El dolor óseo puede ser un síntoma de diversas condiciones médicas. Estas son las causas más frecuentes:

Deficiencia de Vitamina D y Osteoporosis

La falta de vitamina D afecta la absorción de calcio, debilitando los huesos. La osteoporosis, frecuente en adultos mayores, provoca pérdida de densidad ósea y fracturas por fragilidad. Se observa en pacientes con malabsorción intestinal, enfermedad renal crónica o baja exposición solar.

Artritis y Enfermedades Reumáticas

Artritis reumatoide: Trastorno autoinmune que provoca inflamación crónica de la membrana sinovial, erosión ósea y dolor.

Osteoartritis: Degeneración progresiva del cartílago articular con afectación ósea subcondral, produciendo dolor mecánico.

Infecciones Virales y Fiebres Exantemáticas

Enfermedades como el dengue, chikungunya y otras fiebres exantemáticas pueden causar artralgias y mialgias intensas, que a menudo se confunden con dolor óseo.

Enfermedades Metabólicas y Hormonales

Trastornos como el hiperparatiroidismo, el hipotiroidismo y la enfermedad de Paget alteran el metabolismo óseo, provocando dolor y deformidades. Tipos específicos de anemias también están involucrados.

Fracturas por Estrés y Medicación

El uso prolongado de corticosteroides, la quimioterapia y las fracturas microscópicas pueden causar dolor óseo crónico.

Si el dolor es persistente, consulta a un médico para un diagnóstico y tratamiento adecuado.

Infecciones y Cáncer Óseo

La osteomielitis (infección ósea) y las metástasis óseas pueden causar dolor persistente, inflamación y debilitamiento del hueso.

Si el dolor es persistente, consulta a un médico para un diagnóstico y tratamiento adecuado.

11/02/25

Diabetic foot ulcers require specialized care to promote healing and prevent complications. There are three main types of wound care approaches: dry wound care, moist wound care, and negative pressure wound therapy (NPWT). Each method is used based on the wound’s condition and healing stage.

1. Dry Wound Care

Dry wound care involves keeping the ulcer dry and covered daily with non-adherent dressings. This method is typically used for necrotic or uninfected wounds that require debridement or when excessive moisture could lead to bacterial growth. It helps form a scab that protects the wound but may slow down tissue regeneration.

2. Moist Wound Care

This method promotes healing by maintaining a balanced moisture level in the wound bed. It uses hydrocolloids, hydrogels, and foam dressings to create an optimal environment for cell migration and tissue regeneration. Moist wound care is ideal for granulating ulcers as it reduces pain, minimizes scarring, and speeds up the healing process. 

3. Negative Pressure Wound Therapy (NPWT)

NPWT, also known as vacuum-assisted wound closure, uses a sealed dressing connected to a vacuum pump. This therapy removes excess fluid, reduces swelling, and increases blood flow, accelerating the healing of deep or chronic diabetic foot ulcers. It is particularly useful for infected or large wounds that require controlled healing.

Proper wound care selection depends on the wound’s severity, infection status, and healing progress. Consulting a healthcare professional ensures the best treatment approach to prevent complications and promote faster recovery.

Here in MedDomicilio Dry and Wound Care treatments are available.

24/01/2025

Injuries can bleed for various reasons, depending on the location or mechanism of the wound. Scalp cuts, for example, can be particularly dramatic due to the high blood supply in that area. However, the key to stopping the bleeding remains the same: act promptly.

First and Foremost: Apply Pressure The first step in controlling bleeding is to activate the clotting cascade. This can take anywhere from one to two minutes or longer, depending on the severity of the wound. Typically, applying firm, direct pressure with a bandage or clean cloth should be enough to stop the bleeding. If the bleeding persists despite initial pressure, it's important to apply more pressure to the wound to help stop the bleeding. One effective way to do this is by wrapping the injured area with an additional layer of cloth or fabric.

To do this, take another clean piece of fabric, such as a cloth or bandage, and wrap it tightly around the injured extremity. The extra layer of material will help exert more pressure on the wound, promoting clotting and controlling the bleeding.

Always ensure that the pressure is firm but not excessive, as you don't want to restrict blood flow entirely. 

In Case of Extensive Injury: Use a Tourniquet If the wound is large or pressure cannot be applied effectively, a tourniquet may be necessary. You can improvise a tourniquet with common items, but it should only be used in specific cases. Place it approximately 5-6 cm above the wound, avoiding joints. Contrary to popular belief, a tourniquet can remain in place for up to two hours without causing irreversible damage. However, it is important to note the exact time the tourniquet was applied.

Seek Immediate Medical Attention Regardless of the steps you take, a bleeding wound requires medical attention. It's strongly recommended to go to a healthcare facility for proper evaluation and treatment.

By following these steps, you can help stop the bleeding while preparing to seek professional medical care promptly.