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    "slug": "physical-therapy-vs-opioids-when-to-choose-physical-therapy-for-pain-management",
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    "title": {
        "rendered": "Fisioterapia vs Opioides: Cu\u00e1ndo Elegir Fisioterapia para el Manejo 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 los Estados Unidos, aunque \u201cno ha habido un cambio general en la cantidad de dolor que informan 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 pautas reconocen que los opioides recetados son apropiados en ciertos casos, incluido el tratamiento del c\u00e1ncer, los cuidados paliativos y la atenci\u00f3n al final de la vida, y tambi\u00e9n en ciertas situaciones de atenci\u00f3n aguda, si se dosifican correctamente.<\/p>\n<p>Pero para otros tratamientos del dolor, los CDC recomiendan enfoques no opi\u00e1ceos, 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 brechas sustanciales 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 usarse para informar las decisiones cl\u00ednicas&quot;. afirma el CDC. Los fisioterapeutas pueden desempe\u00f1ar un papel valioso en el proceso de educaci\u00f3n del paciente, incluido el establecimiento de expectativas realistas para la recuperaci\u00f3n con o sin opioides. Como se\u00f1alan las pautas de los CDC, incluso en los casos en que la evidencia sobre los beneficios a largo plazo de las terapias no opioides es limitada, &quot;los riesgos son mucho menores&quot; con los planes de tratamiento no opioides.<\/li>\n<li><strong>\u2026 El dolor o los problemas de funci\u00f3n 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>\u00a0o\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 \/>\nEl CDC cit\u00f3 &quot;evidencia de alta calidad&quot; 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 prescriben para el dolor.\u00a0<\/strong><br \/>\nIncluso en situaciones en las que se recetan opioides, los CDC recomiendan que los pacientes reciban &quot;la dosis efectiva m\u00e1s baja&quot; y que los opioides &quot;deben combinarse&quot; 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 &quot;cr\u00f3nico&quot; y aumentan los riesgos de uso continuo de opioides. Se estima que 116 millones de estadounidenses tienen dolor cr\u00f3nico cada a\u00f1o. Las pautas de los CDC se\u00f1alan que las terapias no opioides son &quot;preferidas&quot; para el dolor cr\u00f3nico y que &quot;los m\u00e9dicos deben considerar la terapia con opioides solo si se prev\u00e9 que los beneficios esperados tanto para el dolor como para la funci\u00f3n superen los riesgos para el paciente&quot;.<\/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 Manejo 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 creando 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 del 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 cuadruplicado en los Estados Unidos, aunque \u201cno ha [\u2026]<\/p>",
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                "name": "wp",
                "href": "https:\/\/api.w.org\/{rel}",
                "templated": true
            }
        ]
    }
}