{"id":609,"date":"2026-04-14T19:21:54","date_gmt":"2026-04-14T17:21:54","guid":{"rendered":"https:\/\/drfeletto.com\/el-hombro-que-no-cicatriza-el-caso-que-cambio-mi-vision-de-la-ortopedia\/"},"modified":"2026-05-18T11:00:04","modified_gmt":"2026-05-18T09:00:04","slug":"el-hombro-que-no-cicatriza-el-caso-que-cambio-mi-vision-de-la-ortopedia","status":"publish","type":"post","link":"https:\/\/drfeletto.com\/es\/el-hombro-que-no-cicatriza-el-caso-que-cambio-mi-vision-de-la-ortopedia\/","title":{"rendered":"El hombro que no cicatriza: el caso que cambi\u00f3 mi visi\u00f3n de la ortopedia"},"content":{"rendered":"\n

C\u00f3mo un patr\u00f3n metab\u00f3lico oculto imped\u00eda la curaci\u00f3n de una tendinitis \u00abnormal\u00bb – y qu\u00e9 hice de forma diferente<\/em><\/p>\n\n

Un paciente que no esperaba nada diferente<\/h2>\n\n

Cuando entr\u00f3 en mi consulta, ya estaba resignado. Sesenta a\u00f1os, tendinitis en el hombro derecho diagnosticada por resonancia magn\u00e9tica. Un a\u00f1o de dolor. Un ciclo completo de infiltraciones de cortisona – casi ning\u00fan resultado. Fisioterapia – mejor\u00eda parcial, luego todo como antes. El dolor le despertaba por la noche. No pod\u00eda levantar el brazo por encima de la cabeza. <\/p>\n\n

Hab\u00eda acudido por consejo de un amigo, pero era esc\u00e9ptico. Era un hombre pr\u00e1ctico, acostumbrado a la medicina cl\u00e1sica, que confiaba en los n\u00fameros y los ex\u00e1menes. Su mujer, m\u00e9dico, me conoc\u00eda de mis d\u00edas en el hospital y le hab\u00eda animado a venir. Estaba all\u00ed porque me consideraba una persona sensata a pesar de mis planteamientos poco convencionales. <\/p>\n\n

No esperaba nada distinto de lo que ya hab\u00eda o\u00eddo.<\/p>\n\n

El diagn\u00f3stico era correcto. El problema estaba en otra parte. <\/h2>\n\n

\u00c9ste es el punto que a muchos les cuesta entender: el diagn\u00f3stico ortop\u00e9dico era correcto. Efectivamente hab\u00eda tendinitis. La resonancia magn\u00e9tica no ment\u00eda. Los tratamientos que hab\u00eda recibido eran adecuados para ese diagn\u00f3stico. <\/p>\n\n

El problema era que nadie hab\u00eda investigado por qu\u00e9 no se curaba esa tendinitis (y por qu\u00e9 hab\u00eda aparecido en primer lugar).<\/p>\n\n

Un tend\u00f3n se inflama cuando se sobrecarga m\u00e1s de lo que puede soportar. La cortisona reduce la inflamaci\u00f3n. La fisioterapia act\u00faa sobre la carga. Pero si hay algo en el sistema que mantiene activa esa sobrecarga -algo alejado del hombro-, cualquier tratamiento local s\u00f3lo proporcionar\u00e1 un alivio temporal. <\/p>\n\n

Lo que mostr\u00f3 la evaluaci\u00f3n sist\u00e9mica<\/h2>\n\n

Aplicando el protocolo de Ortopedia Sist\u00e9mica, surgi\u00f3 algo que nadie hab\u00eda buscado: un patr\u00f3n metab\u00f3lico compatible con una sensibilidad a los estimulantes y a las prote\u00ednas de la leche. No era una alergia, ni una enfermedad. Una respuesta del sistema nervioso aut\u00f3nomo que manten\u00eda un nivel cr\u00f3nico de inflamaci\u00f3n y tensi\u00f3n muscular en el supraespinoso, impidiendo que el tend\u00f3n sanara a pesar de un tratamiento local adecuado. <\/p>\n\n

En t\u00e9rminos pr\u00e1cticos: el caf\u00e9, el cacao, el t\u00e9, el alcohol, la coca-cola y los productos l\u00e1cteos estaban alimentando una respuesta inflamatoria sist\u00e9mica que el tend\u00f3n, ya sometido a presi\u00f3n, era incapaz de procesar.<\/p>\n\n

Mi receta no era un medicamento. No era una terapia manual. Le ped\u00ed que eliminara esos alimentos durante un mes y que los complementara con altas dosis de complejo B. <\/strong><\/p>\n\n

Me mir\u00f3 como si hubiera dicho algo absurdo. Le entend\u00ed perfectamente. Pero estuvo de acuerdo. <\/p>\n\n

El resultado al cabo de treinta d\u00edas<\/h2>\n\n

Reevaluaci\u00f3n al cabo de un mes: 90% del dolor desaparecido. Recuperaci\u00f3n total del movimiento. <\/p>\n\n

Me cont\u00f3 que durante todo el mes sus amigos se hab\u00edan burlado de \u00e9l en el bar porque no beb\u00eda con ellos. Le dijeron que la nutrici\u00f3n no pod\u00eda tener nada que ver con un hombro. Pero \u00e9l hab\u00eda hecho lo que yo le hab\u00eda dicho. Y estaba contento. <\/p>\n\n

Por qu\u00e9 te cuento este caso<\/h2>\n\n

No porque sea excepcional. Porque es frecuente. <\/p>\n\n

Cada semana veo a personas con diagn\u00f3sticos correctos, tratamientos correctos y dolor que no desaparece. La causa casi nunca est\u00e1 donde todos la buscan. Encontrar ese origen requiere una mirada m\u00e1s amplia, que integre la ortopedia cl\u00e1sica con una lectura del sistema nervioso aut\u00f3nomo, el metabolismo, la nutrici\u00f3n. <\/p>\n\n

Por eso desarroll\u00e9 la Ortopedia Sist\u00e9mica. No para sustituir a la medicina ortop\u00e9dica, sino para darle la visi\u00f3n de la que a menudo carece. <\/p>\n\n

\n\n

\u00bfQuieres comprender la causa de tu dolor?<\/h2>\n\n

Si t\u00fa tambi\u00e9n te has sometido ya a fisioterapia, infiltraciones u otros tratamientos sin obtener una soluci\u00f3n duradera, quiz\u00e1 merezca la pena buscar m\u00e1s all\u00e1 de donde sientes el dolor. Reserva una evaluaci\u00f3n -en l\u00ednea o en persona- y empieza a buscar la causa real. <\/p>\n\n

\u2192 Reserva una evaluaci\u00f3n en drfeletto.com\/visitas<\/a><\/strong><\/p>\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00f3mo un patr\u00f3n metab\u00f3lico oculto imped\u00eda la curaci\u00f3n de una tendinitis \u00abnormal\u00bb – y qu\u00e9 hice de forma diferente Un paciente que no esperaba nada diferente Cuando entr\u00f3 en mi consulta, ya estaba resignado. Sesenta a\u00f1os, tendinitis en el hombro derecho diagnosticada por resonancia magn\u00e9tica. Un a\u00f1o de dolor. Un ciclo completo de infiltraciones de…<\/p>\n","protected":false},"author":1,"featured_media":610,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ortopedia-sistemica"],"yoast_head":"\nEl hombro que no cicatriza - Dr. Feletto<\/title>\n<meta name=\"description\" content=\"\u00bfLa infiltraci\u00f3n y la fisioterapia no bastan? 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