{"id":2166,"date":"2021-10-31T16:26:41","date_gmt":"2021-10-31T15:26:41","guid":{"rendered":"https:\/\/www.fisioelab.com\/blog\/?p=2166"},"modified":"2022-01-13T10:21:05","modified_gmt":"2022-01-13T09:21:05","slug":"la-patologia-infiammatoria-del-tendine-dachille","status":"publish","type":"post","link":"https:\/\/www.fisioelab.com\/blog\/la-patologia-infiammatoria-del-tendine-dachille\/","title":{"rendered":"La patologia infiammatoria del tendine d\u2019Achille"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1300px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.04 * calc( 100% - 0px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:66.666666666667%;--awb-spacing-right-medium:calc( 0.04 * calc( 100% - 0px ) );--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-margin-top-small:4vw;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-bottom:30px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">La patologia infiammatoria del tendine d\u2019Achille<\/h2><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>A cura di Dott. Enrico Buttafarro &#8211; Specialista in Ortopedia e Traumatologia, Specialista in Medicina dello Sport<\/strong><\/p>\n<p>La patologia infiammatoria del tendine d\u2019Achille \u00e8 molto frequente sia negli sportivi che nei soggetti sedentari.<\/p>\n<p>La sede pi\u00f9 frequentemente colpita \u00e8 quella che viene definita mid-portion localizzata a circa 3-6 cm dall\u2019inserzione calcaneare del tendine, zona caratterizzata da una scarsa vascolarizzazione. I sintomi sono caratterizzati da dolore, tumefazione e rigidit\u00e0 soprattutto al risveglio.<\/p>\n<p>La diagnosi \u00e8 essenzialmente clinica ma sia l\u2019ecografia che la Risonanza Magnetica possono evidenziare aree di degenerazione e microlesioni. Le cause sono spesso da ricercare in sovraccarichi funzionali a cui spesso si associano problematiche strutturali anatomiche quali malallineamenti, l\u2019iperpronazione del piede o patologie come il diabete e l\u2019obesit\u00e0.<\/p>\n<p>L\u2019obiettivo del trattamento \u00e8 la risoluzione del dolore e il ripristino della struttura tendinea. E\u2019 importante intervenire con un percorso di cura il pi\u00f9 precocemente possibile per evitare la cronicizzazione del problema o il rischio di eventuale rottura del tendine, con pi\u00f9 gravi conseguenze e la necessit\u00e0 di intervenire a livello chirurgico.<\/p>\n<p>I trattamenti prevedono la modifica dei carichi di allenamento, la correzione con plantari degli appoggi del piede, trattamenti fisioterapici ed osteopatici. Particolare attenzione \u00e8 posta nelle tecniche di stretching e nelle metodiche di contrazioni eccentriche.<\/p>\n<p>Una buona percentuale dei pazienti tuttavia rimane sintomatico anche dopo un adeguato trattamento riabilitativo. In questi casi pu\u00f2 essere indicato il trattamento biorigenerativo con plasma arricchito di piastrine (PRP) ottenuto mediante un semplice prelievo di sangue venoso dal paziente stesso. Il PPR viene iniettato sotto guida ecografia nel tessuto tendineo patologico. L\u2019efficacia del PRP consiste del rilasciare fattori di crescita che aiutano le cellule tendinee a rigenerare e favorire la neovascolarizzazione.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-animated leftBar\" style=\"--awb-padding-top:2vw;--awb-padding-right:2vw;--awb-padding-bottom:2vw;--awb-padding-left:2vw;--awb-bg-color:#f6b600;--awb-bg-color-hover:#f6b600;--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:calc( 0.1 * calc( 100% - 0px ) );--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:calc( 0.1 * calc( 100% - 0px ) );--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.5\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-max-width:;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"500\" height=\"349\" title=\"buttafarro\" src=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/buttafarro.jpeg\" data-orig-src=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/buttafarro.jpeg\" alt class=\"lazyload img-responsive wp-image-2155\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27500%27%20height%3D%27349%27%20viewBox%3D%270%200%20500%20349%27%3E%3Crect%20width%3D%27500%27%20height%3D%27349%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/buttafarro-200x140.jpeg 200w, https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/buttafarro-400x279.jpeg 400w, https:\/\/www.fisioelab.com\/blog\/wp-content\/uploads\/2021\/10\/buttafarro.jpeg 500w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 700px) 100vw, 500px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-2\"><p><em>Dott. Enrico Buttafarro<\/em><\/p>\n<\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#ffffff;--awb-margin-bottom:20px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Prenota la tua visita<\/h3><\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-font-size:16px;--awb-line-height:2.1em;--awb-text-color:#ffffff;\"><p><em><strong>Info e prenotazioni \u2013 Telefono<\/strong><\/em><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-1 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:#000000;--button_accent_hover_color:#784910;--button_border_hover_color:#784910;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#ffffff;--button_gradient_bottom_color:#ffffff;--button_gradient_top_color_hover:#e8c090;--button_gradient_bottom_color_hover:#f6b600;\" target=\"_self\" href=\"tel:0110864444\"><i class=\"fa-phone-alt fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">+39 011 0864444<\/span><\/a><\/div><div class=\"fusion-text fusion-text-4\" style=\"--awb-font-size:13px;--awb-line-height:2.1em;--awb-text-color:#ffffff;--awb-margin-top:20px;\"><p><em style=\"font-size: 16px;\"><strong>Info e prenotazioni \u2013 E-mail<\/strong><\/em><\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type fusion-has-button-gradient\" style=\"--button_accent_color:#000000;--button_accent_hover_color:#784910;--button_border_hover_color:#784910;--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;--button_gradient_top_color:#ffffff;--button_gradient_bottom_color:#ffffff;--button_gradient_top_color_hover:#e8c090;--button_gradient_bottom_color_hover:#f6b600;\" target=\"_self\" href=\"mailto:info@fisioelab.it\"><i class=\"fa-envelope fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">info@fisioelab.it<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2224,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,23,19],"tags":[],"class_list":["post-2166","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia","category-medicina-specialistica","category-riabilitazione"],"_links":{"self":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/comments?post=2166"}],"version-history":[{"count":2,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2166\/revisions"}],"predecessor-version":[{"id":2225,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/posts\/2166\/revisions\/2225"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/media\/2224"}],"wp:attachment":[{"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/media?parent=2166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/categories?post=2166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fisioelab.com\/blog\/wp-json\/wp\/v2\/tags?post=2166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}