{"id":3040,"date":"2025-09-11T11:53:04","date_gmt":"2025-09-11T11:53:04","guid":{"rendered":"https:\/\/drconstantinescu-recuperaremedicala.ro\/?p=3040"},"modified":"2025-09-11T12:03:32","modified_gmt":"2025-09-11T12:03:32","slug":"tratamentul-cu-plasma-imbogatita-prp-in-tendinita-de-supraspinos-a-umarului","status":"publish","type":"post","link":"https:\/\/dev.seoclub.ro\/doctor\/tratamentul-cu-plasma-imbogatita-prp-in-tendinita-de-supraspinos-a-umarului\/","title":{"rendered":"Tratamentul cu plasm\u0103 \u00eembog\u0103\u021bit\u0103 (PRP) \u00een tendinita de supraspinos a um\u0103rului"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3040\" class=\"elementor elementor-3040\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51201f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51201f3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fcf4048\" data-id=\"fcf4048\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-079b93f elementor-widget elementor-widget-heading\" data-id=\"079b93f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ce este tendonul supraspinos \u0219i de ce se inflameaz\u0103<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-98c8ac0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"98c8ac0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f2038f0\" data-id=\"f2038f0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c1c238 elementor-widget elementor-widget-text-editor\" data-id=\"3c1c238\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"390\" data-end=\"699\"><span style=\"color: #000000;\">Mu\u0219chiul supraspinos face parte din grupul celor patru mu\u0219chi ai coafei rotatorilor. Ace\u0219ti mu\u0219chi asigur\u0103 mobilitatea \u0219i rota\u021bia um\u0103rului, fiind esen\u021biali pentru mi\u0219c\u0103rile zilnice. Cel mai frecvent afectat este tendonul supraspinos, responsabil de mi\u0219carea de abduc\u021bie, mai exact ridicarea bra\u021bului departe de corp.<\/span><\/p><p data-start=\"701\" data-end=\"1038\"><span style=\"color: #000000;\">Leziunile apar de obicei prin suprasolicitare (sporturi precum tenis sau \u00eenot) sau prin traumatisme repetate. Ini\u021bial, tendonul prezint\u0103 inflama\u021bii \u0219i micro-rupturi, dar \u00een lipsa tratamentului procesul se agraveaz\u0103, duc\u00e2nd la rupturi par\u021biale sau chiar totale. Pacientul resimte durere constant\u0103, iar mobilitatea este tot mai limitat\u0103.<\/span><\/p><p data-start=\"1040\" data-end=\"1147\"><span style=\"color: #000000;\">De aceea, diagnosticarea precoce \u0219i interven\u021bia medical\u0103 sunt esen\u021biale pentru a preveni agravarea bolii.<\/span><\/p><h2 data-start=\"1149\" data-end=\"1205\"><span style=\"color: #33cccc;\">Tendinita de supraspinos \u2013 defini\u021bie \u0219i manifest\u0103ri<\/span><\/h2><p data-start=\"1206\" data-end=\"1426\"><span style=\"color: #000000;\">Coafa rotatorilor include patru mu\u0219chi: supraspinos, infraspinos, subscapular \u0219i rotund mic. Ei men\u021bin stabilitatea \u0219i mobilitatea um\u0103rului, cea mai flexibil\u0103 articula\u021bie a corpului, capabil\u0103 de rota\u021bie complet\u0103 360\u00b0.<\/span><\/p><p data-start=\"1428\" data-end=\"1511\"><span style=\"color: #000000;\"><strong data-start=\"1428\" data-end=\"1456\">Tendinita de supraspinos<\/strong> \u00eenseamn\u0103 inflama\u021bia tendonului \u0219i se manifest\u0103 prin:<\/span><\/p><ul data-start=\"1512\" data-end=\"1835\"><li data-start=\"1512\" data-end=\"1564\"><p data-start=\"1514\" data-end=\"1564\"><span style=\"color: #000000;\">durere localizat\u0103 \u00een fa\u021ba \u0219i lateralul um\u0103rului;<\/span><\/p><\/li><li data-start=\"1565\" data-end=\"1610\"><p data-start=\"1567\" data-end=\"1610\"><span style=\"color: #000000;\">intensificare a durerii pe timpul nop\u021bii;<\/span><\/p><\/li><li data-start=\"1611\" data-end=\"1670\"><p data-start=\"1613\" data-end=\"1670\"><span style=\"color: #000000;\">iradiere a durerii spre humerus, dar niciodat\u0103 sub cot;<\/span><\/p><\/li><li data-start=\"1671\" data-end=\"1730\"><p data-start=\"1673\" data-end=\"1730\"><span style=\"color: #000000;\">limitarea mi\u0219c\u0103rilor de ridicare \u0219i rota\u021bie a bra\u021bului;<\/span><\/p><\/li><li data-start=\"1731\" data-end=\"1835\"><p data-start=\"1733\" data-end=\"1835\"><span style=\"color: #000000;\">uneori, asociere cu tendinita de biceps, c\u00e2nd durerea se extinde \u0219i \u00een partea anterioar\u0103 a um\u0103rului.<\/span><\/p><\/li><\/ul><p data-start=\"1837\" data-end=\"1965\"><span style=\"color: #000000;\">L\u0103sat\u0103 netratat\u0103, aceast\u0103 afec\u021biune duce la blocaj articular \u0219i la modific\u0103ri degenerative care necesit\u0103 terapii mai complexe.<\/span><\/p><h2 data-start=\"1967\" data-end=\"1998\"><span style=\"color: #33cccc;\">Cauzele tendinitei de um\u0103r<\/span><\/h2><p data-start=\"1999\" data-end=\"2194\"><span style=\"color: #000000;\">Tendinita coafei rotatorilor este frecvent\u0103 at\u00e2t la persoane active (sportivi, \u00eenot\u0103tori, tenismeni), c\u00e2t \u0219i la cei care fac mi\u0219c\u0103ri repetitive deasupra capului (zugravi, zidari, electricieni).<\/span><\/p><p data-start=\"2196\" data-end=\"2216\"><span style=\"color: #000000;\">Alte cauze includ:<\/span><\/p><ul data-start=\"2217\" data-end=\"2410\"><li data-start=\"2217\" data-end=\"2261\"><p data-start=\"2219\" data-end=\"2261\"><span style=\"color: #000000;\">traumatisme directe la nivelul um\u0103rului;<\/span><\/p><\/li><li data-start=\"2262\" data-end=\"2317\"><p data-start=\"2264\" data-end=\"2317\"><span style=\"color: #000000;\">procese degenerative asociate \u00eenaint\u0103rii \u00een v\u00e2rst\u0103;<\/span><\/p><\/li><li data-start=\"2318\" data-end=\"2410\"><p data-start=\"2320\" data-end=\"2410\"><span style=\"color: #000000;\">afec\u021biuni endocrinologice, care reduc capacitatea natural\u0103 de regenerare a organismului.<\/span><\/p><\/li><\/ul><h2 data-start=\"2412\" data-end=\"2454\"><span style=\"color: #33cccc;\">Tratamentul tendinitei de supraspinos<\/span><\/h2><p data-start=\"2455\" data-end=\"2517\"><span style=\"color: #000000;\">Planul de tratament difer\u0103 \u00een func\u021bie de stadiul afec\u021biunii:<\/span><\/p><h3 data-start=\"2519\" data-end=\"2559\"><span style=\"color: #000000;\">1. Faza acut\u0103 \u2013 inflama\u021bie intens\u0103<\/span><\/h3><ul data-start=\"2560\" data-end=\"2740\"><li data-start=\"2560\" data-end=\"2604\"><p data-start=\"2562\" data-end=\"2604\"><span style=\"color: #000000;\">repaus \u0219i evitarea mi\u0219c\u0103rilor dureroase;<\/span><\/p><\/li><li data-start=\"2605\" data-end=\"2636\"><p data-start=\"2607\" data-end=\"2636\"><span style=\"color: #000000;\">aplicarea de comprese reci;<\/span><\/p><\/li><li data-start=\"2637\" data-end=\"2666\"><p data-start=\"2639\" data-end=\"2666\"><span style=\"color: #000000;\">tratament antiinflamator;<\/span><\/p><\/li><li data-start=\"2667\" data-end=\"2740\"><p data-start=\"2669\" data-end=\"2740\"><span style=\"color: #000000;\">microinfiltra\u021bii cu ozon (<a href=\"https:\/\/dev.seoclub.ro\/doctor\/tratamente\/ozonoterapie\/\">ozonoterapie<\/a>) pentru reducerea inflama\u021biei.<\/span><\/p><\/li><\/ul><h3 data-start=\"2742\" data-end=\"2785\"><span style=\"color: #000000;\">2. Terapia PRP \u2013 solu\u021bia regenerativ\u0103<\/span><\/h3><p data-start=\"2786\" data-end=\"2918\"><span style=\"color: #000000;\">Dup\u0103 calmarea inflama\u021biei, <strong data-start=\"2813\" data-end=\"2860\"><a href=\"https:\/\/dev.seoclub.ro\/doctor\/tratamente\/terapie-prp-infiltratii-cu-plasma\/\">terapia PRP<\/a> (plasm\u0103 \u00eembog\u0103\u021bit\u0103 cu plachete)<\/strong> devine tratamentul de prim\u0103 alegere. Aceasta presupune:<\/span><\/p><ul data-start=\"2919\" data-end=\"3115\"><li data-start=\"2919\" data-end=\"2955\"><p data-start=\"2921\" data-end=\"2955\"><span style=\"color: #000000;\">recoltarea s\u00e2ngelui pacientului;<\/span><\/p><\/li><li data-start=\"2956\" data-end=\"3038\"><p data-start=\"2958\" data-end=\"3038\"><span style=\"color: #000000;\">procesarea prin centrifugare pentru a ob\u021bine plasma concentrat\u0103 \u00een trombocite;<\/span><\/p><\/li><li data-start=\"3039\" data-end=\"3115\"><p data-start=\"3041\" data-end=\"3115\"><span style=\"color: #000000;\">reinjectarea plasmei \u00een zona afectat\u0103 (intraarticular \u0219i periarticular).<\/span><\/p><\/li><\/ul><p data-start=\"3117\" data-end=\"3424\"><span style=\"color: #000000;\">Se recomand\u0103 <strong data-start=\"3130\" data-end=\"3162\">3 \u0219edin\u021be de infiltra\u021bii PRP<\/strong>, la interval de aproximativ dou\u0103 s\u0103pt\u0103m\u00e2ni. Studiile clinice \u0219i experien\u021ba medical\u0103 arat\u0103 rezultate foarte bune: reducerea durerii, refacerea \u021besuturilor \u0219i reluarea mobilit\u0103\u021bii. Tot mai mul\u021bi pacien\u021bi aleg aceast\u0103 metod\u0103 datorit\u0103 eficien\u021bei \u0219i siguran\u021bei ei.<\/span><\/p><h3 data-start=\"3426\" data-end=\"3464\"><span style=\"color: #000000;\">3. Kinetoterapie \u0219i fizioterapie<\/span><\/h3><p data-start=\"3465\" data-end=\"3684\"><span style=\"color: #000000;\">La c\u00e2teva s\u0103pt\u0103m\u00e2ni dup\u0103 ultima \u0219edin\u021b\u0103 de PRP, pacientul poate \u00eencepe programe de recuperare personalizate. Kinetoterapia \u0219i fizioterapia \u00eent\u0103resc musculatura \u0219i ajut\u0103 la redob\u00e2ndirea mobilit\u0103\u021bii complete a um\u0103rului.<\/span><\/p><h3 data-start=\"3686\" data-end=\"3720\"><span style=\"color: #000000;\">4. Alte op\u021biuni de tratament<\/span><\/h3><ul data-start=\"3721\" data-end=\"3893\"><li data-start=\"3721\" data-end=\"3756\"><p data-start=\"3723\" data-end=\"3756\"><span style=\"color: #000000;\"><a href=\"https:\/\/dev.seoclub.ro\/doctor\/tratamente\/infiltratii-cu-acid-hialuronic\/\">infiltra\u021bii cu acid hialuronic<\/a>;<\/span><\/p><\/li><li data-start=\"3757\" data-end=\"3784\"><p data-start=\"3759\" data-end=\"3784\"><span style=\"color: #000000;\">ozonoterapie combinat\u0103;<\/span><\/p><\/li><li data-start=\"3785\" data-end=\"3893\"><p data-start=\"3787\" data-end=\"3893\"><span style=\"color: #000000;\"><a href=\"https:\/\/dev.seoclub.ro\/doctor\/tratamente\/infiltratii-cu-remedii-homeopate\/\">infiltra\u021bii cu remedii homeopate<\/a> HEEL sau GUNA (colagen, substan\u021be naturale de sus\u021binere a regener\u0103rii).<\/span><\/p><\/li><\/ul><p data-start=\"3895\" data-end=\"4011\"><span style=\"color: #000000;\">Corticoterapia local\u0103 poate fi utilizat\u0103 doar \u00een cazuri rare, din cauza efectelor adverse \u0219i a contraindica\u021biilor.<\/span><\/p><h2 data-start=\"4013\" data-end=\"4053\"><span style=\"color: #000000;\">Cum se desf\u0103\u0219oar\u0103 infiltra\u021biile PRP<\/span><\/h2><p data-start=\"4054\" data-end=\"4367\"><span style=\"color: #000000;\">\u00cen cabinetul <a href=\"https:\/\/dev.seoclub.ro\/doctor\/\">Dr. R\u0103svan Constantinescu<\/a>, infiltra\u021biile cu plasm\u0103 sunt realizate cu tehnici atraumatice, ceea ce \u00eenseamn\u0103 c\u0103 durerea la injectare este minim\u0103. Pacientul \u00ee\u0219i poate relua activit\u0103\u021bile aproape imediat, \u00eens\u0103 este recomandat un repaus fizic de 12\u201324 de ore pentru confort \u0219i stabilitate a rezultatului.<\/span><\/p><p data-start=\"4369\" data-end=\"4485\"><span style=\"color: #000000;\">Reluarea gradual\u0103 a activit\u0103\u021bilor care au provocat tendinita se face dup\u0103 recuperare \u0219i sub supraveghere medical\u0103.<\/span><\/p><h2 data-start=\"4487\" data-end=\"4501\"><span style=\"color: #000000;\">Concluzie<\/span><\/h2><p data-start=\"4502\" data-end=\"4880\"><span style=\"color: #000000;\"><strong data-start=\"4502\" data-end=\"4560\">Terapia PRP pentru tendinita de supraspinos a um\u0103rului<\/strong> este una dintre cele mai eficiente metode moderne de tratament. Prin stimularea procesului natural de regenerare, reduce inflama\u021bia, amelioreaz\u0103 durerea \u0219i \u00eembun\u0103t\u0103\u021be\u0219te mobilitatea. \u00cen combina\u021bie cu kinetoterapia \u0219i fizioterapia, ofer\u0103 \u0219anse mari de recuperare complet\u0103 \u0219i reintegrare rapid\u0103 \u00een activit\u0103\u021bile zilnice.<br \/><br \/><img decoding=\"async\" class=\"emoji\" role=\"img\" draggable=\"false\" src=\"https:\/\/s.w.org\/images\/core\/emoji\/14.0.0\/svg\/1f449.svg\" alt=\"\ud83d\udc49\" title=\"\">\u00a0<b>Programeaz\u0103-te la o consulta\u021bie \u0219i afl\u0103 dac\u0103 terapia PRP este solu\u021bia potrivit\u0103 pentru tine!<\/b><br \/><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6473e40 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6473e40\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-159883e\" data-id=\"159883e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-94abe8f elementor-widget elementor-widget-button\" data-id=\"94abe8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/dev.seoclub.ro\/doctor\/contact\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">D\u0103 clic aici<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ce este tendonul supraspinos \u0219i de ce se inflameaz\u0103 Mu\u0219chiul supraspinos face parte din grupul celor patru mu\u0219chi ai coafei rotatorilor. Ace\u0219ti mu\u0219chi asigur\u0103 mobilitatea \u0219i rota\u021bia um\u0103rului, fiind esen\u021biali pentru mi\u0219c\u0103rile zilnice. Cel mai frecvent afectat este tendonul supraspinos, responsabil de mi\u0219carea de abduc\u021bie, mai exact ridicarea bra\u021bului departe de corp. Leziunile apar de&#8230;<\/p>\n","protected":false},"author":1,"featured_media":3049,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[35,34],"class_list":["post-3040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapia-prp","tag-tendinita-umar","tag-terapia-prp"],"_links":{"self":[{"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/posts\/3040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/comments?post=3040"}],"version-history":[{"count":8,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/posts\/3040\/revisions"}],"predecessor-version":[{"id":3050,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/posts\/3040\/revisions\/3050"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/media\/3049"}],"wp:attachment":[{"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/media?parent=3040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/categories?post=3040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dev.seoclub.ro\/doctor\/wp-json\/wp\/v2\/tags?post=3040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}