{"id":1303,"date":"2019-08-29T23:33:06","date_gmt":"2019-08-29T21:33:06","guid":{"rendered":"https:\/\/www.ikosecm.it\/ecm\/?p=1303"},"modified":"2021-08-05T16:43:12","modified_gmt":"2021-08-05T14:43:12","slug":"il-mal-di-schiena-quali-sono-i-principali-strumenti-per-una-diagnosi-corretta","status":"publish","type":"post","link":"https:\/\/www.ikosecm.it\/ecm\/corsi-ecm\/il-mal-di-schiena-quali-sono-i-principali-strumenti-per-una-diagnosi-corretta\/","title":{"rendered":"Il mal di schiena: quali sono i principali strumenti per una diagnosi corretta?"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cjfqqf-717f93d97d7226ad82278c802104de35\">\n#top .av-special-heading.av-cjfqqf-717f93d97d7226ad82278c802104de35{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-cjfqqf-717f93d97d7226ad82278c802104de35 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-cjfqqf-717f93d97d7226ad82278c802104de35 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-cjfqqf-717f93d97d7226ad82278c802104de35 av-special-heading-h1  avia-builder-el-0  el_before_av_one_third  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Il mal di schiena in Italia<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-596h4-94fd2e9a2b53dfb66943cecc2b8161f4\">\n.flex_column.av-596h4-94fd2e9a2b53dfb66943cecc2b8161f4{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-596h4-94fd2e9a2b53dfb66943cecc2b8161f4 av_one_third  avia-builder-el-1  el_after_av_heading  el_before_av_two_third  first flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jtab9tnp-38ac65ab4a16175bb85459e36e5508c2\">\n.avia-image-container.av-jtab9tnp-38ac65ab4a16175bb85459e36e5508c2 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-jtab9tnp-38ac65ab4a16175bb85459e36e5508c2 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-jtab9tnp-38ac65ab4a16175bb85459e36e5508c2 av-styling- av-hover-grow avia-align-center  avia-builder-el-2  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1310 avia-img-lazy-loading-not-1310 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/IMG_4414-215x300.jpg\" alt='' title='metodi diagnostici lombalgia'  height=\"300\" width=\"215\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/IMG_4414-215x300.jpg 215w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/IMG_4414.jpg 300w\" sizes=\"(max-width: 215px) 100vw, 215px\" \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-19y77s-2fd586861b2a83d03c22226a6e79d03e\">\n.flex_column.av-19y77s-2fd586861b2a83d03c22226a6e79d03e{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-19y77s-2fd586861b2a83d03c22226a6e79d03e av_two_third  avia-builder-el-3  el_after_av_one_third  el_before_av_textblock  flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-jtaabdl7-515da227f3ed4c1f141e834a752c5dbc '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>L\u2019Indagine ISTAT sullo stato di salute in Italia segnala che l\u20198,2% della popolazione ha riferito nel 1999 di essere affetto da lombosciatalgia.<\/p>\n<p>Il DM del Ministero del lavoro 27\/04\/2004 include l\u2019ernia del disco e <a href=\"https:\/\/www.ikosecm.it\/ecm\/in-evidenza\/mal-di-schiena-e-sciatalgia-diagnosi-e-cura-della-patologia-degenerativa-lombare\">lombalgia<\/a> tra le patologie professionali da segnalare al Dipartimento di Prevenzione dell\u2019ASL<\/p>\n<p><strong>La diagnosi corretta di questa patologia diventa quindi essenziale per poter procedere con l\u2019opzione terapeutica migliore.<\/p>\n<p><\/strong><!--more--><\/p>\n<\/div><\/section><\/div>\n<section  class='av_textblock_section av-jzx78lv1-b1b8a7cd6a25202930233c644d0bba59 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-agn9pz-23b0d21c713abe2fd3f5738cfcca63e1\">\n#top .av-special-heading.av-agn9pz-23b0d21c713abe2fd3f5738cfcca63e1{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-agn9pz-23b0d21c713abe2fd3f5738cfcca63e1 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-agn9pz-23b0d21c713abe2fd3f5738cfcca63e1 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-agn9pz-23b0d21c713abe2fd3f5738cfcca63e1 av-special-heading-h4  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >I metodi di diagnosi<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-jtaakqqq-a58eae80025ad7ee1141924ec04b4fb8 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Le metodologie diagnostiche si possono raggruppare genericamente in<strong> tre grandi macroaree:<\/strong><\/p>\n<ul>\n<li>Raccolta dei dati anamnestici<\/li>\n<li>Esame obiettivo con test clinici<\/li>\n<li>Diagnostica per immagini e strumentale<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-94d0k7-f4cc5eb21d0ca5b1a6b7c65602bcb282\">\n#top .av-special-heading.av-94d0k7-f4cc5eb21d0ca5b1a6b7c65602bcb282{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-94d0k7-f4cc5eb21d0ca5b1a6b7c65602bcb282 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-94d0k7-f4cc5eb21d0ca5b1a6b7c65602bcb282 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-94d0k7-f4cc5eb21d0ca5b1a6b7c65602bcb282 av-special-heading-h4  avia-builder-el-8  el_after_av_textblock  el_before_av_textblock '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >La raccolta dei dati anamnestici<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-jtaavp2p-584db3b462de76f668dd5c0b1d9c21c4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Le linee guida sul <a href=\"https:\/\/www.ikosecm.it\/ecm\/in-evidenza\/mal-di-schiena-e-sciatalgia-diagnosi-e-cura-della-patologia-degenerativa-lombare\/\">mal di schiena<\/a> (leggi anche <a href=\"https:\/\/www.ikosecm.it\/ecm\/in-evidenza\/mal-di-schiena-e-sciatalgia-diagnosi-e-cura-della-patologia-degenerativa-lombare\/\">Mal di schiena e sciatalgia: diagnosi e cura della patologia degenerativa lombare<\/a>) concordano sull\u2019importanza fondamentale della storia clinica per identificare i <strong>semafori rossi<\/strong> in presenza dei quali \u00e8 indicata l\u2019effettuazione di esami strumentali:<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<ul>\n<li>Deficit neurologico progressivo<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>sindrome della cauda equina<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>sospetto di malattie sistemiche, infiammatorie, neoplastiche o infettive<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>traumi recenti<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>assunzione protratta di cortisonici<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>et\u00e0 < di 20 e > di 55, rafforza l\u2019urgenza<\/li>\n<\/ul>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6xbakn-c40507006e877eed01390053c59e096e\">\n#top .av-special-heading.av-6xbakn-c40507006e877eed01390053c59e096e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-6xbakn-c40507006e877eed01390053c59e096e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-6xbakn-c40507006e877eed01390053c59e096e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-6xbakn-c40507006e877eed01390053c59e096e av-special-heading-h3  avia-builder-el-10  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Test clinici<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-jtaayp2n-6cf6e5f66837c6f21c39bdc0ea6bd0e9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Lo <b>Stiramento radicolare <\/b>\u00e8 un esame molto utilizzato per valutare lo stato del paziente affetto da lomboscatalgia. Esistono due principali manovre:<\/p>\n<ol>\n<li>MANOVRA DI LASEGUE o sollevamento della gamba a ginocchio esteso,positivo in caso di compressione sulle radici L5-S1<\/li>\n<li>MANOVRA DI WASSERMAN positiva in caso di compressione L2,L3, L4, ma anche in neuropatia<span class=\"Apple-converted-space\">\u00a0<\/span>femorale diabetica o di ematoma del muscolo psoas<\/li>\n<\/ol>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-323a037b8552f69ea2bc096ea7b2524f\">\n.avia-image-container.av-k03uszm4-323a037b8552f69ea2bc096ea7b2524f img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-323a037b8552f69ea2bc096ea7b2524f .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-323a037b8552f69ea2bc096ea7b2524f av-styling- avia-align-center  avia-builder-el-12  el_after_av_textblock  el_before_av_image '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1356 avia-img-lazy-loading-not-1356 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/manovra-1.jpg\" alt='' title='Manovra di Lasegue'  height=\"305\" width=\"363\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/manovra-1.jpg 363w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/manovra-1-300x252.jpg 300w\" sizes=\"(max-width: 363px) 100vw, 363px\" \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-2bee1a6499da5248845592726e857870\">\n.avia-image-container.av-k03uszm4-2bee1a6499da5248845592726e857870 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-2bee1a6499da5248845592726e857870 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-2bee1a6499da5248845592726e857870 av-styling- avia-align-center  avia-builder-el-13  el_after_av_image  el_before_av_textblock '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1355 avia-img-lazy-loading-not-1355 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/manovra-2.jpg\" alt='' title='Manovra di Wasserman'  height=\"189\" width=\"295\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n<section  class='av_textblock_section av-jtaayp2n-6cf6e5f66837c6f21c39bdc0ea6bd0e9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>L\u2019<b>esame Muscolare<\/b> parte dal presupposto che L\u2019innervazione di ogni singolo muscolo dipende prevalentemente da una radice spinale.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>La validit\u00e0 muscolare \u00e8 precisata secondo la scala adottata dalle American and British Academy of Orthopaedics Surgeons.<\/p>\n<p>Questa \u00e8 la scala dei risultati possibili:<\/p>\n<ul>\n<li>0 assenza contrazione<\/li>\n<li>1 assenza movimento articolare<\/li>\n<li>2 movimento articolare a gravit\u00e0 eliminata<\/li>\n<li>3 movimento contro gravit\u00e0<\/li>\n<li>4 movimento contro gravit\u00e0 ed una certa resistenza<\/li>\n<li>5 movimento completo contro gravit\u00e0 e resistenza<\/li>\n<\/ul>\n<p>L\u2019<b>esame dei Riflessi<\/b> si basa sul presupposto che una radicolopatia causa la riduzione o l\u2019abolizione del corrispondente riflesso per compromissione della branca afferente o efferente dell\u2019arco di tale riflesso. Ma Il riflesso pu\u00f2 essere \u201ciper-reattivo\u201d in caso di radicolopatia acuta.<\/p>\n<p>Si parla in particolare di:<\/p>\n<ul>\n<li><b><\/b><b>Sindrome Radicolare L3<\/b>\n<ul>\n<li>DOLORE faccia anteriore della coscia<\/li>\n<li>DEFICIT SENSITIVO faccia anteromediale ginocchio<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>deficit MUSCOLARE adduttori e quadricipite<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>RIFLESSO rotuleo indebolito<\/li>\n<\/ul>\n<\/li>\n<li><b><\/b><b>Sindrome Radicolare L4<\/b>\n<ul>\n<li>DOLORE faccia anteromediale coscia, ginocchio e gamba<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>SENSITIVO faccia mediale gamba e caviglia<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>deficit MUSCOLARE quadricipite e tibiale anteriore<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>RIFLESSO rotuleo alterato<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b><\/b><b>Sindrome Radicolare L5<\/b>\n<ul>\n<li>DOLORE faccia posteriore coscia e laterale gamba<\/li>\n<li>SENSITIVO faccia anteroesterna della gamba e parte mediale del dorso e pianta del piede<\/li>\n<li>MUSCOLARE deficit EPA (estensore proprio dell\u2019alluce), ECD (E. comune delle dita), Peronieri<\/li>\n<\/ul>\n<\/li>\n<li><b><\/b><b>Sindrome Radicolare S1<\/b>\n<ul>\n<li>DOLORE faccia posteriore coscia e gamba<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>SENSITIVO faccia posteriore gamba, tallone bordo esterno piede, ultime due dita<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>deficit MUSCOLARE flessori ginocchio<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>RIFLESSI deficit achilleo e medio plantare<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-a5411fffee8210016afdf4cfe04b4dc4\">\n.avia-image-container.av-k03uszm4-a5411fffee8210016afdf4cfe04b4dc4 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-a5411fffee8210016afdf4cfe04b4dc4 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-a5411fffee8210016afdf4cfe04b4dc4 av-styling- avia-align-center  avia-builder-el-15  el_after_av_textblock  el_before_av_image '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1354 avia-img-lazy-loading-not-1354 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/1-300x137.jpg\" alt='' title='1'  height=\"137\" width=\"300\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/1-300x137.jpg 300w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/1.jpg 393w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-76aa8b91835d1c68864d162ea294b1fc\">\n.avia-image-container.av-k03uszm4-76aa8b91835d1c68864d162ea294b1fc img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-76aa8b91835d1c68864d162ea294b1fc .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-76aa8b91835d1c68864d162ea294b1fc av-styling- avia-align-center  avia-builder-el-16  el_after_av_image  el_before_av_image '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1353 avia-img-lazy-loading-not-1353 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/2.jpg\" alt='' title='2'  height=\"180\" width=\"241\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-916c0878ab5bc6c8d84874745c32ae82\">\n.avia-image-container.av-k03uszm4-916c0878ab5bc6c8d84874745c32ae82 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-916c0878ab5bc6c8d84874745c32ae82 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-916c0878ab5bc6c8d84874745c32ae82 av-styling- avia-align-center  avia-builder-el-17  el_after_av_image  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1352 avia-img-lazy-loading-not-1352 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/3.jpg\" alt='' title='3'  height=\"200\" width=\"482\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/3.jpg 482w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/3-300x124.jpg 300w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/3-450x187.jpg 450w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5iil8n-b7ddfccf2099e788c2551c169624c86d\">\n#top .av-special-heading.av-5iil8n-b7ddfccf2099e788c2551c169624c86d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-5iil8n-b7ddfccf2099e788c2551c169624c86d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-5iil8n-b7ddfccf2099e788c2551c169624c86d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-5iil8n-b7ddfccf2099e788c2551c169624c86d av-special-heading-h3  avia-builder-el-18  el_after_av_image  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Diagnostica strumentale<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-jtab5xfg-c1b021500836fe915bb74603f3a310a4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Considerando l\u2019alta frequenza di ernie discali asintomatiche e la possibile regressione di ernie sintomatiche, \u00e8 opportuno attendere almeno 4-6 settimane dall\u2019insorgenza dei sintomi in assenza di <em>semafori rossi<\/em>, prima di effettuare gli esami di diagnostica per immagini.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>I principali esami strumentali sono:<\/p>\n<p><b>Radiografia della colonna<\/b><\/p>\n<ul>\n<li><b><\/b>Non raccomandata come esame di routine nel primo mese di sintomatologia.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Indicata per ottenere informazioni sulla presenza di patologie spinali congenite (vizi di differenziazione, spina bifida, spondilolistesi) o traumatiche.<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Necessaria per una corretta pianificazione chirurgica<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b>TAC e Risonanza Magnetica<\/b><\/p>\n<p>Sono due tecnologie sostanzialmente sovrapponibili in termini di sensibilita\u2019, specificita\u2019 e accuratezza diagnostica. La RMN \u00e8 preferibile per lo studio dei tessuti molli, inoltre non sottopone il paziente a radiazioni ionizzanti.<\/p>\n<p>Non sono per\u00f2 raccomandate nel corso del primo mese di sintomatologia in assenza di semafori rossi.<\/p>\n<p>La <b>Risonanza Magnetica<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/p>\n<ul>\n<li>Non eroga radiazioni ionizzanti<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Valutazione anatomica multiplanare<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Miglior visualizzazione dei tessuti molli e alterazioni del tessuto osseo spongioso<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>Evidenzia eventuali patologie intradurali<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<\/ul>\n<p>La <b>TAC<\/b><\/p>\n<ul>\n<li>Sequenziale o spirale multidetettore<\/li>\n<li>Migliore rappresentazione delle strutture osteo\/cartilaginee e migliore valutazione del canale rachideo<\/li>\n<\/ul>\n<p style=\"text-align: center;\">\n<p>\u00c8\u00a0importante sottolineare come <strong>la sovradiagnosi e le indagini eseguite troppo precocemente potrebbero portare a indicazioni inappropriate al trattamento chirurgico in casi destinati a risolversi spontaneamente.<span class=\"Apple-converted-space\">\u00a0<\/span><\/strong><\/p>\n<p>Inoltre i preconcetti associati con l\u2019informazione contenuta nei referti delle indagini strumentali possono indurre nelle persone un senso di malattia.<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k03uszm4-a3c53cdab19d774926a1b44c8d4668c5\">\n.avia-image-container.av-k03uszm4-a3c53cdab19d774926a1b44c8d4668c5 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-k03uszm4-a3c53cdab19d774926a1b44c8d4668c5 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k03uszm4-a3c53cdab19d774926a1b44c8d4668c5 av-styling- avia-align-center  avia-builder-el-20  el_after_av_textblock  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1358 avia-img-lazy-loading-not-1358 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/RM.jpg\" alt='' title='Risonanza Magnetica Schiena'  height=\"361\" width=\"482\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/RM.jpg 482w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/RM-300x225.jpg 300w, https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/08\/RM-450x337.jpg 450w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3yyf2f-6210be6834b0ddbc019060d1c03c196d\">\n#top .av-special-heading.av-3yyf2f-6210be6834b0ddbc019060d1c03c196d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-3yyf2f-6210be6834b0ddbc019060d1c03c196d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-3yyf2f-6210be6834b0ddbc019060d1c03c196d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-3yyf2f-6210be6834b0ddbc019060d1c03c196d av-special-heading-h3  avia-builder-el-21  el_after_av_image  el_before_av_two_third '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Approfondisci questo argomento!<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6przs-2da764e0041af83b02548d4821c3dcf3\">\n.flex_column.av-6przs-2da764e0041af83b02548d4821c3dcf3{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-6przs-2da764e0041af83b02548d4821c3dcf3 av_two_third  avia-builder-el-22  el_after_av_heading  el_before_av_one_third  first flex_column_div av-zero-column-padding  '     ><p><section  class='av_textblock_section av-jtgxlhw6-cef871fccfe306097ad864d777c18f3f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Pubblicato dalla piattaforma IKOS (<a href=\"https:\/\/www.ikosecm.it)\">https:\/\/www.ikosecm.it)<\/a>, il corso ECM (Educazione Continua in Medicina) in modalit\u00e0 Formazione a Distanza (FAD) si intitola \u201c<a href=\"https:\/\/www.ikosecm.it\/corso-ecm-mal-di-schiena-e-sciatalgia.html\">MAL DI SCHIENA E SCIATALGIA: COME QUANDO E PERCH\u00c9 &#8211;\u00a0DIAGNOSI E CURA DELLA PATOLOGIA DEGENERATIVA LOMBARE<\/a>\u201d e prevede 5 diversi capitoli attraverso i quali i docenti del corso, la\u00a0<em>Dott.ssa Laura Lorien Bruno<\/em> e il <em>Dott. Maurizio Dagna<\/em>, affrontano, oltre alla definizione di <em>lombalgia<\/em> e di <em>radicolopatia spinale<\/em>, il relativo percorso diagnostico riguardante le possibili cause e classificazioni, con <strong>particolare accento posto sulle diagnosi differenziali<\/strong> che possono indurre il medico nella pratica quotidiana a trovarsi in difficolt\u00e0 circa l\u2019origine della patologia.<\/p>\n<p>Nella seconda parte viene invece trattato l\u2019approccio terapeutico, sia conservativo che chirurgico, e sono citati alcuni studi a supporto di tali diverse strategie.<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-ju9uj041-ba6d369b6c98425e0f2ae4cf164e66be-wrap avia-button-center  avia-builder-el-24  el_after_av_textblock  avia-builder-el-last '><a href='https:\/\/www.ikosecm.it\/corso-ecm-mal-di-schiena-e-sciatalgia.html'  class='avia-button av-ju9uj041-ba6d369b6c98425e0f2ae4cf164e66be av-link-btn avia-icon_select-no avia-size-large avia-position-center avia-color-theme-color'  target=\"_blank\"  rel=\"noopener noreferrer\"  aria-label=\"Vai alla scheda del corso\"><span class='avia_iconbox_title' >Vai alla scheda del corso<\/span><\/a><\/div><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ju9u2sto-de8ae347a8c5dabe0067d820737c3de5\">\n.flex_column.av-ju9u2sto-de8ae347a8c5dabe0067d820737c3de5{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-ju9u2sto-de8ae347a8c5dabe0067d820737c3de5 av_one_third  avia-builder-el-25  el_after_av_two_third  el_before_av_heading  flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7bx28-b0d6acc78b82d3b037f3e22e2eb4b2d0\">\n#top .hr.hr-invisible.av-7bx28-b0d6acc78b82d3b037f3e22e2eb4b2d0{\nheight:80px;\n}\n<\/style>\n<div  class='hr av-7bx28-b0d6acc78b82d3b037f3e22e2eb4b2d0 hr-invisible  avia-builder-el-26  el_before_av_animated_numbers  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb\">\n#top .avia-animated-number.av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb.av-display-circle{\nmargin:40% 0 40% 0;\n}\n#top .avia-animated-number.av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb .avia-animated-number-title{\nfont-size:40px;\n}\n.avia-animated-number.av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb .avia-animated-number-circle{\nwidth:80%;\n}\n.avia-animated-number.av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb .avia-animated-number-circle-inner{\nborder-style:none;\nbox-shadow:none;\n}\n<\/style>\n<div  class=\"avia-animated-number av-ju9u5qgi-dd7d1e718e3bc3c97075736bed402fdb av-force-default-color avia_animate_when_visible  avia-builder-el-27  el_after_av_hr  el_before_av_hr  av-display-circle \" data-timer=\"3000\"><span class='avia-animated-number-circle '><span class='avia-animated-number-circle-inner'><\/span><\/span><strong class=\"heading avia-animated-number-title\"><span class=\"avia-single-number __av-single-number\" data-number_format=\"\" data-number=\"10\" data-start_from=\"0\">10<\/span><\/strong><div class=\"avia-animated-number-content\"><p>Crediti Ecm<\/p>\n<\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7bx28-8cd73cb7adfee538f34b1b93014dd7c7\">\n#top .hr.hr-invisible.av-7bx28-8cd73cb7adfee538f34b1b93014dd7c7{\nheight:100px;\n}\n<\/style>\n<div  class='hr av-7bx28-8cd73cb7adfee538f34b1b93014dd7c7 hr-invisible  avia-builder-el-28  el_after_av_animated_numbers  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2zfp47-c9d2c1f5d800391cede6987e0d6235a7\">\n#top .av-special-heading.av-2zfp47-c9d2c1f5d800391cede6987e0d6235a7{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-2zfp47-c9d2c1f5d800391cede6987e0d6235a7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-2zfp47-c9d2c1f5d800391cede6987e0d6235a7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2zfp47-c9d2c1f5d800391cede6987e0d6235a7 av-special-heading-h4  avia-builder-el-29  el_after_av_one_third  el_before_av_two_third '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Vuoi recuperare il tuo debito formativo?<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-eqi5r-167342179bfa5bb25feac7d146468f0b\">\n.flex_column.av-eqi5r-167342179bfa5bb25feac7d146468f0b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-eqi5r-167342179bfa5bb25feac7d146468f0b av_two_third  avia-builder-el-30  el_after_av_heading  el_before_av_one_third  first flex_column_div av-zero-column-padding  '     ><p><section  class='av_textblock_section av-jsx3alm2-0645e5df0e844e0a06d06c86b9c2632b '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>La GLOBAL CARD ti consente di accedere a tutti i corsi ECM FAD presenti nel catalogo IKOS con un&#8217;unica spesa di soli \u20ac 189,00 (esente iva).<\/p>\n<p>Solo con la <a href=\"https:\/\/www.ikosecm.it\/global-card.php\">Global Card<\/a> di IKOS puoi farlo!<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-jsx3bseu-de6a2654e257679faa188f16a4b0f04f-wrap avia-button-left  avia-builder-el-32  el_after_av_textblock  avia-builder-el-last '><a href='https:\/\/www.ikosecm.it\/global-card.php'  class='avia-button av-jsx3bseu-de6a2654e257679faa188f16a4b0f04f av-link-btn avia-icon_select-no avia-size-medium avia-position-left avia-color-theme-color'  target=\"_blank\"  rel=\"noopener noreferrer\"  aria-label=\"SCOPRI COME FARE A OTTENERLA\"><span class='avia_iconbox_title' >SCOPRI COME FARE A OTTENERLA<\/span><\/a><\/div><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-72t07-0e3e037d189a05633ea8026437435514\">\n.flex_column.av-72t07-0e3e037d189a05633ea8026437435514{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-72t07-0e3e037d189a05633ea8026437435514 av_one_third  avia-builder-el-33  el_after_av_two_third  el_before_av_hr  flex_column_div av-zero-column-padding  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jsx2nve0-368dde789cd0698cc8620cc8bd15609a\">\n.avia-image-container.av-jsx2nve0-368dde789cd0698cc8620cc8bd15609a img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-jsx2nve0-368dde789cd0698cc8620cc8bd15609a .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-jsx2nve0-368dde789cd0698cc8620cc8bd15609a av-styling- avia-align-center  avia-builder-el-34  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-343 avia-img-lazy-loading-not-343 avia_image ' src=\"https:\/\/www.ikosecm.it\/ecm\/wp-content\/uploads\/2019\/03\/global-card-2019-w245.png\" alt='' title='global-card-2019-w245'  height=\"154\" width=\"245\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ju9svqe3-8cfd165acfd648d82f1c858e30ff1e0a\">\n#top .hr.hr-invisible.av-ju9svqe3-8cfd165acfd648d82f1c858e30ff1e0a{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-ju9svqe3-8cfd165acfd648d82f1c858e30ff1e0a hr-invisible  avia-builder-el-35  el_after_av_one_third  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Lombalgie o sciatalgie possono compromettere la qualit\u00e0 di vita e impedire talvolta lo svolgimento delle normali attivit\u00e0 lavorative o ricreative.<br \/>\nQuale pu\u00f2 essere il percorso diagnostico riguardante le possibili cause e classificazioni del mal di schiena?<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[59,217,116,64,215,212,214,216,60,63,62,257,58,56,61,218,57],"class_list":["post-1303","post","type-post","status-publish","format-standard","hentry","category-corsi-ecm","tag-corso-ecm","tag-corso-ecm-lombalgia","tag-corso-ecm-ortopedici","tag-corso-fad","tag-diagnosi-lombalgia","tag-diagnosi-mal-di-schiena","tag-diagnosi-sciatalgia","tag-diagnosticare-lombalgia","tag-dolore-alla-schiena","tag-dolore-lombare","tag-ernia","tag-f-a-d","tag-lombalgia","tag-mal-di-schiena","tag-patologie-colonna-vertebrale","tag-risonanza-magnetica-schiena","tag-sciatalgia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Il mal di schiena: quali sono i principali strumenti per una diagnosi corretta? - per 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