Especialistas alertam sobre risco do uso de analgésicos para aliviar dor nas costas
Profissionais da área lançam Campanha Nacional Alerta para Prevenção de Dores nas Costas
Agência Brasil
Usar relaxantes musculares ou analgésicos para aliviar aquela dorzinha que de vez em quando aparece nas costas é uma estratégia desaconselhável e pode resultar em dano maior à coluna vertebral. Para informar as pessoas sobre as principais medidas de prevenção e os riscos que algumas atividades podem trazer à coluna, diversos fisioterapeutas, especialistas em tratamentos para a coluna, lançaram neste sábado (2), de forma simultânea, em 30 cidades, a Campanha Nacional Alerta para Prevenção de Dores nas Costas.
Em Brasília, fisioterapeutas foram ao Parque da Cidade para alertar os frequentadores do local. “Nosso foco é a prevenção desses problemas e chamar a atenção para a necessidade de um diagnóstico precoce, além de contribuir para que as pessoas tomem a decisão de melhorar a postura para proteger a coluna”, disse a diretora do Instituto de Tratamento da Coluna Vertebral (ITC), Ângela Lepesqueur.
Segundo a fisioterapeuta, as pessoas precisam ficar atentas a quaisquer dores irradiadas (aquelas que percorrem um caminho ao longo do corpo, em geral associadas aos nervos comprometidos), formigamentos e dormência em membros, falta de força, dores espontâneas que surgem sem motivo aparente, além de contraturas musculares nas regiões lombar e cervical e dores locais ou decorrentes de posturas mantidas.
“O maior problema é quando a pessoa resolve o incômodo tomando analgésicos, porque deixa de investigar a causa e, com isso, o problema fica maior”, ressalta Ângela.
Foi o que aconteceu com o lanterneiro (funileiro) Revanildo Rodrigues, 38, morador da Estrutural. “Eles me alertaram que é importante eu estar sempre atento à minha postura e que tenho de reeducar meu corpo”, disse. O trabalho de Revanildo requer muito esforço físico, e a dor o acompanha há mais de oito anos.
“Minha região lombar dói a toda hora, todo dia e a todo minuto, mas nunca fiz nenhum tipo de tratamento. Soube que ia ter essa campanha aqui no parque e resolvi vir. Eu não associava essas dores à minha postura. Tomava então relaxantes musculares e achava que estava pronto para o dia seguinte”, disse o lanterneiro.
O problema de saúde então começou a se transformar em problema financeiro. “Era comum eu ficar dois ou três dias sem trabalhar. Como sou autônomo, ganho pelo serviço. As repetições [das crises de dor] acabaram comprometendo entre 30% e 40% dos meus ganhos mensais”.
A conversa com os fisioterapeutas ajudou Revanildo a se convencer de que precisa consultar especialistas no problema. “Na segunda-feira vou ao fisioterapeuta ver qual é o exercício ideal para ajudar a reeducar minha postura. Do jeito que está, não tem como. E a tendência é piorar”, concluiu.
Outras pessoas precisam de tratamento para lidar com problemas congênitos. “Nasci com uma vértebra a mais do que o normal”, explica a farmacêutica Débora Souza, 46, moradora do bairro Sudoeste. “Isso resulta em uma compressão da vértebra sobre as outras, o que me causa dores desde os 30 anos”, acrescentou.
Por causa do problema, Débora teve de abandonar diversas atividades físicas que tinha como hobby. “Eu gostava detrekking [caminhada em trilhas], bicicleta, vôlei. Tive de abandonar tudo por causa da dor. Para piorar, fiquei traumatizada com o ortopedista que me orientou a fazer musculação e pilates. Como a orientação da academia não era específica para o meu problema, acabei forçando [de forma inadequada] a minha coluna. O resultado foi que as dores aumentaram ainda mais”, disse a farmacêutica.
“Um médico chegou ao cúmulo de recomendar que eu fosse a um psiquiatra por achar que a origem do problema era de fundo psicológico”, acrescentou. A solução foi apresentada por um fisioterapeuta: duas sessões semanais de fisioterapia e pilates leve e direcionado ao problema. Com o tempo, a musculatura fortaleceu e hoje a farmacêutica já pode fazer exercícios de maior intensidade.
Depois de descobrir que tinha três hérnias de disco na coluna lombar e de sentir muita dor, a engenheira mecânica Juliana Mol, 35, moradora do Sudoeste, ouviu de seu médico a recomendação de que fizesse hidroterapia. Infelizmente, as dores continuaram. O médico sugeriu, então, que ela fizesse uma cirurgia.
“O problema é que ele não garantiu que a cirurgia aliviaria minha dor. Em meio a essa incerteza, optei por um tratamento conservador. Foram cinco meses de fisioterapia para introduzir os exercícios ideais. Sentia que a dor ia e voltava, e, gradativamente, a dor virou desconforto para, depois, desaparecer”, disse a engenheira, que faz fisioterapia há dois anos.
Professor de educação física, Andrett adverte: exercícios sem orientação profissional podem resultar em danos à saúde. Nesse sentido, o acesso a equipamentos públicos de musculação representa um risco maior aos praticantes. “A gente sabe que muitos não têm acesso a profissionais para orientar as atividades físicas. O que indicamos para esses casos é que eles pratiquem a atividade de forma mais moderada e com maior amplitude [maior número de repetições do exercício, mas com uma carga mais leve], sempre lembrando que a dor é o limite de qualquer movimento”.
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