Como mal a fibromialgia afeta seus pés.

O tratamento da fibromialgia deve se estender do alto da cabeça até as pontas dos dedos dos pés – literalmente. Embora os pés não sejam o local com maior probabilidade de sofrer de dor na fibromialgia, em um artigo recente publicado na revista  Arthritis Research and Therapy , cerca de metade dos 202 pacientes com fibromialgia estudados relataram problemas nos pés.

“Compensação por dor no pé leva a dor nos joelhos, quadris e região lombar”, diz Dennis Frisch, DPM, um podólogo em consultório particular em Boca Raton, Flórida. Se você já está lidando com sintomas de fibromialgia, isso é adicionado dor que você não precisa. Além disso, dor no pé aumenta o risco de você cair e ter uma lesão ou simplesmente ser menos ativo do que você pode querer ser.

As chances são, com fibromialgia, você está ciente da dor que outras pessoas simplesmente ignoram. “Em geral, porque as pessoas com fibromialgia têm maior sensibilidade à dor e menor tolerância à dor, elas são mais sensíveis à dor em todos os lugares”, diz o Dr. Frisch. De fato, os especialistas acreditam que pelo menos uma em cada quatro pessoas tem dor no pé, mas muitas, se não a maioria, simplesmente não recebem tratamento.

Reconectando os pontos

Há também fontes comuns de dor no pé que não estão diretamente ligadas à fibromialgia, mas podem ser intensificadas por ter essa condição. Um exemplo é o neuroma de Morton, um aumento benigno de um nervo que causa formigamento e dor aguda entre o terceiro e o quarto dedos do pé. Esta condição desagradável pode ser tratada com injeções de cortisona ou cirurgia.

A fascite plantar é também uma fonte comum de dor no pé. Com esta condição, o tecido conjuntivo macio sob o pé fica inflamado e dolorido. Muitas vezes, é o resultado de más escolhas em calçados. Escolher um arco de suporte pode ajudar a prevenir a dor.

Sendo ativo apesar da dor no pé

O problema da dor no pé, diz Frisch, é que se torna um ciclo vicioso. Como as pessoas com fibromialgia costumam se sentir fatigadas, elas podem não ter o suficiente da atividade física de que precisam para se sentir melhor. No entanto, se eles começarem a tentar aumentar a atividade física, podem inicialmente sentir algum desconforto ou até machucar os pés, culpar a fibromialgia e deixar de tentar ser ativo. “Normalmente, para a fibromialgia, a recomendação é andar”, acrescenta Frisch.

Se você quiser se mexer com a fibromialgia e evitar dores desnecessárias no pé, tente seguir estes passos:

  • Conheça o seu médico. Você deve, é claro, consultar seu podólogo se sentir alguma dor nos pés. Mas a reunião com seu podólogo ou médico quando você está tentando iniciar um regime de exercícios pode ajudá-lo a tomar melhores decisões e manter seus pés saudáveis.
  • Escolha o sapato certo. “Certifique-se de ter o sapato certo para qualquer atividade que você vai fazer”, aconselha Frisch. Se você puder pagar, vale a pena pagar um pouco mais por um tênis de qualidade que ajudará a evitar a dor. Procure por sapatos que tenham uma biqueira larga, um arco de suporte e uma sola que ofereça suporte e flexibilidade.
  • Comece gentilmente. A fibromialgia é uma condição imprevisível, diz Frisch. Em um bom dia, você pode ficar tentado a exagerar no exercício ou usar um salto muito alto; opte pela moderação se quiser evitar a dor.
  • Espere e aceite algum desconforto. Um pouco de desconforto quando você começa um programa de exercícios não é incomum. Mas se você sentir dor, é hora de ligar para o seu médico.
  • Mude para os saltos inferiores para o uso diário.  Se você é apaixonado por saltos, manter a altura abaixo de uma polegada é o melhor para os seus sintomas de fibromialgia, diz Frisch. Se você realmente quer ter um salto mais alto, coloque seus sapatos sensatos em uma bolsa grande para que você possa fazer uma mudança rápida e confortável.Finalmente, diz Frisch, lembre-se de que seu podólogo pode tratar dores nos pés e fazer recomendações para calçados melhores e outras mudanças mas não pode abordar o quadro geral da fibromialgia. Uma abordagem de equipe médica ainda é melhor para o tratamento completo da fibromialgia.

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