<li>Sensaci\u00f3 d\u2019<strong>inestabilitat o debilitat<\/strong> en caminar.<\/li>\n\n\n\n<li><strong>Inflamaci\u00f3 o edema cr\u00f2nic.<\/strong><\/li>\n\n\n\n<li>Dolors reflexos als bessons, al genoll o a la columna per compensaci\u00f3 postural.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9s normal tenir algunes mol\u00e8sties durant les primeres setmanes, per\u00f2 si el dolor o la inestabilitat <strong>no milloren progressivament<\/strong>, \u00e9s important fer una nova valoraci\u00f3 m\u00e8dica.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"575\" src=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693-1024x575.webp\" alt=\"\" class=\"wp-image-21088\" srcset=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693-1024x575.webp 1024w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693-766x430.webp 766w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693-300x168.webp 300w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693-1536x862.webp 1536w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/693.webp 1800w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Com tractem l\u2019esquin\u00e7 mal curat a la nostra unitat<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El tractament dep\u00e8n de la <strong>intensitat del dolor, del tipus de lesi\u00f3 i de l\u2019activitat del pacient<\/strong>.<br>El m\u00e9s important \u00e9s <strong>no infravalorar la lesi\u00f3<\/strong> i acudir a una valoraci\u00f3 completa (exploraci\u00f3, ecografia o resson\u00e0ncia, segons el cas).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>1. Rehabilitaci\u00f3 espec\u00edfica<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reeduquem el turmell mitjan\u00e7ant:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Massatges per tractar la fibrosi i les adher\u00e8ncies.<\/li>\n\n\n\n<li>Exercicis de <strong>propiocepci\u00f3<\/strong> per recuperar l\u2019equilibri i l\u2019estabilitat.<\/li>\n\n\n\n<li>Exercicis de <strong>resist\u00e8ncia i for\u00e7a muscular<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">El treball propioceptiu \u00e9s clau per retornar al turmell l\u2019estabilitat i la funcionalitat pr\u00e8vies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>2. Ortesis ortop\u00e8diques provisionals<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En casos d\u2019inestabilitat marcada, es poden utilitzar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Turmelleres estabilitzadores<\/strong> o <strong>embenat neuromuscular (<em>kinesiotaping<\/em>)<\/strong> temporalment, mentre s\u2019enforteix l\u2019articulaci\u00f3.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>3. Valoraci\u00f3 podol\u00f2gica<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El pod\u00f2leg estudia la trepitjada i les possibles deformitats (peu pla, buit o pronat).<br>Un <strong>estudi din\u00e0mic de la marxa<\/strong> i unes <strong>plantilles personalitzades<\/strong> poden prevenir recaigudes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>4. Tractament quir\u00fargic<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quan hi ha lesions greus dels lligaments, dels tendons o del cart\u00edlag, la cirurgia pot ser necess\u00e0ria.<br>L\u2019<strong>artrosc\u00f2pia de turmell<\/strong>, m\u00ednimament invasiva, permet reparar o estabilitzar les estructures lesionades i tractar les lesions del cart\u00edlag.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic-1024x572.webp\" alt=\"\" class=\"wp-image-21089\" srcset=\"https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic-1024x572.webp 1024w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic-300x168.webp 300w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic-768x429.webp 768w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic-1536x858.webp 1536w, https:\/\/grup-policlinic.com\/ca\/wp-content\/uploads\/sites\/2\/2026\/09\/tratamiento-quirurgico-grup-policlinic.webp 1800w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>5. Alternatives a la cirurgia: tractaments regeneratius<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En molts casos, podem evitar la cirurgia amb <strong>infiltracions biol\u00f2giques ecoguiades<\/strong>, que estimulen la regeneraci\u00f3 natural dels lligaments, dels tendons i del cart\u00edlag.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><strong>Recomanaci\u00f3 final<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si les mol\u00e8sties persisteixen despr\u00e9s d\u2019un esquin\u00e7, <strong>acudeix a la nostra unitat<\/strong> per obtenir un diagn\u00f2stic i un tractament especialitzat. Evitar que la lesi\u00f3 es cronifiqui \u00e9s clau per a la salut del turmell a llarg termini.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aqu\u00ed trobar\u00e0s m\u00e9s informaci\u00f3 sobre:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/grup-policlinic.com\/ca\/esguince-agudo-de-tobillo-tipos-sintomas-y-tratamientos\/\" target=\"_blank\" rel=\"noreferrer noopener\">Esquin\u00e7 agut de turmell: tipus, s\u00edmptomes i tractaments<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/grup-policlinic.com\/ca\/esquinc-de-turmell-10-preguntes-frequents-dels-nostres-pacients\/\" target=\"_blank\" rel=\"noreferrer noopener\">Esquin\u00e7 de turmell. 10 preguntes freq\u00fcents dels nostres pacients<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/grup-policlinic.com\/ca\/10-consells-i-recomanacions-si-has-tingut-un-esquinc-de-turmell\/\" target=\"_blank\" rel=\"noreferrer noopener\">10 consells i recomanacions si has tingut un esquin\u00e7 de turmell<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/grup-policlinic.com\/ca\/lesio-de-turmell-tractaments-regeneratius-infiltrats-alternatives-a-la-cirurgia\/\" target=\"_blank\" rel=\"noreferrer noopener\">Lesi\u00f3 de turmell. Tractaments regeneratius infiltrats. Alternatives a la cirurgia<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. A. Pair\u00f3. <strong>Especialista en Unitat del Dolor i Medicina Regenerativa. Grup Policlinic<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tel.\/WhatsApp: <strong>667 649 444<\/strong><br>Correu electr\u00f2nic: <a><strong>prp.torreblanca@grup-policlinic.com<\/strong><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quan el turmell no s\u2019acaba de recuperar Aproximadament 1 de cada 4-5 esquin\u00e7os pot deixar seq\u00fceles si no es tracta correctament, especialment si \u00e9s de grau moderat o greu.Aquesta situaci\u00f3 es coneix com a \u00abesquin\u00e7 mal curat\u00bb o \u00abdolor cr\u00f2nic de turmell\u00bb. La majoria dels pacients arriben a la consulta setmanes o mesos despr\u00e9s d\u2019una [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":21086,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"editor_notices":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-21084","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/posts\/21084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/comments?post=21084"}],"version-history":[{"count":5,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/posts\/21084\/revisions"}],"predecessor-version":[{"id":21355,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/posts\/21084\/revisions\/21355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/media\/21086"}],"wp:attachment":[{"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/media?parent=21084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/categories?post=21084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/grup-policlinic.com\/ca\/wp-json\/wp\/v2\/tags?post=21084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}