Kinesiología ProSalud

02/12/2025

Triatlón de Élite con en Habla Activa. La Iron woman de Los Ángeles
Hoy tendremos un capítulo épico en Habla Activa, ya que tendremos el privilegio de conversar con Josette Sepúlveda, una triatleta angelina que ha llevado la bandera chilena 🇨🇱 a varias competencias mundiales.
¡Una trayectoria para admirar y de la que hay mucho que aprender!
Desde sus inicios en la marcha a los 14, pasando por el atletismo y el trail running, hasta consolidarse como una Triatleta de talla mundial. ¡Una verdadera evolución deportiva!
Si amas los deportes de resistencia o buscas la fórmula para el alto rendimiento, este programa es para ti.
🗓️ Escuchanos todos los martes en vivo por .3
O revisa la entrevista en Youtube o Facebook

20/11/2025

Ayer en la feria de emprendedores de .cl junto al gran @

17/11/2025

14/11/2025

14/11/2025

𝗔𝗻𝗸𝗹𝗲 𝗦𝗽𝗿𝗮𝗶𝗻𝘀 ! 📖

Ankle sprains occur when the ligaments that support your ankle stretch or tear due to sudden twisting or rolling movements.

𝗧𝗵𝗲𝗿𝗲 𝗮𝗿𝗲 𝘁𝗵𝗿𝗲𝗲 𝗰𝗼𝗺𝗺𝗼𝗻 𝘁𝘆𝗽𝗲𝘀:

⚜️ 𝗜𝗻𝘃𝗲𝗿𝘀𝗶𝗼𝗻 𝗦𝗽𝗿𝗮𝗶𝗻:

The most common type, where the foot rolls inward, affecting the lateral ligaments.

⚜️ 𝗛𝗶𝗴𝗵 𝗔𝗻𝗸𝗹𝗲 𝗦𝗽𝗿𝗮𝗶𝗻:

Involves injury to the ligaments connecting the tibia and fibula (above the ankle joint).

⚜️ 𝗘𝘃𝗲𝗿𝘀𝗶𝗼𝗻 𝗦𝗽𝗿𝗮𝗶𝗻:

Less common, happens when the foot rolls outward, damaging the medial ligaments.

💡 𝘀𝘆𝗺𝗽𝘁𝗼𝗺𝘀:

Pain, swelling, bruising, and difficulty walking.

🩺 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁:

Rest, Ice, Compression, and Elevation (R.I.C.E).

13/11/2025

El martes en Habla Activa, la inspiración y el alto rendimiento fueron los protagonistas.
Tuvimos el honor de conversar con , lanzador de bala paralímpico que ha representado a Chile 🇨🇱 en varios certámenes internacionales. Su trayectoria es un testimonio de lo que significa la disciplina y la superación personal.
Este capítulo va más allá del deporte; es una clase magistral sobre el potencial humano. ¡No te lo puedes perder!
Escucha el nuevo capítulo de : 🗓️ Todos los martes ⏰ de 11:00 a 11:30 hrs. 📻 Radio Mía 89.3

13/11/2025

13/11/2025

Como traumatólogo quiero contarte que, a veces, un dolor detrás de la rodilla que parece inofensivo puede tener una explicación muy concreta: un quiste de Baker, también conocido como quiste poplíteo.

Este quiste no es un tumor ni una masa independiente, sino una bolsa llena de líquido sinovial, el mismo que lubrica las articulaciones que se acumula en la parte posterior de la rodilla cuando hay un aumento de presión dentro de la articulación.
Generalmente aparece como consecuencia de otras enfermedades articulares como la artrosis, la artritis reumatoide o una lesión del menisco.

En condiciones normales, el líquido sinovial circula libremente dentro de la articulación para reducir el roce entre los huesos.
Pero cuando hay inflamación, el exceso de líquido busca una “vía de escape” y se forma esta especie de bulto elástico que puede causar molestia, rigidez o sensación de tensión detrás de la rodilla.

En algunos casos, incluso puede extenderse hacia la pierna y simular una trombosis venosa profunda por el dolor y la hinchazón.

Lo más importante es saber que el quiste de Baker es un signo de que algo está ocurriendo dentro de la rodilla, no una enfermedad aislada.

Por eso, el manejo no se basa solo en drenar el líquido, sino en identificar y tratar la causa subyacente, ya sea inflamación, lesión o degeneración articular.

La buena noticia es que, con el manejo adecuado, la mayoría de los pacientes mejora sin cirugía. Sin embargo, ignorar el dolor o la inflamación puede llevar a complicaciones, especialmente si el quiste se rompe o presiona estructuras cercanas.

Si notas un bulto o tensión detrás de tu rodilla, no lo subestimes. Tu cuerpo podría estar enviándote una señal temprana de que tu articulación necesita atención.

___

Recordatorio esencial: La información presentada tiene carácter académico y educativo. No constituye consulta médica, ni debe ser utilizada para autotratarse. Si tienes molestias o preocupaciones, consulta a tu médico de confianza.

09/11/2025

Just pubished 🔥

𝗔𝗲𝗿𝗼𝗯𝗶𝗰 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲 🚴‍♀️ 𝗮𝘀 𝗮 𝗧𝗵𝗲𝗿𝗮𝗽𝗲𝘂𝘁𝗶𝗰 𝗢𝗽𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗖𝗵𝗿𝗼𝗻𝗶𝗰 𝗟𝘂𝗺𝗯𝗮𝗿 𝗥𝗮𝗱𝗶𝗰𝘂𝗹𝗮𝗿 𝗣𝗮𝗶𝗻. 𝗔 𝗖𝗮𝘀𝗲 𝗦𝗲𝗿𝗶𝗲𝘀

Lumbar radicular pain (LRP), often termed sciatica, is a prevalent musculoskeletal condition with a lifetime incidence of up to 43% (https://pubmed.ncbi.nlm.nih.gov/18923325/). Patients with LRP typically experience more severe pain and disability compared to those with nonspecific low back pain (https://pubmed.ncbi.nlm.nih.gov/21358478/; https://pubmed.ncbi.nlm.nih.gov/23328336/). Conventional conservative management—including manual therapy, motor control training, or neurodynamic techniques—offers only modest benefits (https://pubmed.ncbi.nlm.nih.gov/36580149/).

🚴 Emerging preclinical evidence has highlighted the potential neuroprotective and analgesic benefits of aerobic exercise (AE) in animal models of sciatic nerve injury, showing reductions in hypersensitivity and neuroinflammation (https://pubmed.ncbi.nlm.nih.gov/36690283/; https://pubmed.ncbi.nlm.nih.gov/38137395/). Despite these promising findings, there is a substantial translational gap, as AE has been scarcely examined in clinical populations with radiculopathy (https://pubmed.ncbi.nlm.nih.gov/33490836/).

📘 In a brand-new study, Esposto, Arca, and Schmid (2025,👉 https://www.jospt.org/doi/10.2519/josptcases.2025.0171) conducted a case series to investigate whether aerobic exercise could be safely and feasibly integrated into a tele-rehabilitation program for patients with chronic lumbar radicular pain, and whether it may improve pain and functional outcomes.

✏️ This retrospective case series followed CARE guidelines (https://pubmed.ncbi.nlm.nih.gov/28529185/) and included five adult patients (aged 25–49 years) presenting with chronic lumbar radicular pain with or without radiculopathy treated in a telemedicine rehabilitation setting.

📋 The criteria for diagnosing lumbar radicular pain with or without radiculopathy followed published clinical recommendations: pins and needles or numbness in the involved lower limb; leg pain more severe than back pain; leg pain spreading below the knee; motor, sensory, or reflex deficits upon neurological examination; positive neurodynamic test (eg, straight-leg raise [SLR] or crossed SLR). The presence of a minimum sum score of 6 out of 10, representing 93% probability of sciatica according to Stynes et al. (https://pmc.ncbi.nlm.nih.gov/articles/PMC5886387/), was required for inclusion.

🚴 Intervention

Participants underwent a multicomponent tele-rehabilitation program combining:

💬 Patient education about pain mechanisms and active recovery. The aim was to help patients understand the difference between acute and persistent pain, the specifics of nerve pain, and the role of active recovery strategies such as AE.

💪 Graded strengthening to address strength deficits identified during the initial examination As patients’ tolerance and confidence improved, the program progressed to include more complex movements as well as specific activities that patients wanted to be able to perform again) and

💁‍♂️ neurodynamic exercises (eg, nerve sliders, performed daily within a pain-free range of motion).

🚴 Aerobic exercise (AE) was performed 3–5 times per week (cycling, walking, or interval running) with a duration of 20 to 30 minutes per session. AE was prescribed at 60–70% of maximum heart rate (HRmax), estimated by Fox’s formula (HRmax = 220 – age, https://pmc.ncbi.nlm.nih.gov/articles/PMC7523886/). Exercise intensity and duration were progressively adjusted based on tolerance. The specific modality was chosen based on the patient’s preference and symptoms tolerance, utilizing either a stationary bike, walking, or a combination of walking and running. For patients who chose running, a graded interval-based approach was used, starting with short running intervals (eg, 1 minute) alternating with longer walking periods (eg, 3 minutes).

📊 Outcome Measures

Primary outcomes were:

▶️ Pain intensity, measured by the Numeric Pain Rating Scale (NPRS)
▶️ Function, assessed by the Patient-Specific Functional Scale (PSFS)

Outcomes were measured monthly for 3–6 months. Adherence and adverse events were recorded at each session.

📊 Results

All five patients showed large, clinically meaningful improvements in both pain and disability:

✅ Mean leg pain decreased by 4–8 points on the NPRS.

✅ Functional scores on the PSFS improved by 3–6 points, surpassing minimal clinically important differences (https://pubmed.ncbi.nlm.nih.gov/24828475/).

✅ Average adherence was 87.6% for the full program and 86.2% for AE specifically.

✅ No major adverse events occurred; there were four minor and two moderate self-limiting flare-ups.

✅Notably, four patients reported immediate post-exercise hypoalgesia, consistent with the phenomenon of exercise-induced hypoalgesia described in pain research (https://pubmed.ncbi.nlm.nih.gov/30904519/; https://pubmed.ncbi.nlm.nih.gov/33062901/).

💡 Discussion

Aerobic exercise might be a feasible, safe, and potentially effective adjunct for patients with chronic lumbar radicular pain. These results provide preliminary clinical support for preclinical findings showing AE’s role in modulating neuroinflammation and promoting neural recovery (https://pubmed.ncbi.nlm.nih.gov/36690283/; https://pubmed.ncbi.nlm.nih.gov/38137395/).

While the multimodal design precludes causal attribution to AE alone, consistent improvement across all cases strengthens the hypothesis that AE contributes meaningfully to symptom relief and functional recovery. Moreover, the tele-rehabilitation approach demonstrated strong feasibility and adherence.

⭕ Key limitations include:

☑️ Small sample size (n=5) and lack of a control group
☑️ Retrospective design and absence of long-term follow-up
☑️ Possible inaccuracy in AE intensity estimation via HRmax formula

Illustration of SLR: https://www.magonlinelibrary.com/doi/abs/10.12968/pnur.2023.34.11.400?journalCode=pnur

09/11/2025

🥋 Este martes en ”Habla Activa”, tuvimos el honor de conversar con , un destacado taekwondista de Los Ángeles, referente deportivo a nivel nacional en su discípulo y un ejemplo de constancia.
👨🏻‍⚕️Desde la Kinesiología Deportiva, analizamos los pilares del rendimiento en deportes de combate:
🧠 Disciplina Mental y Resiliencia
El Taekwondo como escuela de vida: más allá de la técnica, una herramienta para el desarrollo personal.
💬 Si buscas llevar tu deporte o tu vida al siguiente nivel, este capítulo es para ti.
📅 Agenda tu sintonía
⏰ Todos los martes 11:00 a 11:30 hrs
📻 .3
🎙️Y si quieres contar tu historia como deportista destacado, no dudes en contactarnos a través de nuestras redes sociales.

08/11/2025

06/11/2025

📌◾ Lumbosacral Innervation: The Root of Discogenic Low Back Pain

👉Chronic discogenic low back pain (CDLBP) is often challenging to diagnose and treat, largely because the neural pathways responsible for signaling pain from the intervertebral disc (IVD) are complex and deeply interwoven. Understanding the intricate lumbosacral innervation helps explain why disc damage can lead to severe and sometimes elusive pain.

📝

🧠 The Anatomy of Disc Innervation

◾ The healthy intervertebral disc is composed of the nucleus pulposus (NP) and the annulus fibrosus (AF), separated from the vertebral bodies by the vertebral endplates (VEP).

▪ Non-Innervated Areas:
▫ The NP and the innermost part of the AF are normally not innervated.

▪ Innervated Areas:
▫ Sensory input usually originates only from the outermost third of the AF, where sensory mechanoreceptors reside.

▪ Sensory Relay:
▫ Afferent (sensory) fibers from the outermost AF primarily traverse via sympathetic pathways.
▫ Their cell bodies are primarily located in the ganglia spinalia (dorsal root ganglia, DRGs) between C8 and L2, corresponding to the levels where sympathetic nerve fibers exit the spinal cord.

🩻 Key Neural Pathways in the Lumbar Spine

▪ Ventral Pathways:
▫ Afferent fibers from the ventral part of the IVD form a network with fibers from the ligamentum longitudinale anterius (LLA).
▫ They travel along the sympathetic trunk and the rami communicantes.

▪ Dorsal Pathways:
▫ Afferent fibers from the dorsal part of the IVD form a network with fibers from the ligamentum longitudinale posterius (LLP), parts of the vertebral body, and the ventral dura mater.
▫ They travel along the sinuvertebral nerves and posterior rami communicantes.

▪ This extensive network of connections, known as the plexus sinuvertebralis, has a dense configuration within the anterior and posterior longitudinal ligaments, sending branches horizontally, cranially, and caudally at every vertebral body level.
▪ This complex web of anastomoses contributes to clinical observations where patients experience pain on the opposite side of the body or at a different level than the site of the actual pathology.

⚡ Innervation Changes in Discogenic Pain

▪ In pathological conditions such as chronic low back pain or degenerative changes, the distribution and complexity of innervation change dramatically.
▫ Innervation is no longer restricted to the outermost third of the AF.
▫ There is more abundant nerve endings and increased morphological complexity deeper within the disc.
▫ Nerve in-growth (neoinnervation) extends into the nucleus pulposus.

▪ This abnormal proliferation of nerve endings deeper into the disc allows for greater sensitivity, potentially resulting in “chemical sensitization.”

👇

🎯 Targets for Interventional Pain Management

▪ Basivertebral Nerve (BVN):
▫ Originates from the sinuvertebral nerve (SVN) and enters the vertebral body posteriorly to innervate the bone, including the vertebral endplates (VEPs).
▫ Radiofrequency ablation (RFA) of the BVN is used to treat chronic vertebrogenic low back pain, which may overlap pathologically with Chronic Discogenic Low Back Pain.

▪ Sinuvertebral Nerve (SVN):
▫ Afferent fibers from the dorsal part of the IVD travel along this nerve.
▫ RFA of the SVN is a newer technique aimed at denervating the disc.

▪ Ramus Communicans:
▫ RFA of the rami communicantes is a therapeutic approach intended to interrupt neural pathways responsible for sensory innervation from the disc.

▪ L2 Dorsal Root Ganglion (DRG):
▫ Blocking or stimulating the L2 spinal nerve/DRG could assist in diagnosing and treating lumbar discogenic pain.
▫ This level is an important relay station, as pain signals from the lower lumbar discs follow the sympathetic trunk and converge via the caudal-most white ramus communicans nerve to the dorsal horn.
▫ Dorsal Root Ganglion Stimulation (DRG-S) at L2 is currently being studied for patients with non-operated CDLBP.