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    "slug": "physical-therapy-vs-opioids-when-to-choose-physical-therapy-for-pain-management",
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    "title": {
        "rendered": "Fisioterapia frente a opioides: cu\u00e1ndo elegir la fisioterapia para el tratamiento del dolor"
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        "rendered": "<p>Seg\u00fan los Centros para el Control y la Prevenci\u00f3n de Enfermedades (CDC), las ventas de opioides recetados se han cuadriplicado en Estados Unidos, aunque \u201cno ha habido un cambio general en la cantidad de dolor que reportan los estadounidenses\u201d.<\/p>\n<p>En respuesta a una creciente epidemia de opioides, los CDC publicaron\u00a0<a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/65\/rr\/rr6501e1er.htm?s_cid=rr6501e1er_w\" target=\"_blank\" rel=\"noopener noreferrer\">pautas de prescripci\u00f3n de opioides<\/a>\u00a0en marzo de 2016. Las directrices reconocen que los opioides recetados son apropiados en ciertos casos, incluido el tratamiento del c\u00e1ncer, los cuidados paliativos y los cuidados al final de la vida, y tambi\u00e9n en ciertas situaciones de cuidados agudos, si se dosifican adecuadamente.<\/p>\n<p>Pero para otros tipos de manejo del dolor, los CDC recomiendan enfoques sin opioides, incluida la fisioterapia.<\/p>\n<p><strong>Los pacientes deben elegir la fisioterapia cuando...<\/strong><\/p>\n<ul>\n<li><strong>\u2026 Los pacientes est\u00e1n preocupados por los riesgos del uso de opioides.<\/strong><br \/>\n&quot;Dadas las importantes lagunas en la evidencia sobre los opioides, los beneficios inciertos del uso a largo plazo y el potencial de da\u00f1os graves, la educaci\u00f3n y el debate del paciente antes de comenzar la terapia con opioides son fundamentales para que las preferencias y los valores del paciente puedan entenderse y utilizarse para informar las decisiones cl\u00ednicas&quot;. afirman los CDC. Los fisioterapeutas pueden desempe\u00f1ar un papel valioso en el proceso de educaci\u00f3n del paciente, incluido el establecimiento de expectativas realistas de recuperaci\u00f3n con o sin opioides. Como se\u00f1alan las directrices de los CDC, incluso en los casos en que la evidencia sobre los beneficios a largo plazo de las terapias sin opioides es limitada, \u201clos riesgos son mucho menores\u201d con los planes de tratamiento sin opioides.<\/li>\n<li><strong>\u2026 El dolor o los problemas funcionales est\u00e1n relacionados con\u00a0<a href=\"https:\/\/www.moveforwardpt.com\/SymptomsConditionsDetail.aspx?cid=d0456c65-7906-4453-b334-d9780612bdd3\">lumbalgia<\/a>,\u00a0<a href=\"https:\/\/www.moveforwardpt.com\/SymptomsConditionsDetail.aspx?cid=3ebaeb44-7d44-4520-b3af-d53a34ce480c\">cadera<\/a>\u00a0oh\u00a0<a href=\"https:\/\/www.moveforwardpt.com\/SymptomsConditionsDetail.aspx?cid=e46bb793-4cfa-48ec-9821-ceba2d4c54ab\">osteoartritis de rodilla<\/a>, o\u00a0<a href=\"https:\/\/www.moveforwardpt.com\/SymptomsConditionsDetail.aspx?cid=9d2c7787-f540-4a4b-9a1d-b43e005c53da\">fibromialgia<\/a>.<\/strong><br \/>\nLos CDC citaron \u201cevidencia de alta calidad\u201d que respalda el ejercicio como parte de un plan de tratamiento de fisioterapia para esas afecciones familiares.<\/li>\n<li><strong>\u2026 Los opioides se recetan para el dolor.\u00a0<\/strong><br \/>\nIncluso en situaciones en las que se recetan opioides, los CDC recomiendan que los pacientes reciban \u201cla dosis efectiva m\u00e1s baja\u201d y que los opioides \u201cdeben combinarse\u201d con terapias no opioides, como la fisioterapia.<\/li>\n<li><strong>\u2026 El dolor dura 90 d\u00edas.<\/strong><br \/>\nEn este punto, el dolor se considera \u201ccr\u00f3nico\u201d y aumentan los riesgos de seguir usando opioides. Se estima que 116 millones de estadounidenses padecen dolor cr\u00f3nico cada a\u00f1o. Las directrices de los CDC se\u00f1alan que las terapias sin opioides son \u201cpreferidas\u201d para el dolor cr\u00f3nico y que \u201clos m\u00e9dicos deben considerar la terapia con opioides s\u00f3lo si se prev\u00e9 que los beneficios esperados tanto para el dolor como para la funci\u00f3n superen los riesgos para el paciente\u201d.<\/li>\n<\/ul>\n<p>Antes de aceptar una receta de opioides, consulte con un fisioterapeuta para analizar las opciones de tratamiento sin opioides.<\/p>\n<p><strong>Recursos Relacionados:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.moveforwardpt.com\/Opioids\" target=\"_blank\" rel=\"noopener noreferrer\">Centro de salud sobre el uso de opioides para el tratamiento del dolor<\/a><\/li>\n<li><a href=\"https:\/\/www.moveforwardpt.com\/DidYouKnow\/Detail.aspx?cid=cd52bad5-f4a3-4f1f-a387-9cd4a3bc1842\" target=\"_blank\" rel=\"noopener noreferrer\">Los CDC recomiendan fisioterapia y otras opciones no farmacol\u00f3gicas para el dolor cr\u00f3nico<\/a><\/li>\n<li><a href=\"https:\/\/www.moveforwardpt.com\/DidYouKnow\/Detail.aspx?cid=02ea5f8c-4ebf-4697-86ec-a892bc09c70a\" target=\"_blank\" rel=\"noopener noreferrer\">El uso de opioides durante m\u00e1s de 30 d\u00edas podr\u00eda aumentar el riesgo de depresi\u00f3n<\/a><\/li>\n<li><a href=\"https:\/\/www.moveforwardpt.com\/DidYouKnow\/Detail.aspx?cid=cd15e2c9-922e-4b95-bfdb-97247f894f41\" target=\"_blank\" rel=\"noopener noreferrer\">El dolor generalizado est\u00e1 generando un uso generalizado de medicamentos recetados<\/a><\/li>\n<li><a href=\"https:\/\/www.moveforwardpt.com\/Pain\" target=\"_blank\" rel=\"noopener noreferrer\">Centro de Salud sobre el Dolor<\/a><\/li>\n<\/ul>\n<p>Este art\u00edculo se public\u00f3 originalmente en el sitio web de la Asociaci\u00f3n Estadounidense de Terapia F\u00edsica. \u00a0<a href=\"https:\/\/www.moveforwardpt.com\/Resources\/Detail\/physical-therapy-vs-opioids-when-to-choose-physica\">Haga clic aqu\u00ed para verlo.<\/a><\/p>",
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        "rendered": "<p>Seg\u00fan los Centros para el Control y la Prevenci\u00f3n de Enfermedades (CDC), las ventas de opioides recetados se han cuadriplicado en Estados Unidos, aunque \u201cno se ha [\u2026]<\/p>",
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