LUMBÀLGIA
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                                     Mecànica                                                       Inflamatòria
                                              |                                                                       |
                                              |----->Temps d'evolució      valorar signes o símptomes d'alarma
                                              |                                                                       |
                     Aguda-------------------Crònica                     -----------------------------------------
                          |                                   |                           |                                                 |
                          |                                   |                          si                                              no
                          |                                   |                           |                                                 |
Tractament                            Radiografia lumbar    interconsulta                     Radiografía  lumbar
Repòs allitat < 7 dies                (front i perfil)               urgent                            (front i perfil
analgèsics i/o AINES           Tractament:                                                              Analítica:
Relaxants musculars             analgèsics i/o AINES                                           Hemograma
Calor                                       Educació sanitària                                                      VSG
                          |                                    |                                                                Tractament:
                          |                                    |                                                                  Repòs
-------------------------------------               -|--------------|                                                Analgèsics i/o AINES
|                                             |                                  |                                                           |
|                                             |                                  |                                                   Valorar als 15 dies
Resolució                No millora als 15 dies          |                                                 --------------------------------
        |                               |                                         |                                                Resolució            no  millora
        |                               |                                         |
        |                               |                                         |                                                  Revalorar           Interconsulta
        |                               |                                         |                                                  diagnòstic
     Alta                      Radiografia lumbar              |                                                                                     |                                     (front i perfil)                      |
                                         |                                        |                                                                                          |
                                         |                                        |                                                                                        
                                 Revalorar diagnòstic,           |                     .             
                             tractament i/o interconsulta      |                                  
                                                                                 |
                                                                                 |
                                                               ----------------------------
                                                               |                                 |
                                                               |                    1 -3 mesos no millora
                                                           millora                           |
                                                               |                     Consulta especialista
                                                           reforçar
                                                           educació
                                                           sanitària

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